Jon, Thanks for sharing this article & his experience reflects my two and a half years of doing this approach. However, I do very little data entry at the point of care and my nurse has all the info Tee'd up B4 the visit & then if any gaps of info/data become apparent (usually by the patient ie where is my ER visit & CT scan report?), then my nurse can get that immediately ePDF'd with Updox so we can view together during their visit.
John,
This has been a learning experience,but I have found paradoxically the elderly, complex patients are most interested in this approach & easier to keep on task when they can not only see but listen as we efficiently go thru their graphed out labs & BP's, INR's, review Past History, allergies, social, med list, & with the decision support, especially with wellness medicare visit, can rifle thru the recommendations much quicker when they see these as well.
I do all my own med reconciliation and with followup patients, not terribly time consuming, but again easier when pts take part visually & actively in the process.
I do have a few pts that don't care to see their EHR but not many, most want to & again the complex medicare patients are the most interested. When I first started I thought the young healthy tech savvy would be, but in general they are not as complicated and less interest compared to the elderly.
I don't share the HPI with them generally nor dictate in a way to be offensive to them but rather in a way they may be reading what I dictate.
I do most of my data entry when I am done with them, immediately after the visit, use dragon to dictate the HPI & summary, templates for exams & ROS.
Thanks Jon & John !
