Push for digital health records spark...

Push for digital health records sparks debate

There are 57 comments on the www.dnj.com story from Apr 7, 2009, titled Push for digital health records sparks debate. In it, www.dnj.com reports that:

Kathleen Sebelius, the White House nominee for Health and Human Services secretary, calls the move to computerization "one of the linchpins" of overhauling the nation's health care system. Obama casts it as a factor in the nation's economic recovery, saying going paperless would "save billions of dollars and thousands of jobs."

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“insight for me is past tense”

Since: Feb 08

Clarkdale/Phoenix/Sedona

#43 Apr 8, 2009
McLovin wrote:
<quoted text>
I do know how the health care system works thanks... In the mean time as the computer has crashed and your dying on the table how are they going to retreive the medical records? Have you seen how people have gotten lazy when it comes to things that we once had to do on our own, before computers. Take a look at the 20 somethings you know the ones that always had computers, they are lost when they have to figure out what to do! I heard a teenager once complaining her phone was broke, do know what was wrong with it? IT HAD A BUSY SIGNAL! She had no clue what it was because she has alway lived with call waiting. How about your parts changer oops I mean mechanic, take your car to him and ask him what is wrong when he can't plug his computer in to tell him what part to change. I love what computers have done for us, but people are losing simple skills and knowledge because of them.
No you don't know how the health care system works..or you wouldn't be pointing out such clueless responses.
I really don't have the spare time to write to you idiots..
I truely am' amazed of the weak feeble,Lack of ability to grasp the obvious Goons those of you who question.,"What will we do"..oh oh ho ohoho God..help me..Alarmists in the midst...
MID F'N..cardiac Surgery...the surgeon.can...Believe me,..I'm in the OR all F'N day you stupid goofs..While you might be, DYING?...geezz..Dying..on the table..theres enough criteria,history, and chartable paper work that has the information to Ascertain what to do next...as if the specialists needs a ,"Do This Next" Computer Prompt..
The What if's are getting just Ridiculous..either your for progression..or just a CLUMP.

“insight for me is past tense”

Since: Feb 08

Clarkdale/Phoenix/Sedona

#44 Apr 8, 2009
I Question Everything wrote:
<quoted text>
Well........that sounds just Peachy Keen. You can just SIT in the Dr's office with your heaving chest, runny nose, watery eyes, aching bones, while they call a tech to come in and take the computer apart.......then go take out the hard drive to some company and retrieve the information..........that NO ONE IS SUPPOSED TO SEE, according to the little piece of paper you sign every time you go to the doctor's office.
WHOM do you think (in all your infinite wisdom) would be looking at the information stored on this hard drive?????? Are they able to READ and COMPREHEND when they SEE what is on that hard drive???? Could they possibly MAKE A COPY of everybody's information, and then subsequently try to SELL the information for CASH??????
and the answer is...
Got one? obviously not..
again you are full of bad things..negative things..and alarming ...people for wha???

My credit card has been violated and identity theft more than twice..since i've been on the web..ohh.around 89'
Does that stop me from seeing the direction and secure structure ..MOST are attempting to provide?.
Sure..there's hackers..out there..and the medical records as well Ipod music and etc..will always be vulnerable..And the better answer to this direction..we all will Inevitably go anyway, is?
No answer..from the peanut gallery..Didn't think so.
hey.without digital archive doctors will love all the attention of three or four note taking nurses around the clock..there's a smooth operation.

Whole new meaning to manual/labor-intensive labor.

“Results, one vote at a time!”

Since: Dec 06

Oklahoma City, OK

#45 Apr 8, 2009
Quite frankly, if I'm ever in an emergency medical situation and am unconscious, I would prefer for a doctor to be able to get my medical records electronically IMMEDIATELY to ensure that I don't have any allergies to medication or other maladies that might interfere with care.

I remember being with my grandma at a specialist when she had cancer and her being told that we were going to have to wait a week so that the specialist could get her records. Her records were, literally, across the STREET!!!! I offered to go over there and get them for these folks so that we could get her treatment started NOW, not later.

So do I support electronically available medical records? Yep, I do. I also think that procedures and security should be diligently discussed and thought about prior to implementation.

Since: Sep 08

Columbia, MD

#46 Apr 8, 2009
2ndsight wrote:
<quoted text>
No you don't know how the health care system works..or you wouldn't be pointing out such clueless responses.
I really don't have the spare time to write to you idiots..
I truely am' amazed of the weak feeble,Lack of ability to grasp the obvious Goons those of you who question.,"What will we do"..oh oh ho ohoho God..help me..Alarmists in the midst...
MID F'N..cardiac Surgery...the surgeon.can...Believe me,..I'm in the OR all F'N day you stupid goofs..While you might be, DYING?...geezz..Dying..on the table..theres enough criteria,history, and chartable paper work that has the information to Ascertain what to do next...as if the specialists needs a ,"Do This Next" Computer Prompt..
The What if's are getting just Ridiculous..either your for progression..or just a CLUMP.
Large health care organizations are already doing electronic health records...Kaiser Permanente is already doing it. Prior to surgery the physicians don't flip through paper charts - everything is electronic which protects you in so many ways from reducing infection risks to possible drug interaction. The systems may crash, however it will be seamless to the user - it's called failover. Have you ever done a transaction on your credit card and gone home to check the balanace? Notice the available credit is already reduced before you receive the paper statement. It would also allow a complete view of your entire medical record available to all the health care professionals you allow to access.
McLovin

Chehalis, WA

#47 Apr 8, 2009
OMG Kaiser Permanente should NEVER be an arguement in favor of anything except the destruction of HMO's! I have never dealt with such a breach in the HIPAA laws as Kaiser Permanente, right down to being handed another childs medical records. Do a search of all the lawsuits filed against Kaiser Permanente, its quite facinating.

Regardless of wether your for it or against it in theory, the bigger issue is the government mandating it!

“insight for me is past tense”

Since: Feb 08

Clarkdale/Phoenix/Sedona

#48 Apr 8, 2009
Optimum Health Girl wrote:
<quoted text>
Large health care organizations are already doing electronic health records...Kaiser Permanente is already doing it. Prior to surgery the physicians don't flip through paper charts - everything is electronic which protects you in so many ways from reducing infection risks to possible drug interaction. The systems may crash, however it will be seamless to the user - it's called failover. Have you ever done a transaction on your credit card and gone home to check the balanace? Notice the available credit is already reduced before you receive the paper statement. It would also allow a complete view of your entire medical record available to all the health care professionals you allow to access.
Yes, i'm completely digital at work
Centricity as EMR and the Kardia for software to do Physician automated transcription.
images are with a phoenix large group called,"Dicomgrid" they archive all the images and hold Nuclear,Cath,CT,Echo,Vascular ultrasound. and physician,NPc and the Pa's dictations.
Kaiser has nothin on this practice..lol..we'll even do flips backwards to assure Mayo is a step behind us..
automated transcription and email to fax results..less than two hours from exam and or visit...but,we're small compared to mayo and kaiser..cheaper and easier to secure..my son is a systems admin..history of hack abilities..tells me..it takes one to know one..
Linux servers with no worms and or way to corrupt the program. MS needs to release a new Medical secure software that runs away from mac addresses and so forth to avoid the corupt adware..it's coming..and the future will attain quality EMR with reasonable safe HIPPa regulation.
I personally don't get the fear of, who care what my records contain/..but i'm probably de-sensitized with too many years in the medical world..
but ,folks who seek to talk silly circles on digital safeness..just appear old news and outright antique to me?.

“A Nation of Legal Immigrants”

Since: Nov 07

Lake City Florida,/ Nebraska

#49 Apr 9, 2009
Okie Lobbyist wrote:
<quoted text>
You mean, kinda like illegal immigrants who won't go to hospitals for fear of being incarcerated? Good thing none of them has had something like Ebola or some other virulent pathogen.
Most Hospitals I've went to are full of people that can't speak English and have no insurance. Some just might be illegal aliens. They also seem to have no concerns about being "Incarcerated" when they hit the welfare office!
YouHelpFixIt

Scottsdale, AZ

#50 Apr 9, 2009
Okie Lobbyist wrote:
<quoted text>
You mean, kinda like illegal immigrants who won't go to hospitals for fear of being incarcerated? Good thing none of them has had something like Ebola or some other virulent pathogen.
That's human behaviour for you. You can pass all the laws you want but some people are just going to not get appropraite care to keep it off the record whenever they can.

Privacy, or at least the expectation (real or not) of privacy is key to getting the appropraite care at the right time with EHRs or without. Mental health care professionals and chemical dependency treatment providers have been trying to destygmatize use of their services but their is still a significant portion of the people who need these services that refuse treatment or refuse to use there health insurance for this type of treatment because of privacy fears.

Almost every one of the studies that says we could save time, money, and lives with universal adoption of EHRs completly ignores any of the possible negative impacts and most folks that sell, maintain, or implement EHR systems will not tell you anything about the potential for abuse, not that I would expect them to. What I would like to see is some honest reporting, instead of news stories that simply reword a government, industry, or acedemic study that was designed to support the adoption of EHRs. I would also like to see some real inovation in maintaining privacy in EHRs or the banking system. One of the easy things that some credit card companies did was to put a picture of the cardholder on the card. I thought that was smart, but I rarely see it anymore.

“Tell the Truth”

Since: Nov 07

Orlando, Florida

#51 Apr 9, 2009
Optimum Health Girl wrote:
<quoted text>
Large health care organizations are already doing electronic health records...Kaiser Permanente is already doing it. Prior to surgery the physicians don't flip through paper charts - everything is electronic which protects you in so many ways from reducing infection risks to possible drug interaction. The systems may crash, however it will be seamless to the user - it's called failover. Have you ever done a transaction on your credit card and gone home to check the balanace? Notice the available credit is already reduced before you receive the paper statement. It would also allow a complete view of your entire medical record available to all the health care professionals you allow to access.
It's not the hospital and medical personnel I'm concerned about. It's the availability of the records to those who should not have them, but eventually will.

Example: years ago your credit/banking history was only available to YOU and your bank. Period. You had to give signed permission for a mortgage company to see your credit history.

Now, every Joe Blow and his brother can get your credit history. Even employers, which for the life of me, I can't understand what business that is of theirs.

The same will eventually hold true of medical records. Employers and potential employers will use YOUR health records as reason for dismissal or non-hiring. If you have ANY, and I mean, any health issue whatsoever, you will find it next to impossible to get a job because employers are trying to scale back on healthcare costs.

These electronic records will NOT be kept solely for medical purposes. They will, in time, be used against US in ways that will benefit big business but do harm to everyone else.

“A Nation of Legal Immigrants”

Since: Nov 07

Lake City Florida,/ Nebraska

#52 Apr 10, 2009
I Question Everything wrote:
I just can't imagine why an avid Obama-ramma voter would want EVERYONE in the WORLD to have access to their health records..........simply because THEY HAVE SO MUCH TO HIDE.
Remember folks........this won't be just for the "Other" people......you know.........
I hope you all are really happy when you are DENIED HEALTHCARE......because you are too old or maybe young, but too sick, and it is considered "TOO EXPENSIVE" for you to have the medication or the operation that you need to recover. You should be happy with the GOVMINT BEAUROCRAT who will be "Deciding" whether you LIVE or whether you DIE.
I hope you are all happy with these decisions you have made by voting in a COMMUNIST DICTATOR for president.
Notes from England:

Don't they have Universal Health Care?

"At four out of six mental health trusts examined in England decisions were based as much on age as clinical need, the Healthcare Commission found.

Out-of-hours, alcohol and crisis services, and psychological therapies were often unavailable to the over 65s.

A body representing trusts said new policies would benefit older patients.

Healthcare Commission chief executive Anna Walker called the findings "unacceptable".


The date on a birth certificate should not be the measure of whether or not someone receives the help they need
Kate Jopling of Help the Aged

The research showed that older people were often prevented from accessing care because of stretched services or a lack of age-appropriate care.

Some staff said patient groups considered to be of high risk to the public or where government targets were applicable were often prioritized, leaving older people's services lagging behind with little funding."

http://news.bbc.co.uk/1/hi/health/7972617.stm
Chilled Out

Vandergrift, PA

#53 Apr 13, 2009
2ndsight wrote:
<quoted text>
No you don't know how the health care system works..or you wouldn't be pointing out such clueless responses.
I really don't have the spare time to write to you idiots..
I truely am' amazed of the weak feeble,Lack of ability to grasp the obvious Goons those of you who question.,"What will we do"..oh oh ho ohoho God..help me..Alarmists in the midst...
MID F'N..cardiac Surgery...the surgeon.can...Believe me,..I'm in the OR all F'N day you stupid goofs..While you might be, DYING?...geezz..Dying..on the table..theres enough criteria,history, and chartable paper work that has the information to Ascertain what to do next...as if the specialists needs a ,"Do This Next" Computer Prompt..
The What if's are getting just Ridiculous..either your for progression..or just a CLUMP.
Go back to smoking your crack pipe you goof!

“insight for me is past tense”

Since: Feb 08

Clarkdale/Phoenix/Sedona

#54 Apr 20, 2009
Chilled Out wrote:
<quoted text>
Go back to smoking your crack pipe you goof!
i was gonna tell ya to go crawl in a hole..
But, I see you already live in one..
woop! pittsburg.PA
hey...ya got a light?.D weed.
Chilled Out

Jackson Center, PA

#55 Apr 21, 2009
2ndsight wrote:
<quoted text>
i was gonna tell ya to go crawl in a hole..
But, I see you already live in one..
woop! pittsburg.PA
hey...ya got a light?.D weed.
Proof of your stupidity is very obvious. Because
"Pittsburgh" is listed does not mean I reside there..........
brainless one.
Joe

Longwood, FL

#56 Apr 24, 2009
Just think, some federal bureaucrat can peruse your medical records, leak them onto the internet, sell them, use them for medical billing fraud,....there's all kinds of uses for your personal medical records to be in the hands of the government!
Joe

Longwood, FL

#57 Apr 24, 2009
Donna Atlanta GA wrote:
<quoted text>
It's not the hospital and medical personnel I'm concerned about. It's the availability of the records to those who should not have them, but eventually will.
Example: years ago your credit/banking history was only available to YOU and your bank. Period. You had to give signed permission for a mortgage company to see your credit history.
Now, every Joe Blow and his brother can get your credit history. Even employers, which for the life of me, I can't understand what business that is of theirs.
The same will eventually hold true of medical records. Employers and potential employers will use YOUR health records as reason for dismissal or non-hiring. If you have ANY, and I mean, any health issue whatsoever, you will find it next to impossible to get a job because employers are trying to scale back on healthcare costs.
These electronic records will NOT be kept solely for medical purposes. They will, in time, be used against US in ways that will benefit big business but do harm to everyone else.
So very true. But Obama will try and convince all the Obama kool aid drinkers in Congress and the Obama Fan Club aka the mass media that this is all to save money blah blah blah blah blah. Baloney, this information will be as readily available as your voter information, your property ownership, and your driver's license info. The government will probably even try and sell to drug companies so they can target market you.
Joe

Longwood, FL

#58 Apr 24, 2009
Okie Lobbyist wrote:
Quite frankly, if I'm ever in an emergency medical situation and am unconscious, I would prefer for a doctor to be able to get my medical records electronically IMMEDIATELY to ensure that I don't have any allergies to medication or other maladies that might interfere with care.
I remember being with my grandma at a specialist when she had cancer and her being told that we were going to have to wait a week so that the specialist could get her records. Her records were, literally, across the STREET!!!! I offered to go over there and get them for these folks so that we could get her treatment started NOW, not later.
So do I support electronically available medical records? Yep, I do. I also think that procedures and security should be diligently discussed and thought about prior to implementation.
If you are that concerned about a one in a million situation like that then wear a medical id bracelet. If you have some quirky health problem you should do that anyway. Don't force their Orwellian baloney on the rest of us because you have a fear of an MD needing to know you're allergic to some drug or another.
Joe

Longwood, FL

#59 Apr 24, 2009
And Grandma could have walked across the street (with your help) and just picked up her records and taken them to the other MD's office. No need to wait at all. Why is going over to get your records such a major production.

If you move from one city to the another or change family MD's you should do that on your own anyway. Again, no big deal, and it ensures your records remain private. No dopey federal bureaucrat snooping around.

Less government is better government. The more control you let them have over you the more they'll take. They're like a cancer.

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