1-1banner
 
medpundit
 

 
Commentary on medical news by a practicing physician.
 

 
Google
  • Epocrates MedSearch Drug Lookup




  • MASTER BLOGS





    "When many cures are offered for a disease, it means the disease is not curable" -Anton Chekhov




    ''Once you tell people there's a cure for something, the more likely they are to pressure doctors to prescribe it.''
    -Robert Ehrlich, drug advertising executive.




    "Opinions are like sphincters, everyone has one." - Chris Rangel



    email: medpundit-at-ameritech.net

    or if that doesn't work try:

    medpundit-at-en.com



    Medpundit RSS


    Quirky Museums and Fun Stuff


    Who is medpundit?


    Tech Central Station Columns



    Book Reviews:
    Read the Review

    Read the Review

    Read the Review

    More Reviews

    Second Hand Book Reviews

    Review


    Medical Blogs

    rangelMD

    DB's Medical Rants

    Family Medicine Notes

    Grunt Doc

    richard[WINTERS]

    code:theWebSocket

    Psychscape

    Code Blog: Tales of a Nurse

    Feet First

    Tales of Hoffman

    The Eyes Have It

    medmusings

    SOAP Notes

    Obels

    Cut-to -Cure

    Black Triangle

    CodeBlueBlog

    Medlogs

    Kevin, M.D

    The Lingual Nerve

    Galen's Log

    EchoJournal

    Shrinkette

    Doctor Mental

    Blogborygmi

    JournalClub

    Finestkind Clinic and Fish Market

    The Examining Room of Dr. Charles

    Chronicles of a Medical Mad House

    .PARALLEL UNIVERSES.

    SoundPractice

    Medgadget
    Health Facts and Fears

    Health Policy Blogs

    The Health Care Blog

    HealthLawProf Blog

    Facts & Fears

    Personal Favorites

    The Glittering Eye

    Day by Day

    BioEdge

    The Business Word Inc.

    Point of Law

    In the Pipeline

    Cronaca

    Tim Blair

    Jane Galt

    The Truth Laid Bear

    Jim Miller

    No Watermelons Allowed

    Winds of Change

    Science Blog

    A Chequer-Board of Night and Days

    Arts & Letters Daily

    Tech Central Station

    Blogcritics

    Overlawyered.com

    Quackwatch

    Junkscience

    The Skeptic's Dictionary



    Recommended Reading

    The Doctor Stories by William Carlos Williams


    Pox Americana: The Great Smallpox Epidemic of 1775-82 by Elizabeth Fenn


    Intoxicated by My Illness by Anatole Broyard


    Raising the Dead by Richard Selzer


    Autobiography of a Face by Lucy Grealy


    The Man Who Mistook His Wife for a Hat by Oliver Sacks


    The Sea and Poison by Shusaku Endo


    A Midwife's Tale by Laurel Thatcher Ulrich




    MEDICAL LINKS

    familydoctor.org

    American Academy of Pediatrics

    General Health Info

    Travel Advice from the CDC

    NIH Medical Library Info

     



    button

    Thursday, July 20, 2006

    The Center of the Health IT Universe: That would be the federal government which has just announced its first stamp of approval for electronic medical records systems. (Someone tell the Ohio Board of Pharmacy. They still labor under the impression that approval is their perogative. )

    Interestingly, the list of CCHIT approved software tilts heavily toward the very expensive. Which brings up the matter of cost and who will pay:

    In response to a question from the audience on the cost of certification to vendors, and ultimately to physicians and then consumers, HHS' Leavitt said, "The incremental increase in cost for a physician to have a certified system will be very small, but the incremental value it creates for patients and for medicine and health care in general cannot be measured."

    Leavitt also acknowledged that the people who are expected to make the investment in EHRs -- physicians -- may not reap the financial benefit. "That dilemma is one we're having to deal with as a country," he said. "I feel confident that in time there will be ways in which society in general, and the government specifically, will find ways to help physicians adopt health IT."


    Translation: "The cost will fall on the doctors and we don't care."

    The HHS is bent on adopting "pay for performance" as the model for Medicare reimbursement. To do that, they need doctors to have EMR's that can be easily mined for data by Medicare. How will they achieve that goal? By requiring doctors to have government-certified electronic medical records. (And people think that tracing phone calls is data mining. They haven't seen anything yet.) They haven't taken that step yet, but it will be next. As sure as summer follows spring.
     

    posted by Sydney on 7/20/2006 09:26:00 AM 2 comments

    2 Comments:

    My first clinicals were done at a small town hospital that had gone electronic. It was very user friendly and the entire chart and up to the minute labs were right at your fingertips. The real "issue" (the only one the nurses really complained about) was the requirement that the nurses choose and enter NANDAs, NICs and NOCs. (something that hadn't been done since nursing school for many of the nurses)Obviously this data would be used for cost tracking eventually, which made many of the docs ans nurses nervous for some reason.

    By Blogger Intelinurse2B, at 10:37 AM  

    Absolutely! And that's what's happening in the UK

    Other than those commies paid the GPs for the computers and are giving them bonuses for the P4P stuff....neither likely here!

    By Anonymous Matthew, at 1:22 AM  

    Post a Comment

    This page is powered by Blogger, the easy way to update your web site.

    Main Page

    Ads

    Home   |   Archives

    Copyright 2006