re: EHRs Aren't Ready For Pay For Performance
You make a valid point, the patient at the point of care comes first and EMRs shouldn't impede the process of caring for patients. So I wouldn't want to see an EMR that eliminated free text.
But we need to look for the best of both worlds, i.e., IT tools that allow both free text and structured entries. That would allow both the patient in front of you--and the 10,000 patients who would benefit from aggregated and structured data--to see the benefits. That's why programs that convert free text into structured data are so appealing.