Understanding the Past
Luis Saldaña, MD, chief medical information officer at Texas Health Resources of Arlington, Texas, acknowledged that the initial introduction of EMRs over the past decade has had issues.
Physicians wanted “this tool to help them be more compliant, but then it can easily become your master,” Dr. Saldaña said. “You go from it serving you to [you] serving it because, all of a sudden, the requirements and expectations just grow and grow.”
Those reporting requirements, especially to older physicians who spent decades writing “succinct, hand-written notes that effectively communicated what happened,” turned off many users, Dr. Saldaña added. “Now, even just the daily progress note, to fulfill the least-perceived regulatory requirements for being reimbursed … you have to create notes that are two full pages long,” he said. “We’ve created this kind of monster, and that whole journey kind of then led to this split.”