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mpouraryan
mpouraryan
6/9/2016 7:19:06 PM
User Rank
Platinum
Re: So Confused
I am curious to see what your thoughts are @DHagar & @Ariella to this development--and whether in fact the AI evolution we're witness to will in fact render the concerns "mute"--an old friend of mine once noted how Pharmacists are also in trouble as a profession:

http://iosnews.chinadaily.com.cn/newsdata/news//201606/07/400116/article.html

 

Wishing you all a fab and joyous W-end

 

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DHagar
DHagar
6/9/2016 2:43:24 PM
User Rank
Platinum
Re: So Confused
@Ariella, incredible!  Every additional step you add in processing, without building in intelligence to detect errors, will only compound the problem.  In other words we have "automated" our errors.

I think a "system" design, such as AT&T is designing to connect facilities and patients may lead to a better design than the patchwork applications we are identifying that are not making healthcare better.  Let's hope that leads to better results.

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Ariella
Ariella
6/9/2016 2:38:28 PM
User Rank
Author
Re: So Confused
@DHagar Yes, and the same human error resulting from using technology can cause more serious problems with respect to prescription errors. I once interviewed the CEO of MedAware.  He explained that the computerized systems sometimes have dropdown menus. While that is intended to eliminate the problem of illegible handwriting, it does lead to errors in prescription due to proximity in alphabetical order. 

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DHagar
DHagar
6/9/2016 2:31:17 PM
User Rank
Platinum
Re: So Confused
@Ariella, regarding healthcare billing errors.  You are correct, the estimates are that 20% or more of bills have an error either in coding, amounts, etc.  We have applied technology and only expedited the errors.  Healthcare needs reforms so that the technology enables it to detect these errors (not just process).

In the meantime - check your bills!

 

 

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DHagar
DHagar
6/9/2016 2:28:42 PM
User Rank
Platinum
Re: So Confused
@Ariella, indeed - the patient is now a bystander in many cases.  The health industry has deployed the technology to enrich the science, but has left the improved relationship with the patient behind.  They need to rebalance and make the health care services more intuitive and patient friendly.

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batye
batye
6/9/2016 10:09:19 AM
User Rank
Platinum
Re: So Confused
@Ariella  sad reality many scammers get away with it in Canada at least slap on the wrist... sad sad sad...

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Ariella
Ariella
6/9/2016 9:50:58 AM
User Rank
Author
Re: So Confused
@batye Oh, we get corruption here, too. There are loads of places that pad their bills. As the insurance pays, they figure people won't care, though higher payouts always lead to higher premiums. At my daughter's last checkup, my pediatrician said that she noted a $10K charge for a "procedure" on her mother's office visit. She said there is no way she had a procedure in a regular visit that should cost that much. It's possible that it was due to a clerifcal error in marking down the wrong code, or it is possible it was deliberate. She tried to report the problem, she said, though the insurance company didn't take that much interest.  

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batye
batye
6/9/2016 9:38:13 AM
User Rank
Platinum
Re: So Confused
@Ariella in Canada we have almost same set of problems with digital healthcare... plus corraption - http://www.cbc.ca/news/canada/toronto/ehealth-scandal-a-1b-waste-auditor-1.808640

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Ariella
Ariella
6/9/2016 9:14:59 AM
User Rank
Author
Re: So Confused
@elizabethv I agree that it is good if it works as it should. Often, though, it does not. Plus there are additional concerns about the lack of security and the lack of attention. It's not just nurses but doctors, too, who focus so much on the computer that they hardly pay attention to the patient. See the comments on  https://www.healthit.gov/buzz-blog/privacy-and-security-of-ehrs/privacy-security-electronic-health-records/

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Ariella
Ariella
6/9/2016 9:11:02 AM
User Rank
Author
Re: So Confused
@faryl my husband recently tried out an urgent care for the flu. He said the doctors were available, but the desk people didn't pay attention to send patients through. The doctor actually came out to look for his next patient. They also were having difficulty with their computer system. No one seemed able to figure it out.

But as for the data sharing, it just doesn't happen. When my son had surgery, the doctor who told him to go into the hospital never got the hospitalization record. We had to put in a request that only gave paper records to us. I'd guess they're concenred about privacy problems in passing it on to any other hands. And even within the system, like the radiologist report getting to the surgeon within the same hopital, the transfer is not necessarily automatic. Loads of times, we had to take the image in physical form -- even an X-ray itself because of that.

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