EMR
Posted By: TravelinMT on 2009-02-25
In Reply to: Obama's plan to implement EMR - Stephanie
The way I understand it he wants everyone's medical records to be in the form of an EMR for a more uniform system. Meaning that if you live in New York and go on vacation in California and end up in the hospital while you are there that your entire medical record can be obtained by the doctor who is now treating you in California. The concept is a good one if you look at it in the terms of continuity of patient care. BUT I don't think the doc is going to transcribe his own H&P's, OP Reports and Discharge Summaries on all of his patients, nor is any nurse going to have the time (or the training to do it). (There is a JCAHO and a Medicare Conditions of Participation mandated time frame for getting these reports on the patient's medical record.) I have seen RN's totally murder medical words in charting so expecting them to produce anything any different than what is coming out of India in alot of instances is not going to happen.
What we as MT's need to do is quit talking about it and launch a campaign to get the information out to the general public and all the docs who simply pick up a phone and dictate not knowing who on the other end is transcribing it. The general public needs to know that their medical information is being sent to a third world country who has admitted to not being able to guarantee that it will be kept secure. Alot of hospitals include on their reports the patient's SS# along with their full name, birthdate, sometimes a MR#. As they integrate it into the EMR I forsee that even more information will most likely be put in some type of a header on the report including the patient's employer, and possibly the home address. This is what the general public needs to know. Even right now enough information is being sent to a country with no HIPAA requirements to make identity theft a real concern. All it will take is getting this information out to a few people who have been victims of identity theft already and watch the ball start rolling. Public pressure is the best way to keep our jobs in this country. JMHO
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