Posted on 01/11/2013 4:09:04 PM PST by Kaslin
That can’t be true....
it was written on the teleprompter.
The reason for EMR’s is data mining by insurance companies and .gov. To control costs by not paying if you do not do as they say. It is costly and killing small private practices. I know it is killing mine. I know what is happening and I am giving up.. In 2 months I am leaving my practice and becoming an employee of a hospital. Why? i can not keep the doors open with this mandate. Slows the practice down too much. Can not see enough patients to make enough cause of decreased income and increased cost. The hospital pays me much more. Work much less. No call. Payed vacation. I will get 4 weeks a year. I have not taken a week off for 16 YEARS. Not worth the fight anymore.
Assuming you have interpretive software ~ rather like the Star Trek Voyager's 'doctor' (played by Robert Picardo), you might make considerable savings by having previously digitized all the records but if you don't you still need a human doctor who will have to READ THOSE RECORDS ~ and that negates all the advantages.
The medical transcription field in America, which was 100,000 strong, has been destroyed by the implementation of EMR. The jobs have gone to India and the Philippines, although those countries do not impose the harsh fines for divulging confidential info that US MTs were subject to. This is a nightmare waiting to happen.
Of course it doesn’t make health care cheaper. It only gives the government unlimited access to information about you and your families.
Digitized records of ANY kind are subject to 1) computer hackers, 2) theft and 3) loss in the event of an EMP.
With paper records, you don't have to wonder what your doctor did the last time you were seen!
I was in the EMR/Electronic Medical Records industry in the mid-90’s, and can’t believe it’s taken us this long to get to their being a reality. I was an exec with one of the nation’s largest pharmaceutical companies.
The key issue we saw then is that only a physician could truly develop a system that would function like he/she thinks. Today’s EMR is developed by software people trying to figure out how a physician thinks/works.
I have a close friend who is a physician with a major hospital in a major PA city that I was with a few weeks ago.
He told me that they have done internal research in their hospital showing that the use of EMR has caused their productivity to GO DOWN BY 30%!!!!
Obamacare will probably knock it down another 50%.......
Winner Winner Chicken Dinner!
well, i hate to rain on the parade, but from my perspective as a cancer patient, i see that EMRs allow the doc the ability to follow my meds, diagnostics, treatments, and procedures without having a sheaf of paper following me around. the labs that determine if i get chemo or not get transmitted and updates to me records in real time, allowing the doc to have results in 15 - 20 minutes.
i’d be waiting all day for a flunky to bring a folder by otherwize.docs do take time off, and the ones covering for him/her can update records from their one offices and the primary doc is able to see all this in my folder.
if there are problems, the records are backed up continously (redundant cloud storage) as they are for most buisness processes.
no one does payroll on paper anymore. face it, most everything important is recorded electronically, and thats mostly a good thing. i think the fear about snooping is just paranoia.
most modern enterprises of any size do much of any thing on paper.
this is mostly irrational fearmongering in my humble opinion.
And that is their only purpose, much like the purpose of the solar energy scam is to funnel taxpayer dollars to Democrat members of the big-government/big-corporate criminal complex.
Gosh!... I’m stunned. /s
I’ve begun to think that Rush has been the better for having Zero in the Off-White House. He’s making a good point that doesn’t really come across in the headline, and I want to put in my 2 cents.
Electronic health records have been coming about on their own, but federal recordkeeping requirements and foolish nanny-state lawsuit verdicts and settlement terms have become so onerous that it was probably bound to happen anyway. Having handled actual, as opposed to virtual, files for a significant fraction of my life, I’ll tell you right now, electronic health records are a much better way to go.
If the recordkeeping requirements were not so ridiculous, electronic versions still make more sense in our modern world where people don’t live in the same town as their parents, move every five years on average, and want their health info to make it to the ER when they’re unconscious awaiting care while 1500 miles from home and on vacation.
Curious where one goes for medical care if they don’t want a data minable record of their health for the government and insurance companies to peruse. Paging any doctor in NW PA that takes cash... platinum Trillion Dollar coins, bartereda ammo, chickens, or a remodeled bathroom for the wife. I think my heart is giving out... shortness of breath... pain in my neck and arms. I think I’ll just go euthanize myself with 5to million thousand gallons of whiskey.
Rodamala: There are still a few of us dinosaurs around who refuse to play the government game by converting to electronic records. Marcus Welby may be on death’s door, but he’s not kicked the bucket completely. The government will begin reducing payments to doctors who do not use EMR’s and electronic prescribing -— BUT for us, the cost of the reduced payments are much less than the cost to implement the system and maintain it ! Every practice manager and physician I have spoken to say the same thing... using EMR’s slows them down 30% minimum... while I didn’t go to Wharton, it doesn’t take a genius to know if your profit margin isn’t 30% you can’t stay around if you are slowed down 30%. One doc I know has EMRs... he works in office til 5 - goes home, eats dinner and does his “charts” on computers until about 1 am... then get’s up and begins again the next day... no family time, dinners with wife.. playing with kids... etc... Ain’t gonna happen at my office. We may have to go all cash... BUT we won’t go EMR... I think this system and requirement will fall by the wayside eventually as more and more of us tell them to take a flying leap just as Obama care will fall under it’s own weight... only difference is Obamacare will be replaced by something worse... governmental take-over and single payor (read that government control!).
The best days of America and American health care are behind us...
Do you mind me asking how old you are? 250K doctors are over 55, out of a total of about 600K doctors.
Here’s what most people don’t know about electronic health records:
The US Department of Health and Human Services offers incentive payments of up to $44,000 for providers who adopt a certified EMR program and provide electronic documentation that they are using it in a meaningful way, especially for Medicare or Medicaid patients. Part of “meaningful use” consists of collecting data about these patients and transmitting it to HHS.
You see? It’s all about getting data on a certain percentage of the patient population. It’s not difficult to see that in a few years the requirement will extend to all patients. The excuse is that if you stumble unconscious into the ER at 3 a.m., the ER staff can access your medical records electronically and know what preexisting conditions and problems you might have that would influence their treatment decisions. But this would only work if the records were not securely in your doctor’s office computers but were in a centralized database that any ER could access.
The idea of patient privacy or record security is ludicrous, too.
As a consumer/patient I dislike EMR.
When I go to the doctor now, in the EMR offices, the doctor no longer looks at you. His/her head is facing the computer and typing. I find that unpleasant and believe it is a good way to miss things. All the art of medicine is lost.
EMR can be much faster for doctors willing to use templates for ‘normal.’ One click and most of the record is filled in. Of course this is not great medicine and insurance companies don’t like it. But the temptation is there.
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