Open thread May 23, 2014 Dan Crawford | May 23, 2014 6:10 am Tags: open thread Comments (13) | Digg Facebook Twitter |
So last night I took Mrs. R RN and numerous nurses and nurse aides out for a late night retirement celebration.
The conversation quickly turn to the new mandatory EMR, and it was rather ugly.
(long-term care is hyper-regulated and has a hyper documentation scheme to match, so it is different from other medical providers)
The aides are now spending 3 hours of an 8 hour shift on the computer, and they think the learning curve may get them down to 2 hours per shift. Instead of caring for the residents……
The first night Mrs. R worked with the full system, the computer reported she had a late and error rate of 92%, and the next day she signed her retirement papers.
In the larger picture, providers are having trouble meeting the onerous “meaningful use” criteria and it may be easier for many to just return the stimulus act funds and use only the portions of the EMR that actually work.
Cynically I would note every major health initiative by the Obama administration has been a giant welfare package for Silicon Valley and the IT industry.
A consultants and lawyers wonderland!
sounds very likely to me, even though i don’t know what EMR is.
something similar happened in the place where i worked. and something similar happened in the private corporation where a friend worked.
it may not be obama per se. it may just be some kind of historical inevitability.
this doesn’t mean i don’t think “obama” is not to blame. just that he… his type… may be some sort of historical inevitability.
Doesn’t matter what EMR means. Rusty will file the same complaint about any initials he can find.
I am certain that prior to the ACA forcing the medical profession into the 21st century, that registered nurses spent every single moment of their time(particularly in long term care facilities) caring for the patients and spent absolutely no time whatsoever recording the care that the patients received.
I mean, prior to computers you sure didn’t need to know that Mrs. Jones actually received her medication on time. Or Mr. Smith threw a tantrum right after they served him green jello.
All of this record keeping never happened back then.
Now that it’s a bipartisan consensus regarding the tiered internet (the skids are greased), why can’t one of the tiers be advertising?
If I’m paying some basic rate for bandwidth and my provider keeps track of certain providers to give them priority allocations why can’t I pay to limit the bandwidth used by ads? Better yet, why can’t spammers and advertisers be forced to pay the freight for their own clogs? (iirc there is a legal precedent wrt spam faxes etc.)
Part 2 of frontline United States of Secrets last week covered the amount of profits gathered in private hands from search and social networking by unwitting users. Forcing buyers of that data to (at least) pay the freight for their ads might moderate the volume of that activity.
Id do the same with the post office. Make junk mail pay first class rates. We’d save lots of trees!
i know exactly what you mean. I get bitter about junk mail. But I think the junk is actually what keeps the cost of sending a real letter affordable.
No doubt true of the ads on this here website. But I do wish they could find some real programers so the ads didn’t destroy the usefulness of the site… as the ads on AB seem to do.
rusty might or might not. but i took the complaint to be about the Volume of “record keeping” quantities matter, and the frustrations caused by clumsy programming, and the micromanagement from afar.
You do not know rusty very well, though your thoughts are not far off.
Difference is that Rusty looks for any possible negative from the ACA, exaggerates it, and then makes a conclusion well before the time has past where any conclusion can be made.
Strangely enough, he constantly talks about it being “too early” to tell whenever anything positive happens.
Positive results take time. Negative results happen at the speed of light…particularly if you are looking real hard for them.
If junk mail is paying for itself, why can’t I send a letter at the same rate if I don’t care if it takes a couple of extra days?
I don’t understand your question.
The post office has a certain amount of overhead whether it delives ten letters or ten million. if it can collect ten cents on 9 million junk letters each, it can charge 40 cents for a real letter instead of 50 cents.
as for how fast the letters get to you… it doesn’t matter. they have to process the mail that comes in every day or they would get hopelessly behind. sending it out by plane or truck costs roughly the same.
note… i am not and don’t pretend to be an expert in post office economics. my “analysis” is meant to be suggestive, not authoritative.
EMichael there is evidence you are right about Rusty. But in the spirit of “why can’t we all just get along?” I like to try to see what I can agree with people about.
Then maybe (ha ha) we can get down to talking sensibly about what we don’t agree about so much.
And I don’t really understand your answer, but let’s leave it at that.