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HIT in Military Medicine
By Staff Reporters
Did you know that physicians are using speech recognition tools to enhance patient electronic Medical Records [eMR] in the military?
Assessment
It’s true! According to Information Week, and by 2011, the Defense Department expects its integrated, interoperable electronic medical records system to be in place at 500+ military medical facilities worldwide.
More info link: www.informationweek.com/1188/ehealth.htm
Conclusion
Your thoughts are appreciated?
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Filed under: Information Technology, Military Medicine |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
Cheerleaders for Dental HIT?
[Hype versus Reality]
I read a comment from a dental consultant on ModernHealthcare.com that I thought would be of interest to the readers of the Executive-Post. I then submitted my opinion in response to his thoughts that it would be really swell to have electronic dental records.
http://www.modernhealthcare.com/apps/pbcs.dll/article?AID=/20080908/REG/309089986
Dr. Franklin Din is a dentist turned health informatics-consultant who thinks dentists should be included in the national interoperable electronic health record system. I am sure that it is not unusual for graduates of post-doctoral fellowships in informatics to be unrealistically enthusiastic about electronic health records. What is unusual is to find one like Din who is excited about electronic dental records.
Dr. Din is obviously not a practicing dentist. So, let me present only one of so many reasons dentists [like many physicians] are not buying into EDRs.
There is an overwhelming liability for having digitalized patient identifiers on a computer sitting in a dental office: i.e., if the computer is stolen in a burglary, all patients have to be notified. Burglaries happen. So do hackers. And, dishonest employees happen as well. Whether patient identifiers have been reported lost or not, the dental practice faces a significant chance of bankruptcy.
For example, It costs more than $160 per patient record to notify them (Ponemon Institute, 2006). This means that if a doctor has 2000 patients, it will cost over $300,000, even before the HIPAA inspectors arrive. Then there is the dentist’s reputation around town to consider.
If a dentist does not report a known loss, or does not know about the loss, a law official could show up in the reception area with a subpoena for patients’ records that are needed for an ID Theft investigation. Ouch!
I think you should move-on down the road, Dr. Din.
Darrell Pruitt DDS
Fort Worth, Texas
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Darrell,
In follow-up to the above, many of us in healthcare are familiar with Dragon Naturally Speaking voice recognition software.
Now, the Army Medical Department is rolling out Dragon Medical software to 90,000 military clinicians worldwide. The step, as part of a larger program, is run by the US Army Surgeon General and designed to help improve doctor’s experience with AHLTA, the military’s eMR.
The program, known as MEDCOM AHLTA Provider Satisfaction, invested in touch-screen laptop computers and wireless networks. Now, one wonders when, and if, the Department of Defense [DoD] can meet the larger goal of integrating AHTLA with the VA’s medical record system, VistA?
Unfortunately, the two sides are still far from having established full interoperability between the two eMR systems, a goal DoD is required by law to meet by September 30, 2009.
Will this goal be reached? I don’t want to bet on it. What about you?
Dr. James
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