1. Institute of Medicine. The Computer-Based Patient Record:
An Essential Technology for Health Care. Washington, DC:
National Academy Press; 1991.
2. Bush GW. Executive order: 13335: Incentives for the use
of Health Information Technology and Establishing the
Position of the National Health Information Technology
Coordinator. April 27, 2004. Available at: www.gpo.gov/
Pg702.pdf. Accessed February 15, 2016.
3. U.S. Department of Health and Human Services.
Thompson launches “decade of health information
technology.” Press release. July 21, 2004. Available at:
html. Accessed February 15, 2016.
4. Library of Congress. Public Law 111-5. American Recovery
and Reinvestment Act of 2009. Available at: www.congress.
February 15, 2016.
5. RAND Corporation. Factors affecting physician professional
satisfaction and their implications for patient care, health
systems, and health policy. Available at: www.rand.org/
RAND_RR439.pdf Accessed February 16, 2016.
6. American College of Physicians. Survey of clinicians: User
satisfaction with electronic health records has decreased
since 2010. March 5, 2013. Available at: www.acponline.org/
newsroom/ ehrs_survey.htm?hp. Accessed February 16, 2016.
7. Marbury D. EHRs continue to hinder physician job
satisfaction. Medical Economics. June 26, 2014. Available at:
http://medicaleconomics.modernmedicine.com/medical-economics/content/tags/ama/ehrs-continue-hinder-physician-job-satisfaction. Accessed February 16, 2016.
8. Terry K. Over 200,000 EPs will see meaningful use fines
this year. Medscape Medical News. January 14, 2016. Available
at: www.medscape.com/viewarticle/857252. Accessed
February 16, 2016.
9. Coffron M, Opelka F. Big promise and big challenges for
big health care data. Bull Am Coll Surg. 2015;100( 4): 10-16.
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February 26, 2016.
2012 and to Rep. Diane Black (R-TN) in March 2013
in support of the Electronic Health Records Improvement Act, which the congresswoman introduced. 11-13
The College also signed onto a joint letter that was
sent to the ONC in April 2013.14
ACS Executive Director David B. Hoyt, MD,
FACS, has written detailed letters to CMS expressing the many concerns surgeons have regarding the
EHR. 15-16 Dr. Hoyt wrote a similar letter to the ONC
in February 2015.17
Under Dr. Hoyt’s leadership, the College has
implemented an EHR Workgroup composed of
members of the Electronic Medical Record (EMR)
Subcommittee of the ACS Health Information Technology (HIT) Committee, the EMR Workgroup of
the Board of Governors, and other interested Fellows. The workgroup’s mission is to help guide
the College’s leadership in the increasingly complex environment of what has become known as
the electronic clinical data ecosystem. This group
is tasked with fostering the development of electronic data management tools that will facilitate
the provision of surgical care. The two primary pillars of this group’s work are transforming feedback
from Fellows regarding EHR-related concerns and
complaints into strategies for improvement and collaborating with the rest of the College to develop
and deploy applications that will facilitate delivery
of surgical care and enhance clinical outcomes. Currently, the online HIT and EHR ACS Communities
provide forums for discussion and the exchange of
ideas among interested Fellows.
On January 11, 2016, CMS Acting Administrator
Andy Slavitt announced that the current meaningful use program will likely be redesigned and
rebranded this year and replaced with a more effective system for use under the Medicare Access and
EFFECT OF OFFICE EHR ON OVERALL WORKFLOW AND EFFICIENCY
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