CHARTSaaS RA-compliant IT solution addresses physician EHR frustrations

“Here are four frustrations physicians have with EHRs.

1. Lloyd Minor, MD, dean of Stanford (Calf.) University Medical School, told KQED Science EHRs primarily serve as a documentation tool for billing and quality reporting, rather than as a tool to support clinical outcomes.

Albert Chan, MD, a family practice physician and the chief of digital patient experience for Sacramento, Calif.-based Sutter Health, said insurance coding and quality measurements take up a significant portion of his time when using an EHR.

2. All this documentation leads many physicians to feel more like ‘data-entry clerks’ rather than clinicians, resulting in less quality time with patients, the report states. ‘You’re thinking about the mechanics of the documentation, rather than the implications of the symptoms and findings,’ Dr. Minor told KQED Science.

3. Another chief complaint physicians cited was the lack of interoperability between EHR systems. While there are some hospitals and healthcare organizations that are able to share data with one another, this capability is largely possible only by using the same EHR vendor, according to KQED Science.

‘A lot of the EHRs are cash cows to their owners,’ Will Ross, a project manager at the Ukiah, Calif.-based health information exchange Redwood MedNet, told KQED Science. ‘They make their money on installing them, not changing them.’

4. EHR systems also tend to suffer from glitches because some officials hurried through the implementation process. Some medical groups rushed to install their EHRs after mandates from the ACA and the Health Information Technology for Economic and Clinical Health Act went into effect, according to KQED Science.”

The foregoing excerpt from the July 24, 2017, Becker’s Health IR & CIO Review article entitled 4 frustrations physicians have with EHRs by Jessica Kim Cohen ( characterizes if not completely analyzes the physician dissatisfaction with most EHRs. This is not surprising, inasmuch as the real purpose of EHRs (formerly HISs) such as Epic, Cerner, MEDITECH and Allscripts is to serve as systems of record to facilitate billing and receivables, rather than to serve as systems of engagement to facilitate and optimize the delivery of care and treatment.

However, an IT solution compliant with The Cloud Healthcare Appliance Real-Time Solution as a Service (CHARTSaaS) reference architecture (RA) provides in a cost-efficient and minimally complex manner an integrated development environment in the cloud available by subscription that healthcare provider subject matter experts can use to create IT applications a.k.a. “apps” for cognitive support, with little or no expert help from IT staff. Such apps can operate as systems of engagement with  professional providers and their patients to leverage legacy EHRs/HISs to automate such problematic and error-prone use cases as differential diagnosis and treatment planning.Furthermore, such apps are easily modifiable and should be to meet The Joint Commission Standards for continuous process improvement and optimization.

Please validate this CHARTSaaS RA proposition to your own satisfaction by reading the white paper at, viewing the tutorials posted on YouTube ( and and also by reviewing the details of CHARTSaaS™ and the CHARTSaaS RA™ in these presentations:

Healthcare providers will benefit significantly from appreciating and then applying a CHARTSaaS RA-compliant IT solution. To do so will mitigate medical mistakes (currently the third leading cause of patient deaths. per Makaray and Daniel (; thereby minimizing patient adverse events and optimizing clinical case outcomes while maximizing the cost-effectiveness of care and treatment, and also accelerating the accrual and facilitating the application of medical knowledge.

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