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Ariella
Ariella
7/6/2016 11:23:13 AM
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Re: Apps
@mhhf1ve thanks for that link, I'll have to check it out. Yes, X-Rays don't always transfer over even when they're regular ones from a hospital to an affiliated doctor. We've had to manually bring both discs and physical X-Rays from one office to another ourselves because of that.

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mhhf1ve
mhhf1ve
7/6/2016 3:33:00 AM
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Platinum
Re: Apps
Part of the problem for EHRs is that there are so many legal privacy requirements that no software companies are willing to invest in making a non-proprietary system that they can't lock Drs into using. And no doctor office wants to touch EHR software that doesn't make their legal liabilities clear and minimal.

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batye
batye
7/5/2016 11:34:26 PM
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Platinum
Re: Apps
@mhhf1ve interesting to know thanks for sharing this info... I think this way of the future...

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DHagar
DHagar
7/5/2016 11:02:55 PM
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Platinum
Re: Apps
@mhhf1ve - great example.  Yes, I think there will be a better business model that will serve the markets - as opposed to the providers/payers.  And I could not agree more, the EHR's that exist are so single focused as to be almost worthless - this is why Meaningful Use and support for EHR's are not moving forward!

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mhhf1ve
mhhf1ve
7/5/2016 10:24:27 PM
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Platinum
Re: Apps
> "Stay tuned - the new markets are developing!"

An interesting site called CrowdMed.com is a fascinating example of how "new markets" might open up the medical health care industry. The site collects medical records and a team of doctors/nurses/citizen scientists/etc... try to crowdsource a second opinion of your health problems. 

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mhhf1ve
mhhf1ve
7/5/2016 10:20:38 PM
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Platinum
Re: Apps
Standardized medical records have been a holy grail for decades now... and I still don't see EHR systems that make sense. Every different kind of doctor has a different system and the file formats are all incompatible and different. Even my kid's dentist couldn't share dental x-rays with another dentist because the image files were proprietary to the X-ray scanner that the 1st dentist used... You'd think image files, like common dental X-rays, would be a standard file format... 

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Ariella
Ariella
7/5/2016 10:13:24 PM
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Re: Apps
<and none of those doctors ever talk among each other to compare notes (esp if they aren't part of the same dr networks)>

@mhhf1ve I've encountered that, too. The pediatrician never got updated info. on my daughter's prescription even though the specialist who prescribes it was referred by that practice. Also I could not even get the hospital to send my son's record to a primary care doctor. They claimed they were only allowed to send the records to the patient and charged for it, too (not a huge amount, but still). 

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mhhf1ve
mhhf1ve
7/5/2016 10:02:15 PM
User Rank
Platinum
Re: Apps
> "it's so frustrating because everyone passes the buck."

Exactly this. Every part of healthcare has become so compartmentalized that one doctor will hand off part of a treatment to another doctor specialist and then to another.. and none of those doctors ever talk among each other to compare notes (esp if they aren't part of the same dr networks). And the bills just pile up and the prescriptions accumulate.. it's a bit crazy. I mean, I understand that no single human being can learn every specialty.. but a *little* more holistic treatment would be nice to see someday..... 

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DHagar
DHagar
7/5/2016 8:37:50 PM
User Rank
Platinum
Re: Apps
@Ariella, good points.  You are correct.


Those in position to represent the consumer's "health" interests are all the new players (including technology - Apple, etc.) that are getting on board with technology, data sharing, apps, data storage for Individual Health Records.  They are paid not by providers or payers, but by the value of the consumer and the value-added health services they are delivering.  Note:  A secondary market is the ability to provide the payers/providers with additional aggregated customer information (ie population health) that can add new insights on risk management.

Stay tuned - the new markets are developing!

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Ariella
Ariella
7/5/2016 8:28:23 PM
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Re: Apps
<One of the key problems is that the existing data serves the payer, then the providers; it is not designed for the patient/consumer. 

What is needed is consumer-directed information that provides meaningful information on choices, transparency on cost, and information to better manage their health.>

@DHagar Exactly so, but I think that would have to be done by a third party that would have to monetize the info through subscriptions or maybe ads. The insurance companies certainly don't want to do it because they benefit from people's confusion. The doctors don't want to do it b/c they feel stretched enough just filling out their required paperwork. So only someone who is really a patient advocate without any leanings for the professionals would be able to pull that off. 

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