Monday, June 03, 2013

EHRs - evidence-free medicine?

I wasn't going to write another EHR-related post.  Not yet, time for a change.  But this article just came out online first in the Annals of Internal Medicine, funded by the Robert Wood Johnson Foundation and the Commonwealth Fund.  The conclusion of the abstract really says about as much as we all need to know, since we already all know it, except for ONCHIT, it seems:

Few physicians could meet meaningful use criteria in early 2012 and using computerized systems for the panel management tasks was difficult. Results support the growing evidence that using the basic data input capabilities of an EHR does not translate into the greater opportunity that these technologies promise.

And many large sites, like academic medical centers, have not just one, but several EHRs, along with perhaps a data repository or two, plus all the systems they have to interact with.  I guess the HITECH Act is good for the economy, guaranteeing that a bunch of people will have IT-support jobs that pay reasonably well into the indefinite future, and low risk of offshoring.

Or, to paraphrase the famous line from Treasure of the Sierra Madre (which I'd give more than 8.4/10 stars), "Clothes?  We don't have to show you no stinkin' clothes!"

I'll try for more variety in my next post.