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Pensacola Discussion Forum » Politics » Doctors quitting under weight of electronic data requirements...who needs Doctors we got ACA?

Doctors quitting under weight of electronic data requirements...who needs Doctors we got ACA?

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2seaoat
Wordslinger
ZVUGKTUBM
boards of FL
TEOTWAWKI
9 posters

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TEOTWAWKI

TEOTWAWKI

http://www.gazettextra.com/20150528/charles_krauthammer_doctors_quitting_under_weight_of_electronic_data_requirements

That’s just the beginning of the losses. Consider the myriad small practices that, facing ruinous transition costs in equipment, software, training and time, have closed shop, gone bankrupt or been swallowed by larger entities.

This hardly stays the long arm of the health care police, however. As of Jan. 1, 2015, if you haven’t gone electronic, your Medicare payments will be cut, by 1 percent this year, rising to 3 percent (potentially 5 percent) in subsequent years.

Then there is the toll on doctors’ time and patient care. One study in the American Journal of Emergency Medicine found that emergency-room doctors spend 43 percent of their time entering electronic records information, 28 percent with patients. Another study found that family-practice physicians spend on average 48 minutes a day just entering clinical data.

boards of FL

boards of FL

Damned this electronic information era that has boosted our GDP and standard of living over the last two decades!   Better were the days of endless file cabinets full of handwritten paper documents!  

It's amazing the BS that can be peddled to stupid people.


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ZVUGKTUBM

ZVUGKTUBM

boards of FL wrote:Damned this electronic information era that has boosted our GDP and standard of living over the last two decades!   Better were the days of endless file cabinets full of handwritten paper documents!  

It's amazing the BS that can be peddled to stupid people.

I wouldn't even call Charles Krauthammer a doctor....

http://www.best-electric-barbecue-grills.com

TEOTWAWKI

TEOTWAWKI

boards of FL wrote:Damned this electronic information era that has boosted our GDP and standard of living over the last two decades!   Better were the days of endless file cabinets full of handwritten paper documents!  

It's amazing the BS that can be peddled to stupid people.

Didn't read it huh?....yeah


The geniuses who rammed this through undoubtedly thought they were rationalizing health care. After all, banking went electronic. Why not medicine?

Because banks deal with nothing but data. They don’t listen to your heart or examine your groin. Clicking boxes on an endless electronic form turns the patient into a data machine and cancels out the subtlety of a doctor’s unique feel and judgment.

Why did all this happen? Because liberals in a hurry refuse to trust the self-interested wisdom of individual practictioners, who were already adopting EHR on their own, but gradually, organically, as the technology became ripe and the costs tolerable. Instead, Washington picked a date out of a hat and decreed: Digital by 2015.

ZVUGKTUBM

ZVUGKTUBM

One day, holographic doctors will put human doctors out of business......

Doctors quitting under weight of electronic data requirements...who needs Doctors we got ACA? Doctor

http://www.best-electric-barbecue-grills.com

TEOTWAWKI

TEOTWAWKI

Stick your finger in the receptacle on the Ectomy 3000...ding ding ding.....your hemorrhoids have been removed....10 billion credits have been deducted from the Federal State of Florida.


But but wait that wasn't my hemorrhoids that was my......move along citizen THX1138 or you will be terminated......

Wordslinger

Wordslinger

My RN wife is working now as a traveling nurse. Her last hospital had already converted to electronic records quite some time ago. It took time for everyone to familiarize themselves with the system, but when they did they got a lot more done for patients than was possible when all the records were written on paper.


Teo: The paper system was becoming unusable -- it simply restricted the flow of information needed by all branches of medicine, rather than enhanced the data from which they need to make good medical decisions.

My wife is working 13 weeks in a hospital in Sebring. That institution is still writing all records on paper, and because of the slowdown, the nurses are not able to adequately service the number of patients the electronic system makes possible.

Reality.

2seaoat



In the late 70s my job was computerization of a bearing factory which would put in a MRP system which controlled the manufacturing process, forecasting, capacity planning, and reduction of inventory.

Every single person resisted the transition.  It took years to build up trust that if the computer screen or print out said something was there....it was there....people still had a drawer with file cards tracking everything, but nobody else could have that information, but they were more worried to lose the power of that information.  When the prime shot up to 18% we reduced inventory by ten million dollars and cut lead times in half.........however, if anybody tries to tell you computer records are easy.....it is a difficult process but the paybacks are great, in our case almost two million dollars a year.

When I had to run around and get my medical records....I can say that the ACA is a step in the right direction.

TEOTWAWKI

TEOTWAWKI

Thanks word. Change is usually resisted even when it improves service.

Joanimaroni

Joanimaroni

Wordslinger wrote:My RN wife is working now as a traveling nurse.  Her last hospital had already converted to electronic records quite some time ago.  It took time for everyone to familiarize themselves with the system, but when they did they got a lot more done for patients than was possible when all the records were written on paper.


Teo:  The paper system was becoming unusable -- it simply restricted the flow of information needed by all branches of medicine, rather than enhanced the data from which they need to make good medical decisions.

My wife is working 13 weeks in a hospital in Sebring.  That institution is still writing all records on paper, and because of the slowdown, the nurses are not able to adequately service the number of patients the electronic system makes possible.  

Reality.


Yes and no.

2seaoat



Yes and no.

Only to the extent that a computer system has not been perfected or somebody does not know what they are doing.  With bar codes and scanning technology forms can be filled in seconds and dynamically be available for everybody.  Paper in this day in age is the problem.  Medical records should all be digital and when somebody has to spend an entire week to collect paper records and non digital film it really is a crime.....things slip through the cracks.   If a paper system cannot be replicated and improved on.....get a new systems person.

Markle

Markle

ZVUGKTUBM wrote:
boards of FL wrote:Damned this electronic information era that has boosted our GDP and standard of living over the last two decades!   Better were the days of endless file cabinets full of handwritten paper documents!  

It's amazing the BS that can be peddled to stupid people.

I wouldn't even call Charles Krauthammer a doctor....

Of course we have no such expectation of you.  Ignorance is bliss is it not?

Markle

Markle

Wordslinger wrote:My RN wife is working now as a traveling nurse.  Her last hospital had already converted to electronic records quite some time ago.  It took time for everyone to familiarize themselves with the system, but when they did they got a lot more done for patients than was possible when all the records were written on paper.

Teo:  The paper system was becoming unusable -- it simply restricted the flow of information needed by all branches of medicine, rather than enhanced the data from which they need to make good medical decisions.

My wife is working 13 weeks in a hospital in Sebring.  That institution is still writing all records on paper, and because of the slowdown, the nurses are not able to adequately service the number of patients the electronic system makes possible.  

Reality.

None of which records can be hacked as have ALL of the government employees, past and present.

Wordslinger

Wordslinger

Markle wrote:
Wordslinger wrote:My RN wife is working now as a traveling nurse.  Her last hospital had already converted to electronic records quite some time ago.  It took time for everyone to familiarize themselves with the system, but when they did they got a lot more done for patients than was possible when all the records were written on paper.

Teo:  The paper system was becoming unusable -- it simply restricted the flow of information needed by all branches of medicine, rather than enhanced the data from which they need to make good medical decisions.

My wife is working 13 weeks in a hospital in Sebring.  That institution is still writing all records on paper, and because of the slowdown, the nurses are not able to adequately service the number of patients the electronic system makes possible.  

Reality.

None of which records can be hacked as have ALL of the government employees, past and present.

Why not just improve computer security? Meanwhile, some hacker has learned that Barney Finkle's flatulence has been caused by eating raw potatoes. Big deal.

Guest


Guest

2seaoat wrote:In the late 70s my job was computerization of a bearing factory which would put in a MRP system which controlled the manufacturing process, forecasting, capacity planning, and reduction of inventory.

Every single person resisted the transition.  It took years to build up trust that if the computer screen or print out said something was there....it was there....people still had a drawer with file cards tracking everything, but nobody else could have that information, but they were more worried to lose the power of that information.  When the prime shot up to 18% we reduced inventory by ten million dollars and cut lead times in half.........however, if anybody tries to tell you computer records are easy.....it is a difficult process but the paybacks are great, in our case almost two million dollars a year.

When I had to run around and get my medical records....I can say that the ACA is a step in the right direction.

Doctors quitting under weight of electronic data requirements...who needs Doctors we got ACA? Images?q=tbn:ANd9GcQ2_SCDRGStpeib4-9sz7KuwOtmOHotJGScywDBDTxqeGJsXf64sg

Yeah right... If the power fails there would be no accessing those records. Then if someone really got pissed... They would never think of setting off an EMP device or turn on a heavy duty electromagnet in or near the mainframe. Lot of good those computerized records will do then.

*****SMILE*****

https://www.youtube.com/watch?v=vtPk5IUbdH0

Smile

Wordslinger

Wordslinger

Damaged Eagle wrote:
2seaoat wrote:In the late 70s my job was computerization of a bearing factory which would put in a MRP system which controlled the manufacturing process, forecasting, capacity planning, and reduction of inventory.

Every single person resisted the transition.  It took years to build up trust that if the computer screen or print out said something was there....it was there....people still had a drawer with file cards tracking everything, but nobody else could have that information, but they were more worried to lose the power of that information.  When the prime shot up to 18% we reduced inventory by ten million dollars and cut lead times in half.........however, if anybody tries to tell you computer records are easy.....it is a difficult process but the paybacks are great, in our case almost two million dollars a year.

When I had to run around and get my medical records....I can say that the ACA is a step in the right direction.

Doctors quitting under weight of electronic data requirements...who needs Doctors we got ACA? Images?q=tbn:ANd9GcQ2_SCDRGStpeib4-9sz7KuwOtmOHotJGScywDBDTxqeGJsXf64sg

Yeah right... If the power fails there would be no accessing those records. Then if someone really got pissed... They would never think of setting off an EMP device or turn on a heavy duty electromagnet in or near the mainframe. Lot of good those computerized records will do then.

*****SMILE*****

https://www.youtube.com/watch?v=vtPk5IUbdH0

Smile


Query: Are you equally against indoor plumbing? Just askin' . . .

2seaoat



Query: Are you equally against indoor plumbing? Just askin' . . .



No they have plumbing in Iowa, but an ex Navy and a radio guy, he knows what he speaks about electronics failing.....but there is this wonderful thing called battery back up and mirror image server duplication, but until a person who is sick and is running around getting paper records so specialist can save your life.....you tend to think the current system is twenty years behind the times.  Yes, things can fail, and we need to quit playing politics and work to improve.  The ACA is not perfect.  There are real changes we could work together to make it better......Americans must start by caring about their fellow Americans.....and maybe not as much about the banksters, Wall Street, and the 1%.

EmeraldGhost

EmeraldGhost

This is anecdotal, I know, but:

Between my wife & I we have four siblings who are doctors: Family/General Practioner; Pediatrician; Psychiatrist; & Anesthesiologist.   I don't think any of them have any plans to quite the medical profession anytime soon .... they've got too many bills to pay.  

All of them, however, say they (or their employer) have increasingly restricted in recent years the types of insurance they will accept ----- and still have no shortage of patients due to that.

At the same time .... none of them are in private practice anymore (two were.)   It's all "corporate" medicine nowadays ... that's the real story.

Wordslinger

Wordslinger

Both Seaoat and EmeraldGhost make good and valid points on this subject.  

Seaoat says we should start caring about each other instead of Wall St., the big banks and the 1%.  I agree ... but other than lobbyists and paid congressional flunkies, are there really any of us who care about Wall St., the big banks, or the 1%?

EmeraldGhost says today's medical system has turned the former doctor/patient relationship into a corporate medical delivery machine.  I agree.  My doctor is so over scheduled he hasn't time to converse with me, only time to hurriedly ask a few questions, listen to my chest, examine my neck,  work his laptop and say goodbye.  If I try to discuss some thing I think might be important, I'm shut off -- he simply hasn't time.

I remember scenes from the original Star Trek series, where the Doc waived a hand-held medical device at the patient, read the results and motioning her or him away, and then called out: "Next."

We're moving in that direction.  Frankly, the way technology and science is evolving, the most logical path is one leading to a robot that functions as a better, more discerning physician than the human type.  It makes sense.  Today's airline pilots never fly the plane unless there's a problem with the automated system.  They don't pilot anything.  They monitor a computer screen.  The next step, of course, is to get a backup computer that does the same thing, and put the pilots out to pasture.

Reality.

boards of FL

boards of FL

Damaged Eagle wrote:
2seaoat wrote:In the late 70s my job was computerization of a bearing factory which would put in a MRP system which controlled the manufacturing process, forecasting, capacity planning, and reduction of inventory.

Every single person resisted the transition.  It took years to build up trust that if the computer screen or print out said something was there....it was there....people still had a drawer with file cards tracking everything, but nobody else could have that information, but they were more worried to lose the power of that information.  When the prime shot up to 18% we reduced inventory by ten million dollars and cut lead times in half.........however, if anybody tries to tell you computer records are easy.....it is a difficult process but the paybacks are great, in our case almost two million dollars a year.

When I had to run around and get my medical records....I can say that the ACA is a step in the right direction.

Doctors quitting under weight of electronic data requirements...who needs Doctors we got ACA? Images?q=tbn:ANd9GcQ2_SCDRGStpeib4-9sz7KuwOtmOHotJGScywDBDTxqeGJsXf64sg

Yeah right... If the power fails there would be no accessing those records. Then if someone really got pissed... They would never think of setting off an EMP device or turn on a heavy duty electromagnet in or near the mainframe. Lot of good those computerized records will do then.

*****SMILE*****

https://www.youtube.com/watch?v=vtPk5IUbdH0

Smile



So just to clarify here, are you really arguing the idea that paper, hand-written records are more efficient and will facilitate operations better than a digital, electronic system?


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dumpcare



My family doctor with SH medical group didn't care for the new system when they implemented last year. This year is a different story, he finds it very useful and more efficient and takes all the time you need with him. He also said when it meets it's full objective there will be less doctor shopping.

I see advantages when these system's are tied into other doctor's offices especially if you forget to tell one something, for example, my urologist when I see him will already know what I've seen my family doc for the past year. My urologist hated the system last year I will soon find out if he's adapted.

I can see a benefit if it truly was national database if you were in another state and had accident and unconscious and doctor's treating you had to guess at your medical history and prescription's you may be taking.

Guest


Guest

2seaoat wrote:Query: Are you equally against indoor plumbing? Just askin' . . .



No they have plumbing in Iowa, but an ex Navy and a radio guy, he knows what he speaks about electronics failing.....but there is this wonderful thing called battery back up and mirror image server duplication, but until a person who is sick and is running around getting paper records so specialist can save your life.....you tend to think the current system is twenty years behind the times.  Yes, things can fail, and we need to quit playing politics and work to improve.  The ACA is not perfect.  There are real changes we could work together to make it better......Americans must start by caring about their fellow Americans.....and maybe not as much about the banksters, Wall Street, and the 1%.

Doctors quitting under weight of electronic data requirements...who needs Doctors we got ACA? Images?q=tbn:ANd9GcSwY0ftlSXXRp_pC7J2aGEwq0qBsn1V8V6NvuCJcc-I2iwcXB_NUw

Knowing how administration and some techs work... The back up server is probably in the same room as the primary so they can save money, time, and room. So if the scenario I suggested comes to pass there won't be any recorded history of the patients.

*****SMILE*****

https://www.youtube.com/watch?v=2DBa07sTqJA

Smile

Guest


Guest

boards of FL wrote:
Damaged Eagle wrote:
2seaoat wrote:In the late 70s my job was computerization of a bearing factory which would put in a MRP system which controlled the manufacturing process, forecasting, capacity planning, and reduction of inventory.

Every single person resisted the transition.  It took years to build up trust that if the computer screen or print out said something was there....it was there....people still had a drawer with file cards tracking everything, but nobody else could have that information, but they were more worried to lose the power of that information.  When the prime shot up to 18% we reduced inventory by ten million dollars and cut lead times in half.........however, if anybody tries to tell you computer records are easy.....it is a difficult process but the paybacks are great, in our case almost two million dollars a year.

When I had to run around and get my medical records....I can say that the ACA is a step in the right direction.

Doctors quitting under weight of electronic data requirements...who needs Doctors we got ACA? Images?q=tbn:ANd9GcQ2_SCDRGStpeib4-9sz7KuwOtmOHotJGScywDBDTxqeGJsXf64sg

Yeah right... If the power fails there would be no accessing those records. Then if someone really got pissed... They would never think of setting off an EMP device or turn on a heavy duty electromagnet in or near the mainframe. Lot of good those computerized records will do then.

*****SMILE*****

https://www.youtube.com/watch?v=vtPk5IUbdH0

Smile



So just to clarify here, are you really arguing the idea that paper, hand-written records are more efficient and will facilitate operations better than a digital, electronic system?

Doctors quitting under weight of electronic data requirements...who needs Doctors we got ACA? Images?q=tbn:ANd9GcRUasfzU9OlAcV1hTlWfH4a6RSAabq0vkJYi_AewDaLptQOAQKMvQ

I'm arguing that a groomed history of the patients health on hard copy (paper) would be a good idea.

*****SMILE*****

https://www.youtube.com/watch?v=2DBa07sTqJA

Smile

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