The Ups and Downs of Electronic Medical Records

The Ups and Downs of Electronic Medical Records

The case for electronic medical records is compelling: They can make health care more efficient and less expensive, and improve the quality of care by making patients’ medical history easily accessible to all who treat them.

Small wonder that the idea has been promoted by the Obama administration, with strong bipartisan and industry support. The government has given $6.5 billion in incentives, and hospitals and doctors have spent billions more.

But as health care providers adopt electronic records, the challenges have proved daunting, with a potential for mix-ups and confusion that can be frustrating, costly and even dangerous.

Some doctors complain that the electronic systems are clunky and time-consuming, designed more for bureaucrats than physicians. Last month, for example, the public health system in Contra Costa County in California slowed to a crawl under a new information-technology system.

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Doctors call for increased use of IT

A Toronto conference on health informatics hears experts tout the use of information technology to improve patient outcomes

Enterprises aren’t the only organizations that suffer from silos of data. So does the medical community, a Toronto health informatics conference has been told.

Dr. Bruce Friedman, professor emeritus of pathology at the University of Michigan medical school, said that for too long pathologists– who look at patient tissues through microscopes, and radiologists – who look at x-rays – have operated as separate, sometimes undigitized disciplines.

Their reports go separately to clinicians, who have to make a diagnosis.

But, Friedman said, it’s time, to bring the disciplines together through information technology to create a single “super diagnosis” to make it easier for doctors.

His speech on Thursday at the opening of the two-day Advances in Health Informatics Conference was one of a number of presentations by doctors and researchers on how IT can improve patient outcomes.

The conference led off with former Canadian astronaut Dr. Dave Williams, now chief executive officer and assistant professor of surgery at Ontario’s Southlake Regional Health Centre, saying health informatics “is truly the disruptive, revolutionary change that will change the way we deliver health care.”

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Canada’s electronic health records initiative stalled by federal funding freeze

The federal government’s failure to release $500 million in promised funding has slowed the next phase of the multibillion-dollar national effort to implement electronic health records (EHRs), says Canada Health Infoway President Richard Alvarez.

The year-long freeze on federal funding has compromised plans to rollout initiatives designed to improve physician uptake of electronic records, Alvarez says. This will do nothing to improve Canada’s status as an international EHR laggard, Alvarez says.

“The next very serious phase is basically in community physicians’ offices,” says Alvarez, head of the federal agency created in 2001 to promote provincial and territorial EHR programs. “The vast majority of the [new] money was earmarked for that. That’s an absolutely crucial step in this journey. We’ve been slowed down. If we don’t have money to invest in that area we obviously can’t do that until such time as the money is reinstated.”

The $500 million was promised in the 2009 federal budget, raising the government’s overall electronic health records investment to $2.1 billion. Since 2001, Ottawa has now paid $1.6-billion for an array of programs in which federal funds have been matched by provincial and territorial monies to build nationally compatible systems and platforms. Alvarez estimates that about $3 billion has been invested to date by various levels of government in the development of EHRs in Canada.

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