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View Diary: PPACA: Stimulus, Jobs, and Cost Control (25 comments)

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  •  Why? How? (8+ / 0-)

    I don't understand your remark, and would actually like it if you could provide factual information about why you have made this statement.

    I can come up with a number of reasons why I believe electronic records will be a huge improvement, even as it will take some time to get this system off the ground, and actually, many doctors are already doing that.

    With electronic health records, doctors have already said they can see more patients with much less paper work.

    There will not be overlaps or mistakes made when prescribing medications to patients.  So for practical purposes the practice of doctors and nurses and even pharmacists will work safer and more efficiently.

    Emergency rooms/EMT responders will be impacted positively.  They can look up a patient's records to see what their physical bio is concerning medications, illnesses, disease.  One of the most frustrating problems for EMR, EMT people is that often without contacting a primary doctor(s) they have to rely on the memory of patients rather than real evidence-based disease and condition information of the patient, and often they cannot get the correct information or receive conflicting information, in order to safely administer drugs or diagnose.  Especially patients can be seen faster if they don't have to look up information first, and most essential more high-quality-based triage with EMTs and Physicians in emergency situations.

    Certainly for anyone in administrative positions in the medical field, it's going to improve efficiency.  Fewer lost charts or chart pulls for staff to refile later, less time spent filing, fewer call-backs from pharmacies, etc. etc.

    I do not work in the medical field, there may be something I don't understand.  From all I've read, however, it makes perfect sense to me.

    I would like to know why you made the statement you did that "without single payer electronic records will just be used to screw over sick people."

    Sometimes it's just enough to listen.

    by KayCeSF on Sat Sep 03, 2011 at 01:35:08 PM PDT

    [ Parent ]

    •  Well done comment. (7+ / 0-)

      I have health insurance (actually Medicare Advantage) through Kaiser in Southern California. From the patient POV I've been very impressed with Kaiser's use of medical records and technology.

      With every visit, a doctor reviews my record for the list of prescriptions (few) and allergies (many), and other info, updating my record as necessary. Orders for prescriptions, lab tests, radiology, are all seamless and immediate. Past test results are readily available and can be compared in table format. I can view most of my own test results within hours along with explanation, instead of waiting days for a doctor or nurse to phone me with info.

      My doctor's office notifies me by email when I'm due for a visit or test. I can send an email inquiry to my doctor and know that I'll receive a reply within 24 hours.

      During a doctor's visit, any doctor with Kaiser, the doc can search info on Kaiser's list of "best practices" for treatment and prescription side effects. I like that feature very much.

      AQ's claim that electronic records "will just be used to screw over sick people" is a ridiculous claim.

      The test of our progress is not whether we add more to the abundance of those who have much; it is whether we provide enough for those who have too little. -FDR

      by SoCalSal on Sat Sep 03, 2011 at 02:02:54 PM PDT

      [ Parent ]

      •  Exactly the kind of information I want (5+ / 0-)

        on my records! Your details listed are exactly what we need. I believe Lovelace, my carrier is doing the same thing.  In fact, I just got a Lovelace notification that I'm due for a mammo.

        How many times over the years have we had to brainstorm with a doctor/practitioner nurse while s/he looks at our file to try to remember what med was given and when, or when xrays were done, etc. etc.?  It's a huge waste of time for them, and not very reliable in a short visit, while they flip through a file trying to find that one piece of documentation (if there is even documentation).

        And if a patient is new to the medical system, then a file can begin for that patient.  Huge improvement!

        Thanks SoCalSal.   :)

        Sometimes it's just enough to listen.

        by KayCeSF on Sat Sep 03, 2011 at 02:12:50 PM PDT

        [ Parent ]

      •  me too, in NCal (4+ / 0-)
        Recommended by:
        Cedwyn, KayCeSF, SoCalSal, raina

        and in fact Kaiser's Sr Advantage has saved me $20 out of pocket in just the past two weeks.

        I may be mad as hell at Kaiser right now, over the AB-52 debacle, but it damned well isn't over their early implementation of ACA Medicare reforms.

        "Show up. Pay attention. Tell the truth. And don't be attached to the results." -- Angeles Arrien

        by Sybil Liberty on Sat Sep 03, 2011 at 02:15:39 PM PDT

        [ Parent ]

    •  Without the guarantee of health care (0+ / 0-)

      Are you really trying to say that we all now have access to affordable health care, and that our medical records under this program will be private and not used to discriminate against anyone in any way?

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