Bush Push for EMR

[BigDoc]

From this article (http://www.ama-assn.org/amednews/2004/05/17/gvsa0517.htm) it appears the gov has got standards on the way for EMR, what effect will this have on the exisiting EMR vendors?
The article mentions no funding is available as yet, will physicians be forced to absorb the costs in addtion to HIPAA? :confused:

[ozzie]

From this article (http://www.ama-assn.org/amednews/2004/05/17/gvsa0517.htm) it appears the gov has got standards on the way for EMR, what effect will this have on the exisiting EMR vendors?
The article mentions no funding is available as yet, will physicians be forced to absorb the costs in addtion to HIPAA? :confused:

I think what we see as EMR and the prez sees are 2 diff things.
meta data access is what maybe the Prez sees.
When you can access community pt records is not an EMR the EMR is just how you create the records..
Unless the prez is talking about a total system where all use the same EMR system..
however
'10-year goal of getting most Americans a personal electronic health record that could be accessed and added to by physicians and health practitioners with the patient's authorization

Is really a storage and access question ?? unless we have Ipsec SS cards which link to master db somehwere..

[MikeH]

Imagine the size of the storage system that would be required. Being a former Lexis engineer, I would say it would need to be 2x times Lexis' centers. Additionally, one infrastructure glitch, worm, DoS, would cause nationwide disruption of service.

Personally, I am for regulation in regards to making vendor's applications speak to each other. That is fine, but having one sole system in place for every individual ran/operated by the government would not be a good thing. It would be an anti-capitalistic move on their part driving companies such as A4, GE, NextGen, Mysis, etc out of business in regards to EMR.

[Kursk]

Epic's MyChart is a good answer. Patient can give access whereever they are. Compared to day to day medical care, "out of area" care requiring remote access is pretty rare. That's not to say it isn't critical at certain times but rare transactions shouldn't be the most important factor in designing the system.

[ozzie]

Worm linux ?? heh
take a lot more that no emr to put GE out of biz

However the better way would be a
secure ID card that has a flash storage deal where you can insert the card and just read the data, Folks with large case histories could have the same an emergency bracelet but it tiny usb etc type deal..

the technology is out there but the jerks in DC have a greater agenda than reality..
Oz

Imagine the size of the storage system that would be required. Being a former Lexis engineer, I would say it would need to be 2x times Lexis' centers. Additionally, one infrastructure glitch, worm, DoS, would cause nationwide disruption of service.

Personally, I am for regulation in regards to making vendor's applications speak to each other. That is fine, but having one sole system in place for every individual ran/operated by the government would not be a good thing. It would be an anti-capitalistic move on their part driving companies such as A4, GE, NextGen, Mysis, etc out of business in regards to EMR.

[alborg]

>>> The article mentions no funding is available as yet, will physicians be forced to absorb the costs in addtion to HIPAA?

Worse yet- yesterday I read that Ted Kennedy has a bill before Congress that will mandate that all physicians use EMRs and bill electronically by 2011 or else be punished by lower Medicare reimbursements. I really have a strong distaste for these Massachusetts-based liberals...

Regards,
Al