{"id":7668,"date":"2019-07-18T15:39:31","date_gmt":"2019-07-18T21:39:31","guid":{"rendered":"http:\/\/www.zmetro.com\/?p=7668"},"modified":"2019-07-18T16:14:11","modified_gmt":"2019-07-18T22:14:11","slug":"airdrop-trumps-40b-taxpayer-medical-record-subsidies","status":"publish","type":"post","link":"https:\/\/www.zmetro.com\/?p=7668","title":{"rendered":"Airdrop trumps $40B Taxpayer Medical Record Subsidies"},"content":{"rendered":"<p>I recently compiled a bit of long term, personal medical history along with an image or two prior to meeting a new physician.  I sought to share this digital information efficiently, and save everyone time, if not money.  <\/p>\n<p>However and unfortunately, <a href=\"https:\/\/apps.apple.com\/us\/app\/mychart\/id382952264\">Epic Systems&#8217; My Chart app<\/a> (Madison, WI based UW Health implementation) lacks the ability to ingest and share patient sourced images or documents&#8230;.. <\/p>\n<p>A few days later, in clinic, I used iOS&#8217;s AirDrop to share the text and graphics to the physician&#8217;s iPhone.  While helpful, the lack of patient sharing tools meant that <a href=\"https:\/\/www.latimes.com\/politics\/la-na-pol-health-insurance-angry-patients-20190628-story.html\">a clinic visit was required along with ever increasing deductibles<\/a>. <\/p>\n<p>Many healthcare providers share personal medical record data via the iPhone&#8217;s <a href=\"https:\/\/www.apple.com\/healthcare\/health-records\/\">health app<\/a>.  <\/p>\n<p><center><img decoding=\"async\" src=\"https:\/\/www.zmetro.com\/photos\/2019\/07\/health_app.jpg\"><\/center><\/p>\n<p><center><img decoding=\"async\" src=\"https:\/\/www.zmetro.com\/photos\/2019\/07\/ios_health_emr_no_uw_health.jpg\"><\/center><\/p>\n<p>However and unfortunately, <a href=\"https:\/\/www.zmetro.com\/photos\/2019\/07\/uw_health_facts_and_figures.pdf\">$3.65B<\/a> UW Health&#8217;s Epic medical records cannot be shared to my iOS health app.  <\/p>\n<p><center><img decoding=\"async\" src=\"https:\/\/www.zmetro.com\/photos\/2019\/07\/uwhealth_ios_health_no.jpg\"><\/center><\/p>\n<p>We continue to <a href=\"https:\/\/www.reuters.com\/article\/us-health-spending\/u-s-health-spending-twice-other-countries-with-worse-results-idUSKCN1GP2YN\">pay more for less<\/a>. <\/p>\n<p>The lack of interoperability is a reminder that US taxpayer&#8217;s now <a href=\"http:\/\/www.zmetro.com\/?p=7464\">$40B back door electronic medical record subsidy<\/a> has been a failure.  Costs have exploded and we citizens lack data portability, despite the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Health_Information_Technology_for_Economic_and_Clinical_Health_Act\">legislation&#8217;s requirement<\/a>:<\/p>\n<blockquote><p>The HITECH Act set meaningful use of interoperable EHR adoption in the health care system as a critical national goal and incentivized EHR adoption.[7][8] The &#8220;goal is not adoption alone but &#8216;meaningful use&#8217; of EHRs\u2014that is, their use by providers to achieve significant improvements in care.&#8221;[9]<\/p><\/blockquote>\n<p>There are pockets of innovation.  <a href=\"https:\/\/apps.apple.com\/us\/app\/one-medical\/id393507802\">One Medical&#8217;s app<\/a> supports video visits:<\/p>\n<p><center><img decoding=\"async\" src=\"https:\/\/www.zmetro.com\/photos\/2019\/07\/onemedical_app.jpg\"><\/center><\/p>\n<p>Thankfully, the visit was of no consequence, other than time and money.<\/p>\n<p><strong>Additional reading:<\/strong><\/p>\n<p>Death By 1,000 Clicks: <a href=\"https:\/\/khn.org\/news\/death-by-a-thousand-clicks\/\">Where Electronic Health Records Went Wrong<\/a><\/p>\n<p>Madison\u2019s <a href=\"http:\/\/www.zmetro.com\/?p=7528\">Property Tax Base Growth<\/a>; $38B+ Federal Taxpayer EMR Subsidy <\/p>\n<p>Stillborn 2007 <a href=\"http:\/\/www.zmetro.com\/?p=2773\">Wisconsin $30M EMR subsidy<\/a>.<\/p>\n<p><a href=\"https:\/\/www.cringely.com\/2011\/06\/02\/stupid-it-tricks-medical-records\/\">Cringely<\/a>: <\/p>\n<blockquote><p>A reader asked me to write tonight about the Health Information Technology for Economic and Clinical Health Act, which is about as far from something I would like to write about as I can imagine, but this is a full service blog so what the heck. The idea behind the law is laudable \u2014 standardized and accessible electronic health records to allow any doctor to know what they need to know in order to treat you. There\u2019s even money to pay for it \u2014 $30 billion from the 2009 economic stimulus that you\u2019d think would have been spent back in 2009, right? Silly us. Now here\u2019s the problem: we\u2019re going to go through that $30 billion and end up with nothing useful. There has to be a better way. And I\u2019m going to tell you what it is.<\/p><\/blockquote>\n<p><a href=\"https:\/\/www.marketwatch.com\/story\/the-30-billion-health-care-tech-gamble-2011-06-02?dist=afterbell\">Russ Britt<\/a>:<\/p>\n<blockquote><p>The costly flaws in U.S. digital health-data plan<\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>I recently compiled a bit of long term, personal medical history along with an image or two prior to meeting a new physician. I sought to share this digital information efficiently, and save everyone time, if not money. However and unfortunately, Epic Systems&#8217; My Chart app (Madison, WI based UW Health implementation) lacks the ability [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/posts\/7668"}],"collection":[{"href":"https:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.zmetro.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7668"}],"version-history":[{"count":5,"href":"https:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/posts\/7668\/revisions"}],"predecessor-version":[{"id":7673,"href":"https:\/\/www.zmetro.com\/index.php?rest_route=\/wp\/v2\/posts\/7668\/revisions\/7673"}],"wp:attachment":[{"href":"https:\/\/www.zmetro.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7668"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.zmetro.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7668"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.zmetro.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7668"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}