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Paul Peabody, CIO at Beaumont Hospitals, says HIPAA was supposed to provide records portability, yet doctors aren’t interested in information from PHRs.
Patients can access some records through online portals offered by a number of hospitals, Nickel said. Such portals also can allow patients to schedule appointments, check medication and even chat with a medical professional.That doesn't mean doctors are any more likely to consider information submitted by a patient."I start to wonder if physicians will really look at (patient-provided information) as useful information," said Dr. Robert J. Jackson of Western Wayne Physicians. "If someone says they have a disease, as a physician you need to seek ways to verify that because people's ability to handle the information is limited.
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There's an article on the ethical issues of using PHRs on medscape.
Worries about the patient altering stuff prior to showing another physician.
And the liabilities in being given someone's phr and having to read thru it all so that nothing important is missed...
Graham http://www.synapse-ehr.com/ Synapse - the EMR for the superior physician
gchiu: Worries about the patient altering stuff prior to showing another physician.
Patients are allowed to control the information in the models I've seen. Like anyone actually would have time to do that. What is expected .. I am going to email the patient and wait for them to allow me Access ! L O L.
PHRs:
#1) if it's not integrated into my EMR it is a major waste of time.
Patient Portals could be useful things.
PHRs are useless.
The link is http://www.medscape.com/viewarticle/579181
Good Little Blurb.
The joke is "What is a PHR?" is no where near defined.
So talking about unbuilt PHRs is useless.
Electronic PHRs might become voluminous: Will doctors be responsible for knowing everything in a patient's PHR, including information added by the patient between visits?
Uhhh .. No... Never.
And how will knowing that patients can see every note we write affect the way we document visits and our relationships with patients?[5]
I will go back to paper, I guarantee, before I allow this to happen.
What I write about my patients is for me to help them, and to have some legal ground I am trying to do so.
I am not sure patients want to read that I think they are possibly a bit depressed, etc, and that the weird pains in your body could be the start of Chronic Fatigue Syndrome.
I already find the idea that an insurance company can read my notes about patients intrusive. It's none of their business. I will provide a medical summary of the patient, yes. and some labs ... but I dont think they should be allowed to see my notes. I often don't provide them.
DrMurdoch: I am not sure patients want to read that I think they are possibly a bit depressed, etc, and that the weird pains in your body could be the start of Chronic Fatigue Syndrome.
You do not have an open conversation with your patients of what you think? I often share the whole notes to patients before sending it for any life insurance. When they leave you they need their records anyways, and believe me they really get irate if you write something not discussed with them.
I agree with the issue of sorting the validity of patient disclosed history at times. Recently I have patients claiming they have Rheumatoid arthrtis when clinically what they have is Osteoarthritis. Another insist she has Lupus or some different types of myopathy. I track those records, in my own time. Is that paid for? No its our job right? On the other hand a lot of hospitalist in my area, academic or not, do not even bother to obtain records or even bridge care. Maybe PHR is a good start long term but may be difficult from the get go. I just hope that some diagnosis are clarified or confirmed, such as CAHD based on EBT, Cardiac cath, documented MI by biological amrkers etc. rather than vague EKG findings on an asymptomatic patient.
Rogerven: DrMurdoch: I am not sure patients want to read that I think they are possibly a bit depressed, etc, and that the weird pains in your body could be the start of Chronic Fatigue Syndrome. You do not have an open conversation with your patients of what you think?
You do not have an open conversation with your patients of what you think?
It's not always correct or appropriate. When a patient comes to me and says they are "Tired All the Time" and I think they are otherwise healthy, I dont jump to tell them they might be getting depressed. It's not always appropriate to label everything, especially when it's safe to not do so. I guess this is clinical judgement.
When they leave you they need their records anyways, and believe me they really get irate if you write something not discussed with them.
I never transfer records to patients... I only will send it to another doctor.