Improving doctors' quality, effectiveness and cost-benefit requires meaningful communication at all levels and settings. To cure health care's ills, there's an obvious remedy that is difficult, but not impossible to implement—make cogent information* available at the point of contact with the patient, regardless of setting and within HIPAA constraints.
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It's disheartening; the cure for the ills of U.S. health care lies within our grasp, yet it eludes us. We cannot answer basic questions–What works? What we are paying for? Are we getting what we need? Are we getting the right care at the right time and place? QI and UM: Strange bedfellows, but both need data to communicate
Bridging the costly gaps in patient experience and engagement, health care analytics, population health and precision medicine is fundamental to reform, but practitioners believe that kind of reform will increase the costs of care too much. Here follow a few related comments and stats: 61% believe "electronic health records (EHRs) could have a positive impact on their businesses" 82% cited their biggest challenge in implementing HlT is cost.
The EHR is simply a better version of the paper chart--Not!
The editorial, "If Reform Fails," says the status quo of health care reform is immoral, impractical and unsustainable.
Approximately 2/5 persons don't understand their insurance coverage, i.e., which healthcare services are being covered under their current plan and, 1 in 5, "have avoided visiting a doctor for a general health concern within the past 12 months because of cost concerns."
"Perhaps the best cure for the fear of death is to reflect that life has a beginning as well as an end. There was a time when you were not: that gives us no concern. Why then should it trouble us that a time will come when we shall cease to be? To die is only to be as we were before we were born." – William Hazlitt, essayist (1778-1830) Quote from "The Conversation Project.org by Ellen Goodman and Others
The electronic health or medical record (EHR/EMR) can be a technological advance, but only if it tells "who" got "what," "where," and "when." IOW, it establishes a database that is, for all extents and purposes, more complete, accurate and available.
Charlene Maurer Finerty, owner of Plans and Profits, a business plan writing and implementation service, speaks of the opportunity cost, delayed gratification and indebtedness that characterizes the long-haul of medical training. You'd think once you hang a shingle, your problems are over—but, actually they're just beginning. For example, there's the hopeless bureaucratization of health care, the need to document every step and then some all along the claims trail and the lack of digital proces
Effective partnerships require good, secure communication Where communication fails or is inefficient Ever get frustrated playing phone tag where I leave you a message requesting a quick response and then you do the same back to me? Exasperating, isn’t it? Well in health care having reliable communication can be critical: You fail to contact the other party and some medical history is lost, a lab is not taken into account, a follow-up never happens and a follow-through? NaDa.