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The presenters will discuss how improvements in creating, maintaining, and displaying problems could reduce errors and decrease the cognitive load of clinicians while continuing to optimize reimbursement.ĭecember 9 (Thursday) 1:30 ET. The EHR problem list can be cluttered with redundant, missing, and outdated diagnoses, and displays don’t always help clinicians process the available data correctly. Presenters: James Thompson, MD, physician informaticist, IMO Deepak Pillai, MD, MBA, physician informaticist, IMO Jonathan Gold, MD, MHA, MSc, physician informaticist, IMO. “ What Lies Ahead for the EHR’s Problem List.” Sponsor: Intelligent Medical Objects. They’re very meaningful to a commercial organization, because that’s how they get paid, but they’re meaningless to the VA.”ĭecember 8 (Wednesday) 1 ET. They’re answering questions that are meaningless to them.
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Meagher concluded, “What Cerner does best is capture billable events via exhaustive questions and back-and-forth as you input things.He says that Cerner told him that one online form requires 90 minutes to complete, and when doctors told the company that the nurse had under five minutes to examine the patient and document the visit, Cerner said they should hire more people. A chief of anesthesiology said EHRs are billing systems with text editors tacked on while VistA was written by clinicians whose goal was to provide the best care possible.The VA’s training did not include the referral management module and one veteran whose urology referral was lost was found to have an untreated, aggressive form of prostate cancer when finally seen nine months later.
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The VA, which was the subject of a national wait-time scandal in 2014, has removed Mann-Grandstaff from the wait time web page because it hasn’t figured out how to measure wait times on Cerner.Employees sometimes have to fax medication lists when patients are sent to other facilities for emergency treatment that isn’t offered 24×7 at Mann-Grandstaff.
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Prescriptions were not transferred to Cerner, requiring mistake-prone manual re-entry that left some veterans without psychiatric and other chronic care medications.Several veterans said they were unable to navigate the patient portal and it sometimes locks up and fails to deliver messages.Former VA deputy CIO and CTO Ed Meagher said it is “absolute malpractice” that the VA did not anticipate performance problems by modeling workload against infrastructure, adding that otherwise, “you’re working off of Cerner marketing material.”.The system has gone fully down four times since it went live in October 2020. One hour after VA Deputy Secretary Donald Remy assured a House subcommittee that “The Cerner system works,” the system went down for 80 minutes and had at least some downtime 10 times in September and October.Two former senior VA officials who were involved in the project say it was misguided and is unlikely to improve on the existing VistA system.The Spokane, WA newspaper talks to local patients and employees about the VA’s implementation of Cerner at the city’s Mann-Grandstaff Medical Center, reporting these issues: