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How to Evaluate Electronic Health Record (EHR) Systems
Accompanying CD-ROM contains forms and tools which may be used in evaluating EHR systems.
163 pages, Perfect Paperback
First published July 1, 2007
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May 29, 2024
If by some odd chance someone finds their way to this review, I invite you to contact me via LinkedIn. My partner in this venture, Patricia Trites, passed away a few years ago and, to her death, we periodically marveled and lamented that few people used this resource to mitigate the havoc now ubiquitous in U.S. healthcare due to negligence in due-diligence in EHR System acquisition.
Even today this resource can be translated to illuminate the most critical requirement for a systems fitness for use, trustworthiness. The burden of EHR systems today is created mainly by their utility for manufacturing information that expedites maximum payment without providing clinical utility. In many cases these systems create counterfeit records that deliberately falsify patient conditions to maximize payment. (See for example the NYTimes October 2022 article on the use of EHRs to bilk Medicare Advantage by falsifying patient records so that patients appear sicker than they actually are.)
I would be happy to help anyone adapt the nearly 18 year-old tools to 2024 utility. Unfortunately the same problematic functions that our due-diligence manual highlighted in 2007 still exist today.
Reed D. Gelzer, MD, MPH
Even today this resource can be translated to illuminate the most critical requirement for a systems fitness for use, trustworthiness. The burden of EHR systems today is created mainly by their utility for manufacturing information that expedites maximum payment without providing clinical utility. In many cases these systems create counterfeit records that deliberately falsify patient conditions to maximize payment. (See for example the NYTimes October 2022 article on the use of EHRs to bilk Medicare Advantage by falsifying patient records so that patients appear sicker than they actually are.)
I would be happy to help anyone adapt the nearly 18 year-old tools to 2024 utility. Unfortunately the same problematic functions that our due-diligence manual highlighted in 2007 still exist today.
Reed D. Gelzer, MD, MPH
Displaying 1 of 1 review