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BrendanMulliganSecondPaper 3 - 25 Jan 2010 - Main.BrendanMulligan
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WORK IN PROGRESS
It is strongly recommended that you include your outline in the body of your essay by using the outline as section titles. The headings below are there to remind you how section and subsection titles are formatted. | |
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> | Establishing a Safe, Private Online Medical Database | | | -- By BrendanMulligan - 09 Jan 2010 | |
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> | In its 1999 report, To Err is Human: Building a Safer Health System, the Institute of Medicine claimed that preventable medical errors cause as many as 98,000 deaths per year in the United States and upwards of $29 billion annually in lost income, lost household production, disability, and additional health care costs. [http://en.wikipedia.org/wiki/To_Err_is_Human] According to the report, decentralization and fragmentation of the health care system are major causes of these errors. Providers lack access to complete patient data at the point of care. Medical errors only compose part of the picture. Hundreds of thousands die every year for improper medications, adverse drug reactions, infections that occur in hospitals. [http://demo.clear-health.com/dohcs2009/pt3.mp3] | | | | |
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< | Introduction
In its 1999 report, To Err is Human: Building a Safer Health System, the Institute of Medicine claimed that preventable medical errors cause as many as 98,000 deaths per year in the United States and upwards of $29 billion annually in lost income, lost household production, disability, and additional health care costs. [http://en.wikipedia.org/wiki/To_Err_is_Human] According to the report, decentralization and fragmentation of the health care system are major causes of these errors. Providers lack access to complete patient data at the point of care. | >
> | People die because the lack of infrastructure. But even though banking and retailers have successfully implemented electronic records, fewer than 2% of the nation's 5,000 non-VA hospitals have what could be considered a comparable full-fledged system. [http://online.wsj.com/article/SB124104350516570503.html] We need a health care IT system founded on two characteristics: (1) universal adoption of a routine means of digitization clinical information and (2) a system robust enough to protect the sanctity of medical information. | | | | |
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< | Establishing a Nationwide Health Information Database | >
> | Universality
We should—and I believe will—move to an open source base for our health IT system. Proprietary factors have long inhibited the development of a universal system (killing many people). Vendors’ commercial systems do not easily talk to other vendors' systems. Further, the stakeholders that matter, do not want to use open source software. The Healthcare Information and Management Systems Society (HIMSS) is a powerful healthcare organization exclusively focused on fostering the optimal use of information technology (IT) and management systems for the betterment of healthcare. HIMSS hosts the largest and most well-publicized health IT conferences in the country. HIMSS, though ostensibly independent, is completely dependent upon money from proprietary donors. http://vendor.himss.org/
Congressional Response
It has earmarked nearly $20 billion in stimulus funds as an incentive for hospitals to use electronic records by 2011. | | | The most common response to this problem has been funding a nationwide health information network in which a variety of health care providers could update and access a singular database. For example, Section 937(f) of the Senate’s health care reform bill states: ‘‘[The government] shall provide for the coordination of relevant Federal health programs to build data capacity for comparative clinical effectiveness research, including the development and use of clinical registries . . . to develop and maintain a comprehensive, interoperable data network to collect, link, and analyze data on outcomes and effectiveness from multiple sources, including electronic health records.” (1683-1684 of the bill [http://www.forhealthfreedom.org/BackgroundResearchData/SenateHealthReform/SenateHealthReformBill_11-19-09.pdf.])
Potential Problems |
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