Posted on 10/23/2013 5:00:19 PM PDT by neverdem
Edited on 10/23/2013 6:38:07 PM PDT by Admin Moderator. [history]
Dr. Nicholas DiNubile, a Philadelphia orthopedic surgeon, has a timely reminder for everyone encountering the federal health-care-exchange meltdown:
(Excerpt) Read more at nationalreview.com ...
Several thoughts —
EMRs *ARE* a good idea.
EPIC *does* act like an 800 pound gorilla, and makes a decent end-to-end solution as long as you buy EVERYTHING from EPIC, and do it their way, NOT following your protocols.
ICD-10 is well-intentioned, but places a big burden on the Provider from a data entry standpoint.
Meaningful Use is not by itself a bad idea, because IF it is ever realized your health records will be your own, and WILL be portable from provider to provider. The P in HIPAA does stand for portability after all.
YMMV.
Yes, Obamacare is an unconscionable, unconstitutional power grab.
But the villain in all this is not so much Obama as it is the all-powerful, Associated Press-driven media.
Without their shameless cheerleading, the average citizen would look at the nuts and bolts of Obamacare and say,”WTF????”
If my doctor wants to enter my data into a system that ever is available to the government, I’ll tell him in advance that I’ll just lie.
When he puts down the mouse we can chat.
Without their shameless cheerleading, the average citizen would look at the nuts and bolts of Obamacare and say,”WTF????”
Totally agree!...The major news/media outlets are nothing more than socialist propaganda machines for the democratic party.
I used to have Kaiser and the Doctor spent way more time looking at the computer screen than she did with me. It would be irritating but I know she worked for them and it was required of her.
She couldn’t recommend some things until she had me go through certain other things first, and admitted to me that it was stupid. Kaiser worked closely with HHS in developing Obamacare.
EMRs also:
1) take up invaluable time entering in more data (this cannot be repeated enough).
2) create reimbursement systems based on what is documented moreso than what is done.
3) are at times unweidly
4) inevitably go down from time to time.
A lot of Dr’s are going to cash only to avoid the cost of EMR
This guy knows what he is talking about and is right on the money.
An EMR is vital to efficient administration of healthcare in a large institution, but the government mandates, PQRS, ICD10, the hideous and damnable "Meaningful Use" crap, and a lot of that stuff with all the government mandates is absolute, bloated garbage that makes it nearly impossible to configure and implement a system that does what it should, which is positively assist in the administration of quality healthcare.
There are a lot of aspects to the changes in healthcare since 2008 that people outside of medicine are largely unaware of, and most of those things are not good.
I was briefly discussing the issue of how the practice of medicine is changing with a physician today and he told me that one of the major issues of doctors is autonomy and how they highly value it.
Most counter-intuitive and bulky, and even an "expert" f%$*s it up when trying to use it.
B/C the Mrs wont let him smoke indoors, he must be living in the WH backyard----puffing away as the O/Care news grows more dire. Ed Henry oughta take a look back there.
When the Washington Redskins report seeing WH "smoke signals"....that's a clue (cackle).
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MORE BAD NEWS In June, the Annals of Emergency Medicine published a study warning that the "rush to capitalize on the huge federal investment of $30 billion for the adoption of electronic medical records led to some unfortunate and unintended consequences" tied to "communication failure, poor data display, wrong order/wrong patient errors and alert fatigue." Also this summer, Massachusetts reported that 60 percent of doctors could not meet the EMR mandate and face potential loss of their licenses in 2015. And a few weeks ago, the American College of Physicians pleaded with the feds to delay the mandate's data collection, certification and reporting requirements.
Now the O/care flesh-eating disease is spreading---and O/Care's "Electronic Medical Records" is DOA. A Philadelphia orthopedic surgeon, has a timely reminder: "If you think signing up for Obamacare is a nightmare, ask your doctor how the EMR mandate is going."
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WAIT'LL DOCTORS SEE THEIR INCOME DEMOLISHED October 2014 will usher in a new diagnosis coding called ICD 10.
Even the CMS official responsible for initiating this monstrosity has admitted that PHYSICIANS NEED TO HAVE ACCESS TO ADEQUATE CAPITAL TO FUND THEIR PRACTICES FOR 6-8 MONTHS as this change will produce almost no revenue for that time period. Will your doctor be bankrupt around January 1, 2015?
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O/CARE'S MASSIVE PRIVACY INVASION Doctors, hospitals, and other health professionals are being pressured to adopt EMR systems and send patient information to the federal government's medical database by 2015. If they don't comply, they'll be penalized with reduced payments for services.This means the "friendly" Obama government will own your personal, private information, and you can do nothing about it.
I had my “annual” physical last week. I put annual in quotes since it was postponed by my Dr. for a year due to scheduling. He told me that he used to put symptoms that were discussed with patients into their files. Now they have to be coded into a data base. The data base has been expanded by Obamacare from a start of about a hundred items until it is now over ten thousand. He has had to hire special technical editors to translate the discussed items into the code. He has also had to expand his scheduling to one hour per patient, not to spend more time with the patients, but to spend time doing the paperwork. Hence, the scheduling issues.
The website is bad enough but this is where 0bamaCare is really going to do some damage. And blowback!
This is not surprising in the least. Read what I wrote about this last March here: http://www.freerepublic.com/focus/news/3000661/posts?page=1#1
They couldn’t do it in 1995 and they can’t do it now.
It could be done of course. But not by a bunch of government twits.
1) take up invaluable time entering in more data (this cannot be repeated enough). *** and ICD-10 makes it FAR worse ***
2) create reimbursement systems based on what is documented moreso than what is done. *** agreed, ironically ICD-10 was supposed to help this. NOT! ***
3) are at times unweidly <— getting better, but yeah.
4) inevitably go down from time to time. <— and paper file get lost/ found/ lost/ found ;-)
I used to work to support an Epic installation. The core code was written 20 years ago in a language called MUMPS.
The VA has an awesome electronic medical record that has been made available FOR FREE, but no one takes them up on it. Why? Even the military won’t use it, which makes no sense to me. I imagine this is all a result of favorite political donors feathering their nests. I remember in the old days when physicians had someone who would do their ancillary documentation for them—now physicians are expected to do everything themselves. Also, as someone who relies on EMR records for research, what happens in real life with these systems is a whole lot of cutting and pasting from previous documentation, and contradictory information between the autofill fields and what they physicians document in their notes.
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