Text 11950, 73 rader
Skriven 2014-04-09 16:46:57 av Nancy Backus (1:261/1381.0)
  Kommentar till text 11876 av Dave Drum (1:18/200.0)
Ärende: Re: metric
==================
-=> Quoting Dave Drum to Nancy Backus on 07 Apr 14  07:48:04 <=-

 DD>> I thought that everyone was supposed to be on electronic records.
 NB>> It's the nice theory, anyway...  :)   I know of a number of offices
 NB>> here that are still working on getting their records into electronic...

 DD> The hospitals/clinics/doctor's offices here are all pretty much on the
 DD> same page. We have two major hospitals, a small (150 bed) hospital, one
 DD> HUGE clinic that, other than not having beds/residential facilities
 DD> might as well be a hospital - and several specialised (ortho, OB/GYN,
 DD> Opthalmologic, etc) medical groups and/or sports medicine facilities.
 DD> Since many of the doctors practice at more than one place - all the
 DD> records are portable between the various facilities.

Our region is probably at least twice that all around... especially if
you count the regional small hospitals that have ties into the various
networks...  four major hospitals within the 146xx region, multiple
large clinics, multiple medical facilities and complexes...  some of the
records are more portable than others, I suspect...

 DD>> That's the way it is around here anyway. No matter where in the area I
 DD>> present myself for care/treatment they can whistle up my records (with
 DD>> my permission) and know what has been going on in my medical life. Sure
 DD>> seems to speed things along.
 NB>> Around here, there are multiple different systems being used... and
 NB>> they seem to keep changing even at a single doctor's office...  Various
 NB>> fixes are in place and/or being put in place, but not everyone has
 NB>> access to everything else.  There's a local network in place (RHIO)
 NB>> that one has to give permission at each office etc for all the doctors
 NB>> etc to have access to one's records on...  Still a work in progress,
 NB>> from what I see...  :)  Part of the problem is that there are two or
 NB>> three major health care systems here, Unity Health which includes two
 NB>> hospitals and a number of doctor offices and other health care, Strong
 NB>> Health which includes at least two hospitals and a number of doctors
 NB>> and various other health care, and Rochester General which I think is
 NB>> in the process of merging with Unity but also has some smaller
 NB>> hospitals affiliated with it, along with their own slew of doctors and
 NB>> health care...  Each of them has their own network of computer
 NB>> accesses...
 NB>> The blessings and curses of having a wide selection of health care
 NB>> options... ;)

 DD> What we had here, at first, was an assortment of IT heads who were, at
 DD> their cores, bureaucrats. With all the baggage that term implies - the
 DD> CYA attitude, that territorial imperatives, etc. Until the local
 DD> medical association pulled a figurative gun on them and said, in
 DD> effect, "Look, you bums work for us to make our lives easier and
 DD> treatment of our patients more efficient and timely. Now, either put up
 DD> or hit the road, Jack!" 

Part of the problem here, I think, may be that (some of) the doctors
themselves started the electronic records keeping way ahead of the
curve...  the RHIO network was set up after the rest were starting to
play catchup to try to fix the situation... not sure it is working
completely yet, though...  It probably would have been helpful if all
the IT heads had gotten together at some point and figured out some sort
of single system instead of the plethora we have here.... probably just
too many "experts" here for our good..  :)

 DD> I imagine that they use some form of Adobe's PDF as it is a well-known
 DD> and common standard and can be translated back into each facility's
 DD> proprietary format at need. I could be totally off base in my
 DD> imaginings, but that's the way I would do it. Just because it makes
 DD> sense and no one has to re-invent the wheel.

Perhaps for transferring info from one facility to another...  It would
indeed make sense...  :)  

ttyl         neb

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