A friend asked me what EMR to get and here’s my response (edited a bit from its original form to make it into more of an article than a chatty email message.)
Read More“In the US, payment is based on CPT codes which are determined by how many items are recorded in the examination.This results in a system where “more is better”. With EHR, the ability to “default” normal items into the record can lead to 3 and 4 page eye examinations with elaborate descriptions of normal findings. The ability to extract the pertinent material is hampered by the amount of useless verbiage."
Read MoreThe Vancouver Sun article and the Telus Press release that it is likely based upon, makes it sound like all we need is Telus to start using Microsoft's HealthVault and magically patients will access all their health records. At least when Apple promises some magic, they deliver something and make us think it is special. There is no way that Telus can deliver their magical solution as simply hosting a medium to access health records does not mean any data will be in theHealthVault.
Read MoreThe BC-wide EHR initiative to date is failing interoperability, costs are beyond original planned federal matching funds, no strategic plan started until 4 yrs & $150 million spent, and doctors were only consulted this past year.
Read MoreThe American Board of Ophthalmology introduced mandatory re-certification every 10 years the year I became a 'Board Certified' Ophthalmologist in 1995. The re-certification process is now spread out over 8 years and I just completed the first phase of my second 10-year re-certification process: the Office Record Review (ORR.) I had not remembered the specifics from the last time I had completed the exercise but remembered that I felt it was an educational exercise. Now with it once again completed, I still feel it is a rewarding experience.
Read MoreI started this site in 2009 to write about Glaucoma, Health IT (EMR, EHR), Technology and to host my podcast series "Talking About Glaucoma." There is a shortcut to this blog to make it easier to find http://iguy.tv/blog.
I am a glaucoma sub-specialized Ophthalmologist and have a full time clinical practice at the Dartmouth-Hitchcock Clinic of the Geisel School of Medicine in Hanover, NH. I have a longtime interest in the use of technology to help in medical care as well as in Education. In addition, I was a very early adopter and developer of Electronic Medical Record systems who has lectured internationally on the topic of making the transition to EMRs in daily practice.
Copyright © 2009-2018, Robert M Schertzer, MD, MEd, FRCSC. All rights reserved.
