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E-Records in New York

Wednesday, October 28, 2009

President and CEO of North Shore-Long Island Jewish Health System, Michael Dowling,explains how the hospital group's $400 million project to introduce electronic health records could reduce health care costs while improving patient outcomes.

Guests:

Michael Dowling

Comments [11]

Jason from Garden City, New York

There is a big difference between ePHI Electronic Protected Health Information (ePHI) and non identifying health information. HIPAA has strong penalties (and growing stronger) for unauthorized disclosure of ePHI. As for non identifying information, this is potentially the information that can be sold and/or shared. I personally don't mind if Uncle Sam knows that there is a 32 year old female with the swine flu in Bellmore N.Y., as long as he doesn't have any other information to personally identify her. If that benefits our healthcare system, the I'm all for it.

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Nov. 11 2009 02:41 PM
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Jane from Upper East Side

-I go to several doctors with offices in a New York teaching hospital which has electronic records. The last doctor I saw gave me a printout of my record. I found numerous errors: illnesses listed that I had never had, medications listed that had never been prescribed for me, wrong dosages. I marked up the printout with corrctions and sent it to the doctor. She told me corrections could only be made at my next appointment, whenever that might be! There is apparently no option for a patient to correct the record.

A record filled with errors is of NO benefit to a patient and presents a risk.

Oct. 28 2009 11:06 AM
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Calls'em As I Sees'em from McLean, VA

I don’t know why liberals in New York are not rebelling against the national socialist medical proposals given the incredibly intrusive privacy issues. Not only does the Gov’t want total access to all your personal medical records, it also wants total access to your financial information. It is 100x worse then the Bush admin using computers to mine for data in overseas phone calls to fight terrorism. It is a Nazi type grab for power that the Constitution does NOT contemplate.

I trust my private doctors, my health insurance company or a hospital like LIJ/NS to keep my medical records. I don’t trust the US Government to do so - especially this one which is filled Marxists and Maoists and is affiliated with criminal organizations like ACORN and other organizations that appear to hate America like MoveOn.Org, the Apollo Alliance and the Tides Foundation.

PS - If the Gov’t gets to have all the medical and financial records, the penalty for invasion of privacy should be bumped up to “death.”

Oct. 28 2009 10:48 AM
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Rich from Staten Island

Why should they be given such a contract given this largest fine by a hospital.

Oct. 28 2009 10:44 AM
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Michelle from Queens

I had my son at North Shore University Hospital. I would like my records electronic if it made it easier for me in the future, but I would like to know what is going to be put online and what can they see? I suppose I am worried about security about personal information and if it could be accidentially placed on the internet for all to view personal info.

How will this help the users....so when people are coming in to have a baby, they won't have to do paperwork before being admitted? I recall having to sign things, although I did submit everything in advance because I had planned to have my baby there.

Oct. 28 2009 10:42 AM
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Rich from Staten Island

Maybe you could ask Mr. Dowling about the Staten Island University Hospital as part of NorthShore LIJ agreed to return $88.9 Million as this institution fraudulently billed the the state Medicaid and federal Medicare system. This is one of the largest settlements in terms of claims by a single hospital.

Oct. 28 2009 10:42 AM
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Tom from UWS

My primary care physician in Manhattan has used electronic record keeping for a couple of years. I asked how they like it and the response from nurse to PA to MD was positive all the way around. From the patient view, I appreciated the speed with which they could find the prescription record from ten years ago, as well as keep an up-to-date reading of all prescriptions and OTC products I;m using.
That a specialist or ER I might need to see would have the same access is clearly a benefit that could save time, money and even lives.

Oct. 28 2009 10:40 AM
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gary from queens

Digitized medical records will mean that your medical records can end up in anyone's hands. that means people will have leverage over you. Privacy will be gone.

And it's not necessary to have some other MD somewhere know all your medical data. We already have Medic Alert tags for emergencies. Just basic info that first responders etc can have relevant to your treatment. You entire medical records do not need to be in the hands of everyone----and everyone WILL have access to them once they're digitized. Because you cannot enforce privacy provisions when distribution of info doesnt require physical transfer of records.

Another legacy of Obamacare.

Oct. 28 2009 10:39 AM
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Bill S from Bayside

I recently had a 14-hour stay at LIJ for a kidney stone which was billed at a total of $11,000. I had to pay $4,000 deductible and insurance covered the rest. How will electronic records reduce this unbelievable cost for a "minor" situation?
thank you

Oct. 28 2009 10:34 AM
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Jeremy Engdahl-Johnson from NYC

Federal funding may be encouraging a move toward EHR, but there's more to it than just installing systems. How can healthcare data pooling lead to a better system? More at http://www.healthcaretownhall.com/?p=1499

Oct. 28 2009 10:32 AM
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adsf

now why didn't you do this 10 or 20 yrs ago -- certainly possible technologically -- has anything changed in terms of your ability to protect patient privacy that enables you to do this now?

Oct. 28 2009 06:28 AM
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