WHCB: “China to Rank Physician Ethical Behavior”

From a China Digital Times post translated from the China News Service:

China’s Ministry of Health and Chinese Medicine Administration have jointly issued a regulation that aims to set up a evaluation system to tally the medical ethics of doctors in various hospitals and other health care providers in the country. There are three components in the evaluation regime: self-assessment, departmental assessment and institutional assessment. A filing system will also be set up to store the records, in an effort to link the ethics scores with the doctor’s compensations and promotions. But there is one thing missing, as some commentaries point out: opinions from the patients and their families.

See my entire post over at the World Health Care Blog.

Physician Dreams of Digital Backlash

One doc’s rant sums up his take on dealing with the brave new world of electronic medicine:

So, what to do? Most nights, I dream of short circuiting the hospital’s computers so we can have nurses go back to actually taking care of patients instead of poking on keyboards. Most mornings, I have to restrain myself from hurling hot coffee at the computer screen. And most evenings, I leave the hospital resigned to the fact that there is nothing that I can do, and that really ticks me off. So, again, what to do? I guess have a martini and forget about it.

WHCB:”WHIT 3.0 Conference: Comments on Day Two”

The WHIT 3.0 conference in Washington, D.C. continues to steam along with some great presentations. But the presentation that I’ve been trying to get my head around was trotted out by Roy Schoenberg (Chief Executive Officer, American Well Systems) and what they are doing in his shop. Roy boasts, — and I tend to think he’s really on to something — that he is developing the “killer app” in health care.

See my entire post over at the World Health Care Blog.

“The Doctor is Always Sitting Behind that Damn Computer.”

In all the talk about about electronic medical records (EMRs) sometimes there are reactions that have little to do with what policy and techie wonks see as their value. Such is the case with Richard L. Reece, MD, a pathologist, who writes:

Personally, I don’t hanker to go to a doctor to have my problems documented. There are certain personal things I want to keep personal. I want the doctor to pay attention to me, not to the computer. To me documenting isn’t the same as doctoring. As David Pallestrant, MD, founder of Sermo, commented to me, “Having a computer in the room changes the chemistry of the doctor-patient relationship.” And as one VA (Veterans Administration) patient said to me, “ I hate to go the VA. The doctor is always sitting behind that damn computer.”

This speaks for a need for some good old fashion phenomenological studies of the “office visit” and the dynamics therein when you introduce computers into the fray of the doctor-patient exchange. With economic pressure already squeezing the patient’s quality time with their doctor, it’s not surprising that there might be some jealousy over the new mistress.

WHCB: “What Will Patients Expect in the Completeness of Their Electronic Medical Records?”

Just briefly, I want to talk about the electronic medical record (EMR) from the point of view of patient expectations of how they will be managed. We ‘ve talked about errors in the record, as well as the complexity of the privacy issues. But what about omissions and patient expectations?

See my complete post over at the World Health Care Blog

EMRs and the KISS Principle

Medical Records Institute CEO, C. Peter Waegemann, reports the rate of de-installations of electronic medical records (EMRs) to be about 19%. Those switching systems want less expensive, less complicated EMRs. A CDC survey finds no meaningful “uptick in the use of comprehensive EMR systems.”

Simplicity, it seems, is a complicated goal to achieve.

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