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Ebola, Electronic Medical Records and Epic Systems
Townhall.com ^ | October 8, 2014 | Michelle Malkin

Posted on 10/08/2014 4:30:48 AM PDT by Kaslin

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1 posted on 10/08/2014 4:30:48 AM PDT by Kaslin
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To: Kaslin

By the end of the week I think we will be plagued with tv ads from the Rose Law Firm......” Did one of your loved ones die from a medical miscommunication resulting from the use of the electronic records system called Epic? If so you might be entitled to monetary compensation”


2 posted on 10/08/2014 4:37:52 AM PDT by bert ((K.E.; N.P.; GOPc.;+12 ..... Obama is public enemy #1)
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To: bert
If so you might be entitled to monetary compensation.

If you live long enough to get a trial date.....

3 posted on 10/08/2014 4:42:55 AM PDT by ptsal (Repubicans swallowing more kool-aide from Rove & Kristol)
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To: bert

I am sure we will, but not quite yet


4 posted on 10/08/2014 4:44:12 AM PDT by Kaslin (He needed the ignorant to reelect him, and he got them. Now we all have to pay the consequenses)
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To: Kaslin

I thought that Care Everywhere was Epic’s interoperability solution. As I understand, it displays encounter information from non-Epic systems as well as the native data, if the patient opts in or doesn’t opt out.


5 posted on 10/08/2014 4:47:38 AM PDT by Lisbon1940
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To: Kaslin

I am a Michelle M. fan, but this article reveals that she is talking outside of her knowledge base.
Massively complex medical records systems are imperfect, as are those who configure and use them. It is the human condition in complex systems. Those systems add certain types of risk, but at the same time they reduce many more risks inherent in the old paper records systems. New systems greatly improve many types of communications and prevent many errors and omissions.
In terms of Epic vs other vendor products, Epic has domfinated the free market in sales for one reason: it is by far the best system overall. It is massively expensive, but it is so much better that other products are not selling in the world of health system software solutions. Judy’s company simply built the best mousetrap, and she is pulling far ahead of everyone else. Too bad she is a big liberal, but the software is non-partisan...


6 posted on 10/08/2014 4:58:51 AM PDT by JustTheTruth
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To: JustTheTruth

Greetings JTT:

Not so, EPIC is a giant leap backwards in medical records keeping technology. So backwards that even “obesity” is no longer an acceptable clinical diagnosis.

EPIC is not the product of competitive bidding, but of beltway cronyism.

OLA


7 posted on 10/08/2014 5:06:57 AM PDT by OneLoyalAmerican (In God I trust, all others provide citations.)
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To: JustTheTruth

Great point.

EHRs put the entire patient history at my fingertips. Paper gets lost, fades with age, etc.

The problem here is a breakdown in verbal communication. Ask anyone, the patient will tell the nurse one thing, the doctor something else. I have been asking all of my febrile sick patients about travel history, regardless if the nurse has asked or not.


8 posted on 10/08/2014 5:16:51 AM PDT by Gamecock
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To: OneLoyalAmerican
>>>> EPIC is not the product of competitive bidding, but of beltway cronyism <<<<

Which, in turn, begets mediocrity at best, and gross incompetence in general.

9 posted on 10/08/2014 5:17:01 AM PDT by Sir Napsalot (Pravda + Useful Idiots = CCCP; JournOList + Useful Idiots = DopeyChangey!)
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To: bert

I’ve seen and used many medical health records. They are all highly flawed systems with huge security gaps, bugs, and horribly maintained and structured databases. EHR’s are a scam. Once it’s online, whoever has access can pull up medical records. They are easier to steal, trade and sell then paper records. They are a massive disaster that will eventually cause millions of private records to be viewed online. It is a joke.

The reason sensitive information should be stored offline is because it is HARDER to steal. Obamacare basically ensures that soon American health records will all be on a database with low end security protocols and connected to private networks which have connections to the internet. All just waiting to be hacked, and misused. The records will be carelessly shared by people with no knowledge of how computer networks work under the guise of “public health” and “better [government run] healthcare”.

Here’s a contract to the lowest bidder with IT staff dumber then a monkey with a rock. That’s exactly what is happening right now. All the IT staff I know just cannot keep up with the emergence of new protocols, security flaws, and tech. There is too much out there. The IT staff at most of my jobs have been incompetent, lazy and arrogant.


10 posted on 10/08/2014 5:18:22 AM PDT by FreedomStar3028 (Somebody has to step forward and do what is right because it is right, otherwise no one will follow.)
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To: OneLoyalAmerican

Obesity is coded as 278.00 in ICD-9 and E66.2 in ICD-10. I am not sure why you say it is not a valid diagnosis.


11 posted on 10/08/2014 5:21:40 AM PDT by Lisbon1940
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To: FreedomStar3028

What is unmentioned is that developing a health record protocol and system was not the object. The object of the exercise is to get paid for the work.

Just as Soylandra was designed to appear to be developing a renewable energy system EHr is doing the same with records

The real goal and purpose is to steal from the US Treasury.

The Democrat Party is a Criminal enterprise


12 posted on 10/08/2014 5:25:19 AM PDT by bert ((K.E.; N.P.; GOPc.;+12 ..... Obama is public enemy #1)
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To: JustTheTruth
Epic has domfinated the free market in sales for one reason: it is by far the best system overall.

Just point me to their GitHub page so I can verify that.

13 posted on 10/08/2014 5:42:17 AM PDT by palmer (This comment is not approved or cleared by FDA)
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To: 2ndreconmarine; Fitzcarraldo; Covenantor; Mother Abigail; EBH; Dog Gone; ...
Ping…

A link to this thread has been posted on the Ebola Surveillance Thread

14 posted on 10/08/2014 5:42:43 AM PDT by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing.)
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To: scouter

Epic ping


15 posted on 10/08/2014 6:09:52 AM PDT by Covenantor ("Men are ruled...by liars who refuse them news, and by fools who cannot govern." Chesterton)
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To: Kaslin
One of the reasons I really don't trust the MSM is because in my life I have had personal, direct knowledge of about 5 events that made national or international news, and what I witnessed, or otherwise had personal knowledge of, bore no resemblance to what was reported.

While I do not have direct knowledge of what happened at Texas Health Presbyterian, I do have direct knowledge of the Epic EMR software. I am not an Epic employee, but I do use Epic and configure it on a daily basis. It is my day job. I have it running right now on the same computer I'm writing this post on. My son (also not an Epic employee) has implemented their ASAP Emergency Department application in both adult and pediatric emergency departments in three hospitals. What I can say is this:

Epic is an extremely complicated, comprehensive, highly configurable, integrated system of computer applications. NO hospital installs Epic without doing massive configuration to customize it to run the way they want. Many of those customizations have to do with who sees what data entered by whom. It is far more likely that the problem at Texas Health Presbyterian Hospital was due to the way they configured the system than to any inherent bug in Epic.

The fact that this has disappeared from the news is probably because Judy Faulkner, the owner/CEO/founder of Epic, probably called Texas Health Presbyterian and threatened to sue them for blaming their software. As soon as I saw that news article blaming Epic, I thought to myself "I'll bet Judy's gonna jump on that and squash it fast." And if it was due to Texas Health Presbyterian's configuration of Epic, and not to Epic itself, I don't blame her at all.

16 posted on 10/08/2014 6:21:12 AM PDT by scouter (As for me and my household... We will serve the LORD.)
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To: Kaslin

It will take them six weeks to find the right ICD 10 code for ebola...


17 posted on 10/08/2014 6:50:45 AM PDT by Buckeye McFrog
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To: Kaslin

Putting software in charge may be the problem. /s


18 posted on 10/08/2014 6:51:25 AM PDT by goodnesswins (R.I.P. Doherty, Smith, Stevens, Woods)
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To: Lisbon1940

IIRC, EPIC versions from one to the other don’t communicate with each other. I could be confusing that with another EMR system brand.


19 posted on 10/08/2014 6:53:46 AM PDT by jurroppi1 (The only thing you "pass to see what's in it" is a stool sample. h/t MrB)
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To: Kaslin

What a bunch of BS.. anyone who has worked in Health Care IT can tell you first hand, pretty much ALL EMR systems stink... none are interoperable.. EPIC, CERNER... et al.. .they are all proprietary systems designed to keep you locked in, its the business model of every one of them, there is no business incentive to release the data.

Problems with the VISTA scheduling component were at the heart of the VA problems with patients not being seen.

Etc etc etc...

To try to spin this as a POLITICAL act is NONSENSE... Anyone buying into some political conspiracy around EPIC being what it is because it gives to democrats is an abject ignoramous or a flat out moron.


20 posted on 10/08/2014 6:55:24 AM PDT by HamiltonJay
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