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Sherman Ben Serrao Batch 16 (B) Roll No. 96 XIME 11/26/2010

his/her doctors.What are the problems with America s current medical recordkeeping system? How would electronic medical record alleviate these problems? The main problem with America s medical recordkeeping system is that it isn t very systematic. it would take a HUGE initial investment to get the system up and running. It lacks the human touch. Some cons of electronic patient records: y y y y The first hurdle in implementing electronic medical records is the initial set-up cost. or to make copies and post them over. with shelf-loads of space being dedicated to paper records of patients across hospitals all over the nation. which means that it takes forever to find a particular file regarding a particular patient with a specific type of affliction. etc. it would cost less. across geographical boundaries. sharing of information between specialists or hospitals becomes difficult as these records are hard copies. Physical space too is a constraint. Easy access to medical history/data for the professionals concerned. well tabulated and formulated. Electronic medical records would alleviate this problem by creating a database of patient history. Geographical boundaries are no longer a limiting factor. it is very laborious and time consuming. Also. etc) easy and quick access to their medical records. As the information is stored digitally. What are the pros and cons of electronic patient records? Do you think the concerns over digitizing our medical records are valid? Why or why not? The pros of electronic patient records: y y y y y y y Once in practice. This would also vastly eliminate the space constraint by storing all the data virtually. Archives of data would take up less space (as they would be stored virtually and not physically). Though the cost would be comparatively low in the long run. along with at least a cursory knowledge of medicine as well. and not all patients are comfortable to have their doctors replaced by computers. hospitals. while at the same time being more accurate. It eliminates human error due to misinterpretations as a result of bad handwriting. with a working knowledge of both IT systems & processes. Human error cannot be completely erased as technicians would be in charge of the initial transfer from paper to the online system. this process becomes very simple. The majority of records are paperbased. . and in those cases where it is. and it would take a lot of time to scan them (which would again be a way of digitizing) and send them. which would enable those concerned (like the patient. This would also mean that these technicians have to be well trained. It is less laborious and time consuming.

This at least ensures that the State is kept abreast of developments every step of the way. which. the lives of people across the globe to it. This permission should also be time-limited. with a strong spirit of innovation and a reasonably good track record in everything that it has dabbled in. and in some cases. Of course the concerns over digitizing medical records are valid. Furthering their reputation to make good services available to the public for free. it has to be as close to perfect as possible. There have been several complaints from Google users about their personal data being used by it to further its ad-making business. not some consignment of inanimate goods. the patient may not even be aware of his personal information being misused. Its core objective is to form as large a database of personal information as possible so it can harness these resources to further its main objective of increasing revenues through advertising. I think a good option would be to make this a government-run project. after which it would lapse and those needing information from the patient would have to apply to him/her again for a fresh go-ahead.y Privacy issues are also a major concern in today s world. or at least have a consortium of private players working in tandem with the government on it. is highly disconcerting. maybe for a duration of 7 days. Hence. we have to ensure that the electronic healthcare system is the best it could be. Should people entrust Google with their electronic medical records? Why or why not? Google is an online giant. it has launched an application called Google Health. For a system to be usable. This is private data of hundreds of millions of people. an organization focussed on making profits. Remember. is not diluted as a result of greed for profit. which is of extremely sensitive nature. here are some of the features I would include: y A unique username and password. along with a biometric ID system to ensure that access Is only on a need-to-know basis. and is a control check which oversees that the core function of Electronic Health Records (EHR). these are people s lives we are dealing with here. and in extension. especially where the health of millions (hundreds of them) are concerned. This information could be devastating if it falls into the wrong hands. which is of serving the people. for instance. I am of the strong opinion that people shouldn t entrust Google with their electronic medical records. what are some features you would include? What are the features you would avoid? If I were in charge of designing an EHR system. . However. in spite of its pompous mission statement of organizing the world s information and making it universally accessible and useful . with the intention of making patients records easy accessible and more complete and to streamline recordkeeping. though vehemently denied by Google. If you were in charge of designing an electro nic medical recordkeeping system. especially the last one. before entrusting the data. at the end of the day. is. Google. and only after being granted permission by the patient.

Implement ERP in the healthcare sector. The full potential of EHR can be utilized only when rural areas too are taken care of. etc). with further online security systems in place. So. though complicated in implementing and at the back end. Those companies in charge shouldn t be given a free reign. doctors. stored securely in servers in separate geographical locations. Based on the requirements. especially in countries like India. finance . Ensure that hospitals have HIS (HOSPITAL INFORMATION SYSTEMS) and Clinical Information System (CIS) up and running. human resources and bring them systems under one common database on the basis of ERP architecture. with well trained staff. but it should not make the end user pay up so much more that he gets discouraged at the very prospect of signing up. It should not be exorbitantly priced to the end user. Following are the features I would avoid: y y y y The entire system. and doctors are busy professionals with little time to spare on IT training. This would defeat the very purpose of setting up EHR in the first place. which would ensure electronic entry of doctor's instructions for the treatment of patients under his or her care. Have a Clinical Decision Support System (CDSS) in place which would link health observations like patient data with health knowledge like established clinical protocols to help doctors take right decisions for improved healthcare. Mobile e-health & Tele hospitals/Tele medicines should be set up in line with this goal. . hospitals have to decide on the appropriate software. Companies may stand to make a few profits on this. It is impossible to train millions of patients. Hospitals can reduce their overheads through ERP as it helps to integrate all functions namely accounts . There should be checks and controls in places to ensure that no malpractice takes place. should not be complicated to the front end users (patients. The whole process should be audited regularly in all aspects (not just financial) by a government-appointed committee to ensure that the controls and checks involved are followed to the letter. so it is imperative that the user interface be as intuitive as possible. which is justified by the high cost of implementation. Install a Computerized Physician Order Entry (CPOE) system. At least 2 complete backups of all data.y y y y y y y A secure encrypted website for extra security.