| Positives | Negatives | Improvement Measures | Dr Smith | 1) Proper traditional approach towards patient notes. 2) Giving patients adequate time thereby maintaining good practice. | 1) Use of Dictaphone- patient’s comfort is compromised. 2) Delay in updating notes on EMR by the transcriptionist. 3) Still relying on paper approach for prescriptions. 4) Superbill form used in place of EMR for coding. | 1) Transformational training of EMR required- Will take less time, electronic prescription- good for records, no need for transcriptionist. 2) Removal of superbill and introduction of electronic billing codes. | Dr Jones | 1) Positive about EMR use. 2) Positive change in work style- good adaptation. 3) Does not rely on his memory completely by feeding few important notes in the EMR during patient visits. | 1) Incomplete notes at start, which are filled later- taking extra time. 2) Many prescriptions not signed at the end of day. 3) Undercoding due to fear. 4) Reduction in patient revenue due to incomplete work & undercoding. 5) Prescriptions entered using CPOE. | 1) Professional training of EMR use required to sharpen EMR skills. 2) Training will increase confidence thereby reducing wastage of time, incompleteness of notes, timely updating prescriptions. 3) Revenue might pick up(per patient and number of patients) as the time taken will reduce, thereby facilitating more patient intake and proper coding measures. 4) An effective CPOE system needs clinical decision support (CDS) to help prescribers, pharmacists, nurses, and others use the system effectively. So use of CDS is required for increased efficiency. | Dr Johnson | 1) Most positive approach towards EMR- pre visit preparation of notes, checking of lab test results in EMR, nurse entering vitals and meds into EMR, and reusing EMR after the patient leaves