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View Diary: Electronic Health Records, Meaningful Use, and the HITECH Act (33 comments)

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  •  Appreciate your diary (8+ / 0-)

    As a former hosp admin I am familiar with EHR and the issues associated with implementation and use.

    About this:

    I wanted to briefly mention the security requirements as well. The problem...well, one of many problems...with paper charts is that there's no way to tell who's been looking at them.

    My slightly different angle is that many legitimate eyes may need the medical record

    Utilization Management
    Quality Assurance
    Patient Accounts
    Social Services

    Especially in a large hospital, such as where I worked, it is not unusual as any given time for a chart to have simultaneous claims on its info. With a paper chart, a rigorous control system is needed to be able to track down and re-route a chart. With an EHR, those with legitimate needs can access what they want when necessary.

    Example: Some third party payer is doing a billing audit to determine if the medical claim matches to the chart documentation (You billed for Hypertension, the patient actually had diabetes, e.g.), call comes in to the surgery clinic that the patient came in for a follow up visit and the chart is needed. Chart is then re-routed form the auditors to the clinic.

    This is labor intensive stuff. Be nice that with the click of a few buttons the info is available rather than impatiently hoping that the chart shows up after you've called for its retrieval.

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