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July 7, 2013 Headlines 2 Comments

Outsourced UPMC workers protest cuts

Transcriptionists at Pittsburgh’s UPMC protest the decision to outsource their jobs to Nuance. The workers were offered remote positions with Nuance, but at a significant pay cut.

ONC Patient Safety Webinar

ONC will hold a meeting on its recently announced patient safety plan this Wednesday, July 10, at 3:45pm EDT.

Low sign-up for Australian eHealth records

In Australia, the highly publicized national patient portal is criticized after the one-year anniversary of its launch passes with only two percent of the Australian population having created accounts.

Open Letter to Chuck Hagel: DoD still doesn’t know what the hell they are doing

VistA expert Tom Munnecke publishes an open letter to Chuck Hagel in which he explains why implementing VistA would be a logical choice for the DoD and why a commercial solution would be an expensive mistake. He uses England’s NPfIT failure as an example of what can go wrong when a national strategy is centered around integrating multiple systems and points to the NHS’s recent decision to evaluate the use of VistA as a single, integrated solution as validation of that approach.

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Currently there are "2 comments" on this Article:

  1. There is low interest by patients to see their records throughout the world. Do doctors or others want to have access to their legal files? Who has the time to read all of that gibberish, and how many patients can actually read?

  2. Keith – EHRs don’t synthesize or highlight critical data for clinicians well, much less patients. The CCD (and predecessor RN care summaries) attempts to provide essential data needed to transfer and manage care. 98% of hospital EMR is either error ridden or inconsequential by the time of discharged – but that 2% could be critical.

    A patient’s condition at a given time is almost impossible to decipher. This was reinforced in a malpractice case where I was asked to deconstruct a hybrid record to determine “what happened?” prior to a patient’s death. The patient story and clinicians’ sequence of events were lost in translation.

    The MD defendant cited “bad data in the computer” which prompted efforts to recreate events via computer clocks. This revealed the patient’s EMR, MDI system, cardiac monitor and wireless network were all out of sync by as much as a half hour – surprising the doctor, and the lawyers.

    The legal analogy isn’t perfect but keeping key legal papers and decrees makes more sense than filing entire transcripts of every legal interaction.

    Several MDs asked if there should be concept of “privileged communication” among MDs and/or care team member that is not appropriate for patients to see and critique?







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