To: Bill Jackson who wrote (80947 ) 11/24/1999 11:35:00 AM From: Scot Read Replies (1) | Respond to of 1572942
Bill,Is there a fee? is this a cash grab by the AMA/Intel? I don't know the details of the cost, but the AMA is sensitive to those types of suggestions after the recent debacle with the Sunbeam endorsement deal. The AMA ran a deficit this year, however, so they are struggling with costs. I would agree that this is a needed service, whoever assists with its implementation. I agree with your open standard comments and that's the primary reason why I posted the article. I'm concerned about Intel trying to use the important issue of privacy to benefit a proprietary standard. It is equally obvious that not all patient records need the same level of security so there needs to be a gradation of levels. As alluded to in the article, there was a recent rulemaking to implement standards for protection of all electronically transmitted medical records. I don't believe it makes any distinction between the types of records, but provides a general classification. It certainly raises an interesting issue about compliance and the use of encryption hardware. I know that AMD has made statements in the past to the effect of "We could implement an identification feature, if necessary." I wonder if some of these regulatory actions could necessitate such a decision. One other note, there was a recent negligence action in Texas regarding a physician who wrote a prescription for a drug which was misinterpreted by the pharmacist. His handwriting was very poor and it looked like he write the prescription for another drug. The patient took the wrong prescription and had a heart attack, he later died. You wonder why docs don't use computers and some sort of authentication/encryption system to write prescriptions. -Scot