Having highlighted the critique of a doctor who thinks EHRs should be taking their lead from cutting edge internet technology, it seems appropriate to point to another long-time participant in the EHR world who comes at the issue from a different angle.
Apparently, this commentator has a background in designing EHRs, but in recent years he’s found himself re-thinking his approach.
In part, that’s the result of fielding client complaints. “Typically,” he says, “the biggest complaints are related to altered workflows—usually associated with data entry and EHR-feature navigation.
Repeatedly hearing the same complaints made me wonder how EHR systems might be improved, and reawakened my inner EHR designer.”
To our eyes, the most useful part of his commentary comes in the checklist he provides for the “ideal” EHR. To wit:
“Building an ideal EHR requires solving a set of fundamentally hard problems:
* Building a database that can properly store current and future data elements
* Creating computable representations of clinical concepts
* Developing a sophisticated reporting engine
* Creating a workflow representation that can be adjusted for different users and clinical specialties
* Providing state-of-the-art security and auditing features
* Offering support for data exchange and semantic interoperability
• Providing flexible, configurable user interfaces that support a range of interaction modalities (e.g. voice, touch, mouse, pen)”
See on www.ehrwatch.com