My father is in his 60's. He literally cannot type. EMR laws have increased his day by 2 hours. In regards to scribes... It's PHI which is dealing with HIPAA, h

My father is in his 60's. He literally cannot type. EMR laws have increased his day by 2 hours. In regards to scribes... It's PHI which is dealing with HIPAA, having medical training to understand terminology, etc. Hiring someone to understand "Arthroplasty, acetabular and proximal femoral prosthetic replacement" is expensive. That was just a hip-replacement, imagine dealing with something like cancer. I realize he's somewhat of an exception, but people that spend their day talking to patients rarely get the amount of typing practice that people who have the time to browse the internet do. In regards to the second question, that's what I do. If you've ever worked in any corporate setting that has industry-specific software, convincing the company to change it is near impossible. "Time saving" is incredibly difficult to demonstrate and "cost saving" can take 2 years to show anything meaningful. Software for a complicated field ends up being complicated no matter how hard you try to not be the java-megastructure catch-all application, which means it will always take some amount of training. This means you have to convince someone who just lost 2 hours of their day to spend more time learning a new application. Welcome to the shit-show of corporate software. As my father loves to counsel: "It's hard to get the nine-to-fivers to listen to the five-to-niners".