Is Your Electronic Health Record Working for You and Your Patients?

Dewhurst outlined some of the common frustrations of EHRs, including the expense of acquisition and maintenance, lack of interoperability standards, suboptimal user interfaces, lack of artificial intelligence, lack of friendliness to specialties in general systems, and excess time wasted completing notes versus the time to complete standard dictation. In our crazy current fee-for-service system, we have blindly gone the path of wasting time by documenting a complete review of systems, comprehensive physical exam, and detailed family history so we get paid less than our office expenses for that visit.