Title:
1THE REAL FACTS ABOUT EMR
Any fact that needs to be disclosed should be
put out now or as quickly as possible, because
otherwise the bleeding will not end. Henry
Kissinger
There are in fact two things, fact and opinion
the former begets knowledge, the later ignorance
Hippocrates
"Practical politics consists of ignoring facts."
Henry Adams
2Terms and Acronyms
MRI - Medical Records Institute, which sets many
of the definitions frequently used today in
reference to information technology, as explained
below. CCHIT - stands for a voluntary,
private-sector organization to certify HIT
products. It was initially founded by three
leading HIT industry associations the American
Health Information Management Association
(AHIMA), the Healthcare Information and
Management Systems Society (HIMSS) and The
National Alliance for Health Information
Technology (Alliance). CPOE - computerized
physician order entry. C-EHR - stands for
certified electronic health record. EHR
electronic health record, which is a
computer-accessible, interoperable resource of
clinical and administrative information pertinent
to the health of an individual. The information,
drawn from multiple clinical and administrative
resources, is used by a broad spectrum of
clinical personnel. This enables them to
coordinate the patient's care and promote
wellness. EMR electronic medical record, which
is a computer-accessible resource of medical and
administrative information available on an
individual collected from and accessible by
health care professionals involved in the
patient's care within a single care setting. HHS
- Health and Human Services, currently chaired by
Secretary Michael Leavitt. HIMSS EHRVA is a trade
association of EHR vendors which functions as an
advocacy and lobbying group founded to fight for
the optimal use of healthcare information
technology (IT) and management systems for the
betterment of healthcare. Founded in 1961 it has
offices in Chicago, Washington D.C., Brussels,
and other locations across the United States and
Europe.
Slide 2
3FACTS ABOUT CCHIT
4(No Transcript)
5On 7/2006 CCHIT began certifying EMR software
systems
- And now the average cost of the typical
certified EMR is about twice as expensive as
those that arent certified. - The uptake of certified EMR software systems
has stagnated while those that arent certified
have seen the overall prevalence in the market
grow to almost 30. - The failed installation rates are estimated at up
to 50 in the c-EHR software systems industry
the deinstallation rate is reported to be another
8. - Only 10 of those that buy c-EHR software systems
- actually use all the features that Medicare
wants to - eventually force onto physicians.
- The special features that government and
Insurance - companies want to implement have more to do with
- withholding payment to providers than in
actually - improving patient care.
- http//www.healthcare-informatics.com/ME2/dirmod.a
sp?sid349DF6BB879446A1886B65F332AC487FnmtypeB
logmodViewTopicmid67D6564029914AD3B204AD35D8F
5F780tier7idEDE4B65E6FA344C286C02EFB2CD4D223 - http//www.ihealthbeat.org/articles/2007/10/31/Sur
vey-Finds-Health-Care-Providers-Often-Backtrack-on
-EHRs.aspx?topicID54
6Reason for the High Failed Installation Rates An
artistic depiction of what a typical CCHIT
certified enterprise EHR chaotic installation
could look like in real time.
Slide 6
7In 2006 CCHIT began certifying EMR software
systems, offering assurance
- Since 2006 approximately 100 EHR software systems
have been CCHIT certified. Of these, 3 of which
have declared bankruptcy, and at least 2 dozen
other certified EMR software systems have seen
their stocks fall in the past year alone over
30. And these are just the ones that are
publicly traded. Little is known of the majority
of EHR software systems that are privately owned. - On several blog sites on the net there are
several discussions of EHR software system
vendors that leave their users angry, and on one
occasion holding patient records hostage waiting
for more fees. Here are the most recent
discussions - eCW (https//md.sermo.com/medical/ticket/details?n
avonid23060) - Cerner (https//md.sermo.com/medical/ticket/detail
s?navonid18593) - NextGen- discussion still active after more than
a - year! (http//www.emrupdate.com/forums/t/12000.as
px?PageIndex1)
8The Medicare P4P and e-prescribing rules show
that the government has conspired with HIMSS
enterprise EMR vendors to try to  force
physicians to purchase a CCHIT-certified EMR in
the future if they wish to be paid a fair wage
for services rendered when they see those
elderly patients in their practices. This could
be illegal, but
- There exists a situation, "extortionate
extensions of credit" which can apply to
CCHIT-related activity - For vendors The purported CCHIT "buy-in"
certification costs of 30000 if you wish to stay
in business within the HIT industry. - Physicians The department of HHS P4P payout of
money only if you purchase a CCHIT-certified EMR. - Legalese "By its very nature, however, extortion
causes the victim to consent to the taking of
property. Extortion does not necessarily involve
the use of force or the threat of the use of
force. For example, the victim storeowner
voluntarily pays a Mafia enforcer 1000 per month
because the Mafia enforcer said, pay us 1000
per month of we'll break your legs.
http//www.emrupdate.com/forums/p/7953/60493.aspx
60493
9The Medicare P4P and e-prescribing rules show
that the government has conspired with HIMSS
enterprise EMR vendors to try to  force
physicians to purchase a CCHIT-certified EMR in
the future if they wish to be paid a fair wage
for services rendered when they see those
elderly patients in their practices. This could
be illegal, but
- In Summary "Governmental power, by its nature,
is legalized extortion, i.e. unless you buy a
CCHIT certified EMR you won't be able to make a
decent living in the practice medicine in the USA
anymore You only have 2 options- - Dont vote for elected officials that dont
understand the implications of their
representation. - Dont consent to forced HIT rules which may pay
you an extra pittance for consent or
participation which legitimizes the process
further.
http//www.emrupdate.com/forums/p/7953/60493.aspx
60493
10Occasionally a Physician May Claim It would
however be more positive and productive if
doctors as a profession would actually accept the
challenge and work with CCHIT to design
appropriately suitable standards.
- If you try to work with CCHIT, all you end up
doing is giving this politically contrived
public/private company more validity. Its whole
premise is wrong and flaunts the Clayton and
Sherman antitrust acts simply because of the
backing of the Department of Health and Human
Services. - CCHIT functions not unlike the mafia, providing a
method of racketeering in which if you didn't pay
their 30000.00 a year, your business dies. This
decreases competition, leading to increased
prices that impacts every physician office in the
USA. On top of this they through massive
donations which are usually poorly known, they
have been able to get bipartisan support to force
doctors into purchasing their bloated, costly,
difficult to use EMR software.
An Antitrust Primer- http//www.emrupdate.com/fo
rums/p/7196/56269.aspx56269
11Occasionally a Physician May Claim It would
however be more positive and productive if
doctors as a profession would actually accept the
challenge and work with CCHIT to design
appropriately suitable standards. (continued)
- When I first began looking into this, I found
that CCHIT itself, a nonprofit organization,
had planned on making a million dollars in the
first 6 months of existence in 2006, then divide
the profits at the end of the year. I exposed
that, and subsequently they reorganized on
11/2006. Subsequently, an article stated that
Cerner spent 180,000 in its lobbying efforts in
Q1 of 2008 in Congress to forward the agenda of
the "enterprise" EHR. - So those that are contemplating on working with
this process- dont!
URL for the CCHIT original charter and minutes
demonstrating how not-for-profit CCHIT was going
to make a profit in 2006 http//msofficeemrproje
ct.com/Page3.htm
12CCHIT Facts According to Histalk
- Incorporated as an LLC in 2004, reincorporated as
a non-profit C-corporation in 2006. - CCHITs address on the tax form is 200 S. Wacker
Drive, Chicago, IL 60606. - CCHIT took in 4.7 million in FY2007, spent 3.6
million of that, and banked 1.1 million,
bringing its fund balance up to 2.7 million and
total assets of 3.4 million. - Of the 4.7 million in income, 2 million was
from certification fees, 2.7 million was from
government contracts. - CCHIT reported 866K transferred to AHIMA (the
enterprise EHR vendor lobbying group) in a
category that includes sharing of equipment,
facilities, or employees. HIMSS - received 196K for a category that includes
- performance of membership services.
http//histalk2.com/2009/02/21/monday-morning-upda
te-22309/
13CCHIT Facts According to Histalk
- The tax records indicate that CCHIT chair Mark
Leavitt is still a HIMSS employee, "on leave from
his position as HIMSS Chief Medical Officer
while serving as Chair of CCHIT. CCHIT pays HIMSS
an hourly rate for Dr. Leavitts services that is
intended to cover the portion of his salary and
benefits allocable to those hours." Thats at
odds with both his CCHIT bio and his LinkedIn
write-up, which say hes finished with HIMSS and
working full-time for CCHIT (he put on LinkedIn
that he left HIMSS in September 2005), although
on tax forms he is shown as being paid 164K for
40 hours a week at CCHIT, possibly more.
http//histalk2.com/2009/02/21/monday-morning-upda
te-22309/
14FACTS THE ECONOMICS ABOUT BUYING A c-EMR
SOFTWARE SYSTEM
15If you try to take advantage of the Stark Law
Relaxation to allow hospitals to buy you an EMR
- First you have to find a hospital willing to
donate money to your cause. - By law, the most that the hospital can buy is 85
of the initial outlay of the EMR. - The hospital will not cover the training, which
can cost as much as the EMR itself. - You still have to pay for-
- The yearly ongoing fees, usually costing about
15 of the initial cost. - The cost of the hardware which can handle an SQL
server backend, plus the technical assistance to
make it work. - You still have the loss of productivity
associated with workflow disruption that in many
cases does not improve with time. - The response to date has been lukewarm due to
both hospital and physician reluctance to enter
into binding agreements, costs, and problems
related to patient confidentiality.
http//www.hschange.com/CONTENT/1015/
16Multiple Vendors Claim Physicians need to
understand that this is an investment, so they
will not only make their initial costs back, but
in the next five years, they could make an extra
125,000!
- As stated in the previous slide, the initial and
ongoing costs provide a large hurdle to overcome
before a provider begins to make money. - Just the 50 failed installation rate, the 8
deinstallation rate, and for those that do
install the EMR, the 90 less-than-full use, and
lastly the loss of productive workflow, alone
will kill any possible increased income using an
expensive CCHIT-certified EHR. - In 2 case studies published at the www.aafp.com
site, the total outlay just for the technology
was reported to cost anywhere between 125,000.00
to as much as a 250,000.00 for 2 doctors over
the first 5 years (2002 dollars).
- The two aafp website articles referenced above
http//www.aafp.org/fpm/20020400/57howm.html
and http//www.aafp.org/fpm/20030500/37impl.html) - http//www.emrupdate.com/blogs/ducknet/archive/200
8/10/01/ehr-adoption-remains-off-in-the-distance-g
etting-way-to-complicated.aspx
17The 2/13/2009 stimulus bills 44,000.00
incentive payment for significant use of a
c-EHR may seem like a lot, but not really
- The current (2009) estimated average cost of
purchasing an EHR system is 33,000 for each
physician, with an additional cost of 1,500 per
doctor per month for maintenance. So if you do
the math, 33000.00 plus 1500 x 60months
123000.00 (http//blog.case.edu/case-news/2008/10
/30/ehrregulation) - Add to that 1/3 of a full-time employee to follow
the trail of the reporting and documentation, and
it comes out to another 10000.00/year x 5 years
50,000.00 - Workflow losses The costs of P4P with the added
extra data input needed to capture the granular
data is an estimate, as the specifics havent
been posted yet, but say it takes an extra 5
minutes per encounter. An office grossing
100,000.00 a year in Medicare funds, at 100.00
per encounter, equals to 1000 encounters. Do the
math again- 1000 x 5 min/encounter 5000
minutes - 5000/20 min per encounter 250 lost
encounters, or - another 25000.00/year x 5 years 125,000.00
- Total losses over 5 years 298,000.00
http//www.hcplive.com/mdnglive/articles/PC_Medica
re_HIT_mandate
18FACTS ABOUT E-EHR SOFTWARE SYSTEMS AND QUALITY
19Big government, EHR vendors, health insurers, and
Presidents Bush Obama all believe that EHR
software systems improve quality save lives
- But there is not one prospective study
demonstrating this fact. - There are several showing the opposite, s.a.
- In one study published in 2005 involved a
pediatrics ICU using EHR and CPOE systems. The
final result was that more children died using
HIT- Univariate analysis revealed that mortality
rate significantly increased from 2.80 (39 of
1394) before CPOE implementation to 6.57 (36 of
548) after CPOE implementation. - In another study, the CPOE system was so bad that
physicians could not put in the orders in a
timely manner, and after only 3 months the whole
project was discontinued. See Cedars-Sinai
Doctors Cling to Pen and Paper URL below.
- Pediatrics, Vol. 116, No. 6. (December 2005), pp.
1506-1512, http//www.citeulike.org/user/scheufele
/article/505501 - http//www.washingtonpost.com/wp-dyn/articles/A523
84-2005Mar20.html?subAR
20Big government, EHR vendors, health insurers, and
Presidents Bush Obama all believe that EHR
software systems improve quality save lives
(continued)
- In 2007 one study, published in the Archives of
Internal Medicine, showed that for 14 of the 17
quality indicators, there was no significant
difference in performance between visits with vs.
without EHR use. - In 2008 a study performed at the Richmond, VA
MCV/University of Richmond Medical Center they
concluded that for 10 quality indicators,
there is limited evidence of the relationship
between hospital EMR use and quality.
- http//archinte.ama-assn.org/cgi/content/abstract/
167/13/1400 - http//mcr.sagepub.com/cgi/content/abstract/65/4/4
96
21One study finally showed that EMR software
systems might lower malpractice risk
- But this was a retrospective study which involved
varied amounts of EMR use by practitioners. - The survey response rate was only 71.4 (1345 of
1884), and only 1140 respondents of these had
significant data on the presence of EHR. - The purported 40 reduction was not statistically
significant In logistic regression analysis
controlling for sex, race, year of medical school
graduation, specialty, and practice size, the
relationship between EHR adoption and paid
malpractice settlements was of smaller magnitude
and no longer statistically significant (adjusted
odds ratio, 0.69 95 confidence interval,
0.40-1.20 P .18). - A subgroup analysis revealed that although only
5.7 of frequent EMR users had paid malpractice
claims, compared to 10.8 of those not using an
EMR, those that infrequently/partially used an
EMR (s.a. "hybrid systems") faired WORSE than
those using only paper records (12.1). - The facts remain that despite the cheerleading
for EMR software systems theres still not a
shred of evidence they have a significant impact
on outcomes that matter.
http//archinte.ama-assn.org/cgi/content/abstract/
168/21/2362
22On the contrary, another more recent study showed
the opposite- that EMR software systems pose new
legal risks
- For one thing, an overarching concern is that
Federal Rules of Civil Procedure, approved by the
U.S. Supreme Court in December 2006, make any
electronically-stored data discoverable in a
trial--and those details can catch doctors off
guard. - Doctors may run into problems if the EMR software
systems metadata (the time stamp indicating who
entered what and when) conflicts with his or her
version of events. - Perhaps even more vexing, it's still not clear
what the legal status of an EMR is. At present,
it's still in question whether all EMR software
systems meet the legal definition of being
medical records, a concern that could become
important in some forms of legal disputes over
patient care.
http//www.fiercehealthit.com/story/emrs-pose-new-
legal-risks/2008-10-06
23On 7/2008 Congress passed a bill forcing doctors
to use e-prescribing or suffer a cut in
reimbursement
- This bill was pure politics at its worse.
- For most practitioners, e-prescribing is a
workflow slowing tedious procedure. - Allscripts claims that they offer a free
system, but its a marketing ploy. Its database
is not open source and no plans are in the
works to make it accessible to most EMR software
systems so as to prevent double entry. This
"free" e-prescribing is what convinced Congress
to put e-prescribing on their recent 7/2008 HR
6331 bill. - Although on 7/2008 there were up to 10 of
physicians capable of e-prescribing, only 2 of
prescriptions actually were legitimately sent by
e-prescribing as described by law. - It was meant to make a transition from
handwritten prescriptions to a format that was
more legible overall, but what is not known is
why they prohibited the faxing or simple printing
of prescriptions from an - EMR?
https//md.sermo.com/medical/ticket/details?navon
id21117
24FACT C-EHR SOFTWARE SYSTEM AGENDAS HAVE MORE TO
DO WITH POWER, MONEY, AND GREED
25There is a dark side to the certified EHR
software systems currently being pushed by
President Obama- a World Where Money Buys Power,
Greed, and the Ability to Manipulate the
President of the United States
- You have to follow the money. The internet first
mentions a relationship that Obama has had with a
technology guy call Robert Blackwell who kept
him, a newly minted lawyer, on retainer.
Blackwell seemed to later get quid pro quo
payments where his company, EKI (Electronic
Knowledge Interchange) profited. - EKI is a business and technology consulting firm
that specializes in delivering measurable
business value to mid to large size corporate and
government organizations, which is something that
Obama wants to bring to health care through the
use of c-EHR systems. - Obamas presidential campaign website reported
that - Blackwell in 2008 committed to raise between
- 100,000 and 200,000 for Obamas White House
- run that year. I'm sure that eventually we'll be
hearing - more of this Blackwell relationship.Â
- http//citizenwells.wordpress.com/2008/04/29/robe
rt-blackwell-obama-money-laundering-eki-consulting
-rod-blagojevich-illinois-tony-rezko/ - http//news.lavenderliberal.com/2008/04/27/obama-
supporters-how-do-you-justify-barrys-blackwell-eki
-killerspin-wheeling-and-dealing/
26There is a dark side to the certified EHR
software systems currently being pushed by
President Obama- a World Where Money Buys Power,
Greed, and the Ability to Manipulate the
President of the United States
- TULLMAN Shortly after Obama gets elected, he
makes Glen Tullman, CEO of Allscripts, his
personal IT advisor. - Mr. Tullman personally gave President Obama at
least 144300.00 in donations in the 2 years
prior to his election. His employees gave 20662
during the same period. His company,
Allscripts/Misys also gave the possible future
HHS Secretary Daschle 12000 speaking fees on
8/2008 for a lecture. - This lobbying put him into the unusual position
where he can influence legislation which can
ultimately enrich himself by forcing the use of
e-prescribing and c-EHR systems while the
American taxpayer, and especially doctors have to
foot the bill.
- http//histalk2.com/2009/02/05/histalk-interviews-
glen-tullman-ceo-of-allscripts-2509/ - http//hotair.com/archives/2008/04/27/an-obama-pay
off/ - http//www.talkleft.com/story/2008/4/27/145012/15
4 - http//www.obamamustgo.com/
- http//www.discoverthenetworks.org/Articles/black
well5.html
- http//www.campaignmoney.com/political/contributio
ns/glen-tullman.asp?cycle08 - http//fundrace.huffingtonpost.com/neighbors.php?t
ypeempemployerALLSCRIPTS - http//www.democraticunderground.com/discuss/duboa
rd.php?azview_alladdress389x4968435
27There is a dark side to the certified EHR
software systems currently being pushed by
President Obama- a World Where Money Buys Power,
Greed, and the Ability to Manipulate the
President of the United States
- On a more recent note, several of Obama's health
information technology related appointees have
been found to be "problematic" (I'm trying to be
kind here) - DASCHLE Allscripts/Misys (CEO Glen Tullman's
company) also gave the possible future HHS
Secretary Daschle 12,000.00 speaking fees on
8/2008 for a lecture. Fortunately "buy me out"
Daschle failed to pay his taxes, so he had to
resign. - KUNDRAÂ On 3/10/2009 the FBI raided the former
office of one of President Obama's appointees,
Vivek Kundra. An employee of the D.C. Office of
the Chief Technology Officer and a private
contractor were charged with corruption,
including bribery of a public official, money
laundering, wire fraud and conflict of interest.Â
As the raid took place, Obama's appointee,
Kundra, was giving a speech at FOSE - an annual
government technology expo - about changing the
way the government purchases materials from
vendors. Kundra is on leave from his White House
job until further details of the case become
known, a White House - source told the Associated Press. He was at the
job only 7 days before this - occurred if he stays on, he would be an
integral part of the push to c-EHRs.
- http//www.democraticunderground.com/discuss/duboa
rd.php?azview_alladdress389x4968435 - http//voices.washingtonpost.com/posttech/2009/03/
vivek_kundra_to_be_obamas_chie.html - http//www.huffingtonpost.com/2009/03/12/fbi-raids
-obama-technolog_n_174265.html - http//groups.google.com/group/alt.politics.democr
ats.d/browse_thread/thread/6c3ddc4a3f4bee10Â
28There is a dark side to the certified EHR
software systems currently being pushed by
President Obama- a World Where Money Buys Power,
Greed, and the Ability to Manipulate the
President of the United States
- Other lobbyists include
- DEPARLE President Obama's health technology
"czar", Nancy-Ann DeParle, has some deep
financial ties to the healthcare industry shes
supposed to reform. Among them is the fact that
she served as a Cerner board member since 2001
and that she was paid 195K in stock and cash and
held around 1 million of CERN shares at the end
of 2007. She donated 39,400.00 to various
Democratic party officials. On 3/6/2009 she
resigned from Cerner's board.
- BLUMENTHAL President Obama recently selected
David Blumenthal M.D., to serve as national
coordinator within the U.S. Department of Health
and Human Services. Blumenthal was director of
the Institute for Health Policy at Massachusetts
General Hospital in Boston, part of Partners. An
interesting disclosure he is receiving grant
support from GE Healthcare.
- http//content.nejm.org/cgi/content/full/NEJMp0901
592 - http//www.chicagotribune.com/news/nationworld/chi
-deparlemar29,0,7090806.story - http//www.histalkpractice.com/2009/03/02/news-330
9/Â - http//www.campaignmoney.com/finance.asp?typeinc
ycle08criteriaDeParle
29There is a dark side to the certified EHR
software systems currently being pushed by
President Obama- a World Where Money Buys Power,
Greed, and the Ability to Manipulate the
President of the United States
- An editor from the Chicago Tribune questions how
DeParle and others in this administration can
avoid conflicts of interest, particularly given
the size and market share of some of the firms
they have served. - "What the administration is going to have to
guard against is this perception that there is
some benefit given to companies who know people
in the administration."
http//www.chicagotribune.com/news/nationworld/chi
-deparlemar29,0,7090806.story
30There is a dark side to the certified EHR
software systems currently being pushed by
President Obama- a World Where Money Buys Power,
Greed, and the Ability to Manipulate the
President of the United States
- FRIEDEN Dr. Thomas Frieden, M.D., an infectious
disease specialist, who worked at the CDC from
1990 to 2002 as an Epidemiologic Intelligence
Service Officer investigating a range of issues
include the spread of multidrug-resistant
tuberculosis, who served as the former Chairman
of the New York City Department of Health and
Mental Hygiene since January 2002, has been named
by President Obama as the director of the Centers
for Disease Control and Prevention. - Frieden has been a strong advocate of
electronic health records, and as such his
department two years ago signed a 19.8 million
contract to fund deployment in underserved areas
of integrated practice management/electronic
records software from eClinicalWorks Inc. (eCW),
Westborough, Mass. - I suspect that he will be the the fourth c-EHR
system - lobbyist surrounding Obama, representing eCW. To
date - I was not able to find the exact behind the
scenes reason - for his strong patronage of this particular EMR
but Im - still looking.
http//www.healthdatamanagement.com/news/CDC-28210
-1.html?EThealthdatamanagemente872555astemai
lchanneldisease_management
31There is a dark side to the certified EHR
software systems currently being pushed by
President Obama- a World Where Money Buys Power,
Greed, and the Ability to Manipulate the
President of the United States
- GLASER Mr. John Glaser, VP CIO Partners
Healthcare in Boston was appointed to a 6 month
stint as an adviser to David Blumenthal, the
recently appointed national coordinator for HIT.
Glaser will spend 4 days/week for 6 months
working with ONC. - Blumenthal, a practicing physician and Harvard
Medical School professor most recently worked for
Partners HealthCare as director of the Institute
for Health Policy at Massachusetts General
Hospital. - Glaser is a fellow of HIMSS, CHIME and the
American College of Medical Informatics. He also
serves on the editorial board of Healthcare IT
News and is a regular columnist at
www.histalk.com.
http//www.healthcareitnews.com/news/glaser-advise
-onc-chief-hitech
32There is a dark side to the certified EHR
software systems currently being pushed by
President Obama- a World Where Money Buys Power,
Greed, and the Ability to Manipulate the
President of the United States
- PARK On 8/3/2009 Mr. Todd Park, co-founder and
board member of Athenahealth, has been named CTO
of the US Department of Health and Human
Services. He resigned from Athenahealths board
on 8/10/2009 and had promised to divest his
Athenahealth stock position. Park will report to
Deputy HHS Secretary William. -
- Athenahealth (Nasdaq ATHN), another
enterprise level EHR vendor is a leading
provider of internet based business services for
physician practices, and received the 2008
Certification Commission for Healthcare
Information Technology (CCHIT) for its
AthenaClinicalsSM Version 9.15.1.
http//histalk2.com/2009/08/03/todd-park-athenahea
lth-co-founder-named-cto-of-hhs/
33SUMMARY FACT STATEMENTS
34EMR FACT SUMMARY
List of quick facts about EMR
- Physicians do NOT like c-EHR systems.
- EMR does NOT save time.
- EMR does NOT improve workflow, and most likely
will make it worse. - EMR does NOT save money, especially for the
doctor. - EMR does NOT make a physician money and will
NOT offer a ROI. - EMR has NOT been demonstrated to improve
quality of care over paper in prospective studies
when looking at the same quality measures. - EMR does NOT prevent redundant testing.
- EMR does NOT lessen your risk of malpractice
litigation.
- https//md.sermo.com/medical/ticket/details?navon
id24242 - https//md.sermo.com/medical/ticket/details?navon
id31562
Slide 34
35EMR FACT SUMMARY
More of the list of quick facts about EMR
- EMR does NOT save paper.
- EMR CAN bring organization to an office.
- EMR WILL print out a hell of a 3 page
consultation on an OV for a sore throat, whether
or not the patient was seen. - EMR WILL erode the patient privacy and make
everyone's file available to government,
insurance companies, and anyone else who wants to
see it. - The c-EHR agenda has more to do with power,
money, and greed than with issues of quality,
errors, and ROI.
Slide 35
https//md.sermo.com/medical/ticket/details?navon
id31562
36EMR FACT SUMMARY
Finally, quotes from David C. Kibbe
- "One has to question whether or not a
vendor-founded, vendor-funded and vendor-driven
organization should have the exclusive right to
determine what software will be bought by federal
taxpayer dollars. - "It's important that the people who
determine how this money is spent are
disinterested and unbiased . . . Even the
appearance of a conflict of interest could poison
the whole process."
Dr. Borges in his organized office using his EMR!
http//www.washingtonpost.com/wp-dyn/content/artic
le/2009/05/20/AR2009052003600.html
Slide 36