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Each contributor works with a different system and highlights lessons learned from implementation, day-to-day workflow changes, and real-time usage scenarios. Topics include purchasing decisions, integration challenges, staff training, documentation quality, communication improvements, and maintaining patient-centered focus while using iPad-based EMR tools.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/technology-connection-ehr-user-series-part-i-qa/277849/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/technology-connection-ehr-user-series-part-i-qa/277849.png","ImageObject",442,249,{"name":88,"@type":89},"Rowan","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-31","2026-09-15",true,{"@type":98,"interactionType":99,"userInteractionCount":30},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How did the contributor decide on and implement their EMR system?","Question",{"text":108,"@type":109},"They purchased an EMR system in late 2010 and built an HL7 interface because it lacked practice management. After practicing briefly before go-live, they switched fully to the system on June 1, 2011.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What daily workflow benefits did the EMR bring to the office?",{"text":113,"@type":109},"It improved intra-office communication, eliminated the daily chart hunt, and made records accessible wherever computer access exists. Notes also became more legible and professional than prior paper templates.",{"name":115,"@type":106,"acceptedAnswer":116},"What were the main challenges after adopting the EMR?",{"text":117,"@type":109},"A key challenge was ensuring medical assistants entered correct information to avoid “garbage in, garbage out.” Another was keeping attention on the patient rather than the computer or iPad, while using EMA’s iPad platform to support more direct interaction.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},277849,1791541229,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":30,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},1099514067415,"https://ap-avatar.wpscdn.com/avatar/100002539d78ffe74a7?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779092875211072502","Technology connecTion  \nEHR User Series: Part I  \nA Q&A series with users of EHR technology about their own experience and their broader impressions of EHR in dermatology.  \nwith mark gaughan, md  \nOver the next several months, the Technology Connection department will house a series of Q&As with EHR users. Each contributor uses a different system and can distill unique insights both about their own EHR as well as the changing field of EHR technology in medicine and dermatology.  \nCan you desCribe your experienCe with purChasing your system and how you settled on it?  \nWe purchased our EMR system—Electronic Medical Assistant (EMA) by Modernizing Medicine—in late 2010 and were only the third customer with the system. Because our system does not have a practice management system, there had to be an HL7 interface built between EMA and our practice management system, which took much longer than anticipated. One advantage of the delay was that we were able to practice with the system for a few months before going live. We decided rather than ease into using it that we would just jump into the deep end, and on June 1, 2011 we switched from templated paper notes to 100 percent use of EMA. Even though we ran a bit behind with our patient schedule in the first week or two, the staff adjusted quickly and we have never looked back! We had a previous EMR system about six years ago that we spent the better part of a year trying to customize to our needs and never could. We abandoned it for paper notes and spent the next few years in search of a better system. Along the way we demoed several EMR systems and were on the verge of being a Beta site for a new dermatology-specific system under development when we had the good fortune to come across an article about Dr. Michael Sherling and Modernizing Medicine. We set up a demo for the next day that blew us away compared to any other system we had demoed in the past. We cancelled our plan to be a Beta site and shortly after signed with Modernizing Medicine to use EMA.  \n“I’d recommend visiting a practice that is using the system you are interested in rather than just relying on a demo by a sales rep. Seeing the system in action and talking to actual users is a great way to know if it’sa system that will work in your practice.”  \nhas your ehr Changed how you approaCh daily tasks or your view of mediCine? what are some of the Challenges of adjusting to this teChnology?  \nFor the office as a whole, having an EMR has been great regarding intra-office communication as well as eliminating the daily chart hunt that we had with paper charts. Everything is available wherever you have computer access, which has been nice when you are on call and need to review what another provider may have done for a patient. Our notes are much more legible and professional looking compared to our old paper template notes, which worked well for internal documentation but sometimes weren’t as meaningful to an outside clinic because of abbreviated notation that was often used.  \n14 PRACTICAL DERMATOLOGY  MAY 2013  \nTechnology connecTion  \nI think our biggest ongoing challenge is ensuring that our medical assistants, who act as scribes for us in the exam room, put in the correct information. As with any computer-driven system, you can fall victim to “garbage in, garbage out.” Another challenge is to remember that the patient is the most important focus in the room, not the computer or the iPad. With an EMR, you do run the risk of the focus being on the computer screen and not the patient. However, with EMA being an iPad platform, it does allow the MA or physician to interact more directly with the patient and move around them during the exam documentation rather than being tied to a computer station.  \nCan you provide an overview of what it’s like to use your system in real-time, or a patient sCenario?  \nOur front desk uses the iPad for the patient to verify their demographic information and insurance information at check-i","cbCaimT8clLVs8CA","https://ap.wps.com/l/cbCaimT8clLVs8CA","pdf",349343,"English","# EHR User Series Part I\n## Overview and purpose\n## Purchasing and implementation experience\n## Impact on daily tasks and views of medicine\n## Challenges in adjusting to the technology\n## Real-time patient scenario workflow\n## Effects on interaction with patients and staff\n## Staff training and ongoing tips","[{\"question\":\"How did the contributor decide on and implement their EMR system?\",\"answer\":\"They purchased an EMR system in late 2010 and built an HL7 interface because it lacked practice management. After practicing briefly before go-live, they switched fully to the system on June 1, 2011.\"},{\"question\":\"What daily workflow benefits did the EMR bring to the office?\",\"answer\":\"It improved intra-office communication, eliminated the daily chart hunt, and made records accessible wherever computer access exists. Notes also became more legible and professional than prior paper templates.\"},{\"question\":\"What were the main challenges after adopting the EMR?\",\"answer\":\"A key challenge was ensuring medical assistants entered correct information to avoid “garbage in, garbage out.” Another was keeping attention on the patient rather than the computer or iPad, while using EMA’s iPad platform to support more direct interaction.\"}]","Technology Connection - EHR User Series Part I - Q&A | PDF",1789504682]