Simple question for Mac OS using medical people
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From: Kurt Ullman on 9 Jan 2010 15:13 In article <hiam6h$t0t$2(a)news.eternal-september.org>, Wes Groleau <Groleau+news(a)FreeShell.org> wrote: > Otto Pylot wrote: > > implementation of HIPPA so that the user interface is as simple as > > If you don't want to "turn off" potential customers, > you might want to practice typing H I P A A Why? From my experience you will turn off about half of your customers either way. I see it both ways almost daily, including from a WHOLE bunch of people who should know better. -- To find that place where the rats don't race and the phones don't ring at all. If once, you've slept on an island. Scott Kirby "If once you've slept on an island"
From: Mark Conrad on 9 Jan 2010 17:56 In article <r8idnUdhXPjNMtXWnZ2dnUVZ_u5i4p2d(a)earthlink.com>, Kurt Ullman <kurtullman(a)yahoo.com> wrote: > Tim McNamara <timmcn(a)bitstream.net> wrote: > > > > If such a standard EMR were possible, surely someone would have done > > > it by now? > > > > There is a quasi-standard format for images (CT scans, MRIs, etc.). But > > the issue also includes text, reports with letterheads, etc. > There is one from the people at Indiana University that works that > way. They have tied together multiple platforms at multiple hospitals > (the newest iteration feeds certain records to ambulances). > http://www.regenstrief.org/medinformatics/inpc Sooner or later, everyone will get together and settle on one standard EMR, EHR, or whatever we care to call it. It is more or less essential that the "output EMR" version be tailored to the medical specialist "asking" for the EMR, if for no other reason that to make certain the person asking for the EMR is entitled to view sensitive entries, security wise. Exactly how does the EMR electronic server determine who is "authorized" to view specific data; I would assume pre-determined clearance. I just hope that the ultimate electronic standard has _some_ provision for entering and viewing free-form data, e.g. text, graphics, multimedia, etc. Not all important and relevant medical data can be handled as short entries pre-determined by some bureaucrat. Mark-
From: Mark Conrad on 9 Jan 2010 17:56 In article <090120101017022154%otto(a)bogus.address.invalid>, Otto Pylot <otto(a)bogus.address.invalid> wrote: > A lot of the stumbling blocks have been the implementation > of HIPPA so that the user interface is as simple as > possible and transparent, as well as secure. Yep, it is a pain when dealing with HIPAA. What is HIPAA, it is: The Health Insurance Portability & Accountability Act of 1996 (August 21), Public Law 104-191, which amends the Internal Revenue Service Code of 1986. Just another PITA that medical providers have to contend with. Nice to hear you are well on the way to tying in your lab database with your NextGen EMR. Being a layman myself, I assumed that your EMR had a quick 5-minute way to access your lab database :) Yep, here it is, right from the official NextGen website: "Interoperability with your medical community's hospitals, *LABS*, pharmacies, and specialists, to securely exchange patient information." R-i-i-g-h-t , just plug in your lab database, everything is so automated it will make your head swim with delight ;-) Just shows how little I know about those expensive EMR apps. If it is any consolation, they do the same thing with Speech Recognition, (SR) - they yell from the rooftops about how easy it is for a doctor to learn and use, saving himself about $10,000 a year per doctor in outside transcription costs. Reality is different, it is expensive to implement, hard to learn, often adds to a doctors workload instead of reducing it. (at least initially) Oh sure, properly done, it _can_ reduce a doctors workload, and his outside transcription expenses, and have other very important benefits, but it is not all that easy or quick to do the necessary "proper" incorporation of SR into everyday real-life medical practice. No one tells you that! Mark-
From: Tim McNamara on 9 Jan 2010 19:00 In article <r8idnUdhXPjNMtXWnZ2dnUVZ_u5i4p2d(a)earthlink.com>, Kurt Ullman <kurtullman(a)yahoo.com> wrote: > In article <timmcn-011F37.10225509012010(a)news-2.mpls.iphouse.net>, > Tim McNamara <timmcn(a)bitstream.net> wrote: > > > > If such a standard EMR were possible, surely someone would have done > > > it by now? > > > > There is a quasi-standard format for images (CT scans, MRIs, etc.). But > > the issue also includes text, reports with letterheads, etc. > > There is one from the people at Indiana University that works that > way. They have tied together multiple platforms at multiple hospitals > (the newest iteration feeds certain records to ambulances). > http://www.regenstrief.org/medinformatics/inpc I'll have a look at that, thanks! -- "I wear the cheese, it does not wear me."
From: Paul Sture on 11 Jan 2010 13:40
In article <timmcn-5EDAC3.10244209012010(a)news-2.mpls.iphouse.net>, Tim McNamara <timmcn(a)bitstream.net> wrote: > In article <00b9b9d8$0$8192$c3e8da3(a)news.astraweb.com>, > JF Mezei <jfmezei.spamnot(a)vaxination.ca> wrote: > > > Mark Conrad wrote: > > > > > Plus I question if it is even possible to create a standardized EMR > > > "catch all" version to cover all the different medical specialties, > > > labs, etc. > > > > > > I sometimes think Google might be the answer. Ok, perhaps not Google > > Inc, but some similar system that can index free form text in many > > different formats. > > > > There could be a central indexing site (lets call it Giggle). Giggle > > would access every hospital database and index the data. > > > > You're looking for a person ? Giggle will give you all references to > > that person from all hospitals where that person has been. > > > > this would allow one to index all sorts of different medical record > > format, xrays etc. > > And raise howls about Big Brother in the process. Heck, as a provider > that proposal creeps me out even though the utility is obvious. "[UK leader of the Conservative Party] David Cameron wants people to use services like Google Health and Microsoft HealthVault, which both operate in the US, as an alternative to the �12bn national patient record database ordered by the government." <http://www.guardian.co.uk/politics/2009/jul/06/cameron-health-google-mic rosoft> -- Paul Sture |