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Eric Topol
From 100 million patient visits, 155,000 doctors, > 400 health systems: Doctors spend > 16 minutes w/ electronic health record per encounter (which is more than time spent w/ the patient, much w/ EHR) From 's
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Eric Topol 15. sij
Odgovor korisniku/ci @AnnalsofIM @Cerner i 2 ostali
A footnote: 1. The avg duration of a clinic visit (return) w/ the doctor is 7 minutes so the EHR is >2X 2. Much of the 16 EHR mins is during the visit which disrupts the patient-physician relationship 3. The 16+ mins is "active time" the way tallied (it's actually worse)
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ZibdyHealth 13. sij
Odgovor korisniku/ci @EricTopol @AnnalsofIM i 3 ostali
Why doctors dislike EHRs so much yet do nothing about them? They are main users of EHRs. Patient has no influence. Is there anyone other than doctors who can force a change in EHRs? At providers, EHR selection & Implementation committees are always full of doctors.
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Michael Glindmeyer 13. sij
Odgovor korisniku/ci @ZibdyHealth @EricTopol i 4 ostali
I don't think it's a matter of physicians not pushing for a change. It's the broken healthcare system, hospitals and insurance carriers that put up strongholds against a positive change that can be made.
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Thomas Rossiter 14. sij
Odgovor korisniku/ci @EricTopol @AnnalsofIM i 3 ostali
EHRs are BILLING systems influenced by insurers and government, bought by health system admins and foisted on providers. They are NOT designed to be true health records. They are all like this, no opportunity for doctors to pick a good one.
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Anthony DiGiorgio, DO, MHA 14. sij
Odgovor korisniku/ci @EricTopol @AnnalsofIM i 3 ostali
If govt is going to mandate EHR use, why not mandate the code be open source? At least open API for mods or integrated apps. I know nothing about coding but this must be possible, right?
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Mario Amaro, MD 💃🏾 14. sij
Odgovor korisniku/ci @DrDiGiorgio @EricTopol i 2 ostali
It’s possible. Just don’t rely on any of the legacy or incumbent EHRs to lead the charge. Platforms would first have to be unbundled than modular designed using APIs. EHRs are sorta like keurig that only allows authorized keurig cups to make coffee.
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(((Jim Stein))) 13. sij
Odgovor korisniku/ci @EricTopol @AnnalsofIM i 4 ostali
I bet it's even worse with EPIC
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João Cavalcante 14. sij
Odgovor korisniku/ci @EricTopol @AnnalsofIM i 7 ostali
Dr Topol, could this be a low hanging fruit application of AI (ie: digital scribe systems, etc)? How do you see this helping us transform what EHR has become?!
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Melissa Walton-Shirley 14. sij
Odgovor korisniku/ci @JoaoLCavalcante @EricTopol i 7 ostali
we should be allowed to scan in quick check box / hand written notes on stable pts with no new info. That’s a great start.
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Neil Floch MD 14. sij
Odgovor korisniku/ci @EricTopol @AnnalsofIM i 3 ostali
As we have the ultimate power to create change - we as a group have never chosen to wield that power - “too chicken” and too concerned at the consequences to our patients - we will continue to be abused - we will continue our spiral downward - UNLESS...
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