What physicians want : the EHR at the point of care -- Surveying the electronic chasm, its depth, and its causes -- Quality care, the medical diagnostic process, the physician's medical records, and E/M compliance -- Information integration : data, protocol, and process -- Assessing potential barriers to success with electronic H&P -- Toolkit for analyzing electronic H&P software -- The source of data entry design issues -- Data entry design issues : the medical history component -- Data entry design issues : examination, making decision making, and nature of the presenting problem -- Design and functionality criteria for H&P success -- Data entry parameters and the H&P design toolkit -- Design solutions for the medical history component -- Design solutions for the nature of the presenting problem -- Design solutions for the physical examination record -- Design solutions for medical decision making & final nature of the presenting problem of the EHR -- Additional design features for the electronic H&P -- Time-based E/M care ("counseling visits") -- Roadmap for successful practice transformation : avoiding the electronic chasm -- Preparation for practice transformation -- Practice transformation : foundation level -- Practice transformation : health information transformation -- Assessment & transformation for practices already using EHRs -- Present and future promise for practical EHR.
