T-10 days and counting: EPIC 2014 ill-planned upgrade

T-10 days and counting: EPIC 2014 ill-planned upgrade

Teaching works best when it takes place in the context in which the information will be used. That is one of the fundamental tenants of adult education. Another central principle is that adult learners have other things going on in their lives and cannot spend all their time outside of work still engaged in work related learning activities. An institution that rolls out upgrades to a mission-critical system that is central to the daily care of patients, if they really valued their employees and their patients, would protect time during working hours to allow their employees to learn new features while seeing patients. Or, at the very least, free them from clinical responsibilities for enough time to work with mock patients to learn the new system.

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Epic failure - how can we achieve EMR interoperability when we have no intraoperability?

Epic failure - how can we achieve EMR interoperability when we have no intraoperability?

We are trying to reach a point with Electronic Medical Records where we can easily share medical information between providers at different geographic  locations. The road map for "meaningful use" had targeted this for 2014-15. Yet, the most widely used hospital based EMR system in this country, EPIC, fails to even allow sharing of data within our own hospital about a given patient let alone between other hospitals and ours. How did we drift so far from the goals of having EMRs actually help us care for patients?

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What were you thinking? Conveying the treatment rationale

What were you thinking? Conveying the treatment rationale
challenge in daily practice in medicine is making sure when reporting back to the referring physician, that you are answering the question that led to the referral. A key part is to not just respond with an assessment and plan along with highlights of the examination, but also the rationale behind your thought processes.Read More

An Ophthalmologist EMR Checklist: 4 Characteristics of the Ideal EMR (by Katie Matlack)

Ophthalmologists who are evaluating ophthalmology EMR systems will want a solution that can display and capture patient data in a way that supports the unique needs of their speciality. But what specific characteristics should an ophthalmologist look for in an EMR? I posed that question to four ophthalmologists and a practice manager. Here are their recommendations.

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Mix & match EMR systems; 3 month update after transition to hybrid system

Mix & match EMR systems; 3 month update after transition to hybrid system

As those faithful readers already know, I have always been in search of the perfect EMR solution for Ophthalmology and keep thinking I’ve found it. The latest iteration, after a transition that was difficult for all involved, is sort of like the latest Apple hardware…the best system I’ve ever had - until I change it again! One compromise though was to throw away the EMR ideal of one system to do everything.

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Transition to a new EMR: first 2 weeks after going live

Transition to a new EMR: first 2 weeks after going live

I am happy to report that we have survived our first two weeks since our transition from Optimed Software’s Accuro to TeckSoft’s EyeVu. The most important thing to emphasize is that these are both excellent EMR solutions and either one could be ideal for your practice. As I’ve said many times, if there were a perfect EMR system, then everyone would be on that one system. The fact is that just like we all have different learning and teaching styles, we all have different EMR styles and need to find the type that is best for each of us.

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