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While I haven't worked with EMR systems directly, I have some experience working with care giver organisations, from the perspective of trying to use their digital records for analysis and prediction. My impression was that this is something nobody has time for, and therefore nobody is doing it, or even really interested in it. It would seem quite wasteful to have this big expensive machinery for producing data that nobody has time to look at. After all it's one of the big reasons to make it digital in the first place; being able to "crunch the numbers".

On the other hand, as soon as you get those numbers someone will turn them into "performance indicators" and use them for optimization, and we all know where that tends to lead... I can understand the feeling of being forced to work with a system designed to get rid of you.




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