Transition to electronic medical records gradually taking hold

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by Greenbeard, Nov 29, 2011.

  1. Greenbeard
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    Greenbeard Gold Member

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    A generally good--and short--introduction to/overview of the HITECH Act, the law that's using a series of carrots to push doctors and hospitals toward using electronic health records and to help states develop the information pathways needed to move those records between providers in the state: "Transition to electronic medical records gradually taking hold"

     
  2. Mad Scientist
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    Mad Scientist Deplorable Gold Supporting Member Supporting Member

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    Electronic Medical Records are a great idea because electronic information has never been lost or stolen before. I'm certain that all my personal medical records are completely safe in a computer. Somewhere.
     
  3. geauxtohell
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    geauxtohell Choose your weapon.

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    It's a good idea, but it will have to be monitored more closely. Right now, anyone with a login (medical students to nurses to attending physicians) have access to the medical records of anyone that comes to our hospital. HIPAA prevents you from accessing patient information willy nilly, but the potential for abuse is still there.

    Imagine the temptation if a person could access the medical records of anyone in the country.

    At any rate, I am glad for this to happen if for no other reason then the drug seekers are going to be fucking screwed.

    That alone makes it worth it.
     
  4. Greenbeard
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    Greenbeard Gold Member

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    HITECH updated the existing HIPAA Privacy Rule a bit to ease it further into the digital age, but the real policies governing those kinds of security issues (e.g. patient consent models) are being made on a lower level. Historically they've been determined within individual networks linking information--at most, this has been on a regional scale and you can look at different existing examples of private regional health information organizations that have adopted different models.

    Now that we're moving into the era of statewide networks--health information exchanges--we're seeing that policy being considered and made at the state level. That's part of what goes into this work:

    Anyway, there's some news today on the electronic health record front. In order to actually take advantage of the incentives for adopting electronic health records, doctors and hospitals have to demonstrate they're actually using them in a meaningful way. Hence the name of the criteria for getting a payment: "meaningful use." Those criteria are rolling out progressively in three stages that require more sophisticated use as time goes on.

    Despite the widespread interest in participating in the digital shift, there's been some question of whether meeting meaningful use criteria is feasible for many doctors and hospitals. Today, apparently in an effort to encourage and facilitate participation, it's getting a little more feasible.

    Sebelius Announces Changes to Timeline for Meaningful Use - iHealthBeat
     
  5. rightwinger
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    rightwinger Paid Messageboard Poster Gold Supporting Member Supporting Member

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    Long overdue

    Your medical records should be available to any doctor or pharmacist who needs access. Transferring hard copies is cumbersome and risky
     
  6. Greenbeard
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    Greenbeard Gold Member

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    In many ways.

    A timely development this week: CMS has launched a new section of its website to allow easier access to data on the electronic health records incentives programs. With maps!

    A map of state-by-state totals for the amount of payments made to electronic health record-adopting doctors and hospitals participating in the Medicare or Medicaid incentive programs:
    [​IMG]

    A map of state-by-state totals of the number of providers signed up to participate in the program:
    [​IMG]
     
  7. Katzndogz
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    Katzndogz Diamond Member

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    There is something about electronic records being accessed by anyone who can hack that I don't like. Just don't.

    My personal experience is this:

    My doctor uses only electronic record keeping. Part of my file is my picture. When my file was opened my photo became part of the file. Everything he did and medication prescribed was scanned with a barcoder.

    I went to the hospital for an emergency procedure. Gave them my doctor's name. In seconds his records were accessed, there was my picture verifying my identity, what was done, medications prescribed. I got stitches and pain medication all put into my electronic record. When I saw him to get the stitches out, he had full access to my hospital records. I didn't even have to give a history.

    I can see the potential for abuse, but I can also see how much of a benefit it can be.
     
  8. nalli
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    nalli Rookie

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    US Discussion Topic in this forum is quite interesting.






    :clap2:
     
  9. hipeter924
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    hipeter924 Not a zombie yet

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    I will always be confused with the US healthcare system, here in NZ all operations are free. We pay less in terms of percentage of gdp than the US when it comes to healthcare, which I think shows the inefficiency in the US healthcare system aka 10% in NZ vs 17% in the US. The private sector and private medical insurance takes up the rest, and those that can't wait for treatment. Though admitidly in comparison to the US we have low rates of prescription of drugs, which reduces medical costs.

    Obamacare doesn't seem to give a choice between private and public treatment, and public treatment is worse quality than private treatment in US and run with inferior equipment to the private sector, rather than simply full of patients (as it is here in NZ), if people can't wait they just go to the private sector, problem solved.

    However I know that doctors/gps and the health sector here in general keep electronic records on their patients, and share that information electronically. You don't have to fill out forms to get an appointment, besides name, address and phone numbers, and they get the rest from your medical records. But I really just hate lots of forms, there are enough things you have fill out already.
     

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