Want Help Solving Your EMR Problems? Be Helpful!

by Peter Beck on March 13, 2008

in Blog, MUST READS, Mindset

How Can I Help You?

To borrow a line from an old Paul Newman film, “what we have here is a failure to communicate.”

Whether you’re a physician, an office manager, an office staffer, or an EMR vendor/service provider, if you’ve ever sighed deeply or gritted your teeth, there’s a certain eye-to-eye linkage that just isn’t happening.

The stakes are too high to mess around: at the top level, everyone really does want an EMR adoption to succeed. Nobody can afford to let it fail.

Why can’t we all just get along?

The ONE Key Thing

One of my favorite books describes what the most persuasive being of all time used as a deal closing question: Is there anything I can say that would change your mind? References to Lucifer aside, this is one of the most critical and overlooked issues in marketing, or the art of persuasion:

To be successful, don’t make what you think people want and try to sell it to them; ask what they really want and then provide it to them.

The key word here is “ask.”

Many of us come from hard-won positions of authority. You know what you know, by dint of hard work, navigating the treacherous waters of office politics, or years of carefully accumulating critical data.

And when someone asks you a question that they really ought to know better than to ask, what happens? Your eyeballs cross — especially if it’ll cost you time, sweat, or money to deal with.

A natural reaction. But exactly the wrong one, if you want your implementation to succeed.

The Wrong Vibe

The problem is, everyone involved in the implementation process thinks they know what the real problem is, and the finger is never pointing at themselves.

  • Office staff are fed up with templates that repeatedly hang at the same spot.
  • Physicians are frustrated at a workflow that in no way parallels their natural habits.
  • Medical directors are flustered at being nickel-and-dimed for support services that they’ve already bought.
  • EMR support staff are tired of wrangling with third party hardware and software services outside of their own control.

Everyone is right, from within their own section of the world.

But how far is anyone going to get, saying “You just don’t get it, do you?”

Internet infopreneurs learn what works faster than anyone I know — because they can change their information marketing quickly if need be, and if something works, they earn money in a hurry, and if it doesn’t, they starve.

And Important Lesson #2 they live by:

You won’t make any long term, mutually beneficial relationships by pissing people off. Telling them you know better than they do what’s good for them is a prime formula for doing just that.

Your tech support guy is very probably right when he says the modification you desire would crash your system; you telling him “it’s not the way I do things” isn’t going to make the silicon chips grow wings and fly. If you’re a techie and your users tell you your new upgrade will multiply their workload by a factor of 10, insisting on its other benefits will not make their repetitive tasks any easier.

Even if you actually do know better than the other guy what the problem is — especially when you know better — you need to put on your humble, “Let us reason together” hat. Or you’ll be spending a lot of time staring at each other over crossed arms.

The Natural, Obvious, Best Vibe

Think back to the last time you were really in a bind — time’s up, no resources in sight, you’re totally screwed — and you suddenly got saved and you were so grateful, you wanted to kiss your savior right there and write them a letter of recommendation that’d get them promoted to the vacation spot of their choice, forever.

  • Did your savior know their business? Of course.
  • Did they lord it over you? Probably not.

They probably made it look easy, no trouble at all, like this was what they were there for, they did this kind of thing all the time.

They probably put you at ease, this will work out, we can handle it.

Most important of all, they quickly identified and acknowledged your fears, and made resolving them their immediate top priority.

Would you go back to them over anyone else, if you needed assistance in the future? Would you recommend them to your friends and colleagues? Would you be well-disposed to their organization, because of the incredibly helpful human face they gave it that day?

See where this is going?

The Hat You Wear Should Be The Other Guy’s

You may not choose to wear that Ultimate Service hat; maybe your momma never showed you how to be that nice, or you’ve forgotten how. Perhaps it’s not entirely appropriate, in your position in the organization.

But even from a purely mercenary standpoint, you need to know what works for the long haul. In the short term, it’s enough to know your material — just barely. But for ongoing relationships and word of mouth buzz, you want people to be deeply, totally convinced of your awesomeness.

Ultimately, we’re all of us in a service industry, either as health care providers to patients, or tech support for the providers. Being thoughtful, clear, and pleasant will always be useful both for giving good service as well as receiving better service yourself.

And if you don’t quite know how to do that, just ask: “What can I do to help you out of your difficulty?”

  • http://www.emrsoftwaretechnology.com Todd S. Eury

    Bravo! Great blog! I agree with you entirely. I’d like to talk with you sometime.

  • http://www.MedicalRecordShow.com Peter Beck

    I’d be happy to. I’ll contact you shortly!

    But you’re always welcome to share your thoughts here.

  • http://www.medent.com Edward Regis

    Good writeup – I am 25 years in the industry and would like to invite any administrator and/or doctor to review our website. We have address all the things that are conveyed in this writeup – ECS N/C, Autoposting N/C, Eligibilty Checking N/C, Lab & Documenting little to no charge. It amazes me to see what some of the companies get away with – nickel & diming.
    I spoke at a NASS seminar last fall and listened to ten physicians tell horror stories about their implementations.
    You would never hear anything like that with MEDENT.
    Good writeup – Take care

  • http://ehrdecisions.com/2008/04/07/opening-the-lines-of-communication/ Opening the lines of communication

    [...] EMR/EHR Show has posted a great article, highlighting that EHR problems often have less to do with the tool and more to do with communicating about the tool: Whether you’re a physician, an office manager, an office staffer, or an EMR vendor/service [...]

  • Gwen Glover

    This is an excellent article, and I appreciate your point of view. When I saw the title, I expected a lot of jargon and tips on selecting the best products, vendors, etc., but instead I got a refresher on being a team player. Some folks may not think this is important, but when you make others happy, and show them that you don’t mind working with them, it makes your own life less stressful. It’s not necessarily an easy road to travel, but it works!

  • http://www.MedicalRecordShow.com Peter Beck

    Thank you, Gwen.

    I’m trying to keep the material here as non-vendor and setup specific as possible, to be as widely helpful as possible.

    It’s an odd feature of EMR’s that the more you use them, the more that efficient workflows and interpersonal skills become critical — the protoplasmic stuff.

    Besides — let’s face it — protoplasm will beat silicon, hands down every time, for adaptability. That’s a good thing, because no matter what the EMR implementation, EMR’s are such hairy, complex beasts that there will ALWAYS be a “less than ideal fit” somewhere along the line (the software itself, it’s interface with the user, the server it runs on, the conduit to communicate to it, security and upgrades, printer drivers, etc).

    Troubleshooting and customer support skills will NEVER go out of style.

  • http://www.ehrscope.com/blog Eric

    Nice suggestions. I may add one. Read.

    Read the help files. Read the manuals.

    And, practice. Practice with the software.

    We provide other suggestions at http://www.ehrscope.com/blog

  • http://www.MedicalRecordShow.com Peter Beck

    Yep. A surprising number of folks don’t do what tech support consider obvious.

    It’s nice when the product and provider mesh so naturally, that an instruction manual is superfluous, and practice means doing lots of what you’re used to. But that doesn’t happen too often.

    Adaptation will happen, though. But it’s important to get past the “stake out this machine on an anthill” stage for that to happen :)

  • http://www.implementhit.com/ EMR Medical

    Electronic medical record (EMR) is like piloting an airplane; it is an incredibly efficient piece of technology, but without expertise and practice using it, it won't do what one wants. And although EMRs can solve workflow problems, they can also create them.

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