Given what is now known about how the case of Thomas Eric Duncan at Texas Health Presbyterian was handled, the attempt to blame the hospital’s electronic health record for the missed diagnosis sounds pretty lame.
But people are still doing it:
Critics of electronic medical records have found a case they will be talking about for years.
Consider this argument from Ross Koppel and Suzanne Gordon:
While it is too early to determine what precisely happened in this case, it is not too early to consider the critical issues it highlights. One is our health care system’s reliance on computerized technology that is too often unfriendly to clinicians, especially those who work in stressful situations like a crowded emergency room. Then there are physicians’ long-standing failure to pay attention to nurses’ notes. Finally, there is the fact that hospitals often discourage nurses from assertively challenging physicians.
Long promised as the panacea for patient safety errors, electronic health records, in fact, have fragmented information, too often making critical data difficult to find. Often, doctors or nurses must log out of the system they are on and log into another system just to access data needed to treat their patients (with, of course, additional passwords required). Worse, data is frequently labeled in odd ways. For example, the results of a potassium test might be found under “potassium,” “serum potassium level,” “blood tests” or “lab reports.” Frequently, nurses and doctors will see different screen presentations of similar data, making it difficult to collaborate.
Continue reading “Throwing the EHR Under the Bus …”
Filed Under: Tech, THCB
Tagged: Clinical Decision Support, Ebola, eClinicalWorks, Presby, Telemedicine, Texas Health Presbyterian, THCBist, Thomas Eric Duncan
Oct 19, 2014
With the fast adoption of smart phones, tablets and wearable devices, the way people communicate, travel, eat and entertain have all been simplified. Why not streamline the way we experience healthcare as well? A study released in May 2014 from MDLive discovered that 82% of young adults 18-34 would prefer consulting with their doctor via a mobile device than show up for an appointment. Twenty seven percent of patients confirmed they’d be willing to give up shopping for a month, skip their next vacation, even refrain from showers for a week—if it meant they would be able to access their doctor via a smart phone! These results, along with the multiple surveys and studies conducted in the past year, confirm that a new way to conduct healthcare services is in high demand.
The solution to changing up the healthcare system sits at the center of three key advancements: patient engagement, population health and electronic health records (EHRs). At eClinicalWorks, we consider these components of healthcare to be like a three-legged stool where two cannot stand without the other. We recognized this need as an opportunity within the healthcare IT space and created healow in order to provide our customers and their patients with a platform to schedule doctors’ appointments and get immediate access to medical records via an online interface or mobile app. healow empowers doctors and patients by packaging personal health records (PHRs), healthcare tools and appointment scheduling together, making the data readily accessible to patients and their doctors from the palm of their hand.
Continue reading “What Would You Give Up For a Virtual Doctor Visit?”
Filed Under: Tech
Tagged: eClinicalWorks, Girish Navani, Healow, Telemedicine
Sep 13, 2014
Patient engagement, for better or worse, is one of those buzzwords that won’t be leaving us anytime soon.
A whole slew of companies use it to describe their products, platforms, and services, but we’re still knee deep in marketing jargon trying to figure out exactly what these tools do and how “effective” they really are.
We got a closer look at one such tool last month at HIMSS from a company that also finds itself knee deep in patient engagement.
eClinicalWorks debuted in 1999 as the Southwest Airlines of electronic health records (EHR). They offered a relatively low cost combined EHR/practice management system, which quickly made them significant players in the small practice market, adding more than 3,000 doctors in just three years.
It wasn’t until 2007 though that eClinicalWorks really broke through when then Assistant New York City Health Commissioner and future National Coordinator for Health Information Technology Dr. Farzad Mostashari selected them for installation with more than 1,300 New York City physicians as part of Mayor Bloomberg’s Primary Care Information Project (PCIP).
Now, eClinicalWorks counts more than 100,000 physician users in over 50,000 facilities in addition to another 14 million users on their patient engagement tool, Healow.
Continue reading “Will eClinicalWorks Win the Race to “Engage” the Patient?”
Filed Under: Health 2.0
Tagged: eClinicalWorks, Healow
Mar 26, 2014
It’s been over a month since I joined the ranks of the unemployed and started building my new practice. For not having a job I’ve kept very busy. Here’s what I’ve done.
I presented the idea of my practice to about 150 people.
It was a wonderful experience, and was quite emotional for me seeing a bunch of patients in one place. The reception was wonderful. I was hoping to get a video of this up, but the fates were fickle and it was not possible.
I wrote a business plan
My accountant didn’t even laugh when I showed him. The idea was to look ahead at my months ahead and see when things would become profitable. There are a bunch of huge questions that my affect this: how many staff I have, how many patients I have, what it costs to upgrade my office space, but I did a worst-case scenario (short of the Zombie Apocalypse) and the fact that my overhead is low makes it easy to be profitable quite quickly.
I got a location for the practice.
Today I went through the building with a designer and am working on getting it ready to use. I am not doing the whole renovation at the start, as I won’t really know what the practice will need until it’s up and running. I want it to be very comfortable and welcoming. Most doctor’s offices are not places that say “welcome” to patients, but that’s what I want to convey.
I set a fee schedule.
· Age 0-2: $40/month
· 3-30: $30/month ($10/month if they are away in college)
· 30-50 $40/month
· 50-65 $50/month
· 65+ $60/month
Family maximum will be $150/month
Continue reading “The Doctor Is In”
Filed Under: Physicians
Tagged: Avado, eClinicalWorks, primary care, Rob Lamberts, Subscription model
Nov 8, 2012
The San Francisco Department of Public Health says it is ahead of the curve in rolling out databases that keep tabs on tens of thousands of patients across a citywide network of clinics and hospitals. The rollout is needed not just to make a local form of “universal health care” work, but also to meet a 2014 deadline under national health reform.
And the city says it spent just $3.4 million on new patient-tracking technology. Not bad for an unprecedented charity care initiative whose total budget has grown to $177 million just this past year.
But while clinics and hospitals across the city are now linked up to a common intake tool that eliminates overbilling and duplicated medical appointments, that is only the first step in making the Healthy San Francisco program successful, directors of local health centers and technology experts say. Continue reading “Medical Records Supporting San Francisco’s Universal Care Add Millions to Official Cost”
Filed Under: THCB
Tagged: 2012 Election, Costs, eClinicalWorks, EHR, Healthy San Francisco, The ACA, The Business of Medicine
Jan 27, 2012
It turns out, there was no cage at the experimental debate earlier in October between me and Girish Kumar Navani of eClinicalWorks. And Girish was wearing a shirt…and no mask.
These, plus other anticlimaxes, sent our PR guy John Hallock into a deep, week-long depression.
“He could have gone for the jugular! Why didn’t he go for the jugular?!?”
This was all he said for days.
The truth is that it’s hard to get too snippy with a guy who has built such an awesome company—WITHOUT VENTURE CAPITAL! It’s just an incredible accomplishment. That, combined with his incredible intuition around software design, made him a guy I really wanted to hear from…rather than jump on.
Also though, I heard Girish start to say words that for most plain ol’ software company leaders are “un-sayable.” He said he wanted to host for his clients. He said he wanted to maintain their data for them. As a private company, I think Girish is in the best place to go the rest of the way. Why not insist that all ECW clients get on a shared instance? Why not start to take on some of the functions that cause so much frustration (34% of new athenaClinicals clients are actually frustrated software-based EMR clients!) These acts would destroy ECWs profits for a few years but they would emerge a genuine candidate for national HIT backbone, along with athenahealth.
We need that…a lot more than we need more versions of software.
Jonathan Bush co-founded athenahealth, a leading provider of internet-based business services to physicians since 1997. Prior to joining athenahealth, he served as an EMT for the City of New Orleans, was trained as a medic in the U.S. Army, and worked as a management consultant with Booz Allen & Hamilton. He obtained a Bachelor of Arts in the College of Social Studies from Wesleyan University and an M.B.A. from Harvard Business School.
Filed Under: Uncategorized
Tagged: eClinicalWorks, EHR
Nov 4, 2010