tag:blogger.com,1999:blog-9551150.post3870945527032001233..comments2024-03-28T01:27:23.408-04:00Comments on Health Care Renewal: Washington Post Article: Electronic medical records not seen as a cure-allRoy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-9551150.post-25579926500839346992010-01-19T02:09:54.252-05:002010-01-19T02:09:54.252-05:00You may be surprised at what an EMR can do for red...You may be surprised at what an EMR can do for reducing liability. Improving patient documentation, audit trails, and accuracy would not only reduce incidents of medical errors, but also improve your chances of receiving discounts from liability insurers. To participate in a P4P program, you will need to track and measure your care, and monitor your efficiency of delivering quality care at the Jonathan Paulhttps://www.blogger.com/profile/08112150314696361980noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-50496128044069462962010-01-14T16:44:12.022-05:002010-01-14T16:44:12.022-05:00but my point that EMR improve clinicians´ ability ...<i>but my point that EMR improve clinicians´ ability to help patients manage treatment of complex diseases</i><br /><br />I'm not sure who the "my" refers to.<br /><br />I still don't think my post has been read.InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-15093291847602099492010-01-04T06:42:27.080-05:002010-01-04T06:42:27.080-05:00but my point that EMR improve clinicians´ ability ...but my point that EMR improve clinicians´ ability to help patients manage treatment of complex diseases, including MDR-TB. Due to long treatment and complex drug regimens, MDR-TB is a difficult disease to monitor. With an EMR, treatment adherence and follow-up, as well as changes in medications and drug forecasting are made possible.Allscriptshttp://www.implementhit.comnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-36539541550049741752009-11-02T20:02:28.995-05:002009-11-02T20:02:28.995-05:00I can also note that most of the points I raise in...I can also note that most of the points I raise in my comment above are in my blog posting to which these comments are attached.<br /><br />I would ask commenters to read my posts first, and then respond to specific points I raise.InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-14205676662618479562009-11-02T19:27:51.238-05:002009-11-02T19:27:51.238-05:00Jay Beecham wrote...
I have found that most syste...Jay Beecham wrote...<br /><br /><i>I have found that most systemic problems occur because of poor quality data and resistance from users to the change required by IT systems that generalize processes over an entire industry.</i><br /><br />You assume that the clinician "resistance" to HIT is without significant merit. This is at best an ill-informed position.<br /><br />You also may InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-9396459402553210242009-11-02T12:05:41.661-05:002009-11-02T12:05:41.661-05:00I've been implementing large scale database an...I've been implementing large scale database and business process systems for 12 plus years now. I am also a paramedic, and so somewhat familiar with drug calcs and the basics of medical care, and finally a cancer survivor as well, so well acquainted with disease surveillance and complex care mgmt.<br /><br />Funny - Here and in the WaPo article, people talk about Med IT systems as though theJay Beechamnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-48025170423535710842009-10-25T23:52:08.431-04:002009-10-25T23:52:08.431-04:00Jeremy wrote:
"How can healthcare data pooli...Jeremy wrote:<br /><br />"How can healthcare data pooling lead to a better system?"<br /><br />Agree.<br /><br />Caveat: you need good data, or advanced statistical research on how to account for the wide variations of quality, completeness, interobserver interpretation variances, etc. prevalent in such data. It's as far from RCT data as one can imagine.<br /><br />Research on InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-87609046442968615842009-10-25T23:36:44.871-04:002009-10-25T23:36:44.871-04:00Morrie Foutch wrote:
"our blizzard of concer...Morrie Foutch wrote:<br /><br />"<i>our blizzard of concerns have a tendency to seek perfection at the expense of the good</i>."<br /><br />Morrie, thanks for the comment. I want to clarify that I do not seek anything near "perfection." I do seek relief from flaws that basic good software and human computer interaction engineering and design practices would prevent from everInformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-70024373057128978902009-10-25T17:40:11.388-04:002009-10-25T17:40:11.388-04:00Your blizzard of concerns have a tendency to seek ...Your blizzard of concerns have a tendency to seek perfection at the expense of the good. After having battled to implement a lab system in a large 700 bed consortium in 1980 and succeeding to do so, I have some good "street" feelings about moving ahead. Medical staff and Administration joint committees can protect patient data by fiat. Let's quit dithering and get on with the task.Anonymousnoreply@blogger.com