tag:blogger.com,1999:blog-18943510.post5224335755001935337..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: The Health Information Legacy ProblemDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-18943510.post-25193604868608367252009-04-18T10:22:00.000-05:002009-04-18T10:22:00.000-05:00csibona,
Why don't you work your way through this...csibona,<br /><br />Why don't you work your way through this bunch of references(at the bottom of this post) and let me know what you think.<br /><br />I don't know why you find my statements so confusing, but for the sake of argument let me simplify.<br /><br />1. EMR is a complex new technology that has only been introduced in the medical field in the past 10-20 years<br />2. Like most new Keith Sarpolisnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-41419376752104082512009-04-16T00:31:00.000-05:002009-04-16T00:31:00.000-05:00Hmm, the pediatrics link works for me - I just cut...Hmm, the pediatrics link works for me - I just cut and paste into a browser. You can try:<br />http://pediatrics.aappublications.org/cgi/content/full/111/3/626<br />or:<br />http://pediatrics.aappublications.org/cgi/reprint/111/3/626<br />It sounds to me like you should have access to an online medical library anyway. I posted the title:<br />Use of an Electronic Medical Record Improves the Unknownhttps://www.blogger.com/profile/11043381005414947887noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-64308625590188157892009-04-15T20:08:00.000-05:002009-04-15T20:08:00.000-05:00Dear csiboana,
You only gave one link in your fir...Dear csiboana,<br /><br />You only gave one link in your first post to pediatrics .org. I can't get it to work!<br /><br />As to your other comments, usually when someone proposes a new treatment or technique, the onus is on that person to prove what the benefit of their technique; not for others to disprove that it doesn't work. The fact that many practices are using IT systems does not Keith Sarpolisnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-29699774137395440022009-04-15T12:11:00.000-05:002009-04-15T12:11:00.000-05:00Cat said:
As long as businesses are financially r...Cat said:<br /><br />As long as businesses are financially rewarded by creating "exclusive" programs that are outdated by the upgrades they later create, we won't ever have systems that interface and communicate with each other.<br /><br />Companies are rewarded by creating new features to their software that companies want to use and are willing to purchase. The software companies are not Unknownhttps://www.blogger.com/profile/11043381005414947887noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-69080848153318673342009-04-14T23:16:00.000-05:002009-04-14T23:16:00.000-05:00Keith,
First, which link does not work? I checked...Keith,<br /><br />First, which link does not work? I checked them both twice here and they both work on my computer without special access. Your mileage may vary.<br /><br />Second - You say, "we could go on and on quoting studies showing both sides." The funny thing is I actually put the links to the studies or the detailed information on how to get to the studies. I posted three. You Unknownhttps://www.blogger.com/profile/11043381005414947887noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-43584091129568654542009-04-14T22:58:00.000-05:002009-04-14T22:58:00.000-05:00Well this healthcare provider, who has been using ...Well this healthcare provider, who has been using an EHR for more than a decade, literally walked out during a consult with a newly minted sub-specialty doc today. He introduced himself and said he had reviewed my record before coming in to meet me (I have chronic medical conditions, had major surgery last fall at an institution other than where this consultant was located). I made sure my Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-7051159127648479882009-04-14T22:23:00.000-05:002009-04-14T22:23:00.000-05:00ER doc pages me.
Patient in with chest pain. Thi...ER doc pages me.<br /><br />Patient in with chest pain. Thinks she had a cath at another hospital, but no records available. ER doc wants to admit.<br /><br />I hop on my laptop. In a couple of minutes I have report. "Normal Cors" at hospital X.<br /><br />Patient goes home. <br /><br />I'm happy. ER doc is happy. Patient is happy. We just saved a ton of money for the health care system.<Jayhttps://www.blogger.com/profile/10897176780069403370noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-16379555977080935202009-04-14T20:23:00.000-05:002009-04-14T20:23:00.000-05:00PS Keith, those redundant EMR notes full of useles...PS Keith, those redundant EMR notes full of useless copy DRIVE ME CRAZY!<br /><br />I love it when I see an "old timer" doc who writes in narrative style. "Ah, a story I can sink my teeth into!" <br /><br />These are the notes actually worth reading.<br /><br />~catherineAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-52330525557343402442009-04-14T20:08:00.000-05:002009-04-14T20:08:00.000-05:00As long as businesses are financially rewarded by ...As long as businesses are financially rewarded by creating "exclusive" programs that are outdated by the upgrades they later create, we won't ever have systems that interface and communicate with each other. Planned obsolescence almost killed the American auto industry, and Microsoft is filling landfills with our private data and hardware...<br />~catAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-29683766502649529932009-04-14T18:43:00.000-05:002009-04-14T18:43:00.000-05:00Dear Csibona,
First off, the link you gave does n...Dear Csibona,<br /><br />First off, the link you gave does not seem to work. Having searched the literature on a few ocasions in the area, there are indeed a spackling of studies suggesting improved care or "quality", however there have been recent studies intoducing EMR at a pediatric hospital showing that the mortality rate actually went up after the EMR was brought on line. More recently, Keith Sarpolisnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-1388456925906766322009-04-14T18:03:00.000-05:002009-04-14T18:03:00.000-05:00Dr. Wes,
Yes, I was not addressing your comment I...Dr. Wes,<br /><br />Yes, I was not addressing your comment I was addressing Keith Sarpolis who said, "The health IT lobby is selling our politicians a pipe dream!"<br /><br />But you're right, I have yet to see a study that says that patient outcomes are improved through the use of EMR or even that clinical decision support systems makes an improvement to patient outcomes. There are other Unknownhttps://www.blogger.com/profile/11043381005414947887noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-42405826867465684932009-04-14T17:35:00.000-05:002009-04-14T17:35:00.000-05:00csibona-
But I simply would not call Health IT a ...csibona-<br /><br /><I>But I simply would not call Health IT a pipe dream. There are many functioning EHR systems out there. Patients do not appear to have any preference for or against physicians who use EHR. There are studies that show that EHR improves some things like comprehensiveness.</I>I am not calling Health Care IT a pipe dream. On the contrary, it is the platform upon which we are DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-32479746035908689512009-04-14T17:25:00.000-05:002009-04-14T17:25:00.000-05:00The upgrade path for any software project can be p...The upgrade path for any software project can be problematic. But I simply would not call Health IT a pipe dream. There are many functioning EHR systems out there. Patients do not appear to have any preference for or against physicians who use EHR. There are studies that show that EHR improves some things like comprehensiveness. <br /><br />Use of an Electronic Medical Record Improves the QualityUnknownhttps://www.blogger.com/profile/11043381005414947887noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-993356829305908682009-04-14T07:23:00.000-05:002009-04-14T07:23:00.000-05:00You reference all the reasons that we docs in smal...You reference all the reasons that we docs in smallr groups are scared to death of adopting a specific system. Many of the big players are judged to run on platforms that may not be abl to talk to other systems in the future. Many have not been time tested to assure that they work the ways they are supposed to and are works in progess. You don't know this till you start using the software. Keith Sarpolisnoreply@blogger.com