June 21, 2018
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Comments for: Scarborough health practice improves care with electronic records

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  • Guest

    There are penalties for not adopting electronic medical records.

    The patient was, without a doubt, completely comforted and reassured by the standard of care offered over a telephone.  “Overall the ultrasound results were positive.”  “Overall?”  And, isn’t “positive,” the negative in medicine. 

    “… a panicked phone call” deserves a face-to-face.  And, how about letting the patient see the images, too.   Send them as an email attachment.

    If this story was meant to impress – it has failed to do so.

    • Anonymous

      So which is it, have the perfectly fine and healthy patient come right in for a soothing face-to-face (while other scheduled patients are forced to wait) or send the patient the images via email?  Some people are not happy no matter what, but are unable to offer a rational solution to what they see as a problem.
      HealthInfoNet has been way ahead of the nation’s adoption of EMRs.  It is a very well-run program that is, in my opinion, the gold standard for integrated EMRs.

      • Anonymous

        This is really just a matter of semantics, but HealthInfoNet isn’t an EMR. It is the central medical-related information database in Maine, and it serves as an information exchange for healthcare providers who use a compliant and connected EMR.

        The reason this distinction is important is because patients should know that just because their doctor uses an electronic medical record keeping system, it doesn’t necessarily mean their records are currently shared with the HealthInfoNet clearinghouse (though it is extremely likely if your doctor’s practice is part of one of the big systems–MaineHealth, Martin’s Pount, Mercy, etc.). The reverse is true too (you can opt-out of having your data shared, even if your doctor uses an EHR).

        • Anonymous

          Thank you for clarifiying that.

      • Guest

        A “perfectly fine and healthy patient.”  is not one who is panicked.  Nor is it one who is pregnant and has other than a “normal” ultrasound.  The answer is this:  throw those pesky, never-happy people out of medical practices.  Viewed as such, they’d be better off.

        “Gold standard.”  Translation:  The standard that brings in the most money.  The method/procedure to look to when a practitioner has no idea how to approach a problem.  “Well, let’s go with the “gold standard” for this.  Sometimes, one just doesn’t know.

        I’m going to assume that women are receiving sonograms frequently these days with pregnancy.  Why.  Is there a reason why women should have them throughout if no problems are perceived.  Is the patient in the article panicked because she did not need to have a sonogram, but because sonograms have become some kind of standard of care.

        The patient needed to be seen, and, she needed to be shown the image.  But did she need the sonogram at all?  Do you honestly believe that this woman, and the fetus, are healthier because she is frightened.  Again, “overall” things looked good.  What didn’t.  The woman is left with that.

        Ten years ago, I had an image taken of a potentially problematic area.  The recommendation was biopsy.  I had had a thorough evaluation of that area by another physician in a very distant state, where I had been living.  It wasn’t easy, but that new image was presented to the original physician, along with a thorough update of symptoms, and current lab results, who made the call that there was nothing that indicated surgery.  That opinion was then shared with the new physician who concurred.

        There was no network.  There was me, wanting the guy who had done the thorough evaluation to be in on this ‘new’ development.   There was also the non-medical person who worked for the original physician who went above, beyond, and around, I will say, standard regulations in order to accomplish this collaborative effort, and, of course, the physicians themselves who were willing to take a chance on this early, rebellious? version of electronic records-sharing — and, the technology people at the hospital where the original workup had been done.  Should they have gone to so much trouble and risk?  Both physicians had complete documention down the line.  Now, this sort of collaboration is sanctioned.  One big difference is that I was part of the process.

        Blame this mess on the article if you want., which sounds like an ad, that is, until the mention of the errors. But before I close this off, I would like to know if key participants in care – laboratory cytologists and pathologists, radiologists, etc., are given any patient medical history, whether on paper or electronically, (except in case studies), that include lists of medications and use of supplements and herbs, so that they can give their best diagnosis. If even this is not yet the “gold standard” of care, then that needs to be addressed before all the glom and glory of the illusion that is invested in all things electronic.

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