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Dictation and EMRs, Pocket Health, and the Mirage of Health: This Week at HealthCare Scene

Posted on June 3, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Here’s the weekly roundup of articles throughout HealthCare Scene. Many of these sites have other great articles not highlighted here, so be sure to check those out as well. 
EHR, EMR, & HIPAA

Will Growth in Mobile Use Compromise HIPAA Compliance?

Being able to access data through a mobile device is very valuable for doctors. However, questions about security have been raised, and if certain guidelines aren’t followed, some mobile devices may not be in line with HIPAA standards. Problems are discussed with mobile data security, and the HIPAA standards are explained in this post by Katherine Rourke.

Happy EMR Doctor

Guest Post: Do EMRs Cause a Mirage of Health?

With increased patient access to medical records, there is increased power given to the patient over their health care. However, is it possible that too much access may give false security, or, in some cases, cause someone to worry about something they may not have control over? Ken Harrington, Practice Manager at the Washington Endocrine Clinic, discussed the “mirage of health” that may be created with patient access to EMRs and other medical technology. In this guest post, the questions “is it possible to have ultimate control over one’s health” and “will access to a patient’s medical chart cause them to make better choices — or any choice — to improve their health?” are discussed.

Smart Phone Health Care

PocketHealth Raise the Bar for mPHRs

Personal health records can be very helpful, especially when one has more than one physician. The creation of mobile personal health records (mPHR) has made it even easier to have this information available at anytime. PocketHealth, the latest mPHR to be released, is untethered, was built following the CCD standards, and has raised the bar for other mPHRs.

EHR and EMR Videos

Dr. Frank Davis’ EHR Story from the 2012 HIMSS Conference

At the 2012 HIMSS Conference, Dr. Frank Davis, CMIO and trauma/critical care surgeon at Memorial University Medical Center in Georgia, discussed his experience with EHR at the hospital he works at. In this video, he also gives advice to those starting in EHR Incentive Programs, and the benefits of EHRs and meaningful care.

EMR Thoughts

Meddik, BodyMedia Announce Recent Fundings

This past week, companies Meddik and BodyMedia both announced the large sums of money raised during recent rounds of funding. Meddik raised $750k in seed funding, while BodyMedia raised $12 million. Both companies are dedicated to creating medical and health technology.

Hospital EMR and EHR

Dictation and EMRs: A Bad Marriage? 

A study conducted by researchers with Partners Healthcare in Boston recently examined records on a large number of patients to primary care doctors that are in the Partner’s system. The researchers wanted to see if, and how, the way a physician documents visits affected overall care for patients. Results found that when doctors solely used EMR, they generally provided better care for the patients.

Guest Post: Do EMRs Cause a Mirage of Health?

Posted on May 29, 2012 I Written By

Dr. West is an endocrinologist in private practice in Washington, DC. He completed fellowship training in Endocrinology and Metabolism at the Johns Hopkins University School of Medicine. Dr. West opened The Washington Endocrine Clinic, PLLC in 2009. He can be contacted at doctorwestindc@gmail.com.

This is a guest post by Ken Harrington, Practice Manager at the Washington Endocrine Clinic.

The smart phone (blackberry, android, iphone) is an icon of the postmodern age.  In my fingertips, I hold the power of the internet.  I can look up my e-mail messages in real time, search anything in the world on the web, and be socially connected to a world-wide community of people – all in the palm of my hand.  This concept is slowly being applied to medical records.

Many of the new EMR systems that are beginning to infiltrate into the physician’s office now allow patients access (even if partial for now) to their own medical record.  With a few clicks of the computer mouse, a patient can now access his or her labs, radiology, and pathology reports.  Even better, the EMR that we use at the doctor’s office in which I work will soon be available on the iPhone and iPad.  This will enable any of the patients in our office to login anywhere and have instant access to their medical chart.  No longer does a patient have to guess at what she thought the doctor said or didn’t say about her results – the patient can now have access to the official record herself.

This gives a patient a lot of new power over his own healthcare that he did not previously hold.  For example, now the patient can research online about cholesterol if his test results show he had an elevated level. Granted he still cannot write his own prescription for a medication, but he can educate himself and use that knowledge when he speaks to his doctor about the test results.  This is a game changer of sorts which will add the physician’s office to the growing list of other institutions that have become transparent in the postmodern age.

This is all good for the consumer/patient – right?  On many levels, it is.  Patient empowerment in the realm of healthcare is what doctors have been complaining about for years.  Theoretically, this should lead to the patient having greater control over the choices she can make regarding her healthcare.

To boost this empowerment, certain companies are taking all of this patient data and showing what the future could look like.  The particular EMR that we use is partnering with a start-up company called 100Plus.  100Plus is taking the data and filtering it through a computer algorithm to project what someone’s future health would look like if he did not make the recommended choices to improve his health.  A future projection might mean death 10 years earlier if he had not made the choice to start exercising and eating right when the test results began to show a problem.  The entrepreneurs behind 100Plus know they have a market-winning idea because, in the postmodern world, people want to take control of their reality, including their health, as much as possible. This is just one more way to gain a little bit more control.

But what really do you gain by having all of this control and power?  A recent news article described a doctor in California who offered himself up as a test case for a new personal human genome sequencing test.  This test would look at whether a person’s DNA sequence could foretell that the person would be more predisposed to certain diseases over others.  This particular doctor’s test result showed he had a strong predisposition in his genes for developing diabetes, despite that fact that he was in good shape and ate health-consciously. However, six months after the test results were reviewed, the doctor was diagnosed with diabetes.

This makes me wonder whether it’s possible to have ultimate control over one’s health. Will access to a patient’s medical chart cause them to make better choices – or any choice – to improve their health? One would think it would at least give them a leg-up on the limited choices their recent ancestors had and make life-changing decisions possible sooner rather than later. But sometimes empowerment leads people to think that they have ultimate control and can make all the right choices. I’m not convinced that this is the case. If it is built into my genes that I am gong to die of a disease that I cannot do much about, doesn’t this level of transparency simply cause me to worry about something I have no control over? I guess you could say, “Well, we will all die of something, and if we know what that something might be, then we might try to limit its damage with better choices now.” But, unless someone can actually change the direction of my genes, I might actually be quite limited still in what I know.

The same may hold true for open EMRs. If the patient is focused enough to make choices with the knowledge they now have on a 24/7 basis, will it cause their health to be any better? Maybe. But could patients’ thoughts that they have a growing control over their own healthcare (via knowledge of their medical records) also potentially lead to developing a culture of false security? In other words, will such thinking only lead to a mirage of health? For me, I think it might.

* Dr. West’s note: This reminds me of a book titled “Mirage of Health” by Rene Dubos, the famous microbiologist who wrote that mankind develops a false sense of security with the acquisition of technological advances over his environment.