Flint |
02-15-2009 10:00 PM |
a "national electronic medical record"
People, here's the reality: you can't even pull up your x-rays from hospital A while you're at hospital B, even if hospital B is right across the street--much less another state. The two simplest reasons that spring to mind are NOT because we haven't invested billions into healthcare IT (because, believe me, we have).
They are: #1 Hospitals view your medial information as proprietary business data. Sure, you can sign a HIPAA form to get the data released, but they sure aren't going to let a BUSINESS COMPETIOR (i.e. another hospital) have free, unfettered access to data that they had to make an investment of time and money generate. To put it simply: HOSPITALS DO NOT WANT TO SHARE YOUR MEDICAL RECORDS. It's not a smart business choice.
And: #2 If the hundred hospitals from this county, and the next, and the next, and the thousands from the next state over, and so on and so forth, wanted to share your medical records... HOW WOULD THEY KNOW WHO YOU ARE? We are still struggling with getting every department WITHIN THE SAME FACILITY to use a common medical record number. It's not that the interoperability standards aren't attempting to deal with this, but what good are these efforts when the technology vendors fight to maintain the proprietray nature of their systems, so that you are compelled not to purchase another brand, lest you have to deal with a costly migration to untangle all the proprietary data you've been storing?
This is just an off-the-cuff rant; but the point is that this kind of thing IS MY JOB. This is what I do every day. There is no magic solution that a few billion dollars or a few hundred billion dollars is going to bring about. The healthcare industry is designed NOT to share data.
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