Dr. Jane Hardway is supposedly an expert in her field of medicine. She works at a health center and manages to sign off on all her notes and send prescriptions and other prescriptions electronically. Her staff enjoys working with her because she is expedient, efficient and does not cause a burden on the workers because she uses the EMR for all her patient needs. However, Dr. Jane Hardway has a dark side she seems to have broken the fast of sorts when it comes to her medical office of One Way Help. Dr. Hardway does not sign off on notes, continues to manually write prescriptions, and does not keep paperwork in an orderly way to provide to her staff for electronic filing and communication with the patient or other physicians. She was asked if she were overwhelmed and needed help separating her personal life from her work life because of all the problems at One Way Help. She joked and said that her personal life required more than the usual 5 days. And another colleague then stated "That's the reason for all of this, your work pile here looks like a leave of absence!" She then confessed that," The EMR software had a different work flow and way not easy to coordinate it with her specific workflow, that's the reason for the mess." Dr. Hardway then said, "The one at the clinic is easier and had the typical workflow of a physician and office staff in mind and my workers are upset."
The instance of Dr. Jane Hardway is a common one. Too much manual work for medical offices that are increasingly busy. It seems that EMR vendors have not included medical office workers into the workflow and that hey or Duh!; physicians get their results and other pertinent information on paper with the assistance of a medical worker. The medical worker needs to be able to obtain medical records, labs, doctors notes, radiology results ect. to the doctor for review and other correspondence. EMR's need to be designed not only with the physician in mind but the medical office workers duties are a factor in how a medical office functions. Once this is implemented, medical office workers can then send the scripts, obtain medical records ect. and send them to where they need to go; as this can be done electronically. The vital use of a medical workers workflow must be incorporated into an EMR so that physicians like Dr. Jane Hardway can work like she works in her health clinic, giving her personal piece of mind and her medical workers a view of the way an EMR should be!