Monday, September 19, 2005

Reflect on Conflict

An interesting new study from Harvard University--- Health IT Report: Coordinating Patient Care Takes Back Seat to Processing Claims:

"Understanding exactly who benefits from electronic health records, and how much, is at the heart of a debate between health care providers and health care payers.
Clinicians say they are pressured to purchase expensive systems that primarily benefit payers.
Payers don't want to help physicians purchase systems that will help provide care to competitors' clients. "

There is money to be saved on every front here. An important reason for electronic records is that somewhere along the line there is money to be saved, in labor costs, in liability, and in other efficiencies. The sad thing for clinicians is that the payers have a bigger stick, and are farther removed from the patient. The middle ground here is probably not going to be in the middle.


OrangeClouds115 said...

Thanks, this looks like a good read.

OrangeClouds115 said...

Thanks - this was a good read. In terms of interoperability, it is coming along. Kaiser Permanente has all of their regions in Epic software on a single system (in 9 states and DC) and the same technology used for their collaborative build is available (or will be soon) for organizations that choose to share data electronically. The privacy/security setup is extremely interesting when you get into the nitty gritty and it seems to be a great solution.

The technology to do this nationally and internationally is on the way. There is a long way to go until we are there - especially when you get into different languages. The reality is that different languages are needed here at home even if software doesn't span across international borders.

From what I've heard, I can't remember if it was Tommy Thompson or the new guy but one of the HHS heads said that if you want a national software system you either find a way to patch it all together with interfaces - or you go with Epic.