Physician’s Weekly co-hosted the second part of its #PWChat series with Dr. Nicholas DiNubile on June 7 to discuss “EHRs: The Good, the Bad, and the Ugly.”

Other physicians and interested patients joined in to pick up where their conversation left off last month after the first half of the Twitter chat.

Dr. DiNubile is an orthopedic surgeon specializing in sports medicine. He is also a clinical assistant professor of the Department of Orthopaedic Surgery at the Hospital of the University of Pennsylvania. Dr. DiNubile has been chosen in “Best Doctors in America” as well as “Guide to America’s Top Surgeons.”

Below is a recap of the discussion. Follow the full transcript on Twitter.

 

Question 1

Q1: With more & more patient data being collected nationwide every day, how confident are you in security of that data? #PWChat

— Physician’s Weekly (@physicianswkly) June 8, 2017

Healthcare/patient data (including non-medical personal info) is ripe for hackers. Security is a huge issue. #PWChat @CyberHealthcare
— Nicholas DiNubile MD (@drnickUSA) June 8, 2017

Q1 not at all confident overall #PWChat

— Matthew Loxton (@mloxton) June 8, 2017

T1 growing increasingly less confident regarding consumer-sided data #pwchat
— Jake McClure, M.D. (@jake_mcclure) June 8, 2017


Question 2

Q2: From the patient perspective, have EHRs enhanced care and the patient experience? #PWChat

— Physician’s Weekly (@physicianswkly) June 8, 2017

We talk about personalized/precision medicine yet accept #EHR that spit out templated white noise unreadable notes describing no one #PWChat
— Nicholas DiNubile MD (@drnickUSA) June 8, 2017

A2. No. Patients feel doctors spend too much time with the computer. #PWCHAT https://t.co/sUvcBh9bKc

— Linda Girgis, MD (@DrLindaMD) June 8, 2017

A2 When #DistractedDoctors see more pixels than patients, patient care suffers. #PWChat
— Nicholas DiNubile MD (@drnickUSA) June 8, 2017

T2 EHRs haven’t enhanced care 4 patients, IMHO, because they were sold as patient-centric, but not built as that. #PWChat

— ShereeseM, MS/MBA (@ShereesePubHlth) June 8, 2017


Question 3

Q3: Why hasn’t true #EHR interoperability been achieved? #PWChat
— Physician’s Weekly (@physicianswkly) June 8, 2017

A3. Because software vendors are not willing to work together. They want the profits for themselves. #EHR #PWchat https://t.co/IQ4W70ZgXJ

— Linda Girgis, MD (@DrLindaMD) June 8, 2017

IMHO, #interoperability is close but not for the right reasons. Its being monetized. Pay to play initiatives #PWChat
— ShereeseM, MS/MBA (@ShereesePubHlth) June 8, 2017

#PWChat A3 Because we have lost sight for whom we R2 interoperate for, the Patient #ProjectedEHR IMO visual integration at . of care a must pic..com/2JFr3I9I9M

— James Legan MD (@jimmie_vanagon) June 8, 2017


Question 4

Q4: With so many #EHR vendors & little incentive for their systems to talk to one another, how do we achieve true interoperability? #PWChat
— Physician’s Weekly (@physicianswkly) June 8, 2017

A4: That’s ONE mandate that should have come from Gov’t that shoved EHR down our throats. Perhaps too late. #PWChat

— Nicholas DiNubile MD (@drnickUSA) June 8, 2017

A4 This IMO a fallacy- true interoperability solved by the #EHR alone, rather in my office #HealthCRM is the interconnector of info #pwchat
— James Legan MD (@jimmie_vanagon) June 8, 2017

A4: Without cooperation, it is impossible. #pwchat https://t.co/VDkot8eTG7

— Linda Girgis, MD (@DrLindaMD) June 8, 2017


Question 5

Q5: Can #Blockchain methodology help solve EHR woes & improve interoperability? https://t.co/zOp53YqiCG #PWChat
— Physician’s Weekly (@physicianswkly) June 8, 2017

I think #blockchain has real potential to move #EHR in the right direction and approach its myriad unmet promises. #PWChat

— Nicholas DiNubile MD (@drnickUSA) June 8, 2017

T5 #Blockchain can’t solve the Pt engagement issue but it can improve interop & security, b/c of real-time, actionable data #PWChat
— ShereeseM, MS/MBA (@ShereesePubHlth) June 8, 2017

T5.I don’t think it can fix work flow issues either. #EHR #PWchat https://t.co/cJCgIrv9wc

— Linda Girgis, MD (@DrLindaMD) June 8, 2017

T5 help solve yes, solve, no. EHR problems go far deeper and wider than what blockchain can do #PWChat
— Matthew Loxton (@mloxton) June 8, 2017


Question 6

Q6: With Gov’t mandates (eg, meaningful use) to use #EHRs, but potentials not reached, what are docs’ best options currently? #PWChat

— Physician’s Weekly (@physicianswkly) June 8, 2017

A6.With the passage of #MACRA #MIPS, we need to continue with the same or we will be penalized financially. #PWchat https://t.co/YWz7csPWW3
— Linda Girgis, MD (@DrLindaMD) June 8, 2017

True innovation & #EHR progress will be made when Govt gets it’s heavy hand out (mandates too) OR if docs refuse Govt $ & mandates. #PWChat

— Nicholas DiNubile MD (@drnickUSA) June 8, 2017

A6 #pwchat fulfill the need of both pt & dr that is being underutilized currently with the EHR https://t.co/ajuZwwXcBv #ProjectedEHR
— James Legan MD (@jimmie_vanagon) June 8, 2017