Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Terrifying truths about health care IT

Varun Verma, MD
Tech
November 15, 2014
Share
Tweet
Share

shutterstock_206522137

One would expect that in an era where smartphones are more powerful than our computers were 5 years ago, health care providers would have an arsenal of health care IT solutions to enhance patient care but also optimize their own workflow.

Shockingly, in 2014 most health care IT solutions (such as EHR systems) are incapable of basic functions that we take for granted in other aspects of our digital lives (this is despite the fact that hundreds of millions of dollars have been invested by institutions). We have made information electronic, but continue to work with it as if all we had was an abacus. This is problematic since many providers are now involved in taking care of patients (physicians, nurses, physician assistants, clinical pharmacists, therapists, and trainees), and there is greater turnover of team members due to the shift work nature of inpatient care. Rather than having optimal information available — we have data chaos.

The situation is in stark contrast to my out-of-hospital life. In my Gmail I can (usually) easily find a specific message using a combination of “has,” “to,” “from,” and “subject” statements. Most EHRs on the other hand have me scrolling through consultation and progress notes in size 10 text, stacked one on top of each other, which are about as search-able as a Where’s Waldo scene.

As a hospital medicine doctor who needs to rapidly assimilate information often in the middle of the night, EHR is my last resort. When I receive an emergent page, I rely on my examination, the patient interview (if they’re able to talk), and then a quick glance at a rudimentary sign out document handed to me from the day-team. EHR is neither optimized for mobile in most cases, nor can I find anything I am looking for when I actually need it. This is true irrespective of whether I am working at a rural hospital in Maine with a 10-year-old EHR, or at a major academic center with a cutting edge EHR.

Despite heavy investment in health care IT from institutions, providers like myself still find ourselves carrying around printed patient lists with scribbled check boxes and to do lists. The sign out document — a purportedly succinct summary of the patient problems and suggested plan of action — obviously has pitfalls. One night last week I counted 42 patients I was covering overnight on five different sub-specialty services; and some basic math revealed that in my 12-hour shift I was in charge of more than 120 active medical problems, and at least 1,000 years of medical history (conservatively).

All of this was summarized for me by other providers in a neatly typed word document extracted from copy-pasted snippets of EHR notes, printed, stapled, and then folded — ready in my white coat pocket for me to peruse while I bolted through corridors or took the elevator to where a patient was crashing.

On discussing the shortfalls of modern health care IT solutions, I often hear colleagues stating that change is coming soon (read: 2 to 5 years). Given that medical errors now kill more than 400,000 Americans and are the number three cause of death in the United States, we need a greater sense of urgency about how broken IT systems are, and how we can fix them immediately. Infinitely more thought, investment and energy goes into social networking endeavors than how patient information is presented and made available to health care team members. (It is irrefutably easier for me to find out where you went to college — using LinkedIn, Google, or Facebook – than to find out who my patient’s primary care doctor is.)

It makes little sense that modern medicine offer us marvels like whole genome sequencing, while simultaneously providing ridiculous solutions such as mnemonics to reduce errors during change of shift. Surely the bar must be set higher, and we must harness the technology we carry in our pockets.

Varun Verma is an internal medicine physician and co-founder, Andwise. He can be reached at his website, Varun Verma, M.D. and on X @varunvermamd. He writes about his own experiences as a physician on the Andwise blog and also hosts the Andwise podcast, where he talks to physicians about their financial journeys and careers in medicine.

Image credit: Shutterstock.com

Prev

Perioperative team training: Can we learn from basketball?

November 15, 2014 Kevin 0
…
Next

The Holocaust: Bereavement takes a different course

November 15, 2014 Kevin 2
…

Tagged as: Health IT

Post navigation

< Previous Post
Perioperative team training: Can we learn from basketball?
Next Post >
The Holocaust: Bereavement takes a different course

ADVERTISEMENT

More by Varun Verma, MD

  • The uncertain future of general physicians: Is it time to pivot?

    Varun Verma, MD
  • The truth about health care startups: financial sacrifices and emotional toll

    Varun Verma, MD
  • Residency reshaped: the courageous journey of switching specialties

    Varun Verma, MD

Related Posts

  • How social media can help or hurt your health care career

    Health eCareers
  • Why the health care industry must prioritize health equity

    George T. Mathew, MD, MBA
  • Improve mental health by improving how we finance health care

    Steven Siegel, MD, PhD
  • Proactive care is the linchpin for saving America’s health care system

    Ronald A. Paulus, MD, MBA
  • Health care workers should not be targets

    Lori E. Johnson
  • To “fix” health care delivery, turn to a value-based health care system

    David Bernstein, MD, MBA

More in Tech

  • Why clinicians must lead health care tech innovation

    Kimberly Smith, RN
  • Why medical notes have become billing scripts instead of patient stories

    Sriman Swarup, MD, MBA
  • a desk with keyboard and ipad with the kevinmd logo

    AI in health care is moving too fast for the human heart

    Tiffiny Black, DM, MPA, MBA
  • Why AI in health care needs the same scrutiny as chemotherapy

    Rafael Rolon Rivera, MD
  • The silent cost of choosing personalization over privacy in health care

    Dr. Giriraj Tosh Purohit
  • Why trust and simplicity matter more than buzzwords in hospital AI

    Rafael Rolon Rivera, MD
  • Most Popular

  • Past Week

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why your health care dashboard isn’t working and how to fix it

      Dave Cummings, RN | Policy
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • A surgeon’s testimony, probation, and resignation from a professional society

      Stephen M. Cohen, MD, MBA | Physician
    • One injection dropped LDL by 69 percent. Should we celebrate?

      Larry Kaskel, MD | Conditions
    • Locum tenens: Reclaiming purpose, autonomy, and financial freedom in medicine

      Trevor Cabrera, MD | Physician
    • Why doctors struggle with family caregiving and how to find grace [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 5 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why your clinic waiting room may affect patient outcomes

      Ziya Altug, PT, DPT and Shirish Sachdeva, PT, DPT | Conditions
    • The backbone of health care is breaking

      Grace Yu, MD | Physician
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • Why transplant equity requires more than access

      Zamra Amjid, DHSc, MHA | Policy
    • The ethical crossroads of medicine and legislation

      M. Bennet Broner, PhD | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why your health care dashboard isn’t working and how to fix it

      Dave Cummings, RN | Policy
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • A surgeon’s testimony, probation, and resignation from a professional society

      Stephen M. Cohen, MD, MBA | Physician
    • One injection dropped LDL by 69 percent. Should we celebrate?

      Larry Kaskel, MD | Conditions
    • Locum tenens: Reclaiming purpose, autonomy, and financial freedom in medicine

      Trevor Cabrera, MD | Physician
    • Why doctors struggle with family caregiving and how to find grace [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Terrifying truths about health care IT
5 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...