Comments on: Medical Records R Us http://www.cringely.com/2009/07/medical-records-r-us/ Cringely on technology Mon, 15 Mar 2010 04:15:27 +0000 http://wordpress.org/?v=2.9.1 hourly 1 By: insurance tips http://www.cringely.com/2009/07/medical-records-r-us/comment-page-2/#comment-12983 insurance tips Wed, 03 Feb 2010 13:55:38 +0000 http://www.cringely.com/?p=546#comment-12983 Great article covering the fact that there are other things wrong with the health care service in America. With creating a better computerised health care record and the health care reform could make the health care that everybody wants to have and have the ground work for a reliable service for generations to come. But with creating a computerised service will be the time to input all the millions and millions of records out there which will take some time but when completed will aid in so many ways to benefit the system. Great article covering the fact that there are other things wrong with the health care service in America. With creating a better computerised health care record and the health care reform could make the health care that everybody wants to have and have the ground work for a reliable service for generations to come. But with creating a computerised service will be the time to input all the millions and millions of records out there which will take some time but when completed will aid in so many ways to benefit the system.

]]> By: Paint Bull http://www.cringely.com/2009/07/medical-records-r-us/comment-page-2/#comment-12584 Paint Bull Fri, 29 Jan 2010 09:04:03 +0000 http://www.cringely.com/?p=546#comment-12584 I've been looking for this exact info on this subject for a while. I’ve been looking for this exact info on this subject for a while.

]]> By: Ed http://www.cringely.com/2009/07/medical-records-r-us/comment-page-2/#comment-11353 Ed Thu, 07 Jan 2010 18:03:30 +0000 http://www.cringely.com/?p=546#comment-11353 I cant find your Rss feed i would like to subscribe to your content. I cant find your Rss feed i would like to subscribe to your content.

]]> By: eugene allred http://www.cringely.com/2009/07/medical-records-r-us/comment-page-2/#comment-8783 eugene allred Mon, 23 Nov 2009 00:36:27 +0000 http://www.cringely.com/?p=546#comment-8783 I have taught computer operating systems and database technology around the world and have developed some expertise. I am in the process of designing the ideal medical records system and here are some features I think it should have: 1. All medical records should be on one database universally available through internet. My medical practitioner, not matter where I am, should have the best medical information possible -- with my permission. 2. The database should be under government control. 3. All records should have the same format. 4. The medical record should begin sometime after conception. 5. It should employ the latest technology in encryption and control access. 6. All medical input should be recorded: shots, vaccinations, doctors reports, prescriptions, tests, everything necessary to provide good medical information for future medical practitioners to make the best assessment of treatment that they can. 7. Technology should make it possible to input information directly into the database. Doctors should be able to easily voice input directly into the records; testing equipment should be able to send results directly to the medical database. 8. The database should be accessible in almost every language; if I am in China or Japan, I want the medical practitioner to see the information, is possible, in his/her language. 9. Each medical consumer should have complete access to his/her records and be able to make comments and, perhaps, some edits to the record. 10. There should be enormous cost savings with this system and, unfortunately, some obsolescence in the field of medical records. 11. Having had 9 hospilizations in the last 7 years, I have noticed that doctors and medical staff spend a lot of time at computers and with record keeping. There is also terrible redundancy of record collection. Why should any medical practitioner anywhere have to ask me for a list of my medications? These have all been prescribed somewhere and filled somewhere. I would appreciate any features and suggestions for improvements as well as caveats (although I am somewhat prejudiced in believing that carefully implemented technology can be bullet proof.) I have taught computer operating systems and database technology around the world and have developed some expertise. I am in the process of designing the ideal medical records system and here are some features I think it should have:
1. All medical records should be on one database universally available through internet. My medical practitioner, not matter where I am, should have the best medical information possible — with my permission.
2. The database should be under government control.
3. All records should have the same format.
4. The medical record should begin sometime after conception.
5. It should employ the latest technology in encryption and control access.
6. All medical input should be recorded: shots, vaccinations, doctors reports, prescriptions, tests, everything necessary to provide good medical information for future medical practitioners to make the best assessment of treatment that they can.
7. Technology should make it possible to input information directly into the database. Doctors should be able to easily voice input directly into the records; testing equipment should be able to send results directly to the medical database.
8. The database should be accessible in almost every language; if I am in China or Japan, I want the medical practitioner to see the information, is possible, in his/her language.
9. Each medical consumer should have complete access to his/her records and be able to make comments and, perhaps, some edits to the record.
10. There should be enormous cost savings with this system and, unfortunately, some obsolescence in the field of medical records.
11. Having had 9 hospilizations in the last 7 years, I have noticed that doctors and medical staff spend a lot of time at computers and with record keeping. There is also terrible redundancy of record collection. Why should any medical practitioner anywhere have to ask me for a list of my medications? These have all been prescribed somewhere and filled somewhere.
I would appreciate any features and suggestions for improvements as well as caveats (although I am somewhat prejudiced in believing that carefully implemented technology can be bullet proof.)

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]]> By: civil records search http://www.cringely.com/2009/07/medical-records-r-us/comment-page-2/#comment-5234 civil records search Mon, 24 Aug 2009 15:01:03 +0000 http://www.cringely.com/?p=546#comment-5234 <strong>civil records search...</strong> Can point me to other similar posts on civil records search? Really appreciate it. Thanks.... civil records search…

Can point me to other similar posts on civil records search? Really appreciate it. Thanks….

]]> By: fustian http://www.cringely.com/2009/07/medical-records-r-us/comment-page-2/#comment-4805 fustian Sun, 09 Aug 2009 19:43:53 +0000 http://www.cringely.com/?p=546#comment-4805 Nice strawman. Because, of course, Goldman Sachs stands in for the whole idea of free markets. Evil, greedy, and maybe even vaguely Jewish. Except when all those government run systems from other countries fail, our current health care system is the go-to place. Heaven help us when the same people that bring us public schools, the post office, the IRS, and the VA, take over health care. As for the medical records idea, all I see is that my current medical costs would stay the same, but you've now added a monthly medical record storage cost. I do like the idea that doctors would be forced to turn over copies of all records as they create them. Some do now. I was given a copy of my last MRI without even needing to ask. One thing I would like government to agree on is to require that hospitals and doctors give you a complete and final bill right when you check out. Currently, if you go in even for some kind of minor surgery, you're still getting inexplicable new charges a year later. There oughta be a law. Nice strawman. Because, of course, Goldman Sachs stands in for the whole idea of free markets. Evil, greedy, and maybe even vaguely Jewish.

Except when all those government run systems from other countries fail, our current health care system is the go-to place.

Heaven help us when the same people that bring us public schools, the post office, the IRS, and the VA, take over health care.

As for the medical records idea, all I see is that my current medical costs would stay the same, but you’ve now added a monthly medical record storage cost.

I do like the idea that doctors would be forced to turn over copies of all records as they create them. Some do now. I was given a copy of my last MRI without even needing to ask.

One thing I would like government to agree on is to require that hospitals and doctors give you a complete and final bill right when you check out. Currently, if you go in even for some kind of minor surgery, you’re still getting inexplicable new charges a year later. There oughta be a law.

]]> By: Andrew S http://www.cringely.com/2009/07/medical-records-r-us/comment-page-1/#comment-4674 Andrew S Tue, 04 Aug 2009 22:31:37 +0000 http://www.cringely.com/?p=546#comment-4674 This fails to explain why insurance+care providers such as Kaiser are not massively profitable. This fails to explain why insurance+care providers such as Kaiser are not massively profitable.

]]> By: Skizz http://www.cringely.com/2009/07/medical-records-r-us/comment-page-2/#comment-4649 Skizz Mon, 03 Aug 2009 10:17:15 +0000 http://www.cringely.com/?p=546#comment-4649 The Web is not the right place for health records, at least, the type you're suggesting. Firstly, can you be sure the information will still be available in ten years time? Twenty? A hundred? Your recent article about Orbitz highlights the main problem - in the effort to cut costs, data loss will undoubtedly happen. You also need to protect against phishing and malicious attacks. Don't forget that your average user doesn't understand the technology of the Web and that these are problems that banks have not solved - they can shout about phising scams as loud as they can but people still fall for them. Malicious attacks could also come from pharmaceutical companies looking to promote their products by falsifying theie effectiveness. Your health record needs to be available at all times - you never know when you're going to be in A&E! The Web suffers from intermittent connections, ISPs suffer power failures and cut cables! Also, what do people do if they can't afford to pay a health care record provider? Would the government provide a free version with the downside being that, hey, it's the government and they, at least here in the UK, are really good at losing your data! Perhaps the best, most secure place for this information is on a RFID that's implanted in your body somewhere. (That's a joke.) I see two main problems. Firstly, technology is a long way off being capable of addressing all the issues (and there are lots of them - security, reliability, interoperability, etc). Secondly, there just isn't enough quality programmers around to build these system (but that's just a general problem). The Web is not the right place for health records, at least, the type you’re suggesting. Firstly, can you be sure the information will still be available in ten years time? Twenty? A hundred? Your recent article about Orbitz highlights the main problem – in the effort to cut costs, data loss will undoubtedly happen. You also need to protect against phishing and malicious attacks. Don’t forget that your average user doesn’t understand the technology of the Web and that these are problems that banks have not solved – they can shout about phising scams as loud as they can but people still fall for them. Malicious attacks could also come from pharmaceutical companies looking to promote their products by falsifying theie effectiveness. Your health record needs to be available at all times – you never know when you’re going to be in A&E! The Web suffers from intermittent connections, ISPs suffer power failures and cut cables!

Also, what do people do if they can’t afford to pay a health care record provider? Would the government provide a free version with the downside being that, hey, it’s the government and they, at least here in the UK, are really good at losing your data!

Perhaps the best, most secure place for this information is on a RFID that’s implanted in your body somewhere. (That’s a joke.)

I see two main problems. Firstly, technology is a long way off being capable of addressing all the issues (and there are lots of them – security, reliability, interoperability, etc). Secondly, there just isn’t enough quality programmers around to build these system (but that’s just a general problem).

]]> By: Alex Birch http://www.cringely.com/2009/07/medical-records-r-us/comment-page-2/#comment-4634 Alex Birch Sun, 02 Aug 2009 13:33:39 +0000 http://www.cringely.com/?p=546#comment-4634 How much privacy do other nations such as Canada happen? How much privacy do other nations such as Canada happen?

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