医院引入电子病历时未认识到的提供者负担。

IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY
Clinical Spine Surgery Pub Date : 2025-02-01 Epub Date: 2024-12-02 DOI:10.1097/BSD.0000000000001740
Kornelis Poelstra, Lara Cooper
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引用次数: 0

摘要

简介:在我们不断变化的医疗保健环境中,引入或过渡到新的电子健康记录系统(EHR)给医疗保健提供者带来了未被认识到的负担,因为医疗保健要求增加,开销增加,报销减少。目的:本研究的目的是跟踪医院系统独立决定过渡到新的电子病历系统后,6家独立脊柱外科诊所的提供者所需的非报销时间投资。结果:在6个实践提供者之间,需要完成266小时的课堂时间,面对面培训,视频和电话教学课程才能成为“熟练”,从而获得医院培训师和EHR公司对该系统在住院护理中的临床应用的认证。结论:从时间承诺的角度来看,与引入强制性电子病历相关的负担给提供者带来了巨大的压力。在这段时间里,这减少了对病人的护理,应该由电子病历公司来补偿,这些公司从联邦和私人保险公司的医疗保健预算中提取了数十亿美元。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unrecognized Provider Burden During Hospital EMR Introduction.

Introduction: The introduction of-or the transition to-a new electronic health record system (EHR) places an unrecognized burden on health care providers in our ever-changing health care environment of increased mandates, increased overhead, and reduced reimbursement to practice medicine.

Purpose: The purpose of this study was to track the non-reimbursed time investment required for 6 providers from an independent spine surgery practice after a hospital system independently decided to transition to a new EHR system.

Results: Between the 6 providers of the practice, 266 hours of required classroom time, in-person training, and video and phone call teaching sessions had to be completed to become "proficient" so that clinical utilization of the system for in-patient care was certified by the hospital trainers and the EHR company.

Conclusions: The burdens associated with the introduction of mandatory EHRs are putting tremendous pressure on providers from a time commitment perspective. This detracts from patient care during that time and deserves to be compensated for by the EHR companies that extract billions of dollars from both federal and private insurers' health care budgets.

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来源期刊
Clinical Spine Surgery
Clinical Spine Surgery Medicine-Surgery
CiteScore
3.00
自引率
5.30%
发文量
236
期刊介绍: Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.
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