Bradon,
Part of what we do here is share our experiences with other products, including other EMR's. I've posted about Dr David Tully-Smith and his company Chartware here before. As for not knowing enough about a subject, first who the heck are you to decide who is "knowledgable" enough and two even if Vinny was not formerly a tech and software man, isn't it the opinion of us average everyday folks that is just as important as those who see themselves as experts???
Granuality will be the downfall of every provider's clinic freedom, the loss of every citizen's civil rights of privacy, and the financial destruction of most practices and providers. But as the rep of some large bloated program that seems to be in that vein you can't see past your spreadsheet to understand the consquences of this direction. And EMR should be for the most part an "E" replacement for a paper chart, not a means of centeralizing every last patients, AMERICAN CITIZENS, health records in ceteralized servers for every last greed insurance carrier bean counter to have full time access to.
Were you not required to read "1984" in HS or lit 101 back in college? Does this not offend and worry you? If not then I can have no repsect for you or anyone else who shares your lack of vigilance in the protection of your first 10 ammedments, "the Bill of Rights". Unwarrented searches remember that one???
We don't even need to go into the fact that two truely honest scientist could totally not agree on what outcome should even be measured no less what the results of any research ultimately means. No less that clinic data collected not in the blind, that is then to be interpruted by people who also have a strong vested interest in the final outcome (the gov't and the carriers want to keep the own costs down at any price) contaminates all data collected in a CCHITT like system totally. It's full of experimentor biases all over the place no less subject biases from patients who have thousands of personal reasons to report what they report in contaminated ways....
Mr Google, do some basic research like I did at the lowly City University of NY bakc in the early '90's as a mere Psysch Major and look up "Bogus Pipeline" read the articles, you may even find my in there somewhere, and follow some of the references that those articles were built upon. Getting honest answers out of people even in the blind no less face to face is nearly impossible. Subject bias is all over every chart and every peice of data you will ever try to collect. And I'm just a little BA in Psych.... Why do all these people fall for all the "data" collection stuff as thought it could ever be valid.... Instead it will be garbage in and garbage out, but now my wife and her friends compensation will be based on this junk pertending to be real science. This is why real research is seriously controlled for and usually only one variable is manipulated at a time. Scientific Model, go take a level 300 course at CUNY and then get back to me....
Lastly, last time I looked subjects in any research project especially medical ones are always entitled to "informed consent". I hardly see signing some HIPAA form you can not understand or have the time to truely read as informed consent no less the fact is and when you would ever talk to real live average everyday American patients almost all of them (except those who are Practice Managers, lawyers or consultants for the messed up industry) are under the mis-informed concept that HIPAA actual protects their rights of privacy instead of really throwing them down the toilet so the courts, the gov't and most importantly, our corporate masters at the anti-trust waived carriers can all spy on each and everyone of us. And who is the number one carrier of healthcare??? The government. So unless and until each and every American has the right to honestly and knowingly "opt-out" of all of this garbage research and have all of the medical data kept of of the brave new world servers, I will always fight this CCHIT.
Lastly, at $30-$50 for a level 3 est patient visit and no real expensive and decent paying procedures to code for, can you explain how the average Primary Care provider and her office is supposed to afford all this ganuality and CCHIT? And not the first, corporate welfare paid for install, but all of it, each and every day, year in and year out. I the lowly BA in Pysch is the entire IT team in my wife's little solo practice and I am all we can afford in our little P2P world. Those who want to enslave and control each and every citizen still need to at least find a way to help those of us who are being coopted or hood winked into assisting you in your aweful plot to at least afford the whole kit and kabudle.
Lastly, since your signed up and joined this board, search and read our posting about CCHIT and privacy for a complete update on how most of us feel about all of this. Even this thread from before you climbed on board would be a good place to start. So can your system finally take a patient thru an entire encounter, smoothly from sign-in at the front desk to sign-out at the encounter desk, all in a way that the average HS graduate can understand and master???? Have a happy mother's day, I've got to get my kids, wife and mother-in-law to the Zoo now....
Paul
