Confidentiality, Privacy and Security

EHR Wishlist

  • 1.  EHR Wishlist

    Posted 09-29-2020 07:12
    I often hear people commenting about if only their EHR could ___________.  One I hear often is "If only the EHR was able to create a proxy list type of access which had definable levels of access...and it was easy and could be set up in under 5 mins.

    Another one is that if somehow EHRs had some type of algorithm that allowed for the verification of fax numbers, even when physicians change their number and forget to tell other providers, since some EHRs can fax directly to a programmed number.  Sign me up for that one!

    So with that in mind...just curious what other "stuff" people might have on their wishlist.

    Posted:  4:08 AM AZ time

    Frank Ruelas
    Compliance Professional

  • 2.  RE: EHR Wishlist

    Posted 09-29-2020 08:49
    Meaningful output instead of multiple pages that are a collection of data fields.    The "Story" of the patient has been lost.

    Nancy Davis, MS, RHIA, CHPS
    Director of Compliance & Safety
    Door County Medical Center

  • 3.  RE: EHR Wishlist

    Posted 09-29-2020 19:52
    I would love either a fax interface so that I can fax documents directly into a resident chart or code software that is integrated.  I work in a SNF...its the little things that can make a big difference.

    Desiree Johnson
    Medical Records Director

  • 4.  RE: EHR Wishlist

    Posted 09-29-2020 22:48
    Hi Desiree,

    Has your organization considered DCFT (Digital Cloud Fax Technology)?  It can perform something like the services you describe, although workflow is required to integrate the information into the patient chart.

    Among the three biggest players in healthcare interoperability are HL7 FHIR, Direct Messaging, and Cloud Faxing.  Unlike the the physical fax, cloud fax services essentially work like sending secured email messages, with attachments, to other fax services, both digital and physical. Use cases include everything from referrals to care transitions and prior auths; however, obstacles include some industry confusion with "traditional" faxing and CMS efforts to eliminate "physical" faxing as a mode of healthcare data exchange.  It's not necessarily the answer for every situation, but secure DCFT is being used by organizations to increase their data sharing efforts and can be a great boon for operational data exchange.

    A big thing I'd like on my wishlist is an EHR feature that automatically updated 'bad' provider Direct Messaging address -- like when a provider changes organizations or EHR vendors -- their DM address then also changes:  how do their referral partners know the provider's new DM address or that their old one is going to be invalid without a lot of manual checking or outgoing notifications.  We're getting better at sharing DM addresses, especially with new regulatory efforts to encourage this, but keeping them updated in an EHR's Referring Provider Directories/Dictionaries can be challenging.  The tech driving a Direct Message frequently auto-defaults to a fax if a DM attempt fails (bounces back), so the information still usually gets sent, but the DM address doesn't always get updated in many systems then moving forward because the EHRs don't always directly interface their Referring Provider Dictionary/Directory with their HISP for updates.

    A. Andrews Dean, CPHIMS, CHPS, CHDA, CPHI, CPPM, CPC
    AHIMA-Approved Data Analytics Trainer / AHIP PAHM & PHIAS
    Health IT Regulatory Affairs & Healthcare Compliance Consultant

  • 5.  RE: EHR Wishlist

    Posted 10-05-2020 11:33
    That is why it is on my wish list lol.  Currently my company (and facility) does not use cloud faxing.  I am hoping the universe will grant me my wish and my company will invest in it for me.  In the mean time I have petitioned my company for it and a few items that would not only make my job easier but increase quality and productivity.

    Desiree Johnson
    Medical Records Director

  • 6.  RE: EHR Wishlist

    Posted 09-30-2020 08:00
    Yes Nancy! We hear that from our providers all the time. We have to structure things to be "Meaningful," but it's the immediate care givers who have lost the "story" and the "picture" of their patient.

    Kathryn Wood, RHIA
    Assist Dir of Information Systems/Privacy Officer
    War Memorial Hospital

  • 7.  RE: EHR Wishlist

    Posted 10-08-2020 13:52
    I said this to a well known EMR vendor and they looked at me like i was crazy!  But us HIMers know exactly what we mean.

    DeAnn Tucker MHA, RHIA, CHPS, CCS
    Senior Manager | Coker Group

  • 8.  RE: EHR Wishlist

    Posted 10-05-2020 07:53
    Hey 👋
    Try to use the geo health application and health care center for assistance and treatment system

    Sent from my iPhone