"Just" is a four letter word

I sit in any random training and I throw out the concept that for all the cuss words I know, "JUST" may be the nastiest of the four letter words.

I look around me and I see good clinicians becoming increasingly burnt out. I have a theory that Electronic Health Records (EHR) should be click neutral (if you add clicks, you should subtract clicks elsewhere) otherwise you fall into the trap I call "Just is a four letter word". 

Technology has been brought to the bedside - but there really hasn't been proper time or space made for it. Of course back in the day, there was angst and gnashing of teeth about paper charting. Still, it seems to be worsening. 

Often in training we hear a feature was added and you "just" have to click this box, bar or link and you can find the order set and you "just" need to complete these _______ things. No one capped the click burden for people giving care at the bedside. No one thought to remove anything when they "just" added these extra boxes.

 
The increasing requirement for more and more standardized tools does not provide additional time to complete all the standardized tools.

In the sphere of value based care and tracking metrics, payers also seem to add requirements without taking other things off. It seems no one sees keeping screen time capped as a priority. As screen time increases, patient time decreases. How can this be good care?
 
I think the healthcare industry is racking up a tremendous technological debt. I think it is going to take an effort from payers, electronic health records manufacturers, hospitals and clinicians to prioritize and clean up the workflow. Of course, who do you convince of this? Likely most people working directly with patients agree. If you hear patients complain about how clinicians were "looking at the screen and typing" you know the patients would appreciate more face to face interactions.

I think the system has bandwidth to permit clinicians to get back to doing what we expect them to do - provide care. Someone "just" needs to see that as a priority.