Paradigm shift - Physician adoption of EHR

Implications: This article hits the mark on the financial aspect of EHR adoption. The other challenge is realizing the value of electronic over traditional paper in bridging the gap of the techno phobia that inhibits adoption.

Analysis: Electronic health records, albeit marketed as perhaps improving charge coding through enhanced documentation, have yet to improve productivity for physicians to see more patients.  It becomes a give and take and taking extra measures to enhance the collection and documentation of clinical data to improve the overall clinical record. 
It boils down to the design of the clinical system used to document patient care--work flow, work flow, work flow.  If the technology does not mimic and streamline the physician's workflow all the other benefits are cast aside.  The system needs to enable the physician to see just as many patients in a given day (and ideally increase patient through put) or where is the motivation.  Physician's are realistic more so that altruistic (not  to be construed as a negative)--costs to implement must have an equal or higher benefit.