Many clinicians fume about EHRs that force them to complete lengthy structured notes during or immediately after a patient encounter. New technologies sitting on top of EHRs not only allow such notes to be saved in draft form and completed later, but they even permit clinicians to complete the notes on a mobile device or start on a mobile device taken into the exam room and then finished later on a desktop device.
In April, 165-bed Conway (South Carolina) Medical Center, in order to finish migrating its last physicians from paper, standardized on one such technology with physician workflow software published by PatientKeeper, a company acquired by HCA in 2014.
All Conway physicians are now required to enter their orders through the PatientKeeper portal and to enter notes using PatientKeeper NoteWriter, says Paul Richardson, MD, vice president of clinical informatics and utilization, and chief medical information officer at Conway.
Prior to April 1, some of those physicians still used paper charts, even though Conway had a separate Meditech Magic EHR since 1998, and continues to use Meditech as its EHR...
"I particularly like that [PatientKeeper is] able to integrate multiple systems, to pull the x-ray reports and the films themselves right into what I need and incorporate it all into one platform," Richardson says.
PatientKeeper allows Richardson and other clinicians to be more efficient than they were on paper, despite conventional wisdom he had heard from colleagues at other organizations who found EHR order entry and note-taking slower than on paper...
So, as of this spring, rather than Meditech, Conway physicians "live in" PatientKeeper NoteWriter all day long, he says. "I personally don't know why a practicing physician would need to go back into Meditech. I can't see a workflow where that would be necessary."