Tuesday, December 4, 2012

Extra Credit


Electronic Health Record

 

Electronic health record (EMR), not to be confused with electronic medical record is a comprehensive electronic method of maintaining the entire medical record of a patient.  In contrast, the electronic medical record is often simply medical practice specific, and offers little to no portability of information.  According to Medicare, there is now a carrot/stick approach to entice MD’s and other practitioners to adopt such software and it isn’t cheap.  Software can run 10’s of thousands of dollars on up, depending on scale of use.  Medicare is currently offering incentives to adopt approved software now rather than later.  If the practitioner waits until 2015 or later, he/she will face a 1% to 3% penalty per year.  Also, “meaningful” use must be proven to receive the incentives.  This usually happens in a doctor’s office by integrating prescriptions that are automatically sent to the pharmacy. 
The Idea is to be able to offer a one stop shop for a patient’s medical record regarding imaging, pharmacy, doctor visits, rehab, etc…In theory, this can drastically cut down on prescription errors, and duplication of effort patients dread so often when seeing multiple doctors.  The whole concept presents an opportunity cost for the practice.  Major Hospital chains and big practices have more resources to adopt such change, but many smaller “one doc shops” cannot afford to purchase, train, implement, and maintain such an investment even with the incentives.  Some smaller primary care practices are simply not seeing Medicare patients all together.  All in all, this brings up a valid point regarding healthcare and associated costs, especially the imposed costs of doing business. 
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