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Electronic Health Records

Michael E. Miller, MD
[+] Article, Author, and Disclosure Information

From Boston University Affiliated Physicians, Boston, Massachusetts.

Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0331.

Ann Intern Med. 2014;161(9):679. doi:10.7326/L14-5021-4
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EHR Failings
Posted on November 8, 2014
Robert M Hansen MD
Therapeutic Pain Management Medical Clinic
Conflict of Interest: None Declared
I strongly concur with the points made by Dr. Miller. Another major failing in EHR software systems is the inability for various software packages to interact with each other. The purported clinical benefit of easy sharing of clinical data has not been accomplished. In my community the two major hospitals have two different EHRs. Neither of the two can communicate with each other, and neither of the two can communicate with any of the office EHRs used by primary care physicians or specialists in the community. In order to access information about our patients from either hospital we must log in to the hospital system, print out the data on our patient, and manually input data from the hospital record into our office EHR. The software companies have no financial interest in integration. The federal mandate and financial penalties have created a windfall for EHR companies with absolutely no accountability to clinicians.
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