tag:blogger.com,1999:blog-383419782853014025.post7504436844891343078..comments2024-01-01T17:57:22.956-08:00Comments on Dr. Brenner's Thoughts on Healthcare: Are ERs wasteful or the epitome of healthcare efficiency?Dr. Bhttp://www.blogger.com/profile/15728720514638220172noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-383419782853014025.post-76533447424500609812022-02-01T05:14:10.944-08:002022-02-01T05:14:10.944-08:00Another current trend is to take care of the healt...Another current trend is to take care of the health of the defined population and not only individual patients. All the health needs of the population as a whole are identified and served. It is emphasized that the community uses the health and social services provided. Healthcare has become more population-based. <a href="https://www.diabetesiq.com/shake-shack-for-people-with-diabetes-everything-you-need-to-know-2zykrtw" rel="nofollow">shake shack diabetic friendly</a> <br /><br />shakeshakemom2https://www.blogger.com/profile/03263396703410007931noreply@blogger.comtag:blogger.com,1999:blog-383419782853014025.post-42266546797051577922009-11-06T16:13:05.789-08:002009-11-06T16:13:05.789-08:00Thank you all for your comments. Eileen-I totally ...Thank you all for your comments. Eileen-I totally agree. HIPAA is a tree killer for sure. Waste of money, trees and does nothing for privacy.Dr. Bhttps://www.blogger.com/profile/15728720514638220172noreply@blogger.comtag:blogger.com,1999:blog-383419782853014025.post-89629323043047249092009-11-05T23:00:34.998-08:002009-11-05T23:00:34.998-08:00A lot of what you say sounds very familiar. I'...A lot of what you say sounds very familiar. I'd add another reason for waste: HIPAA. <br /><br />HIPAA was supposed to create a uniform standard for electronic billing (still waiting on that one). It morphed into a privacy standard, because people were worried about their medical data traveling about the world electronically. <br /><br />Fair enough, privacy is a huge concern when most of the people using electronic records aren't computer specialists. But it has created inordinate fear of penalties for innocently sharing data with other medical providers involved in a patient's care. Everyone seems to accept failure to forward data as the standard of care, even when it makes no sense from a medical point of view.<br /><br />There are common sense exceptions to privacy restrictions, but the larger the institution, the less they are willing to trust their employees' common sense. The end result is that most of that wonderful testing done in emergency rooms and hospitals is rarely forwarded to the primary care doctors by the medical records staff -- even when the ER doctor gets the PCP's contact information, even when the PCP was the one who referred the patient to the ER, even when the patient signs ER forms to permit results to be sent to the PCP, and even when the ER doctor instructs the patient to have his PCP call for final test results. There are no routine mechanisms set up to forward medical records in most institutions, and they generally refuse to send anything unless the patient comes back to sign some <i>different</i> form that no one thought to have him sign while he was in the ER. I'm sure hospital administrators are afraid someone will mess up and violate HIPAA, so it's easiest to just not set up any routine procedures for forwarding information at all. <br /><br />It leads to a lot of procedures being repeated by the PCP (or by the next ER the patient visits). And it can mean unnecessary mega-workups for findings that aren't really new.Eileen K. Carpenterhttps://www.blogger.com/profile/13547607562635728072noreply@blogger.comtag:blogger.com,1999:blog-383419782853014025.post-10314737158212509862009-10-31T19:38:08.714-07:002009-10-31T19:38:08.714-07:00It sounds like patients in the USA need to be proa...It sounds like patients in the USA need to be proactive with their health care.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-383419782853014025.post-24893917175965222412009-10-31T01:08:08.723-07:002009-10-31T01:08:08.723-07:00Good post and agree, I had similar thoughts here: ...Good post and agree, I had similar thoughts here: http://symtym.net/2004/10/walk_in_my_shoes/symtymhttps://www.blogger.com/profile/09325017262015129283noreply@blogger.com