Posted on 05/12/2015 8:00:54 AM PDT by rktman
Dragon voice recognition software? Just thinking out loud here.
yes, though its pretty much the same with doctors all over this area. They are all “Doc in the Boxes”.
But they do provide a nice, centrally stored, easily searchable database on virtually every single person in the country.
RAND Corp involvement tells me all I need to know...not good
Meanwhile, more and more doctors are retiring or discontinuing their practices. This will soon reach the point where, like Britain, poorly trained foreign workers will be imported and called doctors. A lovely combination of incompetent butchery and a continued push for easy euthanasia to make up for across the board shortfalls.
Yep, this is exactly what internationalist socialists and multinational corporation internationalists want.
That millions of people will suffer and die for their arrogance and greed doesn’t move them one hair’s breadth.
Yeah, but socialized med gets bernie sanders approval. :>}
I, as well do not see a doctor very often.
> But I do have concerns as to who all has access to these records. Are the death panels going to look at my history and decide I’m too old and sickly to waste valuable resources on?
Just at how much you draw for retirement and how much you pay in for taxes annually. Health - that isn’t a factor as far as they’re concerned. You’re just another number to them.../s maybe not
"Doctors Beware: the Electronic Health Records Debacle WILL Get Much Worse"
Sudafed, 30 mg, 2 by mouth every 6 hours. Mucinex 600 mg, 1 by mouth every 12 hours. Afrin nasal spray, 2 puffs each nostril twice a day for 3 days. Acetaminophen, 500 mg, 2 by mouth every 6 hours. Patient counseled on risks of using combination medications with other medications without carefully reviewing contents.Follow-up ASAP if condition worsens and in 3-4 days if condition is not improving.
Counseled on the risks of taking OTC combination products with the individual products that I am recommending, specifically the risks of potential overdose.
All the patient's questions were answered to their satisfaction the patient indicated they would comply with all instructions include followup.The patient was advised of the potential interaction between prescribed medications and oral contraceptive pills, if appropriate. For patients who are sexually active, back-up contraception was recommended.
The prescription and OTC medications recommended at this visit were discussed with the patient including indications, dosages, common potential side effects, risks and benefits. All questions were answered. The patient agrees to call or return in the event of questions, side effects or other problems.
The patient was warned about the potential sedating side effects of medications prescribed or recommended at this visit. They will avoid driving and any other activities that might result in injury due to sedation while taking this medication(s).
The patient was instructed to follow up here in the next few days if not significantly improved or if there are any new or worsening symptoms.
The patient was instructed to go to urgent care if symptoms worsen and clinic is closed
The patient was instructed to go to the emergency room for any sudden or severe symptoms
The patient was allowed to participate in decision making processes, and is comfortable with the management plan.
Of course they are.
I’m an NP in a box and I can tell you, our EMR is a monster .... It’s probably the number one creator of stress for me at work. I go home physically and mentally exhausted every day.
You DO have to sit there and key in constantly ... We have to “close out” our chart at the end of every visit .... It leaves me NO time to listen or even look at the patient. The try dealing with “glitches” in the system with a sick patient who just wants to pay and get out ..... Patients also tend to natter on a bit during their visits .... Try listening to that while trying to key in piles of intake info .... It’s scrambles your brain like an egg. I can barely converse with anyone aThis the end of the day.
I pray we just being back paper charts and utilize scanning technology ... There are ways to make it work without all the excessive keyboarding!!!!
I am so lucky because I have a great doc—he does everything I ask him to do—LOL!
Must not be EPIC.
No, it's not good. But just wait...soon we'll be hearing about how great it is to have a chip implant that has our medical records on it. After all, what if you are in an accident that incapacitates you? A chip readable by first responders will tell them everything they need to know about your medical history to treat you properly! How great is that?
And then, add to that the fact that the infrastructure has been in place now for some time to allow you to walk into a store, throw a few items into your basket and walk out through an airport security type door without ever having to deal with a clerk? Isn't it great that your bank info is stored on that chip too, so that you don't have to deal with long grocery store lines and grumpy clerks?
It's coming. This is just the very beginning of all of it.
“But just wait...soon we’ll be hearing about how great it is to have a chip implant that has our medical records on it. “
Garbage in, garbage out. Lots of patients might not realize it, but in order to ‘order’ a test or therapy using EMR many of the systems require that you ‘associate’ every order with a specific diagnosis or complaint. Part of this is compliance with ‘meaningful use’, referring to the fact that Medicare and lots of insurance companies don’t want to pay for anything that doesn’t have a pre-validated diagnosis or complaint associated with it.
There are many problems with this, including what gets put in the system, and thus becomes part of your medical record. For instance, there are plenty of patients out there with the diagnosis of ‘coronary artery disease’ somewhere in their record - just because the nurse or technician who was putting the patient into a room put that in to allow the ECG to be billed. Another one is patients who have pulmonary function testing done, and have ‘COPD’ entered into their record.
It’s anything but a panacea. I’m sure there are plenty of programmers out there who could have done an immensely better job, but as it stands a lot of the EMR systems are a nuisance at best, and dangerous at worst.
I have seen ads for clerk-type people with medical experience to follow the doc around and do the entering while the doctor does the examining and dictating. Add another expense to giving and getting medical care.
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