Name: Insights: The Ongoing Shortcomings of Electronic Health Records
Uploaded: 2020-07-21
Duration: 3 min 21 s
Description: Healthcare leaders explain how the right data can move the needle.

[MUSIC PLAYING] DAVID AGUS: When I see patients and I sit in a room, and many of your thousands of doctors do the same, we spend a good proportion of our time taking data and information and putting into electronic health record, where it gets squared away. We can't do a thing with it. Why aren't you guys taking on the electronic health records? Why aren't you challenging them so we don't have to have that data siloed in some server somewhere. That we collect it in standard data elements, that we could put it in a structured way and learn from it and improve patient care. There seems to be an impediment and nobody is standing up. LLOYD MINOR: Well, perhaps, I can start and then welcome comments from the panelists. We agree with you completely. We hosted a conference at Stanford in June of last year on the electronic health record. We had people from CMS, HHS. We had some representatives from the EHR companies. Interestingly, some chose not to participate. I meet a lot of people from the provider community, our own and from various other sources as well, and the physician leadership organizations. I think we have to get beyond-- there are plenty of ways to point fingers and ascribe blame. I think we have to get beyond that. I think we have a fairly good idea of what the problem is. You just did a nice job of summarizing it. Interestingly, one of the studies that we discussed at that conference was a study done by some Stanford faculty, some UC San Diego faculty, that looked at implementations of the same electronic health record system, so the same vendor, in different environments. Here in California, in Australia, and Singapore, same vendor, the interface looks completely different. And the notes in Australia and Singapore, where there's a different payment model than in the US, were significantly shorter and failed to have a lot more decision making content than the notes here. In other words, there are problems, I think, with the architecture of the EHR. I think that will come up in the panel today. The systems that are out there today or based upon legacy stacks that are difficult to modify, and their problems with billing documentation requirements, and other things like that. I'm really pleased that CMS has taken this on and has proposed some revisions to billing documentation requirements, that I think offer opportunity in that regard. They're in the comment period now, I believe. But getting toward solutions is going to be really important. There's plenty of blame to go around and we all share in it, and now we have to focus on the solutions. But Jaewon, or Frida, or Toby, comments? JAEWON RYU: I guess the only thing I would add is, I think it gets to that curation concept. I think there's been a lot of investment in the EMRs and wealth of data, but making it actionable and that curating isn't there yet. I totally agree. But I do think that the activity along those lines is picking up. Simply because the current system isn't sustainable with all this information and very difficult ways to try to tap into it, whether it's decision support or analytics or otherwise. So I feel optimistic there. [MUSIC PLAYING] 

Healthcare leaders explain how the right data can move the needle.

Insights: The Ongoing Shortcomings of Electronic Health Records

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Improving Electronic Health Records

Ongoing Shortcomings of Electronic Health Records