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Two Forms of ID and Your Colonoscopy Report, Please
The American Thinker ^ | March 4, 2009 | Carol Peracchio

Posted on 03/04/2009 2:23:10 AM PST by Scanian

For the past two years I have been employed in nursing as a medical record reviewer. I've reviewed hundreds of records, the old fashioned handwritten kind, and also the electronic medical record (EMR).

I am not ideologically opposed to EMRs. When done well, they are much more efficient and easier to read and use. However, it can take months to train an office in EMRs. And if the computers are down, everything stops. But overall, EMRs are a net plus. No, what I'm opposed to is Obama's plan to set up a Ministry of Health Information. In Obama's stimulus bill recently signed into law are provisions that will allow Washington unfettered access to every American's health history through the magic known as the EMR.

(Excerpt) Read more at ...

TOPICS: Miscellaneous
KEYWORDS: healthcare; obama

1 posted on 03/04/2009 2:23:10 AM PST by Scanian
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To: Scanian

Interesting article.

2 posted on 03/04/2009 2:29:51 AM PST by gattaca (Great things can be accomplished if you don't care who gets the credit. Ronald Reagan)
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To: gattaca
Ditto that, authored bt someone in the trenches who actually has to DO something ro make the medical system work for a living rather than pontificate about the process and ideloogy of it.

For someone that many would consider a grunt, this article as highly articulate, utilized humor and analogies to get the point across in this article, and IMHO this was very well written.

The question is, how many liberals in the medical field will finally get engaged at the cerebal level and realize "A" is "A" in regards to the mechanics of how ans what the Bamster wants to do, will destroy their industry?

3 posted on 03/04/2009 2:53:23 AM PST by taildragger (Palin / Mulally 2012)
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To: Scanian
And if the computers are down, everything stops.

Why would everything stop?
I use the local military hospital. One day I had an appointment and the entire system was down - guess what? They used old fashioned paper! Ain’t that something?
I also like the idea of prescriptions being transmitted electronically to the pharmacist - as mentioned, few doctors have legible handwriting. I’ve had a lot of experience with druggists phoning my doctor to find out what it was. That wastes time for both.

As for the rest of the article, I’m in complete agreement. While I have nothing in my records Big Brother would be interested in, others might.

4 posted on 03/04/2009 3:18:48 AM PST by R. Scott (Humanity i love you because when you're hard up you pawn your Intelligence to buy a drink)
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To: R. Scott

There’s a big difference between doctors electronically sending a prescription to a pharmacist, and having all your records held by the federal government.

However, security is a problem with emailing any medical information. On today’s wide-open internet, where electronically transmitted credit card information is not secure unless encrypted, medical information is not secure either. Both parties transmitting medical data have to employ the same encryption protocol and while that exists within medical facilities, there’s no standard for transmission inter-facility. Your doctor and pharmacist need to be electronically using the same protocol to transmit prescriptions via email. That’s why faxes are popular with medical facilities: they’re harder for strangers to break into.

The VA already has moved to electronic MR and it works well. My HMO has it as well and I’m pleased with it. However if the system is down they have no way to print out or transmit data manually. If your computer is down it’s not going to print out some paper for you.

5 posted on 03/04/2009 4:15:55 AM PST by ottbmare (Ein Reich, ein Volk, ein Obama!)
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To: All

There are some elements of this I agree with, but I must admit, I wonder if this person has EVER worked, actually WORKED in a hospital doing patient care.

I have worked in health care for 25 years, and while I think this person understands the absolute STUPIDITY forced on us by the Clinton Administration called HIPAA (Health Insurance Portablity and Accountability Act) I could tell you all the bizzare ways this has negatively impacted heathcare, but there isn’t enough space. The bureaucratic overhead and costs it have incurred far, FAR outweigh any benefits.

As a result, the amount of paperwork, red tape and ass-covering that takes place has made the profession for physicians a very frustrating place indeed. You HAVE to have systems that can automate and handle this overhead, because without them, to work at any volume is a staggering task.

My speciality is Radiology Information Systems, and while the systems ARE complicated, sometimes difficult to maintain and do stop working, they are absolutely vital. I know, because I have been fortunate enough to span the time frame from when everything was done on paper to the other end where it will all be electronic. It has been an extremely difficult transition.

When I first worked in the field, in Radiology we used three-part requisitions for exams (remember to press firmly with that ball point pen...the pink copy goes HERE...the goldenrod copy goes HERE...) and we had a huge room of thousands of square feet, piled floor to high ceiling with paper folders with xrays that were manually filed according to a terminal digit filing system. There was an army of dedicated film librarians who maintained this, but being human beings, would occasionally misfile things. We had people who had a special aptitude and skill at finding misfiled xrays!

There was a huge logistical tail that gathered films each month from patients who had not had xrays in a certain number of years, pack them into carts, load them onto trucks to be carted off to a long term storage facility off-site. There was another huge logistical tail of people who would bring films back from that site each day if a patient was being seen who hadn’t been to the doctor in a few years and had their films shipped offsite.

Films got lost. Films were locked in physicians offices, squirreled away. There was even one famous case of a physician who was so concerned about not having films for his patients that he kept them in the trunk of his car.

There were fights between physicians for a patient’s films, because, after all, there was only one copy. The surgeon wanted them for a consult at the same time the patient was seeing the Oncologist, who needed them. There were fights, screaming and yelling at the poor film librarians who were only doing their job, but had to explain to patients and physicians why films were missing/unavailable.

It was awful.

And then there was the transcription of results, which is another story altogether. We went from having a turnaround of 6-10 days down to 24 hours or less using speech recognition. The Radiologists hated it, but service is service. (It was easier to speak as fast as you could to finish dictating a report and throw it into a queue to be typed up, where a human could listen and figure it out, than to speak more slowly and distinctly so that a computer could understand and translate what you said. This was difficult for the physicians to get used to, taking full responsibility for the content of the report.

And this person also has it wrong. It REALLY sucks for everyone when the systems go down. But you know what? We find a way to process them. It is waay slower, but we find a way.

6 posted on 03/04/2009 4:18:58 AM PST by rlmorel ("The Road to Serfdom" by F.A.Hayek - Read
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To: Scanian
If something is hackable, I'm really not fond of the idea of having that information available to the type of person who has the ethics of a hacker. I'm also very concerned that they will be able to look under every rock in your medical history and determine that you have the potential for a yet undiscovered preexisting condition, and deny you care, not just insurance coverage. Also, re: electronic transfer of prescriptions to pharmacies. In our family we recently had a situation where we called my mother's doctor for a renewal on a prescription. For the doctor's office, it appears to be a drag down menu that you click, and send the info to the pharmacist. Apparently they clicked on the wrong medication. Instead of getting her blood pressure medication, she got a class 3 narcotic she hadn't taken for over a year and a half. It was fast, efficient, and legible, but also an easy error to make.
7 posted on 03/04/2009 4:44:09 AM PST by stayathomemom (Cat herder and empty nester)
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To: Scanian
Actually I am looking forward to socialized medicine and a national EMR. I can make good money by offering to keep folks medical records "sterile" and keeping their real problems "off the books". That way when the decisions are being made abut who gets to live and who gets the short straw the gummints EMR will reflect "the picture of health". I can't believe how stupid administrators and bureaucrats are. I used to try to tell the gummint idjits I used to work for "water is smart enough to seek it's own level, your new policies to increase productivity will fail before they are implemented because people will have already figured out how to get around them." The gummint idjits never could grasp this. This is why I nolonger work for the gummint idjits.

Μολὼν λάβε

8 posted on 03/04/2009 5:37:03 AM PST by wastoute (translation of tag "Come and get them (bastards)" and the Scout Motto)
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To: ottbmare
However if the system is down they have no way to print out or transmit data manually. If your computer is down it’s not going to print out some paper for you.

No, if the computer is down it won’t print out anything. When that happened at my hospital they broke out pens and paper forms.

9 posted on 03/04/2009 1:13:45 PM PST by R. Scott (Humanity i love you because when you're hard up you pawn your Intelligence to buy a drink)
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