Now here is the EMR. The patient still fills out the forms but now the front desk person has to enter all the information into the system. (Takes 5 to 10 minutes and we need at least one extra persion) The nurse then puts the patient in the room and pulls them up in the computer and enters more stuff in. When I see the patient I have 2 choices, I can do the same thing as I used to do and then step out of the room and fill out the computer note which then sends the scripts and orders the tests, but it takes 5 to 10 minutes just to do the note. This means see fewer patients or spend less time with each patient. The other option is to do what the office manager wants and that is to do the note while you see the patient. This means that you are looking and trying to type while talking to the patient which so far has really ticked them off and spend less time actuall doing the doctoring. I guess we could always hire someone else to type the note while we see the patient. So far, the EMR has cost us extra money, allowed us to see fewer patients and in general, generate notes that no one can decipher.
The main benefit of the EMR has been that it automatically generates the pages of BS that are required by HIPPA, CMS and the insurance companies as well as other pages of drivel that are there for medical legal reasons.
What a great way to reform healthcare.