-> most EMR software is a billing system with record keeping attached
not really. Maybe that's how they started, but that's not what they have evolved into.
-> the software is always purchased by administrators, typically with little input from doctors.
again, maybe that's how it used to happen but anywhere that I've worked or consulted on has a myriad of doctors, nurses, etc that have input. The last hospital I worked for wouldn't even let us change a single field in the EMR without it being approved by a committee of nurses.
-> In most implementations, neither Cerner not Epic encourage structured data recording except for billing codes.
This is not true at all. In fact, it is the clinicians' preference to write or dictate notes that is the reason for this. Both Epic and Cerner provide digital forms that allow for selections from lists or checkboxes which are then stored as discrete data elements in their respective databases. I'm not going to say either are perfect and - surprise! - clinicians hate change so they always hate their EMR, but it's not for the reasons you state.
I'm curious which division of Google you work for and how much experience you have working for an EMR vendor or healthcare system.
not really. Maybe that's how they started, but that's not what they have evolved into.
-> the software is always purchased by administrators, typically with little input from doctors.
again, maybe that's how it used to happen but anywhere that I've worked or consulted on has a myriad of doctors, nurses, etc that have input. The last hospital I worked for wouldn't even let us change a single field in the EMR without it being approved by a committee of nurses.
-> In most implementations, neither Cerner not Epic encourage structured data recording except for billing codes.
This is not true at all. In fact, it is the clinicians' preference to write or dictate notes that is the reason for this. Both Epic and Cerner provide digital forms that allow for selections from lists or checkboxes which are then stored as discrete data elements in their respective databases. I'm not going to say either are perfect and - surprise! - clinicians hate change so they always hate their EMR, but it's not for the reasons you state.
I'm curious which division of Google you work for and how much experience you have working for an EMR vendor or healthcare system.