Daniel Essin, MA, MD

Daniel Essin, MA, MD

Daniel Essin, MA, MD, FAAP, FCCP, has been a programmer since 1967 and earned his MD in 1974. He has worked at the Los Angeles County and USC Medical Center. His main research interests include electronic medical records and inferential methods of achieving security and confidentiality in healthcare systems.

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Apple anticipates that even the best laid plans go awry, so they seek out the failures and fix them using customer support. Why can't EHR vendors do the same?

Real healthcare reform will remain elusive as long as management accepts the notion that the way to fix healthcare is to automate it.

Healthcare — like education — relies heavily on people and as such, can never become the ideal smoothly running machine that many dream of.

When an article on EHR or data makes it into a medical journal, it is most often a speculative picture of the future; basically, it's science fiction.

Welcome to "This Old EHR," where we look at why your system is lot like older homes: built using outdated methods and in constant danger of structural issues.

An unpredictable amount of information in a typical EHR is wrong or meaningless, so it's important for patients to stay on top of their own treatment.

Until narrative and data are united, EHRs will require too much effort, create too much risk, and provide too little benefit to justify imposing them by fiat.

Physicians' reactions to EHR are the same as they were 20 years ago and yet, there may be no going back. But here are some steps to help.

Want to avoid costly EHR mistakes at your medical practice? I proffer the following, which I call the 'Order-of-Magnitude Heuristic.'

EHR is a burden, and as such, there should be evidence of effectiveness before it is imposed upon physicians and medical practices.


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