Comments
mpouraryan
7/17/2016 3:32:32 PM
User Rank Platinum
Re: Apps
My limited understanding of Canadian Healthcare is that as a percentage of cost, it is a lot more ahead of the curve than the United States.
mpouraryan
7/17/2016 3:33:48 PM
User Rank Platinum
Re: Apps
What, then, can be done to change this perception? In my experience, all leading EHR systems have been done with the direct input (and all have had Chief Medical Officers). Have you had any direct experience otherwise? Just wondering...
mpouraryan
7/17/2016 3:37:03 PM
User Rank Platinum
Re: Apps
The interent being the great equalizer can help to transform it--no question. The technology is already there--it was interesting when I ran across this:
https://www.drugs.com/apps/
There is no question that a lot of education is needed. How the apprehension is critical to be overcome is the challenge ultimately.
batye
7/17/2016 9:49:55 PM
User Rank Platinum
Re: Apps
@mpouraryan our Can gov. just spend money on dead projects hiring relatives... it like free for all... where taxpayers end up holding empty hat... at the end... http://www.cbc.ca/news/canada/examining-ehealth-ontario-1.777661
even local gov. https://en.wikipedia.org/wiki/Toronto_Computer_Leasing_Inquiry
http://www.cbc.ca/news/canada/inquiry-judge-people-disgraced-themselves-in-toronto-scandal-1.548496 - everyone get slap on the wrist...
mpouraryan
7/17/2016 10:22:01 PM
User Rank Platinum
Re: Apps
Thanks for the guidance @batye. I would not, however, put much stock in what is available on wikipedia. Would you rather be in the US and be at the mercy of insurance companies? That's the key question.
DHagar
7/18/2016 4:11:38 PM
User Rank Platinum
Re: Apps
@mpouraryan, the assessment of interoperability is what I am referring to. Actually, the digitization of EHR's was started even before President Obama and was signed into law by previous President Bush - so it is not a part of Obamacare.
The requirement to digitize and submit billing and claims to CMS is one issue, but the points mhhf1ve is making, that I agree with, is that the way in which different providers and vendors have digitized has not been built around a standard of data interoperability, so the ability to share that information among providers is lacking.
As I was stating, the government could work with HIMSS and HL7, as an example, and serve an important role in establishing standards, which would assist providers and vendors in developing interoperability.
DHagar
7/18/2016 4:17:46 PM
User Rank Platinum
Re: Apps
@mpouraryan, yes. I have worked with Kaiser, Epic, major vendors, and numerous hospital and physician groups, as well as health plans with 1 million plus members. They all agree that the end of one system does not connect with the next; so you have duplicate and redundant systems. The goals are well intended, but the systems have been built separately with different vendor systems - most often without the input of physicians and providers.
mpouraryan
7/18/2016 4:42:42 PM
User Rank Platinum
Re: Apps
Why, in you view, this standardization being stymied as it has been? The whole idea behind Obamacare was to accelerate digitization and a lot of new startups have arisen to help with this, right?
mpouraryan
7/18/2016 4:43:37 PM
User Rank Platinum
Re: Apps
Based on your "firing line" perspective, then, how can we work to "Transform" this? Clearly what is hear is not working--right?
DHagar
7/18/2016 7:42:48 PM
User Rank Platinum
Re: Apps
@mpouraryan, good assessment. Yes, the vendors jumped in with their own proprietary solutions - selling their solutions to the providers, when they saw the dollars and the markets. Yes, startups jumped in as well, but after having "sold" everyone on their version of how the patient records should be digitized, each system is different. The vendors were focused on the transition process from paper records to digital records and connecting the dots within each provider's system.
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