Home Health Progress or Chaos? – The Well being Care Weblog
Health - March 26, 2021

Progress or Chaos? – The Well being Care Weblog


By MERLE BUSHKIN

I not too long ago requested my Main Care Doctor’s Medical Data Division for copies of my data masking the final eight months throughout which I had 4 workplace visits, 5 blood attracts, and 9 temporary e mail exchanges. I ought to add that my PCP makes use of one of many two hottest EMR programs.

To my astonishment, I acquired 274 pages of digital data (PDFs).  I’ve heard of “document bloat” however this was an explosion!

After I analyzed their contents, I discovered that 59 pages had been legit paperwork containing “authentic” data and knowledge.  22 Pages had been Workplace Notes — or what are sometimes referred to as Progress Notes —relevant to my 4 visits; 14 had been reviews of my 5 blood attracts; 23 included my 9 e mail exchanges. In brief, they had been “regular” — what you’d anticipate from the variety of contacts I had with my physician and his lab.

However the remaining 212 pages shocked me. They had been completely sudden and, for my part, utterly pointless! They had been a slicing, dicing and recasting of the contents of the fundamental 59 pages! They included 82 pages of “Ambulatory Go to Directions” (which I used to be by no means given), and 62 pages itemizing my immunizations, meds, issues, procedures, orders, and previous medical, social and household histories — all of that are coated in my suppliers’ Workplace Notes!

I consider these recast notes end result from the hassle to standardize medical data so docs and different care suppliers can change affected person data — , utilizing FHIR, HL7, APIs, CDAs, CCDAs, and many others. 

However is that this large explosion of data and the ensuing confusion and chaos actually essential to realize interoperability? Furthermore, all this repetition and recasting of information and bloat doesn’t make sure that the standardized data being sought is out there as a result of the supplier usually enters it within the mistaken knowledge area!

What scares me about all that is that both the individuals who conjured up this technique aren’t conscious of those issues or they don’t care which might be even worse!

A Texan would say that these bloated programs “are all hat and no cattle!” Others would say “they confuse movement for progress.” I say this resolution is much worse than the issue, and that we want a distinct method and system. One that’s easier, extra complete, simpler to make use of, cheaper and meets everybody’s wants.

I recommend we take a web page from serps like Google, Yahoo and Bing and give attention to managing disparate data relatively than making an attempt to share standardize knowledge saved in silos — an method we all know doesn’t work. 

We do this immediately and everybody can profit mightily! So let’s cease creating chaos and losing time, expertise, and cash!

Merle Bushkin is Founder & CEO of Well being Document Company, creator of MedKaz®, the patient-focused private well being document you carry in your pocket. 



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