The American Academy of Family Physicians' (AAFP) Family Practice Management Journal has released a new report outlining physician coercion when switching EHRs.
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Among the reasons behind switching EHRs, respondents reported that the change was often not by choice, but was forced upon them. Physicians are quoted: "We were forced to [change EHRs] as part of the larger organization. [The] decision to switch was made at executive level. [It was a] business decision by hospital owner attracted to the product's billing and financial reporting, not driven by clinical users' interests." The survey states, "Those who were personally involved in making the switch tend to look more favorably on their new system than those who did not make their own decision... Of the 140 respondents who said they were involved in the decision to change systems, 61 percent are happy with their new EHR; of those not involved in the decision, only 19 percent are happy with their new EHR."
"The solution is interoperability between hospitals and physician-selected EHRs," says Richard Low, MD, founder and CEO of Praxis EMR. "Hospitals must share clinical information with physicians, so administrators wish to keep everyone on one system. However, improving medical quality and patient care should be the overriding goal. Imposing technology on physicians does not achieve this objective. Interoperability implies that doctors may select what is best for them."
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