EMR/EHR Meaningful Use

lovingtheunloved, ASN, RN · Sep 17, 2012

I work in home health, but the hospital I work for just went to EMR and for two weeks every patient I saw told me what a hot mess it was in the hospital.

adnrnstudent, ASN, RN · Sep 19, 2012

Epic.

lpn2rn_mi · Sep 19, 2012

I would dearly love to hear about new EMR systems launches/go live. This is one of the most challenging and frustrating things out there right now. It is sucking the life and resources out of my organization right now. Which EMR system do you use? What are the pros and cons?

We are now using Epic. The company I work for went from Med Manager to Epic in 2008. The Go-Live had a few issues however, nothing that we couldn't deal with. In 2010 our company and a major medical organization (much larger) merged and the go-lives and upgrades have been continuous every since. Each time there is a go-live or upgrade it messes something up or changes the way we do things. It can be frustrating to say the least. Overall I love using the Epic system however in a primary care setting everyone must do there job for it to be correct for the next person using the chart. Cons: there are five different ways to do everything so if two or three different people are training someone it can get confusing. Good Luck!

Sally Now · Sep 20, 2012

Yes, we are now using Epic, transitioned from Centricity. Some things better, some not as good. Overall, really wondering about the cost/benefit ratio. I understand the certified meaningful use necessity. However, in comparison, I find Epic clunky, the screens far too busy, and perhaps this is in the build, but some major pieces missing right now. The implementation here was rushed (one year to roll out electronic practices, 14 months for the paper sites). Epic Ambulatory seems to be a red-headed stepchild. The 'InBasket' thing is a mess. There are more steps and clicks than previously. I like anti-coag better, and it's easier to find results. All in all, though, I think Epic is overpriced and sold via a huge dog and pony show that does not live up to expectations. I don't see any care coordination episode linking, for example, for DM or CVD. BPA will be great but it'll take another year until all the patients have been seen/uploaded for this to be effective. I'll post later on my thougts about CMS and 'Meaningful Use'