The Incremental EMR

Solving Problems with Clinical Data

By Dr. Nick van Terheyden aka Dr. Nick
Twitter: @drnic1
Host of Dr. Nick: The Incrementalist#TheIncrementalist

On this episode I talked to Richard Schreiber, MD, FACP, Associated CMIO at Penn State Health Holy Spirit Medical Center. Dick is a professor in Internal medicine, a career choice made in his 4th year of medical school as he was looking to solve the mystery of Diagnosis, long before this because a household activity thanks to the medical series ‘House’. As you will hear he was always asking for more data as he sought a better way of treating disease and delivering healthcare.

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He describes himself as the squeaky wheel in healthcare that has led him to a long career in Medical Informatics with an initial focus on the display of data, specifically laboratory information and has continued with multiple Electronic Medical Record implementations. He details the many positive aspects to the EMR that includes the fact we are no longer searching for the medical record but requires any user to become familiar with the tool to derive the maximum value. He also notes that EMR’s are Incremental offering users the opportunity to build their notes in small stages and to add elements form other areas of the health system before they are published.

The downsides are well documented with some difficult usability challenges but not all problems are a function of the EMR but driven by the regulatory requirements that drive the note bloat we are all frustrated with.

Healthcare Needs More Systemness

Listen in to hear his vision and dream for Medical informatics that sees all the clinical content created as a natural by-product of the interaction taking place between the clinicians an the patient (a concept I covered in ‘Capture the Story’) and hear his career guidance for future entrants to the world of medicine that is now deeply imbued with technology – something he describes as a need for ‘Systemness’.

About the Show
For years Dr. Nick van Terheyden aka Dr. Nick, has served as a voice on the impact of new technologies on healthcare, earning a reputation as a leading authority on where the future of medicine is going. Combining powers of observation and real world experience, Dr. Nick has seen many predictions come true and makes the case that innovations in healthcare can be accomplished incrementally, not just by moonshot events. Tune in to hear Dr. Nick: The Incrementalist and his guests discuss what the future of healthcare looks like, how we will get there, and what it will take to improve healthcare for all.

This article was originally published on the Dr. Nick – The Incrementalist blog and is republished here with permission.