Breaking News
December 11, 2018 - Increasing mental health problems related to drug use in over 55’s
December 11, 2018 - High-intensity interval exercise could help combat cognitive dysfunction in obese people
December 11, 2018 - Annual flu shot can save lives of heart failure patients
December 11, 2018 - Recommendations Developed for Psoriatic Arthritis Treatment
December 11, 2018 - Genetic analysis links obesity with diabetes, coronary artery disease
December 11, 2018 - Study shows that having genetic information can affect how the body responds
December 11, 2018 - UNAIDS Report: 9 Million Are Likely HIV Positive And Don't Know It
December 11, 2018 - Lund University researchers succeed in obtaining dendritic cells by direct reprogramming
December 11, 2018 - Breast tumors recruit bone marrow cells to boost their growth, study reveals
December 11, 2018 - Updated breast cancer screening guideline highlights importance of shared decision-making
December 11, 2018 - EHR-related stress associated with physician burnout
December 11, 2018 - AHA: 12-Year-Old Heart Defect Survivor Inspires NFL Player’s Foundation
December 11, 2018 - Breast cancer patients who take heart drug with trastuzumab have less heart damage
December 11, 2018 - Providing aid to those humans – and animals – affected by the California fires
December 11, 2018 - Even without proof, CBD is finding a niche as a cure-all
December 11, 2018 - Drawing leads to better memory than writing
December 11, 2018 - Researchers report novel findings on plant hormone
December 10, 2018 - A Tale of Two Labels
December 10, 2018 - Triple combination cancer immunotherapy improves outcomes in preclinical melanoma model
December 10, 2018 - A 14-year-old explains what it’s like to get a new heart
December 10, 2018 - Team Players Honored with 2018 Baton Awards
December 10, 2018 - Global report highlights how the changing world is affecting children’s physical activity levels
December 10, 2018 - Genes play a role in physical activity and sleep
December 10, 2018 - DDT in Alaskan fish shown to increase risk of cancer
December 10, 2018 - Laws to curb use of cell phones have greatly reduced fatalities for motorcyclists
December 10, 2018 - Argenx Provides Detailed Data from Phase 2 Clinical Trial of Efgartigimod in Immune Thrombocytopenia and Phase 1/2 Clinical Trial of Cusatuzumab in Acute Myeloid Leukemia
December 10, 2018 - University of Maryland doctors treat first breast cancer patients with GammaPod radiotherapy
December 10, 2018 - The heartbeat seat: Demoing new well-being technologies in a car
December 10, 2018 - Leading Cancer Researcher to Direct Herbert Irving Comprehensive Cancer Center
December 10, 2018 - Researchers explore how glial cells develop in the brain from neural precursor cells
December 10, 2018 - Study compares pain-related diagnoses in First Nations and non-First Nations children, youth
December 10, 2018 - Experts address sleep disorders following traumatic brain injury
December 10, 2018 - Scientists find answers to how cancer spreads
December 10, 2018 - Study explores why older people read more slowly
December 10, 2018 - Smart life-collar could save lives of young children
December 10, 2018 - Asbestos found in most NHS hospitals finds BBC inquiry
December 10, 2018 - Researchers use new technique to probe hydrogen bonds
December 10, 2018 - Music improves social communication in autistic children
December 10, 2018 - Some Brain Tumors May Respond to Immunotherapy, New Study Suggests
December 10, 2018 - Banning junk food ads to combat childhood obesity
December 10, 2018 - Skin Autofluorescence Predicts T2DM, Heart Disease, Mortality
December 10, 2018 - Largest autism sequencing study to date yields 102 genes associated with ASD
December 10, 2018 - Statins associated with low risk of side effects
December 10, 2018 - Episodic memory tests help in predicting brain atrophy and Alzheimer’s disease
December 10, 2018 - Study explores how schools address adolescent self-harming practices
December 10, 2018 - Pregnancy in adolescence linked to increased risks of complications in young mothers
December 10, 2018 - Risk Analysis publishes special issue on communicating about Zika virus
December 10, 2018 - Botox May Help Prevent Post-Op A-Fib
December 10, 2018 - African-American mothers rate boys higher for ADHD
December 10, 2018 - Graphic warning labels cancel out cigarettes’ appeal to young people
December 10, 2018 - Australian researchers to study gas inhalational anaesthetic and likelihood of cancer return
December 10, 2018 - Individual neurons located within the brain have implications for psychiatric diseases
December 10, 2018 - Researchers improve bariatric surgery scoring system to extend prediction time for diabetic remission
December 10, 2018 - HPV type 16 or 18 associated with cervical cancer risk in young women
December 10, 2018 - Cervical cancer risk is higher in women with positive HPV, but no cellular abnormalities
December 10, 2018 - Combo therapy not needed if low RA disease activity achieved
December 10, 2018 - Novel therapeutic targets based on biology of aging show promise for Alzheimer’s disease
December 10, 2018 - UC San Diego professor receives NCI Outstanding Investigator Award for cancer research
December 10, 2018 - Study evaluates placental mesenchymal stem cell sheets for myocardial repair and regeneration
December 10, 2018 - Blueprint Medicines Announces Updated Results from Ongoing EXPLORER Clinical Trial of Avapritinib Demonstrating Broad Clinical Activity and Significant Symptom Reductions in Patients with Systemic Mastocytosis
December 10, 2018 - Study clarifies ApoE4’s role in dementia
December 10, 2018 - Eating disorders now a top priority with Australian Government
December 10, 2018 - Neuronal activity in the brain allows prediction of risky or safe decisions
December 10, 2018 - FDA Alerts Health Care Professionals and Patients Not to Use Drug Products Intended to be Sterile from Promise Pharmacy
December 10, 2018 - Improving dementia care and treatment saves thousands of pounds in care homes
December 10, 2018 - Heroin-assisted treatment can offer benefits, reduce harms
December 10, 2018 - People covered by Michigan’s expanded Medicaid program report improvements in health, finds study
December 10, 2018 - Hazelnuts improve micronutrient levels in older adults
December 9, 2018 - History of Partner Violence Tied to Menopause Symptoms
December 9, 2018 - Clean Up Safely After a Disaster|Natural Disasters and Severe Weather
December 9, 2018 - Drug wholesalers drove fentanyl’s deadly rise, report concludes
December 9, 2018 - Deprescribing could help manage polypharmacy in older adults
December 9, 2018 - Retraction of article “Joy of cooking too much” from journal
December 9, 2018 - FDA Warns of Rare Stroke Risk With MS Drug Lemtrada (Alemtuzumab)
December 9, 2018 - Feds say heroin, fentanyl remain biggest drug threat to US
December 9, 2018 - Eliminating microglia can reverse some aspects of stress sensitization, study shows
December 9, 2018 - New genetic insight could help treat rare debilitating heart and lung condition
December 9, 2018 - MiRagen Therapeutics Announces Final Safety, Biodistribution and Clinical Efficacy Data From Phase 1 Cobomarsen Clinical Trial in Patients With Mycosis Fungoides
December 9, 2018 - Work with your doctor to weigh pros, cons of treatment options for hyperthyroidism
December 9, 2018 - CWRU researcher secures $14.6 million funding for genetic study into Alzheimer’s disease
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