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810 pts.
 Subjective comparison of EHRs
I've been asking physicians to effectively "rate" their EHR systems. What's interesting is that you'll inevitably find one physician who loves a system while another physician hates that same system. Why do we see these extreme discrepancies?
ASKED: September 29, 2010  1:54 AM
UPDATED: October 12, 2010  3:07 pm

Answer Wiki:
I think in reality is that it is more about the personalities that are causing that. Some individual handle change with enthusiasm, and others just do NOT want to change their ways and would fight and assume that a system is a terrible one. I guess it is a little bit like seeing the glass half full vs half empty. It is very hard to separate the two. But it is very interesting to see that different physicians would react the opposite way for the same EHR package.
Last Wiki Answer Submitted:  October 4, 2010  2:11 am  by  RedaChouffani   1,785 pts.
All Answer Wiki Contributors:  RedaChouffani   1,785 pts.
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Dr. Kim,

Understand that the difference can also be that EHR’s are better for certain workflows, based upon the specialty, the “technology” comfort level of the practice, and the physicians support experience with the vendors. EHR’s will never be a “one size fits all” product!

 410 pts.

 

I believe that the learning style of the physician and the organization of the EHR software is a primary factor. Like many tools in life, some just fit us better than others. It may be a physical design of the tool or our own anatomy that may be the deciding factor. The command line interface vs. a graphical user interface has users and zealots in both groups. I believe this orientation and presentation of the tool or data is part of the love hate relationship. Why do some physcians choose to be surgeons and others family practice, again the orientation and interest of the individual is a deciding factor.

 10 pts.

 

There are many variables which affect the relationship between the physician and the EHR. Even within the same specialty, the same EHR product will be loved by some and hated by others.

As others have pointed out, the relationship begins with the way the physician is introduced to the EHR. If the physician is personally and thoroughly involved in the process of finding and selecting the EHR, the relationship is far more likely to be positive than if the physician is simply presented with the EHR and told to get with the program.

Another important variable is the configuration of the EHR. EHR software, unlike, say, Microsoft Office, must be configured to adapt to the requirements of the specific users and workflow. If the person doing the configuring lacks sufficient skill and knowledge of 1) the software, 2) the jobs that the physician and staff need to get done and 3) the cognitive styles of the users, the EHR is likely to disappoint.

A third important variable is the platform which supports the EHR – that is, the computers, input/output devices, network services and system software which form the system which creates the user experience. Often, when things are not working well, the end-user will blame the EHR when, in fact, the problem is some other component of the system.

 385 pts.

 

Agree that it will never approach a “one size fits all.” So many physicians are asking their colleagues about EHR options without really understanding the clinical workflow implications.

 810 pts.

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