Make it So

A year ago today, from a different galaxy (EMR) I wrote a piece that is equally relevant in my new galaxy (Epic). In fact, even more so. Epic is even more click and encounter heavy than I could imagine.

I wish I could be like Captain Jean-Luc Picard and just say “make it so”. Instead, be it Epic, Intergy or eClinicalworks, I have to do a lot of things that are not medical in order to basically say yes to a request from a colleague or support staffer.

This is what I wrote:

In my EMR, when I get a message (also called “TASK” – ugh) from the surgical department that reads “patient is due for 5-year repeat colonoscopy and needs [insurance] referral”, things are a lot more complicated, WHICH THEY SHOULDN’T HAVE TO BE! For this routine task, I can’t just click a “yes” or “authorize” button (which I am absolutely sure is a trackable event in the innards of “logs” all EMRs have).

Instead, (as I often lament), I have to go through a slow and cumbersome process of creating a non-billable encounter, finding the diagnostic code for colon cancer screening, clicking on REFERRAL, then SURGEON – COLONOSCOPY, then freetexting “5 year colonoscopy recall”, then choosing where to send this “TASK”, namely the referral coordinator and , finally, getting back to the original request in order to respond “DONE”.

This is a basic, binary, programming issue as far as I understand. Yes or no, 1 or 0, stop or go, scope or nope.

I really think EMR programmers have something against doctors.

1 Response to “Make it So”

  1. 1 lathomasmd September 19, 2022 at 8:50 am

    What a waste of money that doctors are paid extremely well for clerical work. I could probably see 5 more patients per day if all I needed to say was “Make it so.”

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Osler said “Listen to your patient, he is telling you the diagnosis”. Duvefelt says “Listen to your patient, he is telling you what kind of doctor he needs you to be”.



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