I fully agree.  

When I get my system going for batch sign and print,
I'll post the code.

Kevin

--- Thurman Pedigo <[EMAIL PROTECTED]> wrote:

> I will answer this as a physician general response.
> Hospital notes are
> different. All are require signature.  Reading (and
> signing) a clinic note
> almost doubles the work. Depositions and court
> testimony I have seen seem to
> have no bearing on whether or not the note is signed
> - even when there are
> typo's or other errors. We had a case go to trial
> using a "pre-FileMan" EMR
> with signed hand-written notes (physician preferred
> writing to dictating),
> and the printed computerized (unsigned) notes became
> the evidence in the
> trial. I don't think anyone ever read the
> handwritten notes. 
> 
> Today I type my notes and find them loaded with
> typo's and errors. I don't
> initial them, though I occasionally think I we need
> to start initialing the
> note. 
> 
> I have been dictating notes for over 30 years and
> typing my own notes for
> the past 2 years, using computer in practice since
> 1970 and used
> computerized medical records since 1985. As a strong
> advocate of EMR I still
> appreciate the challenge of getting notes "signed
> off." I understand an
> Agency of the Federal Government adopting such
> standards. However, for
> private practice, it sure would be nice to be able
> to turn it off.
> 
> Thanks,
> thuran
> 
> P.S.: How many of you notice MSWord likes to convert
> EHR to HER? Maybe EHR
> is a bad acronym.
> 
> > -----Original Message-----
> > From: [EMAIL PROTECTED]
> [mailto:hardhats-
> > [EMAIL PROTECTED] On Behalf Of
> Joseph Dal Molin
> > Sent: Sunday, March 13, 2005 9:48 PM
> > To: [email protected]
> > Subject: Re: [Hardhats-members] Need help
> programmatically signing a
> > progress note
> > 
> > Kevin,
> > 
> > Could you describe the doctor's reluctance in more
> detail....if I
> > understand the work flow the doc's dictate a
> note...it gets typed and
> > the doc needs to sign it for it to be seen....so
> what they are resisting
> > is keying in their electronic signatures
> repeatedly for a batch of
> > transcribed notes...is this a case of
> keyboardphobia?  It will be
> > helpful to know what doc's don't like about using
> VistA as much as what
> > they like....thank you for bringing this to our
> attention.
> > 
> > Are they still reviewing the transcription for
> accuracy and how are they
> > doing this? Perhaps integrating a finger print
> scanner or smart card for
> > capturing a signature would be a good alternative.
> > 
> > Joseph
> > 
> > Kevin Toppenberg wrote:
> > > I need some help.  I have been stuck on this one
> point
> > > for several days.
> > >
> > > The doctors at my group are not willing to sit
> at a
> > > computer and sign their notes electronically. 
> And
> > > notes are not visible to others unless they are
> > > signed.
> > 
> > 
> >
>
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