Breaking News
July 16, 2018 - Alexion Submits Application for Priority Review and Approval of ALXN1210 as a Treatment for Patients with Paroxysmal Nocturnal Hemoglobinuria (PNH) in the U.S.
July 16, 2018 - Restoring epigenetic balance reinstates memory in flies with Alzheimer’s disease symptoms
July 16, 2018 - Magnetized wire could be used to detect cancer in people | News Center
July 16, 2018 - Non-surgical management found to be feasible option for penetrating kidney trauma
July 16, 2018 - California clinic screens asylum seekers for honesty
July 16, 2018 - FDA Approves Xtandi (enzalutamide) for the Treatment of Men with Non-Metastatic Castration-Resistant Prostate Cancer (CRPC)
July 16, 2018 - Can nanotechnology help treat Alzheimer’s?
July 16, 2018 - Researchers identify protein essential for making stem cells | News Center
July 16, 2018 - Radiologist discusses causes, treatments of varicose veins
July 16, 2018 - Researchers develop nanostructured surface to accelerate wound healing after dental implants
July 16, 2018 - New non-invasive procedure to reposition kidney stones could benefit astronauts
July 16, 2018 - Attending Surgeon Influences Genetic Testing in Breast Cancer
July 16, 2018 - Medical doctors with addictions fear professional repercussions if they seek treatment
July 16, 2018 - 5 Questions: John Ioannidis calls for more rigorous nutrition research | News Center
July 16, 2018 - Researchers find definite increase in scooter-related injuries
July 16, 2018 - Researchers solve mystery of final blood group system
July 16, 2018 - Researchers develop near-infrared fluorophores-based PDT to cure cancer with less side effects
July 16, 2018 - Traumatic brain injury biomarker could help predict patient prognosis
July 16, 2018 - Researchers to investigate role of hormones in mosquito’s ability to use human blood for egg production
July 16, 2018 - AHA: Doctor Makes Lifesaving House Call in His Own Home
July 16, 2018 - Nearsightedness – Genetics Home Reference
July 16, 2018 - Study shows biomarker panel boosts lung cancer risk assessment for smokers
July 16, 2018 - Researchers find link between bereavement during pregnancy, child’s mental health | News Center
July 16, 2018 - Legalizing same-sex marriage has meaningful effects on health care access for sexual-minority men
July 16, 2018 - New York to allow medical marijuana as substitute to opioids
July 16, 2018 - Reducing tapeworm infection could improve academic performance, reduce poverty | News Center
July 16, 2018 - Researchers describe key role of enzyme in regulating immune response against Chagas disease parasite
July 16, 2018 - Johnson & Johnson Announces Publication in The Lancet Highlighting Robust Immune Response to Janssen’s Mosaic-based Preventive Vaccine Regimen for HIV
July 16, 2018 - Do Racial and Gender Disparities Exist in Newer Glaucoma Treatments?
July 16, 2018 - Antibodies may predict transplant rejection risk
July 16, 2018 - New center sets out to stop disease before it starts | News Center
July 16, 2018 - FDA warns consumers about criminals sending fake warning letters
July 16, 2018 - Residential segregation linked with racial disparities in firearm homicide fatalities
July 16, 2018 - UW-Madison researchers develop new method to track Parkinson’s damage in the heart
July 16, 2018 - New approach to cultivate hypoallergenic tomato and strawberry varieties
July 16, 2018 - Smoking associated with delayed shinbone healing
July 16, 2018 - Sheila Dolezal, ‘team player extraordinaire,’ wins 2018 Amy J. Blue Award | News Center
July 16, 2018 - Advanced Prostate Cancer Variant More Common Than Thought
July 16, 2018 - New ways to conquer sleep apnea compete for place in bedroom
July 16, 2018 - Renowned microbe hunter Stanley Falkow dies at 84 | News Center
July 15, 2018 - FDA Slaps Stronger Warnings on Potent Class of Antibiotics, Fluoroquinolones
July 15, 2018 - Don’t let depression keep you from exercising
July 15, 2018 - Student research symposium showcases curiosity and scholarship | News Center
July 15, 2018 - Heavy smokers have increased risk of heart rhythm disorder, shows study
July 15, 2018 - Parents who had severe trauma, stresses in childhood more likely to have kids with behavioral health problems
July 15, 2018 - At colloquium, a range of views on value of predictive algorithms | News Center
July 15, 2018 - Pittcon invites oral and poster presentations for 2019 Technical Program
July 15, 2018 - Virtual reality could offer psychotherapy for fear of heights, study shows
July 15, 2018 - Retooled vaccine raises hopes as a lower-cost treatment for Type 1 diabetes
July 15, 2018 - Kolon TissueGene To Start US Phase III Clinical Trial For Invossa
July 15, 2018 - Study finds prenatal marijuana use can affect infant size, behavior
July 15, 2018 - Howard Chang named HHMI investigator | News Center
July 15, 2018 - Study shows tailored mental health services improve wellbeing of emerging adults
July 15, 2018 - A bright future might help teens steer clear of violence
July 15, 2018 - Stanford Medicine magazine explores the art, science of listening and hearing | News Center
July 15, 2018 - New study tracks how the brain turns simple sensory inputs into meaningful categories
July 15, 2018 - Deadlier subtype of metastatic prostate cancer found to be common than previously thought
July 15, 2018 - UZH scientists identify enzyme that controls cell division
July 15, 2018 - Unhealthy Food Behaviors May Signal Eating Disorder in Teen
July 15, 2018 - Study raises doubts on a previous theory of Parkinson’s disease
July 15, 2018 - Grant awarded to study whether stem cells can treat urinary incontinence | News Center
July 15, 2018 - Imaging techniques may help assess immune system recovery in HIV patients
July 15, 2018 - Machine-learning may aid in diagnosis and treatment of mental health disorders
July 15, 2018 - ‘Skin Cancer, Take A Hike!’ program promotes sun safety and skin cancer awareness
July 15, 2018 - Blink Health announces lowest prices for generic prescriptions through Blue Eagle Health
July 15, 2018 - New drug strategy can alleviate multiple behavioral, cellular deficiencies in FXS mouse model
July 15, 2018 - Georgia State professor receives federal grant to study virus similar to Ebola virus
July 15, 2018 - Quitting Smoking? Even a Little Exercise Can Help You Stay Slim
July 15, 2018 - DBS treatment may slow the progression of Parkinson’s tremor in early-stage patients
July 15, 2018 - 5 Questions: Luby on virus with potential to cause global pandemic | News Center
July 15, 2018 - Corn loses its cancer-fighting phenolic acids when processed into cornflakes
July 15, 2018 - Study uncovers possible link between iron loading, alcohol intake and mortality
July 15, 2018 - Molecular insights of NagA enzyme could help combat TB
July 15, 2018 - The Facts on Tampons—and How to Use Them Safely
July 15, 2018 - Normalisation of ‘plus-size’ risks hidden danger of obesity, study finds
July 15, 2018 - $2.5 million award to support physician-scientist training | News Center
July 15, 2018 - Aeras announces publication of Phase 2 results of two TB vaccines
July 15, 2018 - Public to set research priorities in field of ethnic inequalities and severe mental illness
July 15, 2018 - Eisai and Biogen Announce Positive Topline Results of the Final Analysis for BAN2401 at 18 Months
July 15, 2018 - U.S. obesity rates rising again
Eye Docs Adopt EHRs Despite Reservations

Eye Docs Adopt EHRs Despite Reservations

image_pdfDownload PDFimage_print

Action Points

  • The number of ophthalmologists who have adopted electronic health records (EHR) since 2011 has significantly increased.
  • In comparison with two previous surveys of ophthalmologists, respondents had more negative perceptions of EHR productivity outcomes and effect on practice costs.

The number of ophthalmologists who have adopted electronic health records (EHR) since 2011 has significantly increased, according to a survey-based study.

Surveys were emailed to 2,000 members of the American Academy of Ophthalmology from 2015 to 2016, and 348 (17.4%) responded. Of those survey respondents, 251 (72.1%) had implemented EHR for some or all physicians in their practice, versus 47% and 19% in similar surveys in 2011 and 2006, respectively, reported Michele C. Lim, MD, of the University of California Davis, and colleagues.

However, in comparison with previous surveys, ophthalmologists’ perceptions of financial cost to their practice and clinical productivity have become increasingly negative, they wrote in JAMA Ophthalmology. Lim’s group found that perceptions of overall efficiency and practice costs associated with EHR adoption have changed since the original 2006 survey.

The 2016 survey found that more than 50% of survey respondents perceived that productivity (the number of patients seen per day) had decreased since the adoption of EHR, compared with slightly more than 10% in 2006.

And more than 70% of 2016 survey respondents perceived that their overall practice costs increased after the adoption of EHR, compared with slightly more than 10% in 2006.

Lim’s group noted that these negative perceptions about costs and productivity persisted, despite a series of studies of ophthalmology practices demonstrating that neither practice revenue nor productivity showed significant differences after after EHR adoption.

As for the use of EHR in clinical practice, about two-thirds of respondents in the 2016 survey reported they were using the computer for clinical documentation versus just one-third of respondents in 2011. The greatest changes in computerization were for functions directly related to patient care, including e-prescribing, image management, and clinical documentation.

When asked about their level of satisfaction with image clinical documentation systems, 50% of respondents said they were satisfied with their clinical documentation system, and 49% said they were either satisfied or extremely satisfied with their imaging management system. About one-quarter (27%) of respondents were dissatisfied with their clinical documentation system, while 16% were unsatisfied or extremely unsatisfied with their image management system.

The authors also found that while the vast majority of ophthalmologists were engaged in federal EHR incentive programs (83% had already or were planning to attest to stage 1 and 2 of meaningful use), “the cost and complexity of the programs are potential barriers to participation, and this emphasizes the need to simplify measures that are a part of the new Advancing Care Information program that is the successor to meaningful use.”

Study limitations included the fact that some of the opinions addressed in the 2016 survey were more negative than in previous surveys “and it is possible that those who responded to the survey were more likely to have negative opinions of the EHR or that early, more enthusiastic adopters were more likely to have been included in the 2006 EHR survey and that this may account for the shift in opinions.”

They also stressed that negative responses to questions about financial performance were “opinion only” and not accompanied by actual financial data.

The authors concluded that ophthalmologists’ negative perceptions of the costs and productivity outcomes associated with EHR adoption “suggests that more attention should be placed on improving the efficiency and usability of EHR systems.”

In an invited commentary, Jennifer S. Weizer, MD, of Kellogg Eye Center at the University of Michigan in Ann Arbor, and colleagues wrote that the finding “illustrates the significant opportunities to create a better, more cohesive EHR system that includes integrated clinical and image documentation.”

Weizer’s group suggested that the opportunity to create value through EHR lies in its ability to facilitate the move towards precision medicine and that success in overcoming the technical barriers still associated with EHR “will catalyze true value in exchange for the time, resources, and energy being invested in EHR.”

They added that realizing this true value — and ultimately improving patient outcomes — is likely “an unappreciated and important” reason behind why ophthalmologists want to stick with EHR despite some of the problems pointed out in the study results.

The study was funded by the American Academy of Ophthalmology.

Lim disclosed no relevant relationships with industry. One co-author disclosed support from the NIH, the National Science Foundation, and Research to Prevent Blindness, as well a relevant relationship with Novartis. One co-author disclosed support from Alcon Labs.

Weizer and co-authors disclosed no relevant relationships with industry.

  • Reviewed by
    Robert Jasmer, MD Associate Clinical Professor of Medicine, University of California, San Francisco and Dorothy Caputo, MA, BSN, RN, Nurse Planner

2018-02-14T12:30:00-0500

Tagged with:

About author

Related Articles