Snip from Nolene:
From: Nolene Sherman <[log in to unmask]> Date: April 17, 2010 1:02:15 AM EDT 

Subject: Re: corporations keeping records digitally.

A rather large, well-known hospital and its associated community health centers here in Orange County CA went totally digital a few years ago. Each exam room has a terminal into which the doctor adds his notes of the visit and each registration area has desktop scanners. I periodically ask my doctor how he likes using the new system and what the advantages for him is. He loves having all the information clearly available and searchable.

You may want to contact this hospital and see if you can talk to their technology people to see how they've dealt with the issues you are concerned about. The hospital is Hoag Hospital in Newport they've dealt with the issues you are concerned about. The hospital is Hoag Hospital in Newport  Beach (http://www.hoaghospital.org/)
Nolene Sherman [log in to unmask] Orange County, CA

Snip from Anne McKeage:


The corporation I'm employed by is a huge organization which operates 7 hospitals. You can imagine the size and complexity of the records they create and need to manage. They digitize all their corporate records and want to keep nothing in hardcopy or microforms.

What should I say to the directors who are so comfortable and trusting in digital records and the software they've invested in?

Anne Anne McKeage Archivist/History of Health and Medicine Librarian


Anne and Nolene I am working on a session topic for a conference on trends in storing medical records. I am trying to develop a projection of how this records storage will evolve.

If I talk to the computer guys then it is all "In the Cloud." I think the first time someone hacks into the Cloud and steals millions of Health ID's that idea will fade. Evaulting, Tape Storage or a system that can provide information to display terminal but not be downloadable and therefore exploitable?

I would love to track down someone from GE Health that develops all the imaging hardware (MRI, CAT,PET, etc) and see where they think it is going?

My son is a radiologist entering his Residency and he is being told that Radiologists will be able to practice medicine worldwide as the imaging will flow in, it will be read high definition ($40,000 High Definition Display) and a diagnosis rendered and the transcript sent back. 

Will your organization keep this information on line all the time or will it be stored as Tape and be loaded on line as needed?  Keeping every medical record on line all the time while nice for speed of reference seems impractical due to cost. If as IBM say, 35% of the worlds digital information is health records, keeping that all streaming all the time will be ridiculous.

I am trying to find someone to speak at a conference that can speak to how they will be stored, where they will be stored and how the technology will change the medical community as a response to all this technology.

The conference is in North Carolina if any of your contact live out that way.  It will be held in October.

Cordially,

Hugh




Hugh Smith
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