Don't confuse the tech used to read and write the data with the tech to store the data....the benefits of the storage medium are promising enough mean we should invest in the research needed to read and write to them efficiently.
and a physician who has a sole proprietorship practice... maybe a partner and 10 employees....
Just an FYI...we work with a large EMR in the hospital system I work for and we do not manually lock down the medical record from the users....our EMR is smart enough to look at your provider record, your user record and the patient's record and determine if you are opening your own record. It does not stop you but it pops up a warning that requires you to explain why you are opening it and it ends up on an audit record that is reviewed weekly.....Not a simple ACL because it would be unattainable as well as it would be unnecessary to set up a medical record for every employee in order to lock it down upon being hired.....that is kind of illegal since you are documenting that this person has come to see you for medical reasons...thus you are falsifying records.
umm....Data is data...if you have access to the medical data then something other than simple ACLs needs to be used to stop a user who has access tot eh data from accessing a specific set of records....unless you expect the physician to go it and manually manage that....sorry...he has a practice to run.
it is a hospital....of course a committee of no nothing administrators made decisions based on stupid political BS with wrong assumptions because they fail to even know who the right people are to pull in and ask.
Don't you love how a management task gets offloaded to the technology....again.
If you don't want your RNs to look at their records then tell them not to and have and run an audit report to see if they are or are not....then fire them for ignoring you and if you really don't like them, report them to the licensing board for breaking ethical and legal codes.
Everything you complain about is due to poor implementation....well...everything but the why physician notes and addendums behave....that is just stupid.
Physicians are always leaving organizations....most hospitals will be on Cerner or Epic in 10 years. Both systems are only as good as the people who implement them.
Part of the meaningful use standards requires hospitals to implement data exchanges so the information can be requested from other health systems in near real time.
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Have you been asleep for the last 15 years? ever hear of patent trolls?
wtf.... BONGOS gave the copyrights to the song over the Jagger and Richards? that is fucked up....that song is 99% not written by those douche bags.
There is no copyright protection for an arrangement...This would be considered plagiarism though.
Don't confuse the tech used to read and write the data with the tech to store the data....the benefits of the storage medium are promising enough mean we should invest in the research needed to read and write to them efficiently.
Really? a very large storage medium that does not degrade (theoretically) for 10K years....I see no use here....you are right.
When it was invented the GOP did not exist so both parties have "always used it"
and a physician who has a sole proprietorship practice... maybe a partner and 10 employees....
Just an FYI...we work with a large EMR in the hospital system I work for and we do not manually lock down the medical record from the users....our EMR is smart enough to look at your provider record, your user record and the patient's record and determine if you are opening your own record. It does not stop you but it pops up a warning that requires you to explain why you are opening it and it ends up on an audit record that is reviewed weekly.....Not a simple ACL because it would be unattainable as well as it would be unnecessary to set up a medical record for every employee in order to lock it down upon being hired.....that is kind of illegal since you are documenting that this person has come to see you for medical reasons...thus you are falsifying records.
Who cares who created it....it is not fair to the voters....Closed and compact is how congressional districts should be laid out.
Gerrymandering is gerrymandering....closed and compact are the rules that should be followed and a computer can calculate that very fast.
Yes... we need to apply topological principles to district drawing for it to be actually fair and representative of who I live with.
Sorry it does not work like that.....the data is protected...a user of the system is not allowed to access their medical chart using the system.
umm....Data is data...if you have access to the medical data then something other than simple ACLs needs to be used to stop a user who has access tot eh data from accessing a specific set of records....unless you expect the physician to go it and manually manage that....sorry...he has a practice to run.
And the moon landings were a fake...and Obama signed executive orders to allow the UN to kick in my door and take my guns if they feel like it!!
[/ stupid conspiratorial nut]
dump your doctor.
ugh...KNOW-nothing....this place needs an edit.
it is a hospital....of course a committee of no nothing administrators made decisions based on stupid political BS with wrong assumptions because they fail to even know who the right people are to pull in and ask.
Don't you love how a management task gets offloaded to the technology....again.
If you don't want your RNs to look at their records then tell them not to and have and run an audit report to see if they are or are not....then fire them for ignoring you and if you really don't like them, report them to the licensing board for breaking ethical and legal codes.
and all they will see is a bunch of encrypted files.
Everything you complain about is due to poor implementation....well...everything but the why physician notes and addendums behave....that is just stupid.
2010 IU 1 is OLD.
And while not perfect it is still only as good as the people and the moron leadership who build it/make stupid policy decisions that require hacks.
sorry...I meant requirements...Meaningful use is not a standard....
Spoken like someone who has not used the system since 2004 and implemented by idiots.
Physicians are always leaving organizations....most hospitals will be on Cerner or Epic in 10 years. Both systems are only as good as the people who implement them.
Part of the meaningful use standards requires hospitals to implement data exchanges so the information can be requested from other health systems in near real time.
If they are build right... absolutely...The two dominant systems (Epic and Cerner) and only as good as the people who installed it for the facility.