Bruce L. Wilder

See the following -

The EHR Debacle: Has Organized Medicine Failed Us?

By now, it should be no secret that physicians in the United States, although largely receptive to the idea of electronic health records (EHRs), are widely dissatisfied with the current state of the art, and with the way that EHR adoption is being implemented.[1] Indeed, Congress[2] has shown continuing – but sometimes seemingly perfunctory – interest in the concerns of physicians and other health care providers, and I am at this point pessimistic about seeing any results of its efforts in the near future unless a more fundamental change is made in our approach. As Einstein noted, “We cannot solve our problems with the same thinking that created them.”

Read More »

The Politics of the EHR: Why we’re not where we want to be and what we need to do to get there

By now, it seems abundantly clear that the vast potential offered by universal adoption of electronic health records (EHR) has not been achieved.  Indeed, the fulfillment of that potential seems a long way off.  Unsolved problems with interoperability, usability, safety, and security, to name a few, remain, and continue to pose barriers to universal adoption. There is ample evidence in the medical literature, of the unsolved problems of the EHR.  Indeed, two recent reports that offer (probably inadequate) solutions highlight the difficulties that exist with the EHR.  The proliferation of these problems has only increased with the increase in adoption of the EHR by physicians and institutions.   The Texas Medical Association has asked the (at the time) ONC, Farhad Mostashari, MD, to establish a health IT patient safety czar.1 Read More »

VA Clinical Scheduling Contest Winners Announced

The VA just announced the three winners of their innovative Medical Appointment Scheduling Contest. The winners are, in first place, Health eTime by MedRed, LLC, in second place, OH Scheduler by Oroville Hospital, and in third place is the HP Open Community Team Submission which was put together by a team of open source developers led by HP. These were judged to be the top three systems out of a total field of 41 entries submitted by June 13th of this year. Read More »