Looks like electronic health records isn't saving healthcare money after all - Page 2 - TigerDroppings.com

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Diamondawg
Mississippi St. Fan
Mississippi
Member since Oct 2006
10872 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

Went with the full enterprise Epic EMR
Who did you have prior to Epic?






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wiltznucs
South Florida Fan
Apollo Beach, FL
Member since Sep 2005
7648 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

Who did you have prior to Epic?


We ultimately replaced nearly two dozen legacy systems with the Epic system. Some of the legacy systems included Siemens, Meditech, etc...






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MSMHater
LSU Fan
Houston
Member since Oct 2008
11850 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

Went with the full enterprise Epic EMR system


They are getting most of the UT system contracts here in TX. They must have a good sales pitch.






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wiltznucs
South Florida Fan
Apollo Beach, FL
Member since Sep 2005
7648 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

They must have a good sales pitch.


We considered Siemens, Cerner and Epic. I wasnt involved in the final decision; however, I know the staff was overwhelmingly in favor of Epic.

My organization went with a "Big Bang" implementation as opposed to slowly phasing systems out. It was the most painful route, but a year later its pretty amazing to look back at where we were and where we are now..



This post was edited on 1/11 at 1:23 pm


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tigerskin
LSU Fan
Member since Nov 2004
9436 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

85% of all costs associated with emr. including upkeep and licensing.



And that is the point. Labs tossing in $40,000 here, the government tossing in money, etc. The money just didn't fall from the trees (and yes the labs know how to get it back). Yes, eventually if everyone was on the same EMR system, then that would be great but to have acted like this wasn't going to increase the cost of healthcare is a joke.






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Diamondawg
Mississippi St. Fan
Mississippi
Member since Oct 2006
10872 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

They are getting most of the UT system contracts here in TX. They must have a good sales pitch.

They are pretty selective in who they want to have as customers. They evaluate your staff, commitment, infra-structure and all before they decide to get in the sand pile with you.






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RockyMtnTigerWDE
Auburn Fan
Posibarner CoCaptain 4eva
Member since Oct 2010
40193 posts

re: Looks like electronic health records isn't saving healthcare money after all


There was never any real intent to save money. It was just a ruse to get everyone's health information centralized. This is going to be used for a more expanded version of Obamacare.





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wiltznucs
South Florida Fan
Apollo Beach, FL
Member since Sep 2005
7648 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

There was never any real intent to save money. It was just a ruse to get everyone's health information centralized. This is going to be used for a more expanded version of Obamacare.


Hospitals and Physicians have been reporting health related data to government agencies and insurers for decades. It's the very reason ICD codes exist. I dont see how an EMR is part of a diabolical plan to gather the information the government already has at its fingertips.






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MSMHater
LSU Fan
Houston
Member since Oct 2008
11850 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

There was never any real intent to save money. It was just a ruse to get everyone's health information centralized. This is going to be used for a more expanded version of Obamacare.


Lulz.

1) No one has access to my server and PHI but me.

2) We, generally, choose the quality data we submit to the govt

3) There are so many different EMR systems and languages implemented across the country that the govt would have to build thousands of specific interfaces to capture data from each one.

There is NOTHING centralized about our health information, and there never will be on a federal level (other than the VA). The best we can shoot for, based on finances and infrastructure realities, is pods of centralized information in each state. And that's even a giant clusterfrick.






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Diamondawg
Mississippi St. Fan
Mississippi
Member since Oct 2006
10872 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

3) There are so many different EMR systems and languages implemented across the country that the govt would have to build thousands of specific interfaces to capture data from each one.

Not necessarily. HIPAA required certain standard data formats for submitting stuff for reimbursement. You had to modify your system to do this. I can't remember if it went into effect with the Privacy stuff in 2003 but I am thinking it was required soon after.






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Adam Banks
LSU Fan
District 5
Member since Sep 2009
4929 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

Looks like electronic health records isn't saving healthcare money after all If they aren't saving money by going paperless they did it wrong. But to me the real saving in going electronic is telemedicine. Vitals and symptoms will be taken and doctors will make remote diagnosises and over time we'll realize that a computer can just as easily give the diagnosis for 95% of the problems and before you know it everyone's cellphone becomes their doctor for basic illnesses.


I've seen telemedicine in action and it has a LONG way to go. For check ups and stuff for patients who live far way it's good but the sound from the stethoscope is grainy it doesn't get places exactly where you want it. Things get miscommunicated etc. I don't think the general public has a full appreciation of the evaluation a physician is doing as they examine and talk to a patient the first time. Also say they make the diagnosis what happens next? Who does the procedure? Who does the biopsy? Who does the intra articular injection?
These can't be done over the tv. However I feel certain the government will force implementation of these causing costs to go up.






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MSMHater
LSU Fan
Houston
Member since Oct 2008
11850 posts

re: Looks like electronic health records isn't saving healthcare money after all


Point taken. those billing records have somewhat limited data, but they definitely could manipulate my revenue cycle to get more data from me If they wanted to.

access to my actual medical record software is what I meant with the interfaces, but you're right.






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SmackoverHawg
Arkansas Fan
Member since Oct 2011
13312 posts

re: Looks like electronic health records isn't saving healthcare money after all


frick EMR. I'm staying paper as long as I can,then frick it I'm out.





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matthew25
Ole Miss Fan
Member since Jun 2012
3363 posts

re: Looks like electronic health records isn't saving healthcare money after all


When Bush left office in 2008, nearly 40% of providers had complete EMR systems. Penalties go into effect in 2015 if system not complete.





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Diamondawg
Mississippi St. Fan
Mississippi
Member since Oct 2006
10872 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

nearly 40% of providers had complete EMR systems.
No such thing.






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Alahunter
Alabama Fan
Member since Jan 2008
84975 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

Looks like electronic health records isn't saving healthcare money


But... but..it DID save lives, right?

quote:

Jan. 9. 2009
In the latest step toward the computerization of Americans' medical information, President-elect Barack Obama said in a speech Thursday that the government will push for electronic health records for all Americans within five years in order to save both dollars and lives.

"To improve the quality of our health care while lowering its cost, we will make the immediate investments necessary to ensure that, within five years, all of America's medical records are computerized," Obama said in a speech from George Mason University in Fairfax, Va. "This will cut waste, eliminate red tape and reduce the need to repeat expensive medical tests."

"But it just won't save billions of dollars and thousands of jobs; it will save lives by reducing the deadly but preventable medical errors that pervade our health-care system," he said.





This post was edited on 1/12 at 7:42 am


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Diamondawg
Mississippi St. Fan
Mississippi
Member since Oct 2006
10872 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

"To improve the quality of our health care while lowering its cost, we will make the immediate investments necessary to ensure that, within five years, all of America's medical records are computerized," Obama said in a speech from George Mason University in Fairfax, Va. "This will cut waste, eliminate red tape and reduce the need to repeat expensive medical tests."

"But it just won't save billions of dollars and thousands of jobs; it will save lives by reducing the deadly but preventable medical errors that pervade our health-care system," he said.
This very doable. I could design a system using bi-directional decision support between the order entry system and pharmacy system (using bed-side enabled bar code med admin system), decision support between the pharmacy and lab system (including bed-side enabled bar code blood admin system), decision support between the order system and lab system, decision support between order system and radiology system to include a PACS (picture archive communication systerm) and order system talking to all of the ancillary systems (RT, PT, OT, Social Work, etc.).
The problem is most hospitals have no money and the cost of this is in the tens of millions of dollars and most hospital IT departments are staffed barely capable of maintaining the system that they have. Most hospitals don't have the space, infrastructure to even come close to being able to accommodate the additional bandwidth that such as system would require. Depending on where you are in preparation for such an enormous project, it would take 1 to 3 years to build, 4 to 5 times as many IT professionals (including clinicians dedicated to the build, training and support) all the while supporting the system that you have. ROI on this is in the 7-10 year range even counting the penalty avoidance (OK - I might have made that part up but it's way out there)
Yeah - it can be done but as usual, Obama hears something that he likes and voila - that's what must be done, not having a clue how to accomplish it.
And - if you really want to accomplish, you would do a scaled down model for independent physician offices but it's absolutely cost prohibitive.






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Burt Reynolds
Florida State Fan
L.A.
Member since Jul 2008
16458 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

Who did you have prior to Epic?


I helped implement a nextgen EMR at a surgeon's solo practice. What an expensive shitstorm. A complete waste of time for any doctor's office. The different EMRs can't communicate with each other so everyone still has to fax information to one other. EMR is pretty much pointless except maybe in a hospital where multiple people will need a chart at one time.






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Burt Reynolds
Florida State Fan
L.A.
Member since Jul 2008
16458 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:


"To improve the quality of our health care while lowering its cost, we will make the immediate investments necessary to ensure that, within five years, all of America's medical records are computerized," Obama said in a speech from George Mason University in Fairfax, Va. "This will cut waste, eliminate red tape and reduce the need to repeat expensive medical tests."

"But it just won't save billions of dollars and thousands of jobs; it will save lives by reducing the deadly but preventable medical errors that pervade our health-care system," he said.


Worst president since ullyses s. grant






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Burt Reynolds
Florida State Fan
L.A.
Member since Jul 2008
16458 posts

re: Looks like electronic health records isn't saving healthcare money after all


quote:

MSMhater







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