Well, here is a recent Sermo post by him:
"Simply put, ANYTHING that adds time to a patient encounter that does not contribute DIRECTLY to patient care DECREASES productivity.. yet everybody tells us that these stupid things will make us more productive. The emperor is naked.
We recently switched to a hybrid of our old EMR and paper.. you know.. dead trees? Cut the time to document a patient encounter by 2/3 and still gives us the advantage of tracking the more static parts of the patient's chart (PMH, FH, SH, etc) in the EMR and diagnosis, prescription and referral tracking, with the efficiency NOT having to feed the computer.
My career before medicine was 20+ years of computer consulting and software engineering. Much of the time was spent talking people out of computerizing things that there is no advantage to computerizing."
