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By Stephanie Musal • September 22, 2016

The 7 Deadly EHR Sins

EHR’s present great opportunity to operationalize, parse and collect patient data in ways that healthcare has not been able to in the past.  But because EHRs keep the data largely inoperable, we have yet to see such innovation as common practice. The reality is, this data doesn’t have have to remain inoperable.


Make sure you aren’t devaluing your EHR by practicing any of the 7 Deadly EHR Sins:


  • Sin 1: Focusing only on price of interoperability
      • It’s concerning that companies who sell EHRs essentially lock the data into that system, pigeonholing them into either leaving that data inoperable or paying between $5,000 and $50,000 to make it interoperable on top of the $15,000-$70,000. However, if you aren’t going to operationalize that data into something meaningful, you may as well still be using pen and paper. If you’re a cutting edge doctor’s office or hospital, factor in the cost of interoperability for your budget.

  • Sin 2: Sticking to a single brand
      • There are literally hundreds of EHR products that are all built with different architectures, service models and service capabilities. This makes it especially challenging when trying to share data between systems. In some instances it may make sense to use a uniform provider for all of your systems, but planning for future integrations ahead of time will prevent you from being locked into waiting for a release or update from a single brand. The easiest way to build an optimal EHR system is is to pick the best individual systems and create a plan to make them communicate.

  • Sin 3: Increasing your cognitive workload
      • A recent study shows physicians spend 49% of their time working in an EHR or doing other desk work, meaning that for every one hour a doctor spends with patients they spend two doing EHR and other desk work.

        While this has a negative impact on patient and the provider experience on a typical day, it can become even more burdensome when a new set of standards is released and physicians must update their systems to comply. To avoid wasting time, make sure your system is setup for efficiency from day one.

  • Sin 4: Safety & Liability in documentation
      • Your EHR is only as good as your practices. If your documentation is poor or unreliable, it poses a threat to the quality of care being provided.

  • Sin 5: Allowing too many options to navigate
      • With HL7, providers have the opportunity to customize their system with few restrictions. This can be beneficial but if the system is built with unclear navigation or too many options it can leave providers frustrated. Make sure to keep a concise, inclusive list of your documentation to make the EHR as user friendly as possible

  • Sin 6: Training
      • Many of the issues already discussed could be avoided with proper staff training with an EHR. Unfortunately, many practices and hospitals do not take the time to learn the new systems upfront. This can have large, negative impacts on productivity and accuracy in the long run.

  • Sin 7: Not strategizing for the future
    • Preparation is key when it comes to EHR implementation and integrations. If you want your system to work well, it is important to consider the first 6 sins and come up with an active strategy to avoid them.

      Healthcare technology is evolving at an unprecedented pace. Even if you feel like your system is working now, it’s good to have experts on your team that can guide you on how to best prepare for the future.

Are you ready to integrate your EHRs but don’t know where to start? Be sure to join us at our upcoming webinar: The ABCs of EHRs on 9/28.


As healthcare technology evolves, CloudMine will be there every step of the way to help make sure you’re not committing any of the 7 Deadly Sins of EHR Utilization. To make sure you don’t miss a thing, subscribe to our bi-monthly Connected Health Digest here.