Ok I can go back to the real wild west with EMRs and tell stories here and it is better than what it was in those days. There were cases of MDs not paying their EMR bill and vendors holding records ransom and one big one via business disputes in Irvine, CA called AcerMed that left a bad taste in everyone’s mouth as one day they were gone and it was not a cheap system to buy. Again, it is better today but also it’s more complex as we are talking web based records and in those days it was pretty much all still client server as computers were not yet fast enough to allow for the speed we have today. All that changed though when the the hardware was improved to web based medical records but there are still many solid client/server medical record systems out there.
So let’s take a little time out for a video here and you also see this on the left hand side of my blog with the other videos that will wake you up to the world of math and modeling. They are not that complicated to understand to the layman can get something out of them too. Listen to this former quant from Wall Street. Insurance companies use quants as well and if you look at the job listings United has tons of them open all the time. This is how they think and do math on the other side. Pay attention as this has evolved in to all walks of business and she will tell you exactly that. I like her as besides myself she’s the only one that could see the model and math issues with educating the Occupy folks. So let’s get educated together on how this works on the other side with how publicly traded companies think.
I loved it when Dr. Halamka said he would go meet with them and explain and who better as he has a very good way of taking complex issues and communicating, but again he has that hands on and nobody’s going to contest. But it hit him too with all the work and time done, and yes he does code too, that all of a sudden some very simple thought processes were ready to dump all this work and funding down the tube. This is a quote from his blog below.
“I'm happy to walk them through the Standards and Certification Regulations (MU stage 1 and stage 2) so they understand that the majority of their letter is simply not true - it ignores the work of hundreds of people over thousands of hours to close the standards gaps via open, transparent, and bipartisan harmonization in both the Bush and Obama administrations.”
So coming back around let’s not fault hospitals, vendors, doctors, programmers or even patients for that matter until you do your homework. We shouldn’t have to function this way in fear and sure there’s a ton of extra expense in the US Health IT business and as long as people are writing tons of code to make things work, it’s not going away but at the same time sure we need to be alert, not be snowed and not try to turn this entire situation into a few bullet points because you cant’ do that. Take all these reports that promise trillions of savings and know they are not true and excuse that falsified sense of urgency they create along with the report, not going to happen. There will be savings and plenty of bright spots but remember the report are created from publicly traded companies who are there to serve shareholders. I wonder if that is why Dell went private to get out from underneath digital illiterate shareholder:)
At a Feb. 6 meeting of the Health IT Policy Committee , National Coordinator for Health Information Technology Farzad Mostashari , MD, said that, by and large, electronic health record vendors have their customers’ best interests at heart.
But to the few who don’t, he gave a stern warning: Abide by what is "moral and right," or face more regulation.
Mostashari’s comments came by way of clarification to opening remarks he gave at last month's HIT Policy Committee meeting. He wanted to make sure that the vendors who are doing right by providers and society’s interest do not mistake him for coming down on them. He was speaking to the few exceptions, when he made remarks at the Jan. 8 meeting, as contained in these meeting minutes: