How’s the $19-B eHR Mandate Going?
By D. Kellus Pruitt DDS
In 2004, President Bush declared that all Americans’ health records will be digital by 2014. Upon taking the office 2 years ago, President Obama also adopted the popular, HIT industry-supported bi-partisan goal. Will the mandate make a difference – even if we kick in our grandchildren’s money?
Not without the cooperation of doctors and patients. What were you thinking, Mr. Presidents?
Looking Pretty Doubtful
Yesterday, even FierceHealthIT editor Neil Versel declared,
“It’s looking pretty doubtful that the Bush/Obama goal of 2014 will happen, whether you’re shooting for ‘most’ or ‘all’ Americans.”
My Two Cents
In my opinion, the eHR mandate was doomed on delivery when the consumer-friendly 1996 HIPAA Rule was amended in 2003 – taking control of healthcare from patients and doctors and granting it to reckless healthcare stakeholders who cannot be held accountable for harming Americans.
Assessment
In 2003, our privacy was sold for bi-partisan contributions. If Americans don’t trust digital health records, they’ll be worse than worthless. They’ll be dangerous.
Conclusion
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Filed under: Information Technology, Op-Editorials, Pruitt's Platform | Tagged: ACA, Darrell Pruitt, EHRs, EMRs, HIPAA, Neil Versel |

















Are eMRs Really Secure?
How did a hacker in Malaysia manage to penetrate a computer network operated by the Federal Reserve Bank of Cleveland?
http://www.msnbc.msn.com/id/40306517/ns/us_news-security
Doctors [patients] and financial advisors [clients] beware.
Dennis
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Why EHRs aren’t meaningful to doctors and hospitals
http://www.kevinmd.com/blog/2010/11/ehrs-meaningful-doctors-hospitals.html
Need we say more?
Ann Miller RN MHA
http://www.BusinessofMedicalPractice.com
[Executive-Director]
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Wow! Landmark piece, Ann.
Darrell
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Use of Fully Functional EHRs Rises
Finally, a very thin majority of office-based physicians have some form of electronic health-record system in use, according to preliminary data from a federal health agency. The annual survey, which the National Center for Health Statistics (NCHS) conducted between April and July 2010, questioned more than 10,000 office-based physicians (excluding anesthesiologists, pathologists, and radiologists) — its largest sample size to date.
One question NCHS surveyors asked was: “Does this practice use electronic medical records or electronic health records (not including billing records)?” According to the agency, an arm of the Centers for Disease Control and Prevention, 50.7% responded “yes.”
Source: Joseph Conn, Modern Healthcare [12/21/10]
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Little Benefit to eHRs?
Darrel – Why? With the U.S. and the U.K. heading full steam toward EMRs and other health IT applications, how much evidence is there that they improve care?
Not a whole lot, according to a review of existing research on the topic published this week by PLoS Medicine. While governments and other proponents are claiming that digitizing health records can save lives and increase efficiency, the reviews’ key conclusion is that “these claims need to be scrutinized before people invest quite large sums of money in these technologies.”
http://blogs.wsj.com/health/2011/01/21/study-looks-for-cant-find-much-evidence-of-e-healths-benefits/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+wsj%2Fhealth%2Ffeed+%28WSJ.com%3A+Health+Blog%29&mod=WSJ_health
Mary
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EHR Implementation Rising, But Hurdles for Healthcare Providers Remain
Recent data from the Centers for Medicare and Medicaid Services point to progress in Electronic Health Record (EHR) implementation. Under the meaningful use program established by the 2009 stimulus bill, 75 percent of eligible hospitals and 73 percent of healthcare providers have received incentive payments for attesting to EHR use, CMS says.
However, the picture is far from rosy. Separate studies suggest that 23 percent of providers want to switch EHR systems and that, given the choice, 40 percent of providers wouldn’t buy the same EHR system again.
Source: Brian Eastwood, CIO.com [5/6/13]
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Will Americans reject EHRs?
According to Ponemon, criminal intrusions into health care systems have risen 100 percent in the past four years. Yet Obama apparently has no strategy.
“Hackers threaten health care industry’s patient records – WASHINGTON — The latest threat of identity theft might not come from retail stores or big banks, but your doctor’s office or local hospital. Criminals are stealing patient records to file fake insurance claims, obtain prescription medication, or sell Social Security numbers. Just this summer, Chinese hackers seized the personal information of 4.5 million patients at a Tennessee-based hospital network. And federal officials disclosed Thursday that an intruder managed to install malicious software on HealthCare.gov, the government’s health insurance marketplace.”
http://www.bostonglobe.com/news/nation/2014/09/05/health-care-industry-ill-prepared-for-vicious-cyberthreats/ZdvDGaipJi7VSN0TogezkL/story.html
Sit back and watch as increasingly informed consumers protect their privacy by either lying to doctors about their health, or rejecting EHRs for paper. They can do that, you know.
D. Kellus Pruitt DDS
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