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Comments

Karim Keshavjee MD

Very interesting statistics. 16% EMR use rate is quite low considering the intense efforts to increase EMR use across the country over the last decade. This represents hundreds of millions of dollars spent.

The more troubling statistic is the increasing number of physicians using both EMR and paper. One way of looking at it is that there are more physicians on their way to using EMR, so obviously more will be using dual recording systems as they transition to full EMR use.

However, physicians using dual systems face incredible inefficiencies in their practice. As it is, documentation takes too long in medical practice. But if you're using two systems, you are taking even longer.

In a study we conducted a few years ago in Southern Ontario with 67 physician practices, we found that physicians who had dual paper and EMR documentation methods were less likely to do chronic disease management, less likely to be screening patients for cancers and less likely to have a business continuity plan in place. They were too busy nursing their documentation methods.

Our study also showed that many inefficient practices just don't make the transition to efficient practice. They muddle along for years.

Most EMR implementation programs across the country don't help these physicians to attain efficient use of the EMR, thereby creating a pool of resentment and poor support for EMR adoption.

Dave Sellers

If physicians that practiced solo or in a group of less than 4 were excluded, I wonder what the numbers would be. I still believe that there is no incentive (due to the practical aspects) for small groups to move to the EMR. A paper chart for the solo physician with 1500 patients is still the most efficient (and cost effective).

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Very interesting statistics. 16% EMR use rate is quite low considering the intense efforts to increase EMR use across the country over the last decade. This represents hundreds of millions of dollars spent.

The more troubling statistic is the increasing number of physicians using both EMR and paper. One way of looking at it is that there are more physicians on their way to using EMR, so obviously more will be using dual recording systems as they transition to full EMR use.

However, physicians using dual systems face incredible inefficiencies in their practice. As it is, documentation takes too long in medical practice. But if you're using two systems, you are taking even longer.

In a study we conducted a few years ago in Southern Ontario with 67 physician practices, we found that physicians who had dual paper and EMR documentation methods were less likely to do chronic disease management, less likely to be screening patients for cancers and less likely to have a business continuity plan in place. They were too busy nursing their documentation methods.

Our study also showed that many inefficient practices just don't make the transition to efficient practice. They muddle along for years.

Most EMR implementation programs across the country don't help these physicians to attain efficient use of the EMR, thereby creating a pool of resentment and poor support for EMR adoption.
+1

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