How the Move to EMRs has Affected Best Practices When Entering Patient Data into a Chart
In this episode, Healthcare Matters interviews ALL MD attorney Whit Johnson on how the move from paper to electronic medical records has altered best practices for entering patient data into his or her chart.
Johnson is a shareholder at CURRIE, JOHNSON, GRIFFIN & MEYERS P.A. He practices law in Mississippi, specializing in trial work, with a focus on the defense of physicians, hospitals and other health care providers from claims of medical negligence. Johnson was recognized in 2011 as “Lawyer of the Year” by Best Lawyers in the field of medical malpractice law.
Johnson is a charter member of the Association of Liability Lawyers in Medical Defense (ALL MD), a nationwide organization that connects healthcare providers with attorneys who specialize in medical malpractice defense.
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Interview recorded June 30, 2015
Mike Matray: Hi I’m Mike Matray, your host of Healthcare Matters where the medical and legal communities come together to discuss health care matters. Today’s guest is Whit Johnson. Whit is a share holder with Currie Johnson Griffin & Myers in Jackson, Mississippi. Welcome to the program Whit.
Whit Johnson: Thanks glad to be here.
Mike: How has the move from paper medical records to electronic medical records affected best practices for entering data into a patients chart? And what guidance would you give physicians, so that they’re using best practices when entering data into the patient’s medical records?
Whit: You know I’m not sure that the best practices themselves have actually changed, yet the best practice is simply to pay attention and be focused on documenting in a timely, and an accurate fashion. But having said that, I think the guidance that I’d give to my clients is that you need to be focused, and pay attention. There are a couple of things that you can do. You can be sure that you’re the only one entering information into the chart. You can be sure that other people who may have access to the chart that you take the opportunity to review what they’ve done to be sure that you all are consistent. You don’t want to get, I guess what’s best called as clickitis where you literally are just clicking down through various boxes, showing them all as normal, because you have to click on one box to get to the next box. But having said all that, it still is no different than before. Pay attention to what you’re doing, and put in right, and put it in on time.