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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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.

To understand why EHRs have the trouble they do, you need to understand the concepts of context and metadata. Here's help.

As big a proponent of technology and data as I am, the truth is data has never cured anything and tech can't replace in-person interactions with physicians.

It's not political or market selfishness that impedes health data interoperability, it's the primitive nature of the technology itself.

Like teenagers trying to imagine what sex will be like, the prevailing wisdom about EHRs reflects optimism more than experience and knowledge.

Lacking validated science, EHR builders, like the builders of medieval cathedrals, use proprietary heuristics to guide them, and achieve inconsistent results.

With healthcare's ever-growing devotion to reliance on the cloud, it's time to rethink our faith and devotion.


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