For all that money, you get an uptime of about 88% on some days, and less that 80% in certain locations. Not good for a project seen as a “possible national model”.
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{ 6 comments }
It’s a 4 billion dollar success–if you are the IT vendor.
The EMR craze is driven by 3 factors:
1. The IT industry slobbering over a bigger cut of the health care dollar. I have seen articles about how this will pull them out of the dot com bust doldrums for good.
2. Government and insurers slobbering over a chance to control medical care at the point of service.
3. An deeply rooted cultural belief in the West that there is a technical solution to the healthcare cost crises–which is really a social crises of values.
The mantra that they will prevent errors and save money–neither proven–is repeated so often that by repetition alone it has taken on the aura of Indisputable Truth, which has the politicians and “healthcare leaders” mesmerized into lemming-like faith as they lead us all off the cliff of the National Health Information Network.
10:37
You hit the nail right on the head.
Bingo !
Thank god there are a few sane
people still alive and commenting.
MD payments for procedures have
decreased about 50 to 500%.
Technological development and discovery is moving much faster than HIT could possibly reduce
to cost of care. Since when was
Windows 2000/XP/Vista Server
inexpensive. The hardware is decreasing fast, but the network
costs and software licenses are
bordering on the absurd, unless,
the hospitals buy such a large sysetm that adding 1 to 3 K MDs
office coverage is not that expensive. solo offices that pay
10 to 50 K for software and then
2 to 10 K ‘/ year for service
contract will drive MDs out of
business.
In England the government buys the
software for the MD and they still
are not much in favor of the national spine data center concept.
chris bickford md
san diego
It’s great to see other medbloggers taking this seriously!
As long as Kaiser can represent the people who are talking about the EMR as isolated critics, then they don’t have to do anything. Once other bloggers start to take notice, it will be a lot harder for Kaiser to “shape perceptions” (their words, not mine) than address the problems.
The only thing Kaiser is a true success at is deceiving the public with their false advertising. The day Kaiser starts providing true, quality, healthcare instead of deceptive lip service and a plan to do away with their plan to withold healthcare will truly be a revolutionary day. This is just another way for them to grab a huge piece of the pie, whether or not it is honest, deserved or functioning. EMR will make it that much easier for Kaiser to treat their patients as if they don’t exist. Just another way for Kaiser to avoid liablitiy, they can just blame every mistake on the computer now instead of the multitude of mistakes made by actual human beings. They have other messes to clean up that should be a MUCH bigger priority.
Kevin–
Here’s a couple examples of how FUBARed Kaiser’s EMR is…
1. Contracted Nursing Homes with Kaiser patients do not have access to the patients records. Neither does Kaiser have access to the nursing home…
2. Kaiser’s EMR Epic System does not allow the MD to keep very detailed notes. It’s all diagnostic shorthand with little room for physician input.
3. The follow-up for scheduling does not allow a priority setting for MD’s to tell scheduling for a speciality appointment this patient needs to be seen right away.. so patients needlessly and dangerously wait to be seen.
I could go on and on… but as far as I can see as a patients POA, the Epic System is far from being a “national model” of anything!
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