So I'm supposed to be writing about candidates and their
health care plans. As often happens in the last year before a Presidential
election, reporters and bloggers have fallen into a rut.
Don't fault us for it - it's a well established pattern.
When candidates show signs of burnout, as e...
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Electronic Medical Technology
Judi G. LPN in MA
Wednesday, September 03, 2008 at 10:40 AM
As a nurse who worked in healthcare for many years, I have seen how records have evolved. We were taught certain ways to do assessments and usually in some forums this practice of using assessments was also used in reporting on patient's health either progressively or if the patient was deteriorating. It worked for the writer who did the work. What has evolved is government's heavy handed auditors who happen to be accountants and they want that information translated for them from human to computer responses so as to better charge the patient or the patients insurance company, hospital charges and whatever else the government was being asked to help pay for. The problem then arose as to how much and how often, as if the people who were entering this data had no clue how care is given. Now that every thing in health care is out of the sky in price, disproportionate to what care is given, or even simple diagnosing symptoms,tests that are ordered, all is governed by the government for Medicare standards. If all the EMT information is going to be evaluated or even entered into computers it should, first off be of the truth. Not all standards of treatment are applicable to all individuals. There is no blanket approach to how to treat a patient. It is all done individually. Secondly, there are no fool proof ways to keep that information confidential. We have had several hackings into all computer banks that have been identified as safe even the us military files have been hacked into. Lastly, the people to enter this information are human beings. This means they have time constraints, limited vocabulary that is provided for them to use to describe certain procedures and treatments that justifiably need to be paid for. After all, do we really want our doctors and healthcare providers working for free, or for less than what they did or how they treated us? The people from healthcare should talk to the computer programmers who put these programs together for the accountants and back again. I think for this to work it needs to be handled differently than coming at it from different directions. Good Luck America if we have a pandemic, I don' think Medicare is ready for that yet- so hold off okay?
As a nurse who worked in healthcare for many years, I have seen how records have evolved. We were taught certain ways to do assessments and usually in some forums this practice of using assessments was also used in reporting on patient's health either progressively or if the patient was deteriorating. It worked for the writer who did the work. What has evolved is government's heavy handed auditors who happen to be accountants and they want that information translated for them from human to computer responses so as to better charge the patient or the patients insurance company, hospital charges and whatever else the government was being asked to help pay for. The problem then arose as to how much and how often, as if the people who were entering this data had no clue how care is given. Now that every thing in health care is out of the sky in price, disproportionate to what care is given, or even simple diagnosing symptoms,tests that are ordered, all is governed by the government for Medicare standards. If all the EMT information is going to be evaluated or even entered into computers it should, first off be of the truth. Not all standards of treatment are applicable to all individuals. There is no blanket approach to how to treat a patient. It is all done individually. Secondly, there are no fool proof ways to keep that information confidential. We have had several hackings into all computer banks that have been identified as safe even the us military files have been hacked into. Lastly, the people to enter this information are human beings. This means they have time constraints, limited vocabulary that is provided for them to use to describe certain procedures and treatments that justifiably need to be paid for. After all, do we really want our doctors and healthcare providers working for free, or for less than what they did or how they treated us? The people from healthcare should talk to the computer programmers who put these programs together for the accountants and back again. I think for this to work it needs to be handled differently than coming at it from different directions. Good Luck America if we have a pandemic, I don' think Medicare is ready for that yet- so hold off okay?