I recently took a job with a rural clinic. Medical records exchange is essentially faxes. There isn’t any credible industry data interchange standard to transfer records and, if there was, it would have been made obsolete by the recent move to icd10.
Best part is we don’t have the staff or time to do anything to those faxes besides import them into the ehr as pdfs. The details seldom if ever make it into the patient record. So instead of practicing medicine, the provider’s are scanning through multi-hundred page pdfs looking for info.
Which is why I request copies of all my test, hard to get some of them. Had some lost along the way. That way I can hand it to the next doctor I need to see. Have a carry sack with the latest stuff to had him/her.
Mostly to keep my Primary who does not use a computer informed of new test data. I just hope he comes back from sick leave. I’d hate to have to change Primary’s. I took an instant dislike to his partner, one of those by the book Insurance docs. 5 mins, out the door. I have to drive 80 mins or more round trip to see doctors as we live rural and most all the doctors for adults are in Memphis. Not in rural Tipton Co. 1 GP, 1 Pediatric and 1 foot doc. 1 NPA at the Little Clinic at Kroger’s for minor stuff.
Lack of training when sent for test is the worse part of 0’care. Been their victim to many times you are supposed to be trained to access veins to put in IV Pick lines, and you shove the needle all the way through the vein twice...not well trained at all. Letting your patient walk out totally dehydrated is dangerous.