- Joined
- Aug 22, 2005
- Messages
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- Reaction score
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I can't help myself. I am losing my frickin mind with this ****. Could they note create a more crappy search engine. Hell...I'll do it. I'd walk my happy ass down to AHLTA headquarters on my off-time and create a decent search engine for them. It's not hard.
If someone types in "Gastroenteritis"...is it so hard to not have "Gastroenteritis" pop as the first selectable diagnosis? This isn't rocket since folks.
Let me pick a random diagnosis...Scaphoid fracture.
Here are the selectable options, in order:
1) Malignant neoplasm of short bones of upper limb
2) Benign neoplasm of short bones of upper limb
3) Neoplasm of uncertain behavior of bone and articular cartilage
4) Cellulitis of right external ear
5) Cellulitis of left external ear
6) Hypertrophic disorder of the skin, unspecified
7) Other osteonecrosis of unspecified carpus
8) Fracture of navicular (scaphoid) bone of wrist- AHAAA! we found something close.
Some are even worse.
And how about order sets? Say I want to prescribe AFRIN. Wow...Afrin has an automatic order set. It reads "INSTILL 1-2 SPRAYS INTO EACH NOSTRIL BID . DO NOT USE MORE THAN 3 DAYS. #1". Wow...well done AHLTA. AHLTA doesn't have many autofills...but I'll give you kudos for this one. Oh wait...I tried to submit the autofilled Afrin order and I get this error..."1) Duration>Maximum duration". No it's not...it's the appropriate duration. Now I have to justify it's use. What a frickin joke.
The entire intension of an EMR and especially the ICD-10 was to data-mine physicians and make coders jobs easier. How about lower back pain HEDIS measure? You can no longer get an L-spine X-ray for the diagnosis "lower back pain". You have to have a specific diagnosis to attach the x-ray to, such as radiculopathy. Forget the fact that finding radiculopathy is nearly impossible using the crap search engine. So you get pinged by a coder and you have to go back and change your diagnosis.
Does the coder care? No. EMRs gave them their jobs. Do the AHLTA staff care? Not a bit...it's not their problem...it is our problem. How the hell are we expected to provide world class healthcare with this? I have little faith that the new EMR will be any better because the military REFUSES to alter the product. When errors occur...they tell the physicians to deal with it. Who cares if it makes productivity and quality of care suffer.
If someone types in "Gastroenteritis"...is it so hard to not have "Gastroenteritis" pop as the first selectable diagnosis? This isn't rocket since folks.
Let me pick a random diagnosis...Scaphoid fracture.
Here are the selectable options, in order:
1) Malignant neoplasm of short bones of upper limb
2) Benign neoplasm of short bones of upper limb
3) Neoplasm of uncertain behavior of bone and articular cartilage
4) Cellulitis of right external ear
5) Cellulitis of left external ear
6) Hypertrophic disorder of the skin, unspecified
7) Other osteonecrosis of unspecified carpus
8) Fracture of navicular (scaphoid) bone of wrist- AHAAA! we found something close.
Some are even worse.
And how about order sets? Say I want to prescribe AFRIN. Wow...Afrin has an automatic order set. It reads "INSTILL 1-2 SPRAYS INTO EACH NOSTRIL BID . DO NOT USE MORE THAN 3 DAYS. #1". Wow...well done AHLTA. AHLTA doesn't have many autofills...but I'll give you kudos for this one. Oh wait...I tried to submit the autofilled Afrin order and I get this error..."1) Duration>Maximum duration". No it's not...it's the appropriate duration. Now I have to justify it's use. What a frickin joke.
The entire intension of an EMR and especially the ICD-10 was to data-mine physicians and make coders jobs easier. How about lower back pain HEDIS measure? You can no longer get an L-spine X-ray for the diagnosis "lower back pain". You have to have a specific diagnosis to attach the x-ray to, such as radiculopathy. Forget the fact that finding radiculopathy is nearly impossible using the crap search engine. So you get pinged by a coder and you have to go back and change your diagnosis.
Does the coder care? No. EMRs gave them their jobs. Do the AHLTA staff care? Not a bit...it's not their problem...it is our problem. How the hell are we expected to provide world class healthcare with this? I have little faith that the new EMR will be any better because the military REFUSES to alter the product. When errors occur...they tell the physicians to deal with it. Who cares if it makes productivity and quality of care suffer.
