You Just Need More Training

Here is how you change the narrative about EMRs:

High-quality training correlates with higher EHR satisfaction across specialities, according to a new report from KLAS Research.

Doctors hate their EMRs. They hate that they are built for billing and NOT care. It is a big part of the burnout problem. But there is a lot of money in these things for those that are behind it. There is no way that the powers in charge will let burned-out doctors control the narrative. So what do they do? Well, they create bogus studies with the obligatory media hype that shows that doctors just need MORE time on their EMRs:

“There is no single, perfect training program,” the KLAS report admits, “but implementing certain practices, such as using knowledgeable instructors for onboarding or providing lots of online content for follow-up training, can help build an education platform that is useful to clinicians, regardless of their specialty.”

The answer is NO. Stop the metrics. Stop the coding. Stop the note fudging to get better billing. Doctors are not satisfied with their EMRs because of these issues. They do not need more training!

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  3 comments for “You Just Need More Training

  1. Pat
    December 2, 2019 at 11:41 pm

    It amazes me that my XboxOne can perform billions of computations per second allowing me to shoot Nazi zombies in high def, yet every EMR (which are all vastly more expensive than XBoxes) moves slowly, with lots of clunk and pause that only adds to my stress. These stupid EMR’s are truly the perfect metaphor for what medicine has become.

  2. Ben Van Raalte
    December 2, 2019 at 3:48 pm

    Lets see. I started using computers in 1973 and have used for 46 years. I started medical school in 1978 and have done documentation for 39 years. I can use multiple apps and computers well. I need no training to use anything else. I am considered very smart.
    But I needed 20 UNPAID hours for Epic and 20 UNPAID hours of training for Cerner. Why, because they are lousy programs. They are now using the billions we gave them to actually create a working product. And the solution is more UNPAID training, while they and the hospitals who fired all the clerks, make more money?

    The program should auto open after fingerprint and a password to a shelf with charts of my current patients. I should click and there should be tabs for labs, notes, and orders. I should be able to write them and it modifies them and approves.

    But it was written for billing, and to eliminate ward clerks. It is database based and can only work in the exact order it is given, not like computers are supposed to do to save time and effort.

    What are the problems. It is not intuitive or well constructed. It was forced in a not ready state because the Obama administration was given large campaign donations making the founder of Epic a multibillionaire. Just like Windows no one can switch once purchased, they are trapped. Can you imagine if they told government employees they had to do 40 hours of training at their own expense and not paid. I dont know why it was not online anyway.
    The government could have saved billions by giving one billion as seed money to Google, Apple,IBM, Amazon, and others and asked for a version of a medical program. It would need to be backward and forward compatible so if after 10 years it was replaced the data could be imported with no additional cost. The winner of the best prototype would have been given another 10 billion to finalize and then give it all away. Best program, saved hundreds of billions of dollars. 10 years later rebid and replace. Government is both stupid and corrupt and ends up with garbage.

  3. R Stuart
    December 2, 2019 at 2:24 pm

    Shorter version:

    EMRs are perfect, doctors are stupid.

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