Why is it so hard to read electronic health record (EHR) progress notes? A number of causes can be richly described. Most commonly copy-and-paste errors. We want to focus on a cause discussed less frequently.  Our notes try to meet the needs of too many stakeholders and all their foreseeable tasks. That’s fine, but why would you put another anchor on a person drowning.

Really good information design provides only the information that the user needs for the task at hand. We need our EHRs to display to users “what they need, when they need it, and nothing more.” We envision a model that would do just that.

What the auditor or malpractice defense attorney wants to see is often at odds with what the busy physician needs to see at the point of care or when reviewing the last few notes before entering the exam room for a patient visit. Really good information design provides only the information that the user needs for the task at hand.

We need our EHRs to display to users “what they need, when they need it, and nothing more.” We envision a model that would do just that, using our Scribe Enterprise Platform as a back-end office solution we can accomplish just that!

Is it technically possible?

So how can we use technology to show information at the point of care needed by the Physician For one, our Scribe Enterprise Platform can just display what the Physician needs to see at the point of care.

We already know how to accomplish this. For example,. We have created a display that would allow you to pull up notes on the fly. It could pull up a prior note instantly from our mobile application. The human factors principles at work here aim to reduce cognitive load, show information clearly, and enable decision making by providing essential details.

Some have asked, “Why bother to do all this when it’s the crazy system that needs to change?” We are sympathetic with those who say our biggest problem is the wasteful, distracting paradigm that has us counting bullet points to select codes and documenting defensively to avoid malpractice. However, we know we can improve EHR documentation process to achieve relief while we improve you revenue streams.

Research into the information needs of physicians is ongoing, and software technology is evolving. When a solution arrives, we just need to make sure it doesn’t add more physician work to the already onerous process of documentation. We remain hopeful.

WE WANT TO HEAR FROM YOU.

Greg Teasley/Operations Manager

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