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batye
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...

 

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mpouraryan
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.

 

 

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mpouraryan
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...

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mpouraryan
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.     

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mpouraryan
mpouraryan
7/17/2016 3:31:05 PM
User Rank
Platinum
Re: Apps
Opensource is not a question of if, but when as underscored by this interesting resource I ran across:  http://openehr.org/

 

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mpouraryan
mpouraryan
7/17/2016 3:29:00 PM
User Rank
Platinum
Re: Apps
As I have been assessing everyone's discourse, it seems to me that one of "Obamacare"'s goals was to streamline--but the notion of "never going to happen" is a rather harsh view--the transformation to digitization is on whether we like or not.

 

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mpouraryan
mpouraryan
7/17/2016 3:27:35 PM
User Rank
Platinum
Re: Apps
Technology and transformation is a good thing--but to what end?   How do we need to make sure that the interests of all are served in the end--it appears from what @batye is noting is that in Canada, such is not as prevalent as it seems--Maybe we're away and are not in the thick of it.    Please clarify on this "notion of Stupidibity" and whether you have run across any initiative to overcome it--It seems as if the new Prime Minister is taking some solid steps? 

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batye
batye
7/7/2016 2:34:22 PM
User Rank
Platinum
Re: Apps
@mhhf1ve for me it sad as a taxpayer I have to be finding Canadian gov stupidity... and get No service at the end...

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DHagar
DHagar
7/7/2016 2:29:27 PM
User Rank
Platinum
Re: Apps
@mhhf1ve, agreed, EHR platforms most likely will never happen, given the multiple failures of RHIO's.  That's why I believe a government data standard for claims will enable multiple proprietary systems to transfer key data.  (Note:  The industry has a pretty successful history with HL7, so it should not be too much of a stretch, particularly when tied to payments, to establish some key additional data standards.)

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mhhf1ve
mhhf1ve
7/7/2016 1:53:05 PM
User Rank
Platinum
Re: Apps
Yes, when there are more standardized systems in place, maybe EHRs will have fewer barriers to overcome. It's too optimistic to think that some kind of open source EHR platform might emerge (instead of proprietary one).

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