I have been a lurker at emrupdate.com for a number of years. When the CCHIT debacle first began, Dr Borges was in the forefront championing the physician cause. Vehement debates were waged between the vendors (Holt el al) and Dr Borges. In the end they won and Dr Borges was right.
We are at a nexus of patient information management. Granular information helps epidemiologists looking for work but not me in day to day clinical medicine. An EMR should be a tool to practice good medicine. What next, my stethescope needs CCHIT certification.
I am using AC as a hybrid. Database function for PMH, FH, SH, and Continuity of Care Record (CCR instead of CCHIT) I still write my notes because I like to script and have been trained to think that way. Which is another reason granular data collection becomes an obstacle to my delivery of care. It is a distraction rather than a tool.
I look forward to the added spirit of the forum. It is time for medicine to decide what works, not business.
Gary DeCrona MD
Solo Practice
Family Medicine
