For a while now we’ve been talking about issues related to psychiatry and electronic medical records. Roy is very interested in the evolution of EHR’s.
I don’t like them. I think they have too many problems still, both in terms of issues of efficiency and time, and how they divert the physician’s attention away from the patient, and they focus medical appointments on the collection of data– data that is used in a checkbox form: patient is not suicidal and I asked, whether it was clinically relevant or not– and will therefore serve as protection in a lawsuit, or demographic information used by insurers, the government, who knows.
From a privacy standpoint, I think they are appalling. If you are a patient in the hospital where I work, you get Read more »
*This blog post was originally published at Shrink Rap*
Our ailing economy has boosted the number of people who are unemployed, without health insurance or with minimal coverage. The popularity of high deductible health plans is soaring as employers and individuals look for affordable insurance. Twenty-nine percent of bankruptcies are said to be caused by medical bills. Many of us now choose health care services and providers carefully, trying to stay within tight budgets.
The American people, long protected from the price of health care by insurance, are now forced to act as consumers. This situation is a free marketer’s dream. According to this model, we will rationally calculate the price/quality trade-offs of each doctor visit, procedure, test and drug. We will stop overusing services. We will demand better care. And the result will be reduced health care costs for the nation while the quality of care and the health of individuals will remain the same, if not improve.
There’s nothing like a good theory.
But the theory can only be tested if a) It’s easy to find publicly reported, relevant quality information about the services we need, matched with what we would pay out of pocket; and b) We use that information as the basis of our health care decisions. Neither of these conditions can be met today.
A new Cochrane review Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
At this past October’s Health 2.0 meeting in San Francisco, many great new ideas about the future of healthcare were presented with a special emphasis on technology. For a great overview check out the keynotes by Jeff Goldsmith & Tim O’Reilly. The conference, organized by Matthew Holt & Indu Subaiya started in 2007 and bills itself as the “the leading showcase of cutting-edge technologies in healthcare.” Those not lucky enough to attend the conferences can follow along on the Health 2.0 blog.
Besides exploring the overarching themes of the future of healthcare in general and health IT in particular, many innovative companies, young and old, gave on-stage demos at the conference. One demonstration in particular stood out for me. This was the demo by the Accelerator Apps Network which showed the future of interconnected companies and applications seamlessly exchanging patient information. The Health 2.0 Accelerator Apps Network is a non-profit industry consortium launched by the Health 2.0 company. Read more »
*This blog post was originally published at iMedicalApps*
There are three Internets. Here’s some Venn goodness (note that “The” was spelled “Teh” on purpose):
When it comes to “sEMR” (Social EMR), we are somewhere in the middle of the Web of “People” and the Web of “Things,” in case you’ve been wondering. Read the rest of the story over on Health Is Social.
*This blog post was originally published at Phil Baumann*
Hospitals nationwide are racing against the clock to ensure their health IT systems meet meaningful use guidelines. The incentive? Money, of course. Systems that meet certain criteria make doctors eligible for up to $44,000 in bonus money from the government.
As mentioned on this blog previously, implementing an electronic health system is difficult. The usability of the current generation of electronic health records (EHRs) is still relatively primitive, especially when compared to other industries, and the disruption in workflow is undeniable. Worse, there seems to be a lack of trained IT professionals to do the job.
In a recent piece from American Medical News:
60% of hospital IT executives believe tech staffing shortages, which some estimate to be a shortfall of 50,000 qualified IT professionals, will definitely or possibly affect their chances to achieve meaningful use.
It’s a problem. Read more »
*This blog post was originally published at KevinMD.com*