That would be the difference between a salaried and hourly worker
396 karma · joined September 14, 2016
I'm not saying being a mod means it's bullet proof, but i do notice smaller communities tend to self police better and know what's real.
That said, your experiment scares me as well.
But aside from the insurance companies, the first large scale emr systems (Cerner, McKesson, and even Epic) were built as operational tools to essentially give accounting access to Crystal reports. Sure, electronic charts should make the patient's life better, and assist trained medical staff in tracking, however they ultimately are used to figure out how the CBO can game the insurer financial incentive system. CPT + ICD +modifiers (oh, and 85% of those cpt codes are under copyright by the corrupt AMA - yup i have a different bone to pick with them).
I agree that operational dysfunction is the biggest problem in these behemoths, and there's so much ineptitude in administrative staffing that it's a nightmare. Doctors like to believe they're the bees knees and everyone should kowtow to them, but they usually can't run a business to save their lives. It's easy for them to simply blame an EMR than to acknowledge the truth of a dysfunctional system they are a part of.
Glad to see you're still kicking ass, better than sameday.
No words will make this easier, it just dulls over time.
I understand the motivation for stability and applaud you for that. My experiences were similar.