It is important and a good thing when you fin d a graph or a chart that explain exactly what you are looking for, there was a focus group on electronic health records which had the following slide to describe the level of optimization a hospital experiences during the lifecycle of an EHR.
The main element in the above graph is the trough that happens after the initial adoption. I think the slide into that trough of EHR incompetence is as vertical as what’s shown on the graph, but the hollow in efficiency definitely takes place. In fact, I think that the path to inefficient EHR use is slow and that’s why many healthcare leaders don’t notice when it happens.
The explanation to this problem is to create a program in your organization that looks after the upgrade gives you ongoing training and regular workflow assessment and optimization. I imagine most organizations weren’t worried about this when they slapped in their EHR to meet meaningful use. However, now they’re all going to have to take a deep look into solving this long term problematic.