I despair of ever satisfying the requirements of HIPAA.
1. Even NSA can't keep things from leaking out
2. No matter how much money I spend on consultants and hardware, it will never be enough.
3. It would be easy for IT issues to completely consume the entire budget of my practice -- and take all the time. Seeing patients has almost become a byproduct of Information Technology activity.
4. There is NOTHING in the fee structure of insurance companies and government to pay for IT. NOTHING!! It costs far more than paper charts, and the cost goes up all the time as new requirements are added, and the fee schedules were set in the paper days. And I don't see them increasing -- mostly, they are the same or down.
5. No one can tell me that "increased efficiency" is paying for this. At least, it doesn't work for me, though there are certain aspects of EMR that I appreciate.
6. And this is with AmazingCharts --- which for now is affordable and manageable by ordinary citizens without special IT training.
