EMR Implementation: The Good, the Bad, and the Ugly of EMRs: Keep This Advice Handy And Make A Potentially Bad Situation Better

Why This Topic Matters

EMR workflows can change how documentation is created, reviewed, and coded, which affects compliance risk, audit exposure, and productivity. Understanding the article helps readers recognize common documentation pitfalls and the administrative pressures tied to EMR adoption.

Article Sections

1. Background and EMR adoption

   Introduces the move toward electronic medical records and the broader policy context behind adoption. Summarizes the expected operational and documentation-related changes associated with EMR use.

2. Drawbacks and transition challenges

   Discusses common frustrations encountered when moving from older documentation formats to EMR-based workflows. Focuses on finding information, chart length, and productivity impacts.

3. Scribes: help or hindrance?

   Addresses the growing use of scribes in emergency department settings and the compliance considerations that can accompany them. Also touches on workflow and productivity effects during system ramp-up.

4. Beware clones and macros

   Reviews audit concerns related to repetitive or copied documentation and the use of macros in electronic records. Also notes federal review activity and the importance of individualized documentation.

5. Bridge the HPI to HIPAA gap

   Covers electronic access to prior records and how that can support coding and billing review processes. Also highlights privacy, security, and business associate agreement considerations.

6. Watch the regulatory rules for your future

   Summarizes the incentive and penalty environment tied to EMR implementation and meaningful use requirements. Explains why future coding workflows are likely to be affected by these rules.