Posts Tagged ‘medical records’
Doctors Don’t Want Patients to Access EHR Info
Most U.S. Doctors Believe Patients Should Update Electronic Health Record, but Not Have Full Access to It, According to Accenture Eight-Country Survey
March 4, 2013 – A new Accenture survey shows that most U.S. doctors surveyed (82%) want patients to actively participate in their own healthcare by updating their electronic health records. However, only a third of physicians (31%) believe a patient should have full access to his or her own record, 65% believe patients should have limited access and 4 percent say they should have no access (See Figure 1). These findings were consistent among 3,700 doctors surveyed by Accenture in eight countries: Australia, Canada, England, France, Germany, Singapore, Spain and the United States.
Patients Access to Records
While nearly half of U.S. doctors (47%) surveyed believe patients should not be able to update their lab test results, the vast majority believe patients should be able to update some or all of the standard information in their health records, including demographics (95%), family medical history (88%), medications (87%) and allergies (85%). And, the majority of doctors (81%) believe patients should even be able to add such clinical updates to their records as new symptoms or self-measured metrics, including blood pressure and glucose levels. Read the rest of this entry »
Restyling Electronic Medical Records
Electronic medical records (EMR) can be extremely useful tools to help improve patient care and reduce costs — if designed and used properly. But unfortunately, good design is hard to come by in this market. The lack of Health IT data standards, privacy laws, and impenetrable health systems complicate an already challenging design process and usually lead to lackluster products. So, the White House sponsored a contest to restyle the Blue Button, a medical record that was first implemented by Department of Veteran Affairs as a text-only record. Read the rest of this entry »
Will the Affordable Care Act Help Telehealth Flourish?

Nurse Jennifer Witting stands beside newly installed telemedicine equipment at the Aspirus Keweenaw Hospital in Laurium, Mich., on June 20, 2012. Photo courtesy of Flickr Creative Commons.
By Brian Heaton (original article at govtech.com)
Opportunity is knocking for telehealth to become a common method of practicing medicine in the U.S.
One-on-one Web-based video chats and other electronic consultation between doctors and patients isn’t new — it’s been used throughout the U.S. in varying degrees for a few years now. But health-care reform, a ballooning and aging population and a shortage of available family physicians may be a perfect storm that could blow the doors open for telehealth to go mainstream.
As states’ health insurance exchanges — online marketplaces where citizens can compare and purchase insurance plans — begin to debut in advance of the 2014 deadline set forth by the Affordable Care Act (ACA), access to health-care providers should expand for many Americans. Obtaining insurance coverage soon may be easier, but the gap between the number of incoming patients and available primary care doctors is widening.
Medical students invent app that checks your symptoms
Craig Monsen and David Do are fourth-year medical students at Johns Hopkins School of Medicine students. According to this article, they recently created a smartphone compatible website that uses big data, analytics, and artificial intelligence to analyze your symptoms and help determine the cause.
Using Symcat (symptoms-based, computer-assisted triage), you enter various ailments (fever, rash, cough, swelling etc.) and receive a diagnosis, prioritizing potential causes by likelihood and color-coding them by urgency. As you’ll see in the video demo below, entering and refining the symptoms and medical history is an iterative process, and the results are quite impressive. At some point, if you decide to see a doctor, the system also recommends local practitioners based on their specific specialty and experience.
Health Reform needs a WELLNESS emphasis
How can healthcare systems encourage patients to take greater ownership of their health so they live longer? That was the question posed to a Linkedin discussion group that generated some interesting responses. I initially weighed in with:
Public Health and Social Programs
We don’t often think of clean running water, indoor toilets, sanitation systems, and school vaccinations as having profound effects on the health of our citizens, but they have. So too would programs that address poverty, unemployment, and the widening income gap. That’s why next on my list is access to nutritious food, exercise opportunities, and full-time employment, which translates into access to health insurance.
Others said consumers would need support from various health care organizations and suggested several initiatives designed to move from medical response systems to health, wellness and prevention systems. Read the rest of this entry »
Medical Records in the hands of Patients
Each time you go to the doctor’s office, they start by scanning through your medical record for notes entered last time, as well as vital signs (including pulse & blood pressure), past test results, medications & vaccines, etc. If it’s your first visit, the doctor begins by looking over any medical history and health records or narrative of symptoms you provide.
That information doesn’t automatically follow you as you see multiple healthcare providers. Your primary care physician may be a general practitioner, but you may also see an allergist, cardiologist, dentist, dermatologist, gynecologist, radiologist, urologist, and more. Because each office or medical facility maintains its own records and doctor’s notes, you likely have to give nearly the same information again and again each you visit someone new.



Did you use an online support group like
Friends from Beyond explores the role of social media and digital assets after death, and the need to think about this ahead of time, even creating a digital will to say who acts as executor and who takes ownership of the accounts, which ones get deleted, as well as if any should be preserved for perpetuity.




