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Below: Robert Gergely, MD explains how "the road to hell is paved with good intention" is exemplified by how EHR fragmented our medical care system.

Electronic Health Record (EHR) or Electronic Medical Records (EMR) were widely introduced to our medical system in 2009.

Today, over 80% of points of medical care are using this technology for billing and entry point of medical information.

The intention was very good.

As CMS noted, “EHRs are the next step in the continued progress of healthcare that can strengthen the relationship between patients and clinicians.

The data, and the timeliness and availability of it, will enable providers to make better decisions and provide better care’.

 

Today, the reality is completely opposite to what was envisioned and promised. Ask any physician and they will say it is hell.

Where did we go wrong?

Basic logic understands that billing is a horizontal vector while medical records are on a vertical vector.

Vendors of EHRs tried to combine the two.

 

Basic logic understands that billing is a horizontal vector while medical records are on a vertical vector. Vendors of EHRs tried to combine the two. Click To Tweet

 

The various administrations highly supported this combination effort.

So far, results were (as could have been easily predicted,) dismal at best.

Billing is fine but medical records ended up in silos.

 

The Administration (ONC/CMS) currently is doubling down on their faulty EHR design.

Since the introduction of EHR to our medical system, FRAGMENTATION of medical records and medical care was inevitable.

The recent purchase of Cerner by Oracle and the announced purpose Oracle’s chairman Larry Ellison outlined a bold vision Thursday for the database giant to use the combined tech power of Oracle and Cerner to make access to medical records more seamless.

 

Billing is fine but medical records ended up in silos.

 

“We’re going to solve this problem by putting a unified national health records database on top of all of these thousands of separate hospital databases. So we’re building a system where the health records all American citizens’ health records not only exist at the hospital level but also are in a unified national health records database.”

What does it mean? Complete centralization of our medical records!

 

Video from SoMeDocs.

 

Again, the intention is good, but we are going to end up in hell.

This time, not only will physicians who are burned out not have relief, but we are all also going to suffer further, from the lack of control of our own medical records.

Privacy and security are out the window.

Thankfully we can increase our control. By law EVERY physician is mandated to release all medical records in a natural language. As of October 6th, this rule will be enforced.

The responsibility now is shifting to the people.

As a major part of SELF CARE, is requesting all medical records and aggregate them to an absolutely needed longitudinal medical record.

 

The responsibility now is shifting to the people. As a major part of SELF CARE, is requesting all medical records and aggregate them to an absolutely needed longitudinal medical record. Click To Tweet

 

People need help. They need to safe keep their aggregated records in the cloud in a secure and private location. People expect their medical insurance companies to finance the cost associated with such cloud space. Medical insurance companies will save billions on wasted double testing and mismatched records.

I am currently looking for a company that can and wants to fill this vacuum and provide people with a practical solution for their problems and needs.

For more information:

https://doctorsonsocialmedia.com/universally-accessible-personal-medical-records/

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Robert Gergely, MD

Retired perinatologist, inventor.

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