Stream: patient empowerment
Topic: Where the margin is
Grahame Grieve (Jul 30 2019 at 20:21):
https://histalk2.com/2019/07/30/news-7-31-19/
“Re: hospital data. Interoperability is only part of the problem. Hospital records are often just plain wrong and allowing other providers to see them would make that fact obvious.” Indeed they are, and that can’t be fixed by technology tweaks alone. I have zero doubt that if you video recorded a patient’s entire multi-day encounter by sticking a GoPro on their head, you would find that probably that at least 20% of what’s in the chart is wrong, mostly because of poor human documentation due to sloppiness, falsifying entries to cover mistakes, or incorrectly recalling something after the fact. We don’t really want patients snooping around in their chart or detailed bill because that would slow down the widget production line and invite ambulance-chasing lawyers. I don’t know of any other industry that is equally complacent about poor internal documentation, but then again, I don’t know of any other industry that requires so many people to document so much information, mostly to help the hospital get paid rather than to help the patient get well. Maybe someone should turn that GoPro idea into a remote monitoring business, except paid for by the patient or insurer to watch for and prevent the inevitable hospital screw-ups.
Dave deBronkart (Jul 31 2019 at 00:24):
This, from a colleague of mine 18 months ago, has been making the retweet rounds this week: https://twitter.com/ePatientDave/status/955296590230704129
@KurtLass1 @TheLizArmy @WeDietitians @EricTopol @hmkyale @myopennotes @GraceCordovano @RasuShrestha @Lygeia Here, from @S4PM board member @pheski (retired family medicine doc), is what HE was told: "We can't show patients the chart," because, basically, what's in it is embarrassingly bad. Note - he says that wasn't a one-time statement. And they say we should just trust them, not ask?? https://twitter.com/ePatientDave/status/955296590230704129/photo/1
- Dave deBronkart (@ePatientDave)
Last updated: Apr 12 2022 at 19:14 UTC
