electronically stored information (ESI)
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On the Need for a Universal Health Record
The current path of progress of the EHR, with its concentration on “meaningful use,” and an intellectual property regime that does not fully exploit the capacity for innovation by end-users is approaching an evolutionary dead-end. It is time to treat the EHR as what it should be: an integral part of medical care that has limitless potential for maximizing the use of information acquired in the provision of health care, and not an impediment to optimal care and a bugaboo for the physician. Read More »
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The Politics of the EHR: Why we’re not where we want to be and what we need to do to get there
By now, it seems abundantly clear that the vast potential offered by universal adoption of electronic health records (EHR) has not been achieved. Indeed, the fulfillment of that potential seems a long way off. Unsolved problems with interoperability, usability, safety, and security, to name a few, remain, and continue to pose barriers to universal adoption. There is ample evidence in the medical literature, of the unsolved problems of the EHR. Indeed, two recent reports that offer (probably inadequate) solutions highlight the difficulties that exist with the EHR. The proliferation of these problems has only increased with the increase in adoption of the EHR by physicians and institutions. The Texas Medical Association has asked the (at the time) ONC, Farhad Mostashari, MD, to establish a health IT patient safety czar.1 Read More »
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