Hitchcock also suggests providers take a good look at why these features are so enticing to clinicians.
Instead, it should require the clinician to view that information and confirm it as correct before entering it in the new record. The EHR should minimize the automatic transfer of data or the automatic generation of data in forms. Require validation of copied dataĪnother good move is to work with vendors to ensure that features are less "copy and paste" and more like "copy, validate, and paste," Hitchcock says. His own policy on copy and paste is that it should not be used at all in the history and physical portion of the visit documentation, but otherwise it can be used judiciously.
Retyping information anew for each patient visit actually can introduce errors into the record, Hitchcock notes. There are places where these tools are appropriate and even beneficial."
"The better move is to educate people about the risks. "There was a knee-jerk reaction to turn this thing off, and that was coming from the risk folks at the hospital, not from the clinicians," he says. He also is vice president of T-System, a company based in Dallas that provides consulting on regulatory issues. A skilled programmer might be able to block the feature, but it is not as easy as calling your vendor rep.īlocking the feature also is not necessary to avoid fraud, says Robert Hitchcock, MD, FACEP, a practicing ED physician and an Emergency Department Practice Management Association (EDPMA) board member. That common copy-and-paste command usually is built into the local computer environment - the Microsoft operating system on your computer, for instance - rather than the EHR technology itself. But don’t rush to that extreme remedy.įirst, it’s not so easy to do. The government’s pledge to ferret out copy-and-paste fraud is causing some hospitals to ask their electronic health record (EHR) vendors to disable the common "control-c/control-v" feature altogether.
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