SOAPware: The Gap by Dr. Randall Oates
The Gap by Dr. Randall Oates
The Gap
From http://www.healthcareitnew
"Strong privacy laws (favoring the patient) and clinicians' economic interests in limiting access to health records increase barriers to forming integrated electronic records. This combination of low commercial value with restricted access leaves medical information lying stunted in an undernourished field, " wrote Schulman and Hall.”
This statement is inaccurate and misguided. Schulman and Hall should go to Denmark and take a look at a system where over 90% of physicians use a shared system for medical records. Even though the patients can opt out of the system, few chose to do so. The U.S. physician not desiring more interoperability is the exception. As an EMR vendor for the U.S., I talk to physicians in small and independent practices (i.e. the 70% of physicians) every day. I desire to see a successful system of sharing of health information. The real value of the EMR/PHR for patients and their physicians will not be achieved until there is an ability to share information with something more sophisticated than a fax. The Danes did this for a fraction of the cost we are anticipating in the U.S. The attempts in the U.S. to force patients and physicians into a shared system are doomed to fail. For example, the patient should be able to directly authorize their own ROI as it is done in Denmark. In contrast, the U.S. is attempting to put their physicians in the middle of such hassles, and adding onerous physician penalties when the system breaks down. I desire a clear conscious, so please remember you heard this here... this planned approach to release of information promises to thwart adoption. I know this because of direct feedback I am receiving on a daily basis from physicians representing the majority.
In the U.S., our planned, centralized approach to personal health information is the next boondoggle in the making. In fact, we are heading down the same path as in the U.K. where the system for sharing information has failed in spite of the equivalent of tens of billions of dollars having already been spent! The gap between the vendor/academic/government
From http://www.healthcareitnew
"Strong privacy laws (favoring the patient) and clinicians' economic interests in limiting access to health records increase barriers to forming integrated electronic records. This combination of low commercial value with restricted access leaves medical information lying stunted in an undernourished field, " wrote Schulman and Hall.”
This statement is inaccurate and misguided. Schulman and Hall should go to Denmark and take a look at a system where over 90% of physicians use a shared system for medical records. Even though the patients can opt out of the system, few chose to do so. The U.S. physician not desiring more interoperability is the exception. As an EMR vendor for the U.S., I talk to physicians in small and independent practices (i.e. the 70% of physicians) every day. I desire to see a successful system of sharing of health information. The real value of the EMR/PHR for patients and their physicians will not be achieved until there is an ability to share information with something more sophisticated than a fax. The Danes did this for a fraction of the cost we are anticipating in the U.S. The attempts in the U.S. to force patients and physicians into a shared system are doomed to fail. For example, the patient should be able to directly authorize their own ROI as it is done in Denmark. In contrast, the U.S. is attempting to put their physicians in the middle of such hassles, and adding onerous physician penalties when the system breaks down. I desire a clear conscious, so please remember you heard this here... this planned approach to release of information promises to thwart adoption. I know this because of direct feedback I am receiving on a daily basis from physicians representing the majority.
In the U.S., our planned, centralized approach to personal health information is the next boondoggle in the making. In fact, we are heading down the same path as in the U.K. where the system for sharing information has failed in spite of the equivalent of tens of billions of dollars having already been spent! The gap between the vendor/academic/government