Ehr Technology: A Play Inward 2 Acts

Casual Fri Fun Series (triggered past times a serious post on THCB)

Act I:
A physician practise inward Anywhere, USA
Doctor sitting at his desk, writing prescriptions. Pile of charts on table. Enter HIT Expert
HIT Expert: Doc, you lot should actually halt writing prescriptions on newspaper together with larn ane of those novel ePrescribing tools.
Doctor: Eh... I've been doing this for twenty years....
HIT Expert: But, doc, you lot tin brand mistakes together with kill patients....
Doctor: I don't brand mistakes together with I haven't killed anybody yet....
HIT Expert: The chemist can't read your scribbles. He could brand a mistake... together with intend virtually all the typing he has to produce to larn inward your scripts, together with the patient volition honey to possess got the prescription waiting for him at the pharmacy...
Doctor: My patients possess got no clue which chemist's they're going to... I tin come across the pharmacist's problem... (scratching head)
HIT Expert: You should induce ePrescribing. You'll honey it together with it's complimentary together with the Government volition pay you lot a yoke hundred dollars to purpose it. What d'you say, doc? Wanna induce now?
Doctor (bleary eyed, looking tired): OK, fine... What produce you lot desire me to do?
HIT Expert: Here... Log inward here....just sign upwards here... type inward a few things virtually your practice

Doctor typing, HIT Expert looking over his shoulder, Office Manager going inward together with out amongst papers, helping Doctor to type...

HIT Expert: All create to go....Easy... Now write a prescription....
Doctor: Where?
HIT Expert: Right here. First you lot larn inward the patient name, together with insurance, together with pharmacy...
Doctor: I don't know what insurance he has... I simply possess got aid of him.... together with I told you lot virtually non knowing the pharmacy...
HIT Expert: Here, it's inward the chart... (leafing through chart) Type this.....(reading out loud BCBS conception together with policy numbers)
Doctor: (typing) This is ridiculous.. was that a G or a Z?
HIT Expert: You exclusively possess got to produce this once. Next fourth dimension the patient comes, it's all inward the computer. Will salvage you lot lots of time...next time...
Doctor (looking puzzled): But I never had to produce this before.....
HIT Expert: Do you lot desire to computerize your records, or not? C'ommon doc, it's the 21st century....

Doctor keeps typing amongst HIT Expert looking over his shoulder...
Curtain.

Act II
Doctor at his desk, typing on computer. Pile of charts on table. Enter HIT Expert.

HIT Expert: How's it going doc? Like that ePrescriber?
Doctor: It's OK. My typing is much amend now....
HIT Expert: I told you lot it volition salvage you lot time... together with the patients are prophylactic now...
Doctor: I simply wishing it stopped popping these alarm windows all the time...
HIT Expert: Just ignore them... Everybody does... I tin exhibit you lot how to plough them off...here....
(HIT Expert leans over estimator together with pushes a few buttons)
HIT Expert: Should last fine now... But that's non why I'm here... You postulate to larn a registry, doc... It's the latest rage....
Doctor: That would last helpful... I'd similar to come across all my diabetics together with how they're doing...
HIT Expert: Perfect... Here's ane here... Very cheap... Just signup correct here...

Doctor typing, HIT Expert looking over his shoulder, Office Manager going inward together with out amongst diverse documents....

HIT Expert: All set, doc.... Now you lot tin rails your petty diabetics....
Doctor: Where?
HIT Expert: You possess got to larn inward them inward the registry, doc... Here, you lot type their name, vitals, diagnosis... here's a house for lab results... together with here's a house to type inward their meds....wow, you lot tin fifty-fifty type inward their goals... together with it has alerts too.....neat...
Doctor: But I already typed inward their names together with meds inward the ePrescriber... doesn't the estimator possess got them inward at that topographic point already?  Did you lot tell to a greater extent than Alerts??? I idea you lot turned them off....
HIT Expert (with a polite laugh): It's technology scientific discipline doc....it volition possess got hours to explain....you'll larn used to it.... this hither is the best registry out at that topographic point together with this hither is the best ePrescriber out there... if you lot desire the really best, together with you lot produce doc, trust me.... it takes to a greater extent than or less doing.... believe me, it volition last worth it.... come across how you lot honey your ePrescriber now?.... you lot volition absolutely adore your registry..... (walking tardily off stage)
Doctor: Hey, hold off a second.... that's a lot of typing here.... why produce I possess got to type the damn meds inward at that topographic point again.... (voice rising)...hey, Mr. Expert, where produce I larn the labs from? produce you lot desire me to type the labs in? together with the weight together with pinnacle too... (screaming).....I don't possess got fourth dimension for this.... I possess got to come across patients...

(Office Manager running inward together with out amongst piles of charts; Doctor typing furiously; grouping of angry patients, advancing from left, gesturing silently; HIT Expert running off correct stage)
Curtain.
*********
Suggestions for Act III, IV to XXVI: HIT Expert comes dorsum with  a Patient Portal, Lab results portal, Documentation, Quality Reporting, Bio-surveillance, PACS module, CPOE, HIE, NHIN.....

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