---
title: Physician Burnout to Physician Wellness - One Doctor at a Time | EHR
description: EHR | Stop Physician Burnout, Build Better Physician Leaders | The Happy MD
---
[](https://www.thehappymd.com)
## **The Creative Destruction of Physician Burnout **
[](https://hubspot-cta-redirect-na2-prod.s3.amazonaws.com/cta/redirect/263814/da1e787d-095f-4485-9d4d-9a9bc4195d86)
# [Electronic Medical Record Industry Corruption Costs Billions, Puts Patients at Risk](https://www.thehappymd.com/blog/electronic-medical-record-industry-corruption-costs-billions-and-puts-patients-at-risk)
Posted by [Dike Drummond MD](https://www.thehappymd.com/blog/author/dike-drummond-md)
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## All doctors know EMR is a pain and a leading cause of physician burnout ...
.. but few of us grasp the the depth of the depravity in the Electronic Health Industry until now.
**New investigative reporting is shining the light of day on a backwater of fraud, cheating and lies that surrounded the roll out of EMR starting in 2009.
**
**[](https://hubspot-cta-redirect-na2-prod.s3.amazonaws.com/cta/redirect/263814/524eaeb2-844b-4973-bb3d-b9ae1b524319)**
Starting that year, $38 Billion dollars in subsidies for installation of EMR software and attestation to its "meaningful use" have been allocated by the federal government. The response of the EMR industry to that size pile of money was equivalent to *giving a school of great white sharks the carcass of a dead blue whale*. A similar feeding frenzy ensued.
**
A significant portion of the EMR industry's response to these stimulus funds appears to have been illegal, harmful or both.
**
[New reporting by Fortune Magazine and Kaiser Health News](https://khn.org/news/electronic-health-records-creating-a-new-era-of-health-care-fraud-officials-say/) is collating all the settlements and whistleblower cases into one article so we can all witness the *Soprano-style attack* on this facet of our healthcare industry.
**Turns out some players in the industry constructed a maze of fraud, lies and kickbacks - to the tune of billions of dollars so far. **(Tony would have been so proud)**
**
## That's right, multi-million dollar systemic and protracted cheating and lying in the EMR industry - already caught, prosecuted and settled for over a billion dollars in fines and claw backs to date
Tags: [EHR](https://www.thehappymd.com/blog/topic/ehr), [stop physician burnout](https://www.thehappymd.com/blog/topic/stop-physician-burnout)
[READ MORE NOW >>>](https://www.thehappymd.com/blog/electronic-medical-record-industry-corruption-costs-billions-and-puts-patients-at-risk)
# [Stop Physician Burnout - 4th grade math shows the epic fail of the current practice of medicine](https://www.thehappymd.com/blog/stop-physician-burnout-4th-grade-math-shows-the-staggering-waste-of-the-current-practice-of-medicine)
Posted by [Dike Drummond MD](https://www.thehappymd.com/blog/author/dike-drummond-md)
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## **Stop Physician Burnout - 4th grade math shows the epic fail of the current practice of medicine**
**We don't need no stinking spreadsheets**
*==========
**This is Blog Post #290*
Complete Blog Library [is Here
](https://www.thehappymd.com/blog/all)==========
Let me show you a simple, reproducible, fourth grade math demonstration of the power of [team based care and up-staffing the back office](https://www.thehappymd.com/blog/electronic-medical-records-physician-burnout-team-based-care). Along the way you will begin to sense the staggering waste in the current practice of medicine, caused in part by industry standards like the MGMA annual staffing survey.
============
We *Build, Install & Support Corporate Burnout Prevention Strategy*
Using Experience with 165 Clients to date -- [CLICK to learn more](https://www.thehappymd.com/quadruple-aim-corporate-support-services-hub)
============
## **The reason EMR is killing doctors is simple -- OVERWHELM**
Doctors were never meant to handle both
1) the complex interactions and thought processes of diagnose and treat, teach and manage patients
2) AND the digital documentation of those interactions via any one of the current truly demonic user interfaces.
**The implementation of EMR doubled the workload on the doctors.**
**Most employers did not staff up to handle it. **Instead, relying on annual staffing surveys to show them the average back office staffing ratio is the same as it was back in paper chart days - 1 Doc + 1 Medical Assistant.
**That's right, the work load doubled without a change in the number of hands on deck.** The documentation falls on the doctor simply because:
- we are ultimately liable for what is in the chart
- we don't punch the clock and stop working at 5PM
**It is as if someone designed the system of care specifically to burn out doctors and now they use industry averages to reinforce the travesty. **You can't design a more perfect meat grinder for the average doctor and now it is considered the standard of care.
## **The result:**
- [Two hours in the chart for each one hour of face time with patients](https://annals.org/aim/article-abstract/2546704/allocation-physician-time-ambulatory-practice-time-motion-study-4-specialties) - "[Pajama time](http://www.annfammed.org/content/15/5/419.full)"
- Burnout rate in US physicians [hovering at 50%](https://www.mayoclinicproceedings.org/article/S0025-6196(18)30938-8/fulltext)
- It's a healthcare delivery failure of epic proportions
## ** A 4th Grade review of the numbers reveals a way forward**
Tags: [EMR](https://www.thehappymd.com/blog/topic/emr), [EHR](https://www.thehappymd.com/blog/topic/ehr), [stop physician burnout](https://www.thehappymd.com/blog/topic/stop-physician-burnout)
[READ MORE NOW >>>](https://www.thehappymd.com/blog/stop-physician-burnout-4th-grade-math-shows-the-staggering-waste-of-the-current-practice-of-medicine)
# [EMR Power Training - Two Ways to Lower Your TITO](https://www.thehappymd.com/blog/emr-power-training-tip-electronic-medical-records)
Posted by [Dike Drummond MD](https://www.thehappymd.com/blog/author/dike-drummond-md)
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[ ](https://www.thehappymd.com/blog/emr-power-training-tip-electronic-medical-records)
## **EMR Power Training**
**Two ways to consistently lower you TITO week to week**
## **TITO = Time In The Office**
**How can you build an office day where you spend more face time with your patients than keyboard time with your EMR?**
Too often I speak with physicians who are spending hours after the last patient on EMR documentation and - tragically - even more hours grinding away at the keyboard from home after they tuck the kids into bed. If that feels familiar to you, I promise it does not have to be that way.
Here are two ways to start permanently lowering your own personal TITO week after week by cutting down the amount of time you spend typing into your EMR. These are two pieces of a comprehensive strategy to address the dilemma of EMR.
Tags: [EMR](https://www.thehappymd.com/blog/topic/emr), [EHR](https://www.thehappymd.com/blog/topic/ehr)
[READ MORE NOW >>>](https://www.thehappymd.com/blog/emr-power-training-tip-electronic-medical-records)
[All posts](https://www.thehappymd.com/blog/all)
## **Find what you need here...**
## **We wrote the Book on Preventing Burnout**
The first Field Manual to a more Ideal Practice - **40,000 copies in print. **
[**CLICK HERE to learn more and get your copy**](https://support.thehappymd.com/stop-physician-burnout-book)
[](https://support.thehappymd.com/stop-physician-burnout-book)
## **The Burnout Prevention MATRIX 2.0 FREE Report**
**Over 235 ways to prevent physician burnout inside.
**[**CLICK HERE to learn more and get your FREE copy**](https://support.thehappymd.com/physician-burnout-prevention-matrix)
[](https://support.thehappymd.com/physician-burnout-prevention-matrix)
### **Prevent Burnout**
**~** [Physician Burnout – Why It’s NOT a Fair Fight](https://www.thehappymd.com/blog/bid/295048/Physician-Burnout-Why-its-not-a-Fair-Fight)
**~** [Physician Burnout Symptoms Differ in Women and Men](https://www.thehappymd.com/blog/bid/294952/Physician-Burnout-Presents-Differently-in-Male-and-Female-Doctors)**~** [Physician Burnout's Highest and Best Use
](https://www.thehappymd.com/blog/bid/378959/Physician-Burnout-Highest-and-Best-Use)**~** [Pathophysiology and Treatment of Burnout](https://www.thehappymd.com/blog/bid/290248/Physician-Burnout-Pathophysiology-and-Treatment-of-Burnout)
**~ ** [Physician Wellness - Two Ways to Tell If Your Group Cares](https://www.thehappymd.com/blog/bid/290377/Physician-Wellness-How-to-tell-if-Your-Group-Cares)
**~** [Burnout vs. the Bottom Line - the Epic Battle
](https://www.thehappymd.com/blog/bid/349242/Physician-Burnout-Vs-the-Bottom-Line-the-Epic-Battle)**~** [Physician Burnout - Who Will Save Us?
](https://www.thehappymd.com/blog/bid/381680/Physician-Burnout-Who-Will-Save-Us)
### **Physician Leadership**
**~** [3 Reasons Doctors Make Lousy Leaders and What You Can Do About It](https://www.thehappymd.com/blog/bid/290715/Physician-Leadership-Skills-3-Reasons-Doctors-Make-Poor-Leaders-and-What-You-Can-Do-About-It)
**~** [Monthly Staff Meeting Power Up and Team Venting process](https://www.thehappymd.com/blog/bid/290401/Physician-Leadership-Monthly-Staff-Meeting-Power-Up-and-Team-Venting-Process)
**~** [Employed Physician's Guide to Managing Your Boss
](https://www.thehappymd.com/blog/bid/369921/Employed-Physician-Guide-to-Managing-Your-Boss)**~** [Disruptive Physician's Toolkit](https://www.thehappymd.com/blog/bid/285327/Disruptive-Physician-Toolkit)
#### **"Changed my toxic work situation" **
*"I started to feel better about my life within a couple weeks of beginning our conversations. I knew that I had an ally and friend. I realized that my feelings were predictable based on my circumstances, that I was “normal”. For the first time in years I had real hope that things would change for the better. *
*We worked together to find and interview for a new position in the worst job market for my specialty the recruiters have ever experienced. With Dike’s help and persistent positive attitude, I found a new position at a group that really cares about the doctors and I start in two weeks. *
*For me, the program has been worth everything. It has enabled me to emerge from my depression, change my toxic work situation, improve my home and family life, and allow myself to be happy and realize that I deserve to be happy.” *
**~ Anonymous MD**
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