Doctors Seek Guidance on Electronic Records
While some physicians want more information on how to implement EHRs, conflicting needs between vendors, payers and providers have formed a logjam that makes doing so difficult.SAN FRANCISCOPhysicians use outmoded procedures to treat and monitor chronic conditions. Thats according to Sophia Chang, director of the Chronic Disease Care Program at the California HealthCare Foundation, who addressed attendees at a conference Thursday on improving chronic disease care. Once evidence has shown a treatment to be effective, it takes 17 years to become part of routine care, Chang said, quoting a study from the Institute of Medicine. Computerized clinical support systems could reduce the lag time, she said, especially if the systems could tap into a patients medical record. But the health care delivery world is not integrated, and these problems require a systemswide solution, she said. "The challenge is, how do you try to create this system in a fragmented world" in which hospitals, outpatient physicians, specialists and other entities simply dont communicate?
"The big bugaboo is physician adoption," said Mark Leavitt, director of ambulatory care at HIMSS (Healthcare Information and Management Systems Society), a nonprofit professional group.