Modern Healthcare October 19, 2019
Jessica Kim Cohen

Dr. David Koronkiewicz, an orthopedic surgeon and former medical director of quality at Goshen (Ind.) Health, said he often sends texts via the health system’s secure messaging app during morning rounds.

The goal is to ensure other members of the patient’s care team are apprised of changes to the patient’s health, even if they haven’t read the progress note yet. “I can send a message to a provider and say, ‘OK, stable from an orthopedic standpoint to go home,’ ” he said. “He can see the quick little message and know the patient’s ready to go.”

But, while convenient, text messaging has raised concerns about physicians making care management and treatment decisions without properly documenting them in the EHR.

“The EHR...

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