Electronic Medical Record Efficiency Changes Needed
ACEP should make it high priority focus to heavily lobby the Office of the National Coordinator for Health IT (ONC) to revamp the EMR certification program to focus predominately on making the creation of the EMR more user friendly and much more efficient. The frustration in using the EMR has been very disruptive to patient care, probably to medical errors and a major contributor to physician burn out.
The following are areas where the software engineers and federal administrator should focus:
• Documentation Efficiency
• Readability of the Medical Record
• Specialty Specific Documentation Meaningful Use Criteria
• Seamless Interoperability
• Quality measure reporting
Therefore, ACEP should inordinately focus its lobbying efforts to get the government to change the Meaningful Use criteria and other requirements specifically for emergency medicine records and to force the EHR vendors to totally overhaul their EHR software that would make efficiency of use for physician the prime directive and goal, along with the changes in Meaningful Use.
Start lobby efforts with Marilyn Tavenner, administrator of the Centers for Medicare & Medicaid Services, and Karen DeSalvo, National Coordinator for Health Information Technology, of the “Office of the National Coordinator for Health IT” (ONC). The CMS and ONC need to revamp the EHR certification program to focus exclusively on user documentation efficiency, structure and readability of the medical record produced and on the development of specialty specific meaningful use criteria.
Hopefully this year will see a major push in the overhaul of the Electronic Medical Record for Emergency Medicine
Roger S. Perry, M.D., Ph.D., FACEP]]>