EHR and PhysicianPatient Communication Skills Nancy B Ruddy

  • Slides: 11
Download presentation
EHR and Physician/Patient Communication Skills Nancy B. Ruddy, Ph. D. Mountainside Family Practice Residency

EHR and Physician/Patient Communication Skills Nancy B. Ruddy, Ph. D. Mountainside Family Practice Residency Anu Kotay, Ph. D. Robert Wood Johnson Medical School Dorothy Borresen, Ph. D. APN Plainsborough/RWJ Family Practice Residency

Goals and Objectives • Participants will be able to identify three ways EHR can

Goals and Objectives • Participants will be able to identify three ways EHR can complicate teaching physician/patient communication skills. • Participants will be able to identify three ways EHR can facilitate an organized, comprehensive history, physical, diagnosis and plan. • Participants will identify two teaching strategies to help learners manage the physician/patient/computer interface while maintain effective communication w/ the patient. • Participants will be able to name two ways that human factors research can guide medical professionals and teachers during the transition to integrating technology into everyday practice.

EHR is the Future l “Medical l quote home” initiatives

EHR is the Future l “Medical l quote home” initiatives

EHR is the Future l Federal Government initiatives – the promise: l "To improve

EHR is the Future l Federal Government initiatives – the promise: l "To improve the quality of our health care while lowering its cost, we will make the immediate investments necessary to ensure that, within five years, all of America's medical records are computerized, " -Barack Obama, January 8, 2009

EHR is the Future l Federal Government Initiatives: The Follow Through via the Economic

EHR is the Future l Federal Government Initiatives: The Follow Through via the Economic Stimulus Bill: l l l Earmarks $250, 000 for fiscal year 2009 Creates “National Coordinator for Information Technology, reports directly the HHS Secretary Sets goal of “certified EHR for each person in the United States by 2014”

EHR is NOW - Statistics

EHR is NOW - Statistics

Impact of EHR on Resident Development l l “Overload” to learn medicine, interviewing and

Impact of EHR on Resident Development l l “Overload” to learn medicine, interviewing and EHR at same time Impact of EHR on interview flow, learning differential diagnosis skills l l l EHR is to interviewing as GPS is to driving Managing “third entity” in interview, making connection EHR often not only technology impacting interview (e. g. , PDA, cell phones, etc. )

EHR Impact on Precepting l l l Parallel process Generational differences in comfort with

EHR Impact on Precepting l l l Parallel process Generational differences in comfort with technology Resident may be oblivious about impact of EHR on patient interaction

Benefits of EHR for Resident Learning l l l Prompts help residents be thorough

Benefits of EHR for Resident Learning l l l Prompts help residents be thorough Tracking mechanisms help faculty assess resident success Leadership opportunity for Family Medicine Decrease medical errors Enhances Patient Education Enhances information sharing with patients

Teaching the EHR Skill Set l l l Create mindfulness of logistics Discuss use

Teaching the EHR Skill Set l l l Create mindfulness of logistics Discuss use of process comments to address physician/patient/computer triad Integrate computer use over time Elicit chief complaint and basic history without computer interface Video review Ensure facile use of EHR program via thorough training

Defending the “Human Experience” l l Emphasize that patients still want and need a

Defending the “Human Experience” l l Emphasize that patients still want and need a sense of connection to physician Evaluate EHR program for gaps in prompts/options for behavioral and social issues Overtly discuss the role of instinct and “gut” in medical dx and trmt The computer is a tool, not a substitute for good training and hard work