Ordering a Pizza in 2012

[LittleBull]

I'm sorry but the weak link in any IT setup is the human. I seem to remember some Government employees looking up passport info or something like that during the election?

http://www.cnn.com/2008/POLITICS/03/21/obama.passport/index.html

our elected officials can pass laws, change policy at anytime. What might be unlawful now, might be changed in the future for the "Greater Good".

If the government foots the bill for national health care do you really think they are just going to pay for everything? Heck no, they will be worse than HMO denying claims, look at the VA track record over the years. How they have tried to weasel their way out of treating Vets....  JMHO

wake'y wake'y sheep!

[bluetick67]

Me neither, and neither can anyone I work with who is intimately knowledgeable with hospital information systems.  They are already operable in other countries, but just the sheer magnitude of data volume, state laws vs. fed laws, emergency and disaster recovery plans alone are mind-blowing. Certainly not something that can be built overnight, and the cost itself will be staggering.

[bluetick67]

Sorry, my last post was in response to G69.

LB, true, the weakest link is always the human.  But the scope between having the ability to look up passport info vs. Med info isn't comparable....this is incredibly more complex. Still though, I just stubbornly feel that the govt has enough information about me already, and they don't need to know the results of my latest checkup.

[LittleBull]

Sorry, my last post was in response to G69.

LB, true, the weakest link is always the human.  But the scope between having the ability to look up passport info vs. Med info isn't comparable....this is incredibly more complex. 

I respectfully disagree, Case in point, Novant Health. They own Hospitals, and just about any kind of health service there is. If you have been to any Novant Health provider and go to another they just look you up in the system and all your records from any office in their group are readily available. The physical therapist can see your records from the OBGYN and so on.. Now add in a disgruntled human and poof BREACH. Now add a goverment agancey trying to keep within its budget and they will use any means they can. I'm sorry but I can see them doing anything for "your own good" they darn well please.

Still though, I just stubbornly feel that the govt has enough information about me already, and they don't need to know the results of my latest checkup.

I am so 100% there with you on that!

[LittleBull]

Just another point, authorities testing waste water for illegal drug use. To help Law Enforcement fight the war on drugs....

http://www.keyc.com/node/24925

http://www.govtech.com/gt/261402

Whats to say they don't expand it and use the idea for other things?

the idea it right up the ally of the OP.

[bluetick67]

Yep, I'm familiar with Novant. They are a customer of one of my former employers as are most major health conglomerates in the US. Without going too far into my own history, I'll just say that I reside within the groups that develop and implement these networks.  The reason for development as really you've pointed out is so professionals that are caring for patients have all relevant information, as quickly as possible.  Total patient care was and is the main goal.

When configured appropriately, only authorized personnel can view studies, results etc.  The person at the front desk doesn't have access for example.  Specific areas are typically limited by coded authorizations to job function, and there are password protections of course as well.  Truly, the chances of patient data falling into undesirable hands is very very limited, technologically.

[bluetick67]

Re: the waste water testing - that is one of the most frivolous things...

[Silk_Hope]

There are so many variables and so many doctor's offices the project to implement a centralized database would be enormous. Information is added via insurance claims but what about the doctors who do not accept insurance or the patient who pays cash?

[Grumble69]

I respectfully disagree, Case in point, Novant Health. They own Hospitals, and just about any kind of health service there is. If you have been to any Novant Health provider and go to another they just look you up in the system and all your records from any office in their group are readily available. The physical therapist can see your records from the OBGYN and so on.. Now add in a disgruntled human and poof BREACH. Now add a goverment agancey trying to keep within its budget and they will use any means they can. I'm sorry but I can see them doing anything for "your own good" they darn well please.

When you've got a "small" number of people, you can get away with keeping a person's history intact.  In fact, that's ideal for a hospital system where you need to see everything at once.  But when you get to the national-level, it's an entirely different ballgame.  Storing a person's history in one record is extremely wasteful (in terms of storage space and computational speed for analyses). 

[bluetick67]

Depends upon the type of archive used, and tech is changing at lightning speed there, especially with the onset of cloud computing.  Older systems use DLT (digital linear tape); DVD archiving came next, and now various PACS are more prevalent given the opportunities for long-term storage that decreases or completely obliterates the need for hardware-base storage/obsolescence issues. 

Essentially, a patient's history isn't stored together in one spot, but in a multitude of areas, each residing within a particular department (if dealing with hospitals for example) or within a single-point private practice.  When a HIS is in place, records can be called up or retrieved as necessary.   So, for examples, let's say with Novant or Brigham and Womens Hospital - one may have records in the Card Dept., OB-GYN, and with a private practice affiliate (key word).  The records are archived.  Now you're at your private practice doctor's office for an exam - the doctor has the option of retrieving records from one or all areas.

Just in case anyone is interested in this geeky (and costly!) stuff, a few links:

https://www.it-solutions.siemens.com/b2b/it/en/global/industries/healthcare/Pages/e-healthcare-infrastructure.aspx
http://www.dmphp.org/cgi/content/full/3/Supplement_1/S4
http://www.washingtontimes.com/news/2009/may/11/ge-corporate-sponsor/
http://www.healthcareitnews.com/

The real kink and cost in all of this is the government-run infrastructure and linkages/synching....I haven't dove in yet to how much of the anticipated costs are truly IT related.  Have seen some estimates, but details were vague.

There are so many variables and so many doctor's offices the project to implement a centralized database would be enormous. Information is added via insurance claims but what about the doctors who do not accept insurance or the patient who pays cash?

Wish I knew too.  Has anyone else seen definitive answers?  I plan to remain outside of any insurance system and will be irate if my info is required to be entered.

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