Comments on: There is no such thing as a comprehensive health record http://www.healthcareguy.com/2008/09/16/advice-for-implementing-ehrs-emrs-and-phrs/ Shahid's healthcare IT, EMR, EHR, PHR, medical content, and document managment advisory service. Enjoy. Thu, 02 Sep 2010 23:50:08 +0000 http://wordpress.org/?v=2.9.2 hourly 1 By: Ron Urwongse http://www.healthcareguy.com/2008/09/16/advice-for-implementing-ehrs-emrs-and-phrs/comment-page-1/#comment-744 Ron Urwongse Wed, 17 Sep 2008 04:58:08 +0000 http://www.healthcareguy.com/index.php/archives/441#comment-744 Agreed that these are all views of the same type of data. The challenging goal is to have a centralized system of record. While nobody owns all of your financial data, there are systems of record like credit scoring agencies and the IRS that require standardized data on every business and individual's financial situation. Will there be a system of record? Too many players, yes that's correct. Detailed and voluminous need not matter if we can decide on standards. Agreed that these are all views of the same type of data. The challenging goal is to have a centralized system of record. While nobody owns all of your financial data, there are systems of record like credit scoring agencies and the IRS that require standardized data on every business and individual’s financial situation.

Will there be a system of record? Too many players, yes that’s correct. Detailed and voluminous need not matter if we can decide on standards.

]]> By: David de Bhal http://www.healthcareguy.com/2008/09/16/advice-for-implementing-ehrs-emrs-and-phrs/comment-page-1/#comment-743 David de Bhal Wed, 17 Sep 2008 00:16:57 +0000 http://www.healthcareguy.com/index.php/archives/441#comment-743 It is OK to say that but when you need care you need the best you can get. Some are obviously better than others but when the record is patient oriented rather than user oriented you have a better chance. No point in having your credit card only when you require a home loan. And you can bet your bottom dollar that when the bank wants to consider a loan (especially these days) they will have as much information as they possibly can to consider your application because if they get it wrong it costs them unlike physicians or hospitals. Most mistakes in medicine are made not by not knowing but by not looking. Most neglect is now from not managing people and their healthcare properly. Remember the aviation industry 60 to 70 years ago - it was nowhere near as safe as now. Contrarily medicine is not nearly as safe and I cannot believe that physicians do not routinely check drug interactions with electronic prescribing. Double, triple data entry is so ridiculous and that is where many of the errors and the '98,000' avoidable deaths occur. It is not rocket science to produce a health record - and not just an extract as the Googlers and Microsofts are doing - but a progressive record which will have to be controlled by the patient who travels with the record if it is virtual. Imagine anybody keeping a log book for the car at the mechanic's workshop. Of course, these definitions are for the geeks who are becoming as prodigious as the healthcare managers who are, largely, responsible for the massive increases in healthcare costs in the US. The KISS principle needs to be invoked. It is OK to say that but when you need care you need the best you can get. Some are obviously better than others but when the record is patient oriented rather than user oriented you have a better chance. No point in having your credit card only when you require a home loan. And you can bet your bottom dollar that when the bank wants to consider a loan (especially these days) they will have as much information as they possibly can to consider your application because if they get it wrong it costs them unlike physicians or hospitals.
Most mistakes in medicine are made not by not knowing but by not looking. Most neglect is now from not managing people and their healthcare properly.
Remember the aviation industry 60 to 70 years ago – it was nowhere near as safe as now. Contrarily medicine is not nearly as safe and I cannot believe that physicians do not routinely check drug interactions with electronic prescribing. Double, triple data entry is so ridiculous and that is where many of the errors and the ‘98,000′ avoidable deaths occur.
It is not rocket science to produce a health record – and not just an extract as the Googlers and Microsofts are doing – but a progressive record which will have to be controlled by the patient who travels with the record if it is virtual.
Imagine anybody keeping a log book for the car at the mechanic’s workshop.
Of course, these definitions are for the geeks who are becoming as prodigious as the healthcare managers who are, largely, responsible for the massive increases in healthcare costs in the US.
The KISS principle needs to be invoked.

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