Top Tweets for #EHRBacklash
@RasuShrestha @EvanKirstel @Forbes @IrmaRaste @glfceo @Taylor_Soper @TomVargheseJr @marklewismd @KirkDBorne @jameyedwards @giasison This describes the exact opposite of what happened when government started coordinating how information technology could be used to support health care delivery.
We're still paying the price.
#EHRbacklash
@HardeepSinghMD @DBatesSafety @JPatientSafety @deansittig @RajRatwani @Ted_Melnick @jsancker @bfm @ChristineSinsky There's a reason for #EHRbacklash.
It's mostly due to federal *coordination* of how IT supports health care delivery.
We're now entering the 19th year of federal control of #EHR functionality.
What other industries have their IT systems *coordinated* by the feds?
Examples?
@sarbjeetjohal And then there's healthcare.
A health care organization's billing software, that someone slaps a fanch #EHR label on, is still billing software.
It's like the pig and the π thing -- but more technical.
In the end, the pig is still a pig.
#EHRbacklash
@EMRAnswers @AaronMiri @CoherenceMed @ONC_HealthIT I've always favored clinical support system.
Unfortunately, there is no prioritized list of desired health IT functionality, certainly not one developed by physicians, other health care front line professionals, and patients.
Why is that?
#EHRbacklash
@aneeshchopra Yet more activity!
It should be *principles first*, not a particular technology first.
Our suggested framework for America's #Health IT Infrastructure will be released soon.
It is vendor and technology neutral -- the way it should be.
#EHRbacklash #reformHIT #PrinciplesFirst
When America's public policy doesn't actually benefit the public -- but instead benefits a select group of #EHR vendors with political connections -- how should the public respond?
So far learned helplessness seems to be the response.
Let's #FixHIT
#HealthIT #HIE #EHRbacklash
Mortal Coils: Why We Must Stop Tolerating Failing Health Tech - Eric Perakslis https://t.co/5JrRVyoFpH #openhealth #opensource #innovation #DataScience #healthIT #EMR #EHRbacklash #interoperability
@drcraigwax @GallaherCaren @DermHAG @LeahHoustonMD @JoshDeloz @RBlockMD @drginareghetti @DrCSWilliam @amychomd @DrGRuralMD @Epic_Ed @CarolineYLChen @mass_marion @anish_koka @sonodoc99 @fuzzymittens @AlietaEck @lorissalyn @Docbasia @notaproviderMD2 @GreenHillsDFC @BrantMDJD @BrianSachs @mbmccoll @DrDixonFtW @813JAFERD @drdanchoi @HCP4US @DocStrange_1 @ETSshow @kari_jerge @ajoykumarmd @doctorwes @mgoldingmd @gabrieldane @kksheld @JJcolemanMD @mymomthesurgeon @VThornleyMD @drnickUSA @thepedimom @dryared @monkeymed1 @UnbridledMd @PedsMamaDoc @PGYx @standforpts @Reese_Tassey @Suburbanbella @CGiordano1225 Alas, I have a fond connection with #EHRbacklash as I was one of the originators of the term back around 2013.
While #EHRisBunk is appropriate, the former calls out for action.
We were promised a #HealthIT infrastructure.
Instead we got workflow oblivious data entry apps.
@GallaherCaren @DermHAG @LeahHoustonMD @JoshDeloz @RBlockMD @drginareghetti @DrCSWilliam @amychomd @DrGRuralMD @Epic_Ed @CarolineYLChen @mass_marion @anish_koka @sonodoc99 @fuzzymittens @AlietaEck @lorissalyn @Docbasia @notaproviderMD2 @drcraigwax @GreenHillsDFC @BrantMDJD @BrianSachs @mbmccoll @DrDixonFtW @813JAFERD @drdanchoi @HCP4US @DocStrange_1 @ETSshow @kari_jerge @ajoykumarmd @doctorwes @mgoldingmd @gabrieldane @kksheld @JJcolemanMD @mymomthesurgeon @VThornleyMD @drnickUSA @thepedimom @dryared @monkeymed1 @UnbridledMd @PedsMamaDoc @PGYx @standforpts @Reese_Tassey @Suburbanbella @CGiordano1225 Maybe it's time to resurrect the #EHRbacklash hashtag?
@RajRatwani @MedicalHFE The #EHR - a construct manifested in software - is a flawed answer to the wrong question.
The question should *not* have been, "What #MeaningfulUse data can we collect?"
But, "How can we best process, share, and learn from the six data flows at the point of care?"
#EHRbacklash
@SavageLucia @ShreyaTrivediMD @CMSGov @MedicaidGov @SocietyHospMed @JHospMedicine @medpedshosp @RJmdphilly @rkwadhera @EileenBarrettNM @gradydoctor @sue_bornstein @subhaairan @WrayCharles @FutureDocs @ml_barnett @Health_Affairs @ashishkjha @jsross119 @IshaniG @CostsofCare @ChrisMoriates @anitasamarth @ReshmaGuptaMD @neel_shah The #EHR - a construct manifested in software - is a flawed answer to the wrong question.
The question should *not* have been, "What #MeaningfulUse data can we collect?"
But, "How can we best process, share, and learn from the six data flows at the point of care?"
#EHRbacklash
@kelly_archives The #EHR - a construct manifested in software - is a flawed answer to the wrong question.
The question should *not* have been, "What #MeaningfulUse data can we collect?"
But, "How can we best process, share, and learn from the six data flows at the point of care?"
#EHRbacklash
@Farzad_MD @amalec The #EHRbacklash hashtag saw its first use in 2013.
Followed soon after by #MeaningfulUsability as a counterpoint to #MeaningfulUse.
@CitizenHealthio BTW, you realize I have the high honor and destinct privilege of being part of the ad hoc team that developed the hashtag #EHRbacklash back in the old days?
Welcome to the fray.
#EHReform
#PrinciplesFirst
@insureblog @misterchambo @clayforsberg In GDPR there is the concept of being able to be forgotten.
I want something further upstream. I want to be left alone, not tracked like in China.
Systems with which we interact should be developed with #PrinciplesFirst.
#HealthIT #EHR #EHRbacklash #Privacy
@gabrieldane @wareFLO @CancerGeek @DrMJoyner @RajRatwani @j_luh @charter4values @RichDuszak @Aiims1742 @katekelly @jackmurtha @BarbaraMcAneny @meggerber @GavinPrestonMD @PedsMamaDoc @BobLeeMD @HolmesCarolyn23 @legalnurseRN @jhawk455 @randragusa @Atul_Gawande @DRSTREEPEY @ajoykumarmd @BrantMDJD @IreneTienMD @StorkBrian @joyclee @tmprowell @cardiobrief @GregT_156 @rgergelymd @matthewherper @charlesornstein @ddiamond @DrJudyStone @VerranDeborah @DrHBurstein @jselanikio @haiderwarraich @twilabrase @DShaywitz @choo_ek @darakass @chasedave @ericasavage @DBatesSafety @galexandermd @ShannonOMac @MPROcares Yes. Similar to what I had in mind, but obviously needs to be more closely tied to the healthcare ecosystem as a whole.
My research colleague, @techydoc and I recommend the following as Principle #1: First do no harm.
#HealthIT #HCIT #EHR #interoperability #EHRBacklash
@j_luh @RajRatwani @charter4values @RichDuszak @Aiims1742 @katekelly @jackmurtha @BarbaraMcAneny @meggerber @GavinPrestonMD @PedsMamaDoc @BobLeeMD @HolmesCarolyn23 @legalnurseRN @gabrieldane @jhawk455 @randragusa @Atul_Gawande @DRSTREEPEY @ajoykumarmd @BrantMDJD @IreneTienMD @StorkBrian @ReasObBob @joyclee @tmprowell @cardiobrief @DrMJoyner @GregT_156 @rgergelymd @matthewherper @charlesornstein @ddiamond @DrJudyStone @VerranDeborah @DrHBurstein @jselanikio @haiderwarraich @twilabrase @DShaywitz @choo_ek @darakass @chasedave @ericasavage @DBatesSafety @galexandermd @ShannonOMac @MPROcares @MedicalHFE Unfortunately true. Generally, user-centered works great (& best IMO) w/in process-entered frameworks. And yes, most current EHRs are "workflow-oblivious" (coined by @ReasObBob of #EHRbacklash fame). Need new more process-aware EHRs, but 10s of billions of MU money prevented that
Hmmmm... #EHR #EHRbacklash (@ReasObBob) and physician #mentalhealth? (Subject of current #HealthXph twwetchat)
A public service announcement for the #HealthIT vendors deploying the current generation of cludgy, workflow oblivious, siloed #EHR systems that are anything but patient-centric. #HIE #Interoperability #EHRbacklash
If you don't like change, you will like irrelevance even less (General Eric Shinseki).
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