tag:blogger.com,1999:blog-9551150.post3395292620501224752..comments2024-03-28T01:27:23.408-04:00Comments on Health Care Renewal: From a Senior Clinician Down Under: Anecdotes and Medicine, We are Actually Talking About Two Different ThingsRoy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-9551150.post-21645282859948389282011-08-27T21:36:57.335-04:002011-08-27T21:36:57.335-04:00Off the record, Aussie government Health IT people...Off the record, Aussie government Health IT people will tell you the projects there are a disaster with vendors running amuck. One mid level manager just told me that yesterday. S/He'd never say that of course on the record because s/he knows he'd be let go at the next disconnected opportunity or flatlined. Force fitting generalized Cerner into the Eye and Ear specialty was a Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-30847868865098999012011-08-23T23:25:53.909-04:002011-08-23T23:25:53.909-04:00I spoke to a young man who voted for hope and chan...I spoke to a young man who voted for hope and change last time. Now he says he doesn't see why he should pay taxes just so that money can be spent by the NIH forcing researchers to spend 75% of their time on grant writing leaving less than 25% for actual research.<br /><br />He was disgusted with the way the system talks about all these high ideals yet when push comes to shove it is always Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-33338211542343123582011-08-22T20:56:06.812-04:002011-08-22T20:56:06.812-04:00I would like to thank Jon Patrick for his flatteri...I would like to thank Jon Patrick for his flattering comments. I have read his editorial at ACI and it should be prescribed reading for all Health bureaucrats, Politicians, Hospital CEOs and CIO's and Boards.<br /><br />I have also recently come across the work of Barbara Tuchman and her reflections on Government policy persistently pursued against their own real interests. Her definition of Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-62483830381504094842011-08-21T09:40:12.312-04:002011-08-21T09:40:12.312-04:00The evidence showing benefit for HIT in medical ca...The evidence showing benefit for HIT in medical care is anecdotal and evangelical.<br /><br />The epidemiological studies published to date do not demonstrate any benfit in costs or outcomes.<br /><br />The US government is wasting $ billions, that will go to $ trillions when all expenditures for wiring doctors and hospitals (eg attendant maintenance, employee, and loss of productivity costs)are Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-65242674606407987362011-08-18T11:37:01.612-04:002011-08-18T11:37:01.612-04:00Jon Patrick said...
Whilst many writers have poin...Jon Patrick said...<br /><br /><i>Whilst many writers have pointed out that the quality of HIT has to be determined by among other things its RISK, it may well be that the ultimate generalisation is that all aspects of HIT point back to risk, despite all the arguments that it points to increased productivity.</i><br /><br />Jon,<br /><br />I knew you would find this post of interest.<br /><br />InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-83382615947126494622011-08-17T19:34:52.339-04:002011-08-17T19:34:52.339-04:00As individual cases, the deaths from EMR and CPOE ...As individual cases, the deaths from EMR and CPOE systems were referred to as anecdotes by former ONC Director, David Blumenthal. <br /><br />When an analysis of the care of the dead patients is performed, there are connecting threads. ie patterns to the deaths. Very simply, the patients died from neglect, abject neglect. <br /><br />The complex user unfriendly EMRs and CPOEs were the object of Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-31881396773599748552011-08-17T19:21:01.113-04:002011-08-17T19:21:01.113-04:00The distinction between methodologies of risk mana...The distinction between methodologies of risk management and medical science is a vitally important distinction I have not seen previously so clearly enunciated as presented by this author. It constitutes a resounding complementation to my editorial on personal experience published in the ACI earlier this year http://aci.schattauer.de/en/contents/archive/issue/1124/manuscript/15463/show.html.<br Jon Patrickhttp://sydney.edu.au/engineering/it/~hitru/index.php?option=com_content&task=view&id=91&Itemid=146noreply@blogger.com