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The real reason EMRs are frustrating is that they attempt to provide structure around a chaotic underlay of insurance reporting schemes. The way clinicians get
by ryanisnan 3y ago
The real reason EMRs are frustrating is that they attempt to provide structure around a chaotic underlay of insurance reporting schemes.
The way clinicians get paid for service is to report everything they do, in obscure and highly-specific codes. Practices on average have to consider arrangements with 25 or so payer entities, and must consider the varying requirements with each.
EMRs are still playing catch up, but there is hope. One of the best applications of AI is translation, something EMRs desperately need.
- burnte 3y agoHealthcare CIO here, there are more major issues and much bigger ones in the EMR space than insurance. One is cost, the compliance cost is so high that it's a huge barrier to entry, and makes new competition difficult. The limited sales channel means you need to charge each of your small customer base more to pay the bills. Another is interoperability. They're all garbage in one way or another so all the vendors work very hard to secure client lock in. Another is medical regulations. We have a whole mess of buttons and check boxes providers need to fill out for regulatory reasons. Yet another is needing to create a complicated system to do complicated things, but the people operating it generally get little to no training on an EMR, so the learning curve is STEEP, and breeds problems. I could go on all day. I kind of wish I could lead a startup to create a new EMR from the ground up. With what I've learned over the years I really think it's possible, but would need real investment up front.
- tuna74 3y agoHealth care staff in the Nordic countries hate their systems as well.