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jastro
>> So, how does a CIO transform from running a cost-center to running a revenue-generating line of business?


Great posting.I've been on this soapbox for a long long time, and was always told that IT was not a revenue generator for X company. It's an innovative use of business use of technology. While IT hasn't been "free" for some time (remember 'funny money'?), making it a revenue producer was a hard sell.

I know others will object, so let's hear it all --
Cyrus
The best thing about this change is how much easier it will make for patients to get second opinions and/or change physicians with little cost or inconvenience. I've been amazed to be charged $30 or so to get enough records from a previous doctor so that I could give a new physician enough detail to adequately take over my primary care without a bunch of new tests.

It's small things like this that can actually really make a difference to people, but yet so few know about existing rules that they don't push legislatures to overturn outdated, arcane rules that limit choice.
CMTucker
I think this lady is off her rocker. The cost would be so prohibitive, why don't we ever look at preventative measures?

Like employment. Skills training. Community support...this is less expensive to society and doesn't destroy a victim's life...or even the life of the perpetrator.

Crime, is often a symptom of a lack of power and opportunity. Why not put more effort into opportunity?
nasimson
Physician Performance which is a highly qualitative area, if quantified well, will be a very remarkable achievement. I expect to see many attempts and many iterations before the model gets mature. Furthermore with the medical expert systems gaining momentum, such measurements can then be used to compaare human vs computer performance in this area.
Pedro Gonzales
There are many challenges in EHR implementation.  In a hurry to convert health document to electronic form, many organizations have overlook the issues in properly setting up the right EHR system.  As bad as the previous system, from the example you mentioned a bad EHR could amplify them even more.
SaneIT
I may not buy one to have it wake me up in the morning but a device that would shoot some nice smelling stuff into the air just before I arrive home with my son after wrestling practice would be nice.

There are a lot of these little things that will become invisible to us but will also be very useful. Things like sensors that turn off the stove, lights or iron if you leave the house or if it detects a fault.
ProgMan
I'm in a unique position - by and large ICD-10 has no impact on our product at all.  It's an ancillary piece of data that we collect and we've allocated a field that has a length of 25 characters for it so it expanding means nothing.  Obviously, our software is not at the crux of life and death diagnosis and billing decisions for hospitals so that makes sense.

Still, we are slowly being called upon to make customizations to certain forms and viewing options we have around the displaying of this data, so there is a little extra work involved.  It's a good spot to be in, knowing there are guys out there who are up at nights worrying about their system changes.  I guess when we get around to ICD-26 I'll be one of those guys.    
tinym
I wonder how many EHR systems are available. I've seen some that were dreadful. I don't know how secure or functional the backend systems were but the user interfaces were pitiful.
singlemud
I do not think critics to a product does not belong to privacy at all, people are supposed to be liable for what they said, no matter it is online or offline.

 
jastro
Sounds a bit like the Sherlock Holmes'  "mind palace" where he uses a spatial organization of his mind to reassemble facts and associations which have to do with the question he wants to answer.  Being Sherlock, he can, of course, do it all on his own.
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A Video Case Study – Translational Genomics Research Institute
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