Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
Electronoc mediacal records sound good, however, there are serious issues.
Medical records traditionally have been written down and then transcribed either into a database or other paper forms. The trend today is direct electronic entry by the doc during the patient visit.
Any time data is transcribed there is danger of error and the error could be a serious as opposed to, oophorectomy date for a male patient.
Then there is Hippa and patient confidentiality. So the patient name is obscured by programmed codes. Downstream you might have the wrong patient. Especially if you are un conscious in another state and you are alone in need of emergency care. Hope the database didn;t get corrupted or the data exception report didn't bring up a false positive..in other words the associated retrieval and storage programs have been validated.
Add to that the complex and interpetive medical coding systems like medra, whoart, etc. All heirarchical coding systems which can classify meds, histories, conditions or advers events in new and novel ways which require a rationale to be correctly compared. Chest pain might be coded cardio by the typical autocoding system or inattentive coder of it could be code to track to muscoskeltal, meaning you tore a muscle throwing the football around with your kids. So which is when you arrive unconscious at an out of state hospital.
We have the nuclear explosion of the obamacare database that demonstrates the disasterous potential of government run programming despite the millions of overestimate cost.
We are going in the direction of on-line medical records though the 21st century is apparently not futuristic enoguh to have lives hanging by a thread conpounded by colossal government inefficiency.
Keep the feds out of our healthcare and tread gently into the future.
Train routed incorrectly due to data entry misplacing a decimal and meeting a low bridge.
And then huiman error aside from e-data
Sis goes to doc, says she smells geraniums.....could be a tumor or sinusitis, Later visit her records reflect she had an allergy to geraniums...Oops!
Mom goes to doc asks her how her new med is doing....Oops! wrong chart
Cardio guy says enlarged heart, other docs in his 'group' said to agree.... NIH says the echo was read wrong, no cardio issues, be free, go forth and multiply......Oops!
Pharmacist gives ziac instead of zestril as prescribed...big real big OOOOOOPS!!!!!!!
Rehab center gets wrong info from hospital admission and treats with nmeds for SOB shortness of breath..what ??? turns out the guy in the next bed admitted at the same time as mom reported those symptoms. Oops!
Huh, read the BP incorrectly and repeatedly, kid doesn;t have an adrenal tumor.....Oops! discovery from my due diligence not he hospitals.
kid might have an allergic reaction to Floxin the Er doc says, we'll give her another antibiotic.. heres a script for Cipro...Whoa, Oops!, hold On!! Cipro is also a quinalone. Huh? let me check. OOOPs! sorry about that. Your welcome.
So let's add e-data to that mix before it is ready, or the goverment imposes itself in the mix and see the death rate explode.
Electronoc mediacal records sound good, however, there are serious issues.
Medical records traditionally have been written down and then transcribed either into a database or other paper forms. The trend today is direct electronic entry by the doc during the patient visit.
Any time data is transcribed there is danger of error and the error could be a serious as opposed to, oophorectomy date for a male patient.
Then there is Hippa and patient confidentiality. So the patient name is obscured by programmed codes. Downstream you might have the wrong patient. Especially if you are un conscious in another state and you are alone in need of emergency care. Hope the database didn;t get corrupted or the data exception report didn't bring up a false positive..in other words the associated retrieval and storage programs have been validated.
Add to that the complex and interpetive medical coding systems like medra, whoart, etc. All heirarchical coding systems which can classify meds, histories, conditions or advers events in new and novel ways which require a rationale to be correctly compared. Chest pain might be coded cardio by the typical autocoding system or inattentive coder of it could be code to track to muscoskeltal, meaning you tore a muscle throwing the football around with your kids. So which is when you arrive unconscious at an out of state hospital.
We have the nuclear explosion of the obamacare database that demonstrates the disasterous potential of government run programming despite the millions of overestimate cost.
We are going in the direction of on-line medical records though the 21st century is apparently not futuristic enoguh to have lives hanging by a thread conpounded by colossal government inefficiency.
Keep the feds out of our healthcare and tread gently into the future.
Train routed incorrectly due to data entry misplacing a decimal and meeting a low bridge.
And then huiman error aside from e-data
Sis goes to doc, says she smells geraniums.....could be a tumor or sinusitis, Later visit her records reflect she had an allergy to geraniums...Oops!
Mom goes to doc asks her how her new med is doing....Oops! wrong chart
Cardio guy says enlarged heart, other docs in his 'group' said to agree.... NIH says the echo was read wrong, no cardio issues, be free, go forth and multiply......Oops!
Pharmacist gives ziac instead of zestril as prescribed...big real big OOOOOOPS!!!!!!!
Rehab center gets wrong info from hospital admission and treats with nmeds for SOB shortness of breath..what ??? turns out the guy in the next bed admitted at the same time as mom reported those symptoms. Oops!
Huh, read the BP incorrectly and repeatedly, kid doesn;t have an adrenal tumor.....Oops! discovery from my due diligence not he hospitals.
kid might have an allergic reaction to Floxin the Er doc says, we'll give her another antibiotic.. heres a script for Cipro...Whoa, Oops!, hold On!! Cipro is also a quinalone. Huh? let me check. OOOPs! sorry about that. Your welcome.
So let's add e-data to that mix before it is ready, or the goverment imposes itself in the mix and see the death rate explode.
Back when....my employer changed healthcare insurers every damn year. This almost always meant switching medical and dental practices to avoid paying out of network fees. It was necessary to physically go in and request a hard copy of records. Some practices charged a fee for this service.
Back then it was common to submit a hard copy claim and wait and wait and wait for payment. MDs, hospitals and patients waited for the paper to be processed assuming it was not lost, somewhere. Errors and omissions were common and the wait for correction meant further delays in payment.
Creating a system for coding major disease diagnosis goes back to the 1700's in Australia, of all places. An international list of causes of death, based on codes, was adopted in the 1920's.
Medical practices, hospitals and insurers began trending towards electronic record keeping and claims processing more than 20 years ago. Medicare and the Stimulus helped to defray the cost of converting to a standardized Electronic Medical Record ( EMR). Hard pressed to imagine anyone who would think maintaining and processing hard copy records ensured greater privacy or was more efficient than EMR.
Prior to the ACA a majority of states allowed insurers to discriminate against those with pre-existing conditions. Most states had a defined look back period that varied state to state. One state, Indiana, had no defined limit of look back. A 25 year old Cancer diagnosis could disqualify someone from future insurance. The ACA eliminated discrimination on the basis of prior or current health situations.
One would not know how widespread the flu was if there were no metrics. One would not know that say, Vermont was harder hit than other areas of the US. One would not be inclined to pursue why Vermont got hit harder than NH. Maybe fewer people in Vermont got flu shots or vice versa.
It would be impossible for states to monitor drug prescriptions or cooperate across states. Why are the MDs in Palm Beach writing 752% more scripts for Oxy than in say Boca?
Back when....my employer changed healthcare insurers every damn year. This almost always meant switching medical and dental practices to avoid paying out of network fees. It was necessary to physically go in and request a hard copy of records. Some practices charged a fee for this service.
Back then it was common to submit a hard copy claim and wait and wait and wait for payment. MDs, hospitals and patients waited for the paper to be processed assuming it was not lost, somewhere. Errors and omissions were common and the wait for correction meant further delays in payment.
Creating a system for coding major disease diagnosis goes back to the 1700's in Australia, of all places. An international list of causes of death, based on codes, was adopted in the 1920's.
Medical practices, hospitals and insurers began trending towards electronic record keeping and claims processing more than 20 years ago. Medicare and the Stimulus helped to defray the cost of converting to a standardized Electronic Medical Record ( EMR). Hard pressed to imagine anyone who would think maintaining and processing hard copy records ensured greater privacy or was more efficient than EMR.
Prior to the ACA a majority of states allowed insurers to discriminate against those with pre-existing conditions. Most states had a defined look back period that varied state to state. One state, Indiana, had no defined limit of look back. A 25 year old Cancer diagnosis could disqualify someone from future insurance. The ACA eliminated discrimination on the basis of prior or current health situations.
One would not know how widespread the flu was if there were no metrics. One would not know that say, Vermont was harder hit than other areas of the US. One would not be inclined to pursue why Vermont got hit harder than NH. Maybe fewer people in Vermont got flu shots or vice versa.
It would be impossible for states to monitor drug prescriptions or cooperate across states. Why are the MDs in Palm Beach writing 752% more scripts for Oxy than in say Boca?
Don't confuse people with facts. They only know one thing--anything proposed by a Democrat=BAD. That's about as complicated a thought process as they can handle.
Back when....my employer changed healthcare insurers every damn year. This almost always meant switching medical and dental practices to avoid paying out of network fees. It was necessary to physically go in and request a hard copy of records. Some practices charged a fee for this service.
Back then it was common to submit a hard copy claim and wait and wait and wait for payment. MDs, hospitals and patients waited for the paper to be processed assuming it was not lost, somewhere. Errors and omissions were common and the wait for correction meant further delays in payment.
Creating a system for coding major disease diagnosis goes back to the 1700's in Australia, of all places. An international list of causes of death, based on codes, was adopted in the 1920's.
Medical practices, hospitals and insurers began trending towards electronic record keeping and claims processing more than 20 years ago. Medicare and the Stimulus helped to defray the cost of converting to a standardized Electronic Medical Record ( EMR). Hard pressed to imagine anyone who would think maintaining and processing hard copy records ensured greater privacy or was more efficient than EMR.
Prior to the ACA a majority of states allowed insurers to discriminate against those with pre-existing conditions. Most states had a defined look back period that varied state to state. One state, Indiana, had no defined limit of look back. A 25 year old Cancer diagnosis could disqualify someone from future insurance. The ACA eliminated discrimination on the basis of prior or current health situations.
One would not know how widespread the flu was if there were no metrics. One would not know that say, Vermont was harder hit than other areas of the US. One would not be inclined to pursue why Vermont got hit harder than NH. Maybe fewer people in Vermont got flu shots or vice versa.
It would be impossible for states to monitor drug prescriptions or cooperate across states. Why are the MDs in Palm Beach writing 752% more scripts for Oxy than in say Boca?
Should the local sheriff be responsible for collection and dissemination?
WOW ,there we go , SWAT raid for medical records. OH.... FORGET THAT ......WE SHOT HIM.
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.
Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
