More on uncoupling clinicians from EHR clerical oppression

At my August 6, 2016 post (link) I wrote of my belief that " best practices " for EHR evolution call for:... a return to paper (specialized forms depending on the setting) for clinical data capture by busy doctors and nurses, and data entry into a computer via clerical personnel.I presented a late 1990 ' s real-world experiment in creating such a system for invasive cardiology in the Delaware hospital system, Christiana Care Health System, where I was CMIO at that time.As at the links http://cci.drexel.edu/faculty/ssilverstein/cases/?loc=cases&sloc=Cardiology%20story and https://web.archive.org/web/20140316024627/http://cci.drexel.edu/faculty/ssilverstein/scotsilv/invascard.htm (the latter a May 2002 article in the journal " Advance for Health Information Executives " written by myself and the project executive sponsor at the time), the " experiment " was a deliberate move away from the " doctors as clerical employees " article-of-faith of the health IT hyper-enthusiasts.Hyper-enthusiasts ignore the downsides of what is basically a HIT secular religion, based on articles of faith, one of whose sacraments is that paper must be abolished in medicine.In fact, an attempt to implement such a paperless system, " Apollo " as the commercial system was known, in a cath lab performing 6,000 procedures/year proved impossible. The busy clinicians, doctors, nurses and technicians simply did not have enough time to enter data directly into a computer. Maneuveri...
Source: Health Care Renewal - Category: Health Management Tags: Christiana Care Health System healthcare IT difficulties ICCD invasive cardiology paperless Source Type: blogs