Wednesday, April 9, 2014

EHR Manners


Electronic Health Records (EHRs) and How Doctors Use Them:

“Human Ways to Make the New Technologies Work”

In a recent email, we addressed the need to be cognizant of how technology can ride roughshod over the “human ways” of relating to one another.  A recent article we became aware of was addressed to physicians as they apply a relatively new technology, i.e., Electronic Health Records (EHRs), to patient sessions.  The article is entitled, “Do Your EHR Manners Turn Patients Off?

The article speaks to an AMA policy to “make physicians aware of tips and resources for effectively using computers and…EHRs in patient-physician interactions.”  The issue is that physicians are so engaged with the computer that they don’t make eye contact with the patient, which leaves patients feeling disconnected.  In fact, the original AMA report specifically urges physicians to set up the examination room so that one can make eye contact with patients while working on the computer.  The article goes so far as to encourage physicians “to put questions about EHRs into patient satisfaction surveys.”

When CEC Associates Incorporated began more than 30 years ago, we were determined from the outset to create our professional services within a strict framework of concern for our injured worker clients, and we have demanded that same level of concern from all of our associates in their work.  We have worked hard to subordinate all of our uses of technology (i.e., computer applications) with our primary responsibility of developing injured worker assessments and forensic testimony in a manner that assured our understanding of the, almost always, difficult realities of our examinee’s lives.

We are heartened to find the AMA validating our insistence on care and understanding for clients by urging the same care and understanding on their professionals. Human Ways to Make the New Technologies Work!

  • What is your perspective on how electronic record taking/keeping has affected your relationship with clients?
  • How do you ensure that your clients receive the personal service they were accustomed to before the new technologies evolved? 
  • How would you rate the effectiveness of your communication when simultaneously taking electronic notes and conversing with your client?

2 comments:

Anonymous said...

The other day, I was "examined" by my family doctor and he never looked at me except to say hello and goodbye. Instead, he attended to his laptop...I have been his patient for 15 years

Anonymous said...

I'm fine with changes in the medical field and insurance industry, but there are definitely better ways to go about it. At my PCP, the doctor is sitting at that little "desk" off the sink, facing the wall across versus the adjacent exam table. Asking questions almost in a distracted way. But at my ortho exams, the doc comes in & hooks up his laptop, which is on a laptop desk facing the exam table & he's able to look at me & ask questions, then jots in a brief trigger note. Then he does the exam, and after done checking everything, he returns to the laptop & revisits the exam verbally while typing into the laptop. I never feel as if he's alone in the room & I'm not there. It's all about how you choose to use the new technology & not lose focus of the patient!