Digital Health Records
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@Dashrender said:
When people only have their phone.. now what? We don't currently allow patients to email us, the EHR itself doesn't have a secure portal to upload card images (not that patients would want to do that anyway), and my staff would have a difficult time at best accepting the email, converting the pictures as needed (often requiring them to merge the two pictures - front and back - into a single image to upload.
Sounds like a "you" problem, right? You don't allow patients to email you - that's purely a decision on your end. You need to store structured data as an image and in a specific way that you dictate - again purely a design decision by the facility.
You could easily state this, unless I am missing something, not as a problem with non-paper insurance cards but as a problem of requiring digital information in a format that no one else is using and that you cannot accept from the outside word (there is no direct means of giving you the file you want, you have to provide it through a third party analogue human interface and convert it - even if the customer has the right file you won't accept it.)
Why not "decide" to not make this be a problem anymore? Or at least less of one?
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@gjacobse said:
As @dashrender mentioned (to some degree) you need a PHR - Personal Health Record.. poking around I did find that Microsoft has one it would seem..
Perfect, I think that that is what we need.
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@Dashrender said:
For the most part we push this back on the patient demanding that they acquire a physical card and bring it the next time they are in, or fax us a copy.
That's how the third world would handle it in the pre-computer era, as many of them are. Except they don't use insurance so there wouldn't be that particular need in the first place.
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One nice thing here.... doctors are free. You just go to the corner pharmacy, the doctor works there, there is no charge.
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I completely agree that this is a "us" problem. I've been providing options - i.e. an email (the onus would be on the patient, so there would be no HIPAA issue).
But assuming they sent anything more than a single file, it would still present an issue to our front desk staff with merging/creating new files.
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@Dashrender said:
I completely agree that this is a "us" problem. I've been providing options - i.e. an email (the onus would be on the patient, so there would be no HIPAA issue).
But assuming they sent anything more than a single file, it would still present an issue to our front desk staff with merging/creating new files.
Well if you solve the first problem it seems like it is probably not a big deal to solve the second. What's the reason for needing them merged? How is the final, single image being stored that makes that a problem?
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our EHR only allows a single image to be uploaded and included with our chart. So if the patient sends us a front picture and a separate back picture, I can't just upload each.. I have to merge them first.
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@Dashrender said:
our EHR only allows a single image to be uploaded and included with our chart. So if the patient sends us a front picture and a separate back picture, I can't just upload each.. I have to merge them first.
Which one do you use just out of curiosity?
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athenaNet from athenaHealth.
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@Dashrender said:
our EHR only allows a single image to be uploaded and included with our chart. So if the patient sends us a front picture and a separate back picture, I can't just upload each.. I have to merge them first.
Ah, okay. How annoying, only one picture with a chart? That seems incredibly limiting.
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@Dashrender said:
athenaNet from athenaHealth.
I've only ever seen/interacted with Medent and Meditech. Just curious what else was out there.
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Although having digital copies of the health insurance card itself is handy, that's not the critical part for us. We want to have access to our health information and be able to add to it ourselves whenever one of us visits a doctor or has a vaccination. I don't want to have to keep track of a USB stick.
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@Dominica said:
Although having digital copies of the health insurance card itself is handy, that's not the critical part for us. We want to have access to our health information and be able to add to it ourselves whenever one of us visits a doctor or has a vaccination. I don't want to have to keep track of a USB stick.
You could use this and just change the name
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@Dominica said:
Although having digital copies of the health insurance card itself is handy, that's not the critical part for us. We want to have access to our health information and be able to add to it ourselves whenever one of us visits a doctor or has a vaccination. I don't want to have to keep track of a USB stick.
Now you know to keep both sides of the cards in a single image!
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So did you sign up with any of them?
I activated HealthVault with my MS account.
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Here's my thought on digital health records. No matter who you go with, they're gonna get hacked at some point. So just seed a torrent of your data, and then go grab it again when you need it
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@Nic said:
Here's my thought on digital health records. No matter who you go with, they're gonna get hacked at some point. So just seed a torrent of your data, and then go grab it again when you need it
It's structured data, how do you get a torrent of that?
I have two factor authentication on my MS account, so I'm less worried about hackers getting into it.
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It's not your account they're going to hack into. They're going to hack into MS and steal everyone's records.
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@Dashrender said:
It's structured data, how do you get a torrent of that?
It is still a file and any file can be pushed into a torrent. Really basic thing here..
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@JaredBusch I suppose I could export the whole thing to a CCR.
There's no way that any system is going to let you have direct access to the db file, unless they maintained an individual DB file for each patient.
