Wednesday, May 1, 2013

HIT and Run


Your Hollywood Style EMR Press Review
 
It’s (almost) cherry picking season, but trust me, healthcare people’s mood is everything but jolly. This past quarter indeed, Health Information Technology (HIT) vendors are in for their money. If I were to squeeze it all into one scenario, I would say they’re all starring in a cheap movie production where they, vilains, all go for a ride in a Ferrari, but oooppsss, they suddenly run over a doctor, a patient and a taxpayer who were minding their own business in addition to crossing on green. Instead of calling 911, these loaded bastards go into reverse, drive over all three broken bodies one more time, empty their wallets and vanish into a Manhattan back street alley.

But not to worry. Right in line with the seasonal mood, I did the cherry picking for you…and found a few tasty quotes from articles and blogs, the various scenarios of which are all yours to enjoy.

 

A FISTFUL OF EMR DOLLARS

“(The EMR is) a scandal marred by industry influence, government complicity, and lack of evidence,” according to Tom Liu on his blog.

Source: InSight Blog

 

A FEW GOOD SENATORS

“Based on a range of objective data, it is clear that the current payment structure of the EHR incentive program does not provide enough oversight or safeguards to ensure the proper stewardship of taxpayer dollars.”

A smoother way to say “hey, you’ve been screwed”. This masterpiece of political bullshit comes right from 4 senators who called their latest EHR white paper…wait for it…“Reboot”.


 

BILLION DOLLAR BABY

“RAND’s 2005 report was paid for by a group of companies, including General Electric and Cerner Corporation, that have profited by developing and selling electronic records systems to hospitals and physician practices. Cerner’s revenue has nearly tripled since the report was released, to a projected $3 billion in 2013, from $1 billion in 2005.”

It’s not me saying it, it’s Greg Scandlen in a January post titled “The HIT Scam”


 

THE HAPPY HOOKERS GO TO WASHINGTON

“After (President Bush called for digitizing national health records in in his 2004 State of the Union speech), every technology C.E.O. wanting a piece of health care would have visited me every day if I had let them. Over the next few years, Cerner and many of the other health care data companies increased their presence on Capitol Hill."

Please welcome this confession from David Brailer, whom President Bush had appointed as the nation’s first health information czar at the time.


 

DUMBER AND DUMBER

“But does anyone really believe we should go back to paper?”

These were the only words that came out of recently-fired Allscripts CEO Glen Tullman in response to someone complaining about the EMR in a letter to President Obama. That’s like saying to a family of four living in 200 square feet that the prehistoric cave is overrated.

As for the rest of the article, I would say congrats to Tullman for downloading my Bullshit Bingo grids in due time.


 

THANK YOU FOR SMOKING US

Brian Klepper wasn’t too impressed with the above article either, so he responded:

“Physicians, purchasers and patients should take umbrage at Tullman’s article. Along with EPIC, Cerner, NextGen and other old guard EHR vendors, Tullman and Allscripts are directly responsible for most current EHRs’ outrageous costliness, lack of usability and interoperability, and their limited clinical decision support. Through their scale and influence over policy, they have effectively manipulated the EHR market, gouging purchasers and delivering marginally capable products. Health care costs more, and outcomes have suffered as a result.”


 

OTHER PEOPLE’S MONEY

“On a really good day, you might be able to call the system mediocre, but most of the time, it’s lousy.”

That was Michael Callaham, chairman of the department of emergency medicine at the University of California, San Francisco Medical Center, on the $160 million digital records system from Epic he turned on eight months ago.


 

NO COUNTRY FOR OLD MEN?

“We called it the Sunny von Bülow bill. These companies that should have been dead were being put on machines and kept alive for another few years. The biggest players drew this incredible huddle around the rule-makers and the rules are ridiculously favorable to these companies and ridiculously unfavorable to society.”

That was Jonathan Bush - co-founder of the cloud-based firm Athenahealth and a first cousin to former President George W. Bush - on healthy dinosaurs.


 

SOMETHING’S GOTTA GIVE

“Who's got time to listen to patients when the government demands 'meaningful' data entry?”

Good question, Anne Marie Valinoti. Thanks for asking.


 

INDECENT PROPOSAL

“You can bet that no one is making Dr. Devlin use an electronic medical-record system.”

Same Ms. Valinoti on Fox’ new show “The Mob Doctor”


 

That’s it for the book and movie title games, I promise.

Cheers from the pit,

Nado

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