From hatzakis@u.washington.edu Sat Feb 24 12:38:07 2001 Received: from mxu3.u.washington.edu (mxu3.u.washington.edu [140.142.33.7]) by lists.u.washington.edu (8.9.3+UW00.05/8.9.3+UW00.12) with ESMTP id MAA106168 for ; Sat, 24 Feb 2001 12:38:06 -0800 Received: from mxout1.cac.washington.edu (mxout1.cac.washington.edu [140.142.32.5]) by mxu3.u.washington.edu (8.9.3+UW00.02/8.9.3+UW99.09) with ESMTP id MAA09104 for ; Sat, 24 Feb 2001 12:38:06 -0800 Received: from mailhost2.u.washington.edu (mailhost2.u.washington.edu [140.142.33.2]) by mxout1.cac.washington.edu (8.9.3+UW00.02/8.9.3+UW00.01) with ESMTP id MAA03262 for ; Sat, 24 Feb 2001 12:38:06 -0800 Received: from dadnt (cs201-48.fsmodem.washington.edu [140.142.182.49]) by mailhost2.u.washington.edu (8.9.3+UW00.02/8.9.3+UW00.12) with SMTP id MAA19327 for ; Sat, 24 Feb 2001 12:38:04 -0800 From: "M. Hatzakis, Jr MD" To: "Physiatry List" Subject: FW: Error Condition Re: Re: EMR Date: Sat, 24 Feb 2001 12:38:05 -0800 Message-ID: MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 (Normal) X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook IMO, Build 9.0.2416 (9.0.2911.0) X-MimeOLE: Produced By Microsoft MimeOLE V5.50.4133.2400 Tom, This note didnt make it on the list because you werent subscribed. I added your name and am forwarding this note. If you don't want to be on the list, let me know and I'll remove you. Michael Michael Hatzakis, Jr MD Assistant Professor of Rehabilitation Medicine University of Washington Medical Center Medical Director, Inpatient and Cardiac Rehabilitation Programs Puget Sound Veterans Administration Health Care System hatzakis@u.washington.edu <-------------------------------------- Hi Kim, I was reviewing my old email and came across your note from Nov 99. I'm in the process of fine tuning the new Medscape Medicalogic Encounter to try for a computerized generator of paper charts. I was wondering where you are at in your evolution. regards, tom polisoto,md;University at Buffalo PM& R dept. ----- Original Message ----- From: To: "Information for Physiatrists" Sent: Wednesday, November 03, 1999 9:12 PM Subject: Re: EMR > I have experience with a number of EMR's (Healthpoint, SMR, > Epic,Purkinje,SOAPware, AVIO, Oceana and Medicalogic's Logician, Larry Weeds > EMR, Medcins EMR, Medics EMR, Cerners) and I have seen a number more. I > currently use Healthpoints which is now Healthmatics). I was the original > beta site for Healthpoint and have used it for 4 yrs for all encounters. > Despite $100,000,000 investment, that product failed because it slows the > average doctor down. MD's like myself, who know this will eventually be worth > doing are willing to learn and tweak the system to an acceptable speed, but > that will not convert the masses.I have gone to the last 4 HIMM's national > meetings where these and many others are on display and I have test drove > over 50 of them. I also went to last yrs AMIA (American Medical Informatics > Association last November and there was about 15 EMR's represented there). > All the ones I have seen have failed miserably when it comes to follow up > notes in particular. I have just about completed a new one from scratch via > my informatics chair at Evanston Hospital. > I personally would recommend you not invest in autochart until you have been > in a live ( not demo situation) and do several live follow -up encounters, > phone calls, consult letter and other test result entry from plans you have > ordered and have come back before you spend your money and are stuck with a > clunky product. > 5 yrs ago, EMR's had about 4 % of physician desktops. That number has not > appreciably changed. So far the newer versions are not breaktrhoughs and are > not going to change that number. > Hold the administration to its commitment, but don't buy anything until you > and some key physicians use it in a live situation. > Don't get fooled into being an alpha and beta tester so they can get a sale! > Once you do this you will want to use it for life. Picking the wrong one will > be very painful if you have to abandon it after 1 - 2 yrs. > I still use the Healthmatics product but will port over the records to my new > "5th generation" EMR likely in late December. If that is a breakthrough, as I > think it will be, I will be happy to share my experience with you. .