ASH Clinical News ACN_4.5_FULL_ISSUE_DIGITAL - Page 41

FEATURE found that 93 percent of hospitals and health systems allowed patients to view their health records online, up from 27 percent in 2012. 16 “The problem with having patients holding their own data is that you still need the information to be vetted by the domain experts,” said Dr. Zelenetz. “If the patient is going to go around with his [or her] own portable health record, that information still needs to be evaluated, entered, and shared with other systems.” Version 2.0 and Beyond According to Dr. Adler-Milstein, the dis- satisfaction with EHRs stems from the great expectations with which they were intro- duced. In context, she said, EHRs are still a young technology. “One mistake was framing EHRs as a near-term win, thinking we’re going to get the value back within five years. That was way too short of a timeline,” she noted. “We may be approaching the 20-year mark, but most of the progress has been made in the last decade. I would consider us still in the first generation of these technologies.” With each new generation, Dr. Adler- Milstein expects successive improvements, including greater use of application program- ming interfaces (APIs), software intermediar- ies that allow applications to communicate. APIs will make it easier to get data in and out and will usher in “EHR Version 2.0.” “It will probably be another 10 years before everyone feels the technology’s working well and deliv- ering value,” she predicted. For all the complaints he hears, Dr. Zelenetz doesn’t think many clinicians would opt to go back to paper records. And for he- matology/oncology, specifically, he sees great potential. “We have real opportunities, but we don’t yet have, for example, an understanding of how to best define an oncology history or how to integrate pathology diagnoses with the chemotherapy history so we can see it all at once. We have made big strides, but we haven’t solved all the problems.” —By Debra Beck ● REFERENCES 1. Henry J, Pylypchuk Y, Searcy T, et al. Adoption of electronic health record systems among U.S. non-federal acute care hospitals: 2008-2015. ONC Data Brief. 2016;35:1-11. 2., “By The Numbers: Our Progress In Digitizing Health Care.” Accessed March 8, 2018, from www.healthit. gov/buzz-blog/health-data/numbers-progress-digitizing- health-care. 3. Adler-Milstein J, Jha AK. HITECH act drove large gains in hospital electronic health record adoption. Health Aff. 2017;36:1416-22. 4., “Office-based Health Care Professional Par- ticipation in the CMS EHR Incentive Programs.” Accessed March 10, 2018, from quickstats/pages/FIG-Health-Care-Professionals-EHR- Incentive-Programs.php. 5., “Hospitals Participating in the CMS EHR Incentive Programs.” Accessed March 10, 2018, from FIG-Hospitals-EHR-Incentive-Programs.php. 6. Medscape, “Abraham Verghese: ‘We Are Responsible’ for EHR Dysfunction.” Accessed March 11, 2018, from www. 7. Brockstein BE, Hensing T, Carro GW, et al. Effect of an electronic health record on the culture of an outpatient medical oncology practice in a four-hospital integrated health care system: 5-year experience. J Clin Oncol. 2011;7:e20-4. 8. Harshberger CA, Harper AJ, Carro GW, et al. Outcomes of computerized physician order entry in an electronic health record after implementation in an outpatient oncology setting. J Oncol Pract. 2011;7:233-7. 9., “Meaningful Use Definition & Objec- tives.” Accessed March 11, 2018, from providers-professionals/meaningful-use- definition-objectives. 10. HealthcareITNews, “Meaningful use will likely end in 2016, CMS chief Andy Slavitt says.” Accessed March 11, 2018, from will-likely-end-2016-cms-chief-andy-slavitt-says. 11. Sklarin NT, Granovsky S, O’Reilly EM, et al. Electronic chemotherapy order entry: a major cancer center’s imple- mentation. J Oncol Pract. 2011;7:213-8. 12. Healthcare Information and Management Systems Soci- ety, “What is Interoperability?” Accessed March 12, 2018, from what-is. 13. U.S. Department of Veterans Affairs press release, “VA Secretary announces decision on next-generation Electronic Health Record.” June 5, 2017. Accessed March 12, 2018, from cfm?id=2914. 14. Becker’s Hospital Review, “Hacking responsible for 83% of breached records in January, insiders 1%: 6 things to know.” Accessed March 8, 201