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A Guest Thought-Leader Presentation
Ann Miller; RN, MHA [Executive Director]
By Alberto Borges; MD
In this colorful MSFT PowerPoint presentation, ME-P thought-leader and colleague, Al Borges MD dispels a plethora of eMR myths. He discusses the true cost of eMR implementation, and presents his views on the dark side of the eMR certification process.
Assessment
He concludes with an opinion on insider C-eMR politics in the USA.
Link: The Real Facts about eMRs [last updated April 2009].
Conclusion
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Filed under: Information Technology, Op-Editorials, Videos | Tagged: Al Borges MD, ARRA, Blumenthal, CCHIT, Dashle, EHRs, EMRs, Frieden, Glaser, HIMSS, HITECH, Kissinger, Kundra, Leavitt, obama, Park, RICO Act, Tullman |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
ME-P Readers,
Our intrepid colleague, Alberto Borges MD, is currently researching an emerging HIT scandal. So, be sure to check back with us frequently. You won’t want to miss this block-buster investigative report.
Ann Miller; RN, MHA
[Executive-Director]
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“During times of universal deceit, telling the truth becomes a revolutionary act.”
George Orwell
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Dr. Borges,
This was an excellent .ppt presentation, but the slides were a bit colorful and too wordy for my tastes.
However, the content was good and I urge all ME-P readers to view the program. I especially enjoyed how you placed a photo with the “names” of the well-known HIT personalities that we all frequently read about. I look forward to your continuing though-leadership opinions and contributions.
Thank you.
Kent
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Vindication at last, Mom and Dad
“It’s become PC to ask tough questions about EHRs, quality, and health care costs.” – from an article posted yesterday by David C. Kibbe MD and Brian Klepper PhD titled “2009: A Year of Surprises and Change for the EHR Technology Market.”
http://www.thehealthcareblog.com/the_health_care_blog/2009/12/2009-a-year-of-surprises-and-change-for-the-ehr-technology-market.html
Did you hear that, ADA and TDA? It’s become Politically Correct to ask questions about EHRs. This is what makes this announcement interesting for ADA members: You entrenched leaders have made it clear that image is more important to you than dental patients, so how are you going to entertain critical thought from membership and still avoid the special bastards? If you will just open the ADA Facebook a crack, I’ll open it the rest of the way. Try this: Post a rule that says members cannot direct questions to ADA officers or something like that. I bet that would go over swell.
If you are one who has been following me for the last 4 years through my private spamphlets and public blogs, the bad news about paperless practices for 2009 was no surprise at all. Generally, Kibbe and Klepper didn’t tell you anything you haven’t heard from me. They even describe my journey:
“For several years it seemed that any criticism of EHRs, any questioning of the relationship between the use of health IT and the attendant quality of care or its cost, was off limits in policy discussions. EHRs were all good, all the time. But in 2009 we’ve seen a trickle become a torrent of serious challenges to the conventional wisdom about EHR value. It’s come from diverse sources including distinguished federal science panels, academic studies, testimony before ONC and the National Committee of Vital and Health Statistics (NCVHS), and from a chorus of individual users with personal experiences to relate on listservs and blogs.”
I used to get beat up a lot on the Internet. Not any more. I’m dealing pain now.
The last three ADA Presidents confidently stated that EHRs are inevitable in dentistry, and there is no use trying to fight the advancement of technology. How foolish do you feel now, Dr. Mark Feldman, Dr. John S. Findley and Dr. Ron Tankersley?
Did you know that on the Advocacy page of the ADA Website it still says that EHRs will save money for patients? How long do you think our leaders will keep that lie posted?
http://www.ada.org/prof/advocacy/agenda.asp
Oh yeah. Something else happened today. The TDA gave up on the Facebook attempt. Like BCBSTX leaders the TDA was forced to close their Facebook because Texas Dental Association officers thought “transparency” meant something else altogether different.
D. Kellus Pruitt; DDS
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Health Information Technology Update
Does the Promise of HITECH Money Have You Thinking about Installing an EHR?
Be a Realist – Think Again.
http://www.hcplive.com/primary-care/publications/mdng-primarycare/2009/Sept2009/PC0909_HIT_Realist
This article was authored by Alberto Borges MD; a ME-P thought-leader in private practice. He is an associate clinical professor of medicine at the George Washington University in Washington, DC.
Check out his website at http://msofficeemrproject.com
Ann Miller; RN, MHA
[Executive-Director]
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More EMRs are in Physician Offices, But Use Still Lags
Physicians increasingly are adopting electronic medical records systems, even before government economic incentives for doing so have kicked in. But a survey by the Centers for Disease Control and Prevention also found those doctors weren’t yet doing a whole lot with the technology.
The CDC’s National Center for Health Statistics said an estimated 43.9% of doctors are using full or partial EMRs, up from 34.8% in 2007 and 41.3% in 2008. The use of what was described as “fully functional” systems also went up from 3.8% in 2007 and 4.4% in 2008, to 6.3% in 2009. The survey did not include systems used for billing.
Experts don’t expect the numbers found in the CDC study to accelerate significantly, despite the presence of a maximum $44,000-per-physician tax incentive through the American Recovery and Reinvestment Act, and other incentives from Medicare and Medicaid set to begin in 2011.
Source: Pamela Lewis Dolan, AM News [2/1/10]
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The biggest take on that CDC article, Pamela, is that only 6.8% of doctors are actually **ready** to do “meaningful use” which is really dismal, considering the fact that most likely only a small portion of that number will actually go through all the requirements that are still being put together.
Obama et. al., expect a 75% or better showing by 2015 or else the PENALTIES begin to fly, at which the Titanic-Medicare will finally sink sans its providers who will have bailed out a long time ago.
The CDC study shows that HITECH has been good at promoting the use of eMRs in general – just not the type that Obama and his minions want used.
Al Borges, MD
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