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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: Lane3 who wrote (6226)	3/3/2009 12:19:06 PM
From: i-node	Respond to of 42652

I had three abdominal cat scans last summer. Had the results been available in the ER, I would not be glowing in the dark now. That's a lot, but I'm not sure there are too many times in an ER where they're going to rely on a scan done days or weeks ago -- if you're there with some acute condition I would think they would need to see where things stand right now. Not that I would know anything about that, I'm just saying ... if I go to an ER with something that requires a CT I hope like hell they're not just going to look at one from last month and say, "Well, a month ago you didn't have anything wrong with you ... " We support an urgent care facility that sees about 90-100 pts a day and keeping up with charts is a huge problem. One reason is they see a large number of pts one time and that's it, so the sheer volume of charts is huge. And when one gets misfiled it can be very hard to find it again. Like with anything there are +s and -s. Overall you have to conclude that EMR is something that needs to happen just because of the sheer volume of data. But it needs to happen along a well-planned time frame that is phased in VERY gradually, not rammed down the industry's throat over the course of a few years. That's really my complaint with the current game plan. And it needs to be for the correct reason. I think the quality of patient care is the big one. The idea that it is going to save many billions of dollars seems tenuous at best. Before you can start saving you have to offset the cost of implementation and ongoing support costs, which are going to be huge.