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Subject:
From:
Jean-François Blanchette <[log in to unmask]>
Reply To:
Records Management Program <[log in to unmask]>
Date:
Mon, 26 Oct 2009 19:37:21 -0700
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My favorite slogan on the topic is Newt Gingrich's "Paper Kills".
http://www.healthtransformation.net/cs/paper_kills_info

I wonder if they'll tally up the body count once EHR is the new game  
in town.

On Oct 26, 2009, at 1:43 PM, Larry Medina wrote:

>> <snip>
>> In a health-care debate characterized by partisan bickering, most
>> lawmakers agree on one thing: American medicine needs to go digital.
>>
>> But such bipartisan enthusiasm has obscured questions about the
>> effectiveness of health information technology products, critics say.
>> Interviews with more than two dozen doctors, academics, patients and
>> computer programmers suggest that computer systems can increase
>> errors, add hours to doctors' workloads and compromise patient care.
>> <snip>
>
> Bruce, as you and some others know, I've been on this topic like a  
> rash for
> almost 5 years now, http://bit.ly/1jMnlG communicating with  
> lawmakers and
> others involved in this process and having it apparently fall on  
> deaf ears.
>
> Partisan, Bi-Partisan... whatever.  No number of lawmakers getting  
> engaged
> in a  tug-of-war about how to accomplish this is going to resolve  
> anything
> until some KEY COMPONENTS are realized and acted upon to determine a
> LONG-TERM strategy for moving forward. http://bit.ly/3JclQs
>
> And there's more here with a number of embedded links to give some  
> further
> background on who's driving the bus that's careening out of control  
> at a
> high rate of speed down the hillside http://bit.ly/3UCrl8
>
> Like many other endeavors, the decision to determine the solution  
> prior to
> addressing the problem is going to be why this fails... look at the  
> FBI
> Virtual Case File system as a perfect example of technology being  
> thrown at
> the problem without clearly understanding WHY it didn't work and HOW  
> BIG it
> really was.  http://bit.ly/15KRWv  This is without a doubt one of  
> the most
> staggering examples of a failure to properly deploy a RM systems and  
> reading
> the article is like driving by a car wreck for most RIMs, even 3 years
> later, it's hard to believe the scope of the tragedy.
>
> Someone has to use the medical know-how to apply a tourniquet to  
> stop the
> hemorrhaging before it gets out of control and tell the vendors to  
> step back
> from the pile of cash and put their hands in their pockets until  
> decisions
> on standards, formats, scope, persistent access, patient  
> identification,
> privacy, data exchange, and other critical components are agreed  
> upon by the
> impacted parties.  And NO, I don't think that waiting makes it more
> expensive... if the FBI had waited, they could have still accessed the
> paper.   And if they wanted to do SOMETHING, they could have indexed  
> it,
> made the index available to those who needed it, and exchanged  
> information
> as necessary... at least the index could be reused in the end.
>
> Off my soapbox (for now)
>
> Larry
> [log in to unmask]
>
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