Spending for health care - Page 9

TGRR · 02-20-2009, 07:39 PM

Quote:

Originally Posted by TheMercenary

I promise you, big gobberment is not the answer. Talk about a long sorid history of totally screwing things up. You should know that better than anyone.

Big business isn't the answer, either.

Join us, Comrade...don't be afraid...

Flint · 02-15-2009, 10:34 PM

Tough luck, kid!

Aliantha · 02-15-2009, 10:35 PM

Well people can just wonder and speculate now. There's a fair bit of that around here anyway.

classicman · 02-16-2009, 08:43 AM

Very interesting take Flint, on the real world implications of something that sounds great on the surface, but is apparently completely impractical to implement.

If this is the case and I believe it is, why are we trying to spend so much money on something that isn't feasible?

TheMercenary · 02-16-2009, 08:51 AM

Classic, obviously I can't answer for Flint, but IMHO it is a notable and worth while issue to take on. But most people never thought about throwing money at this program until Obama picked it up as a campaign issue. I feel they cherry picked it as something to show the public that they are addressing a health care issue to make them feel good in the spending package all the while the problem of the under and un-insured, among many other things, has not go away. People in health care have been exposed the digital and electronic record keeping for more than 15 years. This is not a new issue. There are huge problems and it centers around the issues that Flint brought up about proprietary information and lack of interoperability. None of those issues are fixed by throwing money at them. All they are doing is making a very small group of people very rich.

TheMercenary · 02-16-2009, 10:39 AM

Ouch. That one is going to hurt.

http://www.dailyexpress.co.uk/posts/view/84712

TGRR · 02-16-2009, 06:29 PM

Quote:

Originally Posted by TheMercenary

Ouch. That one is going to hurt.

http://www.dailyexpress.co.uk/posts/view/84712

Good thing our hospitals never make mistakes.

TheMercenary · 02-16-2009, 07:22 PM

Quote:

Originally Posted by TGRR

Good thing our hospitals never make mistakes.

It's not about mistakes. It is about throwing millions, or in our case with Obama, billions at a problem hoping the solution just works it self out for digital record keeping in health care.

TGRR · 02-16-2009, 07:28 PM

Quote:

Originally Posted by TheMercenary

It's not about mistakes. It is about throwing millions, or in our case with Obama, billions at a problem hoping the solution just works it self out for digital record keeping in health care.

Ever try to get your medical records?

The system as is, sucks. Not that I'm really big on anything in the StealFromUs package.

TheMercenary · 02-16-2009, 07:37 PM

Yea, since I work in the hospital it is easier for me than most, but even my family can't get theirs without a blessing from the Pope. Now if you want a copy for a referral appt that is in 2 days they can let you process a request and you can get it in 2 weeks, maybe.

The one good thing is our Radiology Dept went all digital so radiological tests which involve dye can be obtained on a disk and other providers can actually view the test. The turn around to get those copied was 15 min. Radiology has always been on the cutting edge of the digital revolution in health care, 5 or more years ahead of the rest of the herd.

TGRR · 02-16-2009, 07:46 PM

Quote:

Originally Posted by TheMercenary

Yea, since I work in the hospital it is easier for me than most, but even my family can't get theirs without a blessing from the Pope. Now if you want a copy for a referral appt that is in 2 days they can let you process a request and you can get it in 2 weeks, maybe.

The one good thing is our Radiology Dept went all digital so radiological tests which involve dye can be obtained on a disk and other providers can actually view the test. The turn around to get those copied was 15 min. Radiology has always been on the cutting edge of the digital revolution in health care, 5 or more years ahead of the rest of the herd.

Thing is, trying to FORCE that is like trying to push a string.

Flint · 02-19-2009, 05:18 PM

Quote:

Originally Posted by TheMercenary

Radiology has always been on the cutting edge of the digital revolution in health care, 5 or more years ahead of the rest of the herd.

And yet, those of us in Radiology say things like: "Witness the very nature of DICOM itself, the most non-standard standard that ever existed."

Happy Monkey · 02-20-2009, 06:27 PM

Business and government both have long histories of screwing things up. They also have long histories of doing things well.

One thing I'm not sure is up business' alley is defining a standard format for medical records. Everyone who contributes will want their own proprietary stuff to be part of the standard, and won't want to pay for anyone else's. Most of the truly interoperable file formats came from government or (often government-funded) academia.

I would think that one of the best things the government could do about medical records would be to have NIST come out with a standard, non-proprietarty format, require that all doctors and hospitals be able to at least export to and import from that format, and put the funding towards that effort.

02-15-2009, 10:34 PM	#2
Flint Snowflake Join Date: Mar 2006 Location: Dystopia Posts: 13,136	Tough luck, kid! __________________ **************** There's a level of facility that everyone needs to accomplish, and from there it's a matter of deciding for yourself how important ultra-facility is to your expression. ... I found, like Joseph Campbell said, if you just follow whatever gives you a little joy or excitement or awe, then you're on the right track. . . . . . . . . . . . . . . . . . . . . . . . . . . Terry Bozzio**

02-15-2009, 10:35 PM	#3
Aliantha trying hard to be a better person Join Date: Jan 2006 Location: Brisbane, Australia Posts: 16,493	Well people can just wonder and speculate now. There's a fair bit of that around here anyway. __________________ Kind words are the music of the world. F. W. Faber

02-16-2009, 08:43 AM	#4
classicman barely disguised asshole, keeper of all that is holy. Join Date: Nov 2007 Posts: 23,401	Very interesting take Flint, on the real world implications of something that sounds great on the surface, but is apparently completely impractical to implement. If this is the case and I believe it is, why are we trying to spend so much money on something that isn't feasible? __________________ "like strapping a pillow on a bull in a china shop" Bullitt

02-16-2009, 08:51 AM	#5
TheMercenary “Hypocrisy: prejudice with a halo” Join Date: Mar 2007 Location: Savannah, Georgia Posts: 21,393	Classic, obviously I can't answer for Flint, but IMHO it is a notable and worth while issue to take on. But most people never thought about throwing money at this program until Obama picked it up as a campaign issue. I feel they cherry picked it as something to show the public that they are addressing a health care issue to make them feel good in the spending package all the while the problem of the under and un-insured, among many other things, has not go away. People in health care have been exposed the digital and electronic record keeping for more than 15 years. This is not a new issue. There are huge problems and it centers around the issues that Flint brought up about proprietary information and lack of interoperability. None of those issues are fixed by throwing money at them. All they are doing is making a very small group of people very rich. __________________ Anyone but the this most fuked up President in History in 2012!

02-16-2009, 10:39 AM	#6
TheMercenary “Hypocrisy: prejudice with a halo” Join Date: Mar 2007 Location: Savannah, Georgia Posts: 21,393	Ouch. That one is going to hurt. http://www.dailyexpress.co.uk/posts/view/84712 __________________ Anyone but the this most fuked up President in History in 2012!

02-16-2009, 07:37 PM	#10
TheMercenary “Hypocrisy: prejudice with a halo” Join Date: Mar 2007 Location: Savannah, Georgia Posts: 21,393	Yea, since I work in the hospital it is easier for me than most, but even my family can't get theirs without a blessing from the Pope. Now if you want a copy for a referral appt that is in 2 days they can let you process a request and you can get it in 2 weeks, maybe. The one good thing is our Radiology Dept went all digital so radiological tests which involve dye can be obtained on a disk and other providers can actually view the test. The turn around to get those copied was 15 min. Radiology has always been on the cutting edge of the digital revolution in health care, 5 or more years ahead of the rest of the herd. __________________ Anyone but the this most fuked up President in History in 2012!

02-20-2009, 06:27 PM	#13
Happy Monkey I think this line's mostly filler. Join Date: Jan 2003 Location: DC Posts: 13,575	Business and government both have long histories of screwing things up. They also have long histories of doing things well. One thing I'm not sure is up business' alley is defining a standard format for medical records. Everyone who contributes will want their own proprietary stuff to be part of the standard, and won't want to pay for anyone else's. Most of the truly interoperable file formats came from government or (often government-funded) academia. I would think that one of the best things the government could do about medical records would be to have NIST come out with a standard, non-proprietarty format, require that all doctors and hospitals be able to at least export to and import from that format, and put the funding towards that effort. __________________ _________________ \|...............\| We live in the nick of times. \| Len 17, Wid 3 \| \|_______________\| [pics]

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