Tag Archives: EMR

Eric Van De Graaff, M.D.

Alert Fatigue


In July we witnessed the last of the NASA space shuttle flights as Atlantis blasted into orbit.  I recall being in high school as the shuttle program was in its stages of final development and writing a report on the new technology.  I still vividly remember the National Geographic article (from which I scalped most of my information—cheating from Wikipedia was not yet invented) that promised a future of cheap and frequent trips into space.  The original specs of the shuttle program estimated that we’d see around 50 flights a year and that each would cost taxpayers a paltry $15 million.  Instead, the reusable orbiter made it into space about 4 times annually at an average cost of $1.5 billion … Continue reading

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Eric Van De Graaff, M.D.

The Electronic Medical Record


Our multispecialty clinic is in the process of converting our standard paper charts to computerized files by adopting an electronic medical record (EMR) system. To say the least, this conversion has been the source of many gray hairs and stomach ulcers for nearly all personnel involved and raises the hackles of our doctors more than almost any other topic. My cardiology group made this transition about 7 months ago and it’s taken me this long for my strong sentiments to simmer to a level where I can produce a somewhat dispassionate discussion (never mind the fact that 6 months ago I would’ve had to type with only one hand, the other being occupied pulling out my hair). First, a little … Continue reading

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Eric Van De Graaff, M.D.

Domo Arigato Dr. Roboto


A couple weeks ago I received an email request from the SETI Institute to do an interview for a program to be aired on National Public Radio.  SETI, as some of you are aware, is a scientific organization whose purpose it is to look for evidence of life beyond Earth (SETI is an acronym for Search for Extra-Terrestrial Intelligence).  For a geek like me, being interviewed by the organization once championed by Carl Sagan is an honor akin to a Husker fan being asked for football advice by Bo Pellini. Of course I immediately agreed.  They wanted to talk to me about a blog post I’d written a few months back entitled “The Art of Medicine.”  If you go back … Continue reading

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Michael Aaronson, M.D.

“Meaningful Use” for Implementing an EMR


In May of 2010, I wrote an article regarding my opinion of the validity of certain indicators insurance companies use to evaluate performance — given the fact that according to their records I write 71% generic prescriptions, and my nephrology specialty rank is eight out of 14 for writing generic medication. My conclusion at the time: “I recommend you be very careful interpreting performance numbers. Until the system is better able to capture quality, you may be doing yourself a disservice relying on data such as what I showed you.” I am not the only physician concerned with organizations publishing this kind of misleading data. Why? The data submitted to the insurance company does not capture my true prescribing because … Continue reading

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CHI Health

Making it Meaningful


Remember that stimulus package the government passed early last year? Have you cashed in on the new home-buyers tax credit? Did you trade in that rusty old Chevy Cavalier for a shiny new ride in the Cash for Clunkers program? What about all of the green incentives? It seems no matter where we all are in our lives, the stimulus package has affected us in one way or another (though we are in NO WAY arguing its success or lack-thereof – we’ll leave that up to the pundits!). It’s also made a major impact in health care – the major effects of which have yet to be seen. You see, along with the new homes and bright shiny cars, the … Continue reading

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