I imagine that "certain reports" uploaded with the billing claim are going to be necessary for certified EHRs in the coming years.
Once we get past ICD-10, and Medicare decides what data is necessary with each diagnosis code, we are in the future. At that point, imho, EHRs will have to be extremely granular, digital, and database oriented, good for those who like standardized, diagnosis dependent templates. We will be paid for translating our patients into an array of zeros and ones.
Our problem is that this is not what AC is designed for. Instead of a box called History of Present Illness that we fill by whatever method we wish, we will choose a symptom and then keep answering questions until the EHR doesn't have another question. Then choose the next symptom.
I have a patient in a research program at UCLA where every participant has been loaned an ipad and they are becoming joined at the hip with a database every day. The programmers are just trying to separate the wheat from the chaff for her diagnosis.
I hope AC can survive the changes ahead.
