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

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  •  I've seen that as well (0+ / 0-)

    To me it seems the IT system is working ok, the problem is in quality of the data.

    It's amazing to see the health care field struggle to adapt to systems that most people and institutions have been working with for a decade or more. What took so long?

    My biggest concern continues to be patient privacy.  Even with the best intentions, there's no perfectly secure system.  Without best intentions, there's a lot of money to be made in selling this data.

    The most effective protection for patients is good prevention. That means patient privacy regulations that have steep and stiff penalties including right to private action.    Those who want to abuse private medical information (employers, creditors, insurance companies, etc.) will only be deterred if the penalties greatly exceed the profits from breaking the law.

    We don't have good patient privacy laws at this time.  While onerous for those who have to obey them, they are alarmingly lax in the area of enforcement.

    "We must not confuse dissent with disloyalty." Edward R. Murrow

    by Betty Pinson on Fri May 18, 2012 at 02:42:52 PM PDT

    [ Parent ]

    •  One of the problems (0+ / 0-)

      with privacy regulations is that they can inhibit the corrective process.  People who would know that information is inaccurate or misleading aren't allowed to look at the files.  People who are allowed to look at the files often can't tell their butts from a hole in the ground.  And usually patients are the LAST to be given access to inaccurate information, because medical providers try to cover up for each other's errors -- THEY'RE playing on the same team, don't you know.  The patient is expected to be a compliant child dutifully following the orders of people who didn't have a clue when giving them.

      The medical profession needs to wise up and realize that for the most part it isn't the military, and has no right to order competent adults around like tin soldiers.  Patients must be allowed to make the decisions, and their access to their own information must be recognized as pre-eminent, both in accuracy (the patient knows what he ate for breakfast; YOU are just guessing) and in responsibility (the patient must be fully informed in order to make responsible decisions, not "protected" from whatever facts The Professionals deem too unsettling or complex).

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