Electronic Anesthesia Record

[Vapor]

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After going on the interview trail, what programs did you interview at that had electronic anesthesia integrated or plans to integrate it within the next year?

 

[RedAnesthesia]

After going on the interview trail, what programs did you interview at that had electronic anesthesia integrated or plans to integrate it within the next year?

U of Michigan and Penn State are two that jump to mind.

 

[bigdan]

Ccf

 

[AnesFuture]

Duke, Columbia, UCSF, Oregon, University of Washington

 

[2win]

After going on the interview trail, what programs did you interview at that had electronic anesthesia integrated or plans to integrate it within the next year?

All the programs where politics are more important than the teaching.
******s spending money for nothing.

 

[DScully]

Although Stanford does not have EMR in the OR now, one of the CA3s told us that by the time we start, they will have electronic anesthesia record.

Also, I think Hopkins is rolling in electronic anesthesia record as of Jan 1st 2010 and they plan to expand it to the general ORs as time goes by (not sure when it will be ready for every OR).

 

[DScully]

All the programs where politics are more important than the teaching.
******s spending money for nothing.

arr....could we just keep this thread as one of the fact-collecting threads (i.e., no emotions involved)? Please?

 

[2win]

arr....could we just keep this thread as one of the fact-collecting threads (i.e., no emotions involved)? Please?

What "emotions" are you talking about?
There are no "facts" to justify the implementation of automated anesthesia records in anesthesia - there is political pressure, bribe and ignorance.
And btw - why are you interested in this topic - to choose or to don't choose a program with automated anesthesia record?
Are you interested in research regarding the benefits of them?
Do you wanna sell something like that?
Just curious - wonder what difference will make for you in the selection process for an anesthesia residency.

" one of the CA3s told us"
Who are "us"????
I think that you are a salesman....

 

[checkov]

MGH, Columbia, Yale, Beth Israel Deaconess, and Vanderbilt have electronic medical records. Brigham & Women's will have a system implemented in March 2010.

 

[EternalMD]

All the programs where politics are more important than the teaching.
******s spending money for nothing.

******ed comments also for nothing

Last year when I interviewed, if my memory serves me correctly, St. Luke's, Columbia, Mt. Sinai, Yale (i think they were transitioning to it), Boston Univ? -- all i can remember for now

 

[2win]

******ed comments also for nothing

Last year when I interviewed, if my memory serves me correctly, St. Luke's, Columbia, Mt. Sinai, Yale (i think they were transitioning to it), Boston Univ? -- all i can remember for now

Just wait to make one buck on your own and talk after about the EMR-s.

 

[DScully]

What "emotions" are you talking about?
There are no "facts" to justify the implementation of automated anesthesia records in anesthesia - there is political pressure, bribe and ignorance.
And btw - why are you interested in this topic - to choose or to don't choose a program with automated anesthesia record?
Are you interested in research regarding the benefits of them?
Do you wanna sell something like that?
Just curious - wonder what difference will make for you in the selection process for an anesthesia residency.

" one of the CA3s told us"
Who are "us"????
I think that you are a salesman....

My mistake. One of the CA3s told me. I am not a salesman but a current applicant. Not sure why this offends you so much...but if this topic bothers you, then my apology.

 

[2win]

My mistake. One of the CA3s told me. I am not a salesman but a current applicant. Not sure why this offends you so much...but if this topic bothers you, then my apology.

I am gonna tell you my experience with EMR in anesthesia.
Minor case during residency transformed in a disaster.
The program paid a lot of money for the EMR....Why? Because they bribed the Chairman with a trip in an exotic location. In the same time they didn't have money to pay for anesthesia technicians...
Patient coded on the table - we resuscitated for 40 minutes.
Anesthesia record was a BS...
They didn't let you to edit after - explain why and how...
Lawsuit follows the incident.
Our defense - the anaesthesia record.
Imagine headache...
Later on - as chief of anesthesia I had the "opportunity" to meet with most of the vendors - snake oil salesmen....Not a proof that the care of the patient is better.

 

[EternalMD]

your experience was likely with a horrible EMR system - The ones I have seen in action allows you to edit it. Hardly the fault of the EMR if the patient coded - there ought to have been a note written detailing what happened rather than depending on a bunch of ^ . O's for details

 

[2win]

your experience was likely with a horrible EMR system - The ones I have seen in action allows you to edit it. Hardly the fault of the EMR if the patient coded - there ought to have been a note written detailing what happened rather than depending on a bunch of ^ . O's for details

"The ones I have seen in action allows you to edit it" - yes this is what the salesman says too...
So why to use it?
Why to pay for it?
I am really comfortable to paper and pencil chart and doesn't cost me anything. The system doesn't crash either and I don't need tech support...
See the last studies regarding EMR-s for primary care physicians.
I use in the pain clinic a free one (with backup - paper) - just because of copy and paste and scheduling.
They claim that the collections are better...
False again.

 

[Arch Guillotti]

The OP's question is a valid one. Nobody is going to make or break a program based on EMR but it is the sort of information that applicants like to know.

I think paper and pencil charting is archaic and a pain in the @ss. When done properly, EMR can be very helpful. When done improperly, it can be a huge pain in the @ss.

EMR is very helpful at looking at old anesthesia records. Rather than sorting through paper charts, you can just pull it up on the computer and take a look. Templates you can simply click on save you from writing stuff out. Billing is simplified because the coders don't have to figure out what exactly the chicken scratch represents.

It doesn't work for all practices or situations. But to dismiss all EMR completely without furthur discussion is rather short sighted.

 

[2win]

The OP's question is a valid one. Nobody is going to make or break a program based on EMR but it is the sort of information that applicants like to know.

I think paper and pencil charting is archaic and a pain in the @ss. When done properly, EMR can be very helpful. When done improperly, it can be a huge pain in the @ss.

EMR is very helpful at looking at old anesthesia records. Rather than sorting through paper charts, you can just pull it up on the computer and take a look. Templates you can simply click on save you from writing stuff out. Billing is simplified because the coders don't have to figure out what exactly the chicken scratch represents.

It doesn't work for all practices or situations. But to dismiss all EMR completely without furthur discussion is rather short sighted.

"EMR is very helpful at looking at old anesthesia records." - yep - I don't pay 100k for this luxury )initial cost, plus the fee for tech support...

" Billing is simplified because the coders don't have to figure out what exactly the chicken scratch represents." - Arch , no offense - do you work in private practice and you saw an increase in revenue or the collection time is faster? I pay my billing company to figure out "what I scratched", to increase my revenue and to help me. I suppose that this is your own experience - or you have some unbiased studies regarding this matter...

" Nobody is going to make or break a program based on EMR but it is the sort of information that applicants like to know." - applicants are more interested in cafeteria menu than EMR...They ask about this BS just for "small talk" - it is a topic all over the media thanks to the "saving money with EMR" initiative of Mobama. Of course all the sharks (especially GE) will do everything to implement and to convince the uninformed about the "utility" of the EMR-s.

 

[proman]

Although Stanford does not have EMR in the OR now, one of the CA3s told us that by the time we start, they will have electronic anesthesia record.

Also, I think Hopkins is rolling in electronic anesthesia record as of Jan 1st 2010 and they plan to expand it to the general ORs as time goes by (not sure when it will be ready for every OR).

It's actually tomorrow, 1/25/10. I'm just glad I'm on research and not in the ORs for a while.

 

[DScully]

It's actually tomorrow, 1/25/10. I'm just glad I'm on research and not in the ORs for a while.

Ahh...thanks for the clarification! Sorry for the incorrect information. 😳

 

[EternalMD]

I just summarized the list of programs in one this post - others can make changes and add to it so its just in one area (maybe this could be added to the SDN interview feedback place as a drop down option -- electronic record could apply to many specialties)

- U Michigan
- Penn State
- CCF
- Duke
- Columbia
- UCSF
- Oregon
- U Wash
- Stanford (possibly by next year per CA3?)
- Hopkins (being initiated but not in all ORs as of yet)
- MGH
- Yale
- BID
- Vanderbilt
- B&W (implemented by 3/2010)
- St. Luke's
- Mt. Sinai
- Boston University (maybe have it?)


"it is a topic all over the media thanks to the "saving money with EMR" initiative of Mobama"
Electronic records has been in the works since Bush's administration so please don't try to pin EVERYTHING on obama. There are plenty of ways that EMR can save money and I don't really think I need to delve into it because they are pretty obvious (may not save as much money in anesthesia but plenty of other specialties can benefit from it)

 

[KalicoKat]

- U Michigan
- Penn State
- CCF
- Duke
- Columbia
- UCSF
- Oregon
- U Wash
- Stanford (possibly by next year per CA3?)
- Hopkins (being initiated but not in all ORs as of yet)
- MGH
- Yale
- BID
- Vanderbilt
- B&W (implemented by 3/2010)
- St. Luke's
- Mt. Sinai
- Boston University (maybe have it?)
-UNC-Chapel Hill
-Mayo Clinic- Rochester

 

[Trisomy13]

West Virginia University also uses an electronic record - CompuRecord. I can't say anything bad about it. I understand the arguments against from a cost standpoint, but as a trainee, I have used it many times to my advantage. Quickly pulling up old anesthesia records, pre-ops that were completed in the pre-admission unit weeks prior to the surgery date, and being able to "see" what is happening in another room if a colleague calls and has a question regarding his or her anesthetic. I think it is also useful as a teaching tool in academic settings as well.

 

[DScully]

- U Michigan
- Penn State
- CCF
- Duke
- Columbia
- UCSF
- Oregon
- U Wash
- Stanford (possibly by next year per CA3?)
- Hopkins (being initiated but not in all ORs as of yet)
- MGH
- Yale
- BID
- Vanderbilt
- B&W (implemented by 3/2010)
- St. Luke's
- Mt. Sinai
- Boston University (maybe have it?)
- UNC-Chapel Hill
- Mayo Clinic- Rochester & Arizona
- Northwestern (being initiated now)
- NYU (at least in Bellevue)
- UC-Irvine
- Maimonides
- West Virginia University

 

[pd4emergence]

West Virginia University also uses an electronic record - CompuRecord. I can't say anything bad about it. I understand the arguments against from a cost standpoint, but as a trainee, I have used it many times to my advantage. Quickly pulling up old anesthesia records, pre-ops that were completed in the pre-admission unit weeks prior to the surgery date, and being able to "see" what is happening in another room if a colleague calls and has a question regarding his or her anesthetic. I think it is also useful as a teaching tool in academic settings as well.

UAB also uses compurecord.

 

[pd4emergence]

"EMR is very helpful at looking at old anesthesia records." - yep - I don't pay 100k for this luxury )initial cost, plus the fee for tech support...

" Billing is simplified because the coders don't have to figure out what exactly the chicken scratch represents." - Arch , no offense - do you work in private practice and you saw an increase in revenue or the collection time is faster? I pay my billing company to figure out "what I scratched", to increase my revenue and to help me. I suppose that this is your own experience - or you have some unbiased studies regarding this matter...

" Nobody is going to make or break a program based on EMR but it is the sort of information that applicants like to know." - applicants are more interested in cafeteria menu than EMR...They ask about this BS just for "small talk" - it is a topic all over the media thanks to the "saving money with EMR" initiative of Mobama. Of course all the sharks (especially GE) will do everything to implement and to convince the uninformed about the "utility" of the EMR-s.

EMR's have their place. I work in pp and we have an EMR at our main hospital. We can track quality data, scip mumbo jumbo, and just about whatever else you would want to look at. Billing is made easier with the built in coding program. It also makes compliance documentation much easier. It's great when it works and we don't have problems with it often. I hate to say it but this is the way things are going. There are some good systems out there (the GE systems are my least favorite). The hospital paid for our system and I have no idea what it cost. It wasn't cheap. There are many advantages to an electronic system. I would look into some of the other systems before counting them out altogether.

 

[Vapor]

What "emotions" are you talking about?
There are no "facts" to justify the implementation of automated anesthesia records in anesthesia - there is political pressure, bribe and ignorance.
And btw - why are you interested in this topic - to choose or to don't choose a program with automated anesthesia record?
Are you interested in research regarding the benefits of them?
Do you wanna sell something like that?
Just curious - wonder what difference will make for you in the selection process for an anesthesia residency.

" one of the CA3s told us"
Who are "us"????
I think that you are a salesman....

im an extremely high tech gadget guru lover. if they'd let me script on the machines I would. all other things equal, I would pick a place with electronic record over a place that does not.

bonus points for a hospital wide emr.. every single time I touch paper records I keep thinking.. cmon!! its so slow, non searchable, and just ancient..

 

[DScully]

bonus points for a hospital wide emr.. every single time I touch paper records I keep thinking.. cmon!! its so slow, non searchable, and just ancient..

and don't forget the terrible hand writing. i could barely make out whatever someone was trying to say most of the times...

 

[DScully]

- U Michigan
- Penn State
- CCF
- Duke
- Columbia
- UCSF
- Oregon
- U Wash
- Stanford (possibly by next year per CA3?)
- Hopkins (being initiated but not in all ORs as of yet)
- MGH
- Yale
- BID
- Vanderbilt
- B&W (implemented by 3/2010)
- St. Luke's
- Mt. Sinai
- Boston University (maybe have it?)
- UNC-Chapel Hill
- Mayo Clinic- Rochester & Arizona
- Northwestern (being initiated now)
- NYU (at least in Bellevue)
- UC-Irvine
- Maimonides
- West Virginia University
- UAB

 

[Arch Guillotti]

EMR's have their place. I work in pp and we have an EMR at our main hospital. We can track quality data, scip mumbo jumbo, and just about whatever else you would want to look at. Billing is made easier with the built in coding program. It also makes compliance documentation much easier. It's great when it works and we don't have problems with it often. I hate to say it but this is the way things are going. There are some good systems out there (the GE systems are my least favorite). The hospital paid for our system and I have no idea what it cost. It wasn't cheap. There are many advantages to an electronic system. I would look into some of the other systems before counting them out altogether.

What he said. EMR isn't for everyone, but they can be very useful for certain practices.

 

[lazylikeapanda]

- U Michigan
- Penn State
- CCF
- Duke
- Columbia
- UCSF
- Oregon
- U Wash
- Stanford (possibly by next year per CA3?)
- Hopkins (being initiated but not in all ORs as of yet)
- MGH
- Yale
- BID
- Vanderbilt
- B&W (implemented by 3/2010)
- St. Luke's
- Mt. Sinai
- Boston University (maybe have it?)
- UNC-Chapel Hill
- Mayo Clinic- Rochester & Arizona
- Northwestern (being initiated now)
- NYU (at least in Bellevue)
- UC-Irvine
- Maimonides
- West Virginia University
- UAB
- University of Colorado (University Hospital but not at VA or Denver Health)

 

[2win]

What he said. EMR isn't for everyone, but they can be very useful for certain practices.

I got it guys - I have only one think to mention.
Fortunately I worked for the most successful group in Chicago (few years ago).
Take my words - I am not gonna get in details (name and so on). Believe me that they had the best revenue...People were fighting to get a position there.
It was unanimously decided that EMR-s are not what they want.
So far - from all the replies that I got - I didn't get a clear answer how the EMR will improve the revenue, neither that the safety of the patient is increased. Sorry that I hijacked the thread. GL to the OP with the choice of an anesthesia residency with a great EMR.

 

[maceo]

EMRs are great cuz you can also get the internet from that computer.