Michael M. Rothkopf, MD; Herschel S. Jackson, MD
Potential Financial Conflicts of Interest: Consultancies: M.M. Rothkopf (meridianEMR, Inc., myPatientCharts, pocketCHART); H.S. Jackson (meridianEMR, Inc., myPatientCharts, DocuSyst).
Rothkopf M., Jackson H.; National Health Information Network Cost and Structure. Ann Intern Med. 2006;144:146. doi: 10.7326/0003-4819-144-2-200601170-00019
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Published: Ann Intern Med. 2006;144(2):146.
TO THE EDITOR:
Kaushal and colleagues (1), Baron and colleagues (2), and Basch (3) accurately outline the challenges we must overcome to accomplish the inevitable conversion from paper charts to a computerized health information system. However, an important factor regarding physician adoption of EHR has been overlooked by these papers and is absent from the national debate.
Virtually all electronic medical records programs make use of templates to facilitate rapid clinical record keeping and accurate coding with Current Procedure Terminology. The secret to effective use of EHR software lies in the ability to download relevant clinical templates over which the encounter documentation is layered. Such templates need to be created by physicians, not by computer programmers. They must meet the high standards of the physician-user who rightly expects them to facilitate accuracy, speed, competence, and compliance. In addition, the templates must be natural to use in the clinical setting. After all, the encounter is the major interface point—not only between physician and patient but also between physician and machine. If the templates are inadequate, the experience will be frustrating and physician adoption of the EHR will suffer.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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