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HiTech Law to the last of Medicine – "Obama is to improve patient care?

Now there are over 29 billion dollars spent on health care IT in the coming years thanks to Obama's stimulus plan, namely the HiTech act. How will this affect patients and their doctors?

Several small clinical trials in the Silicon Valley are starting to make a full commitment to electronic medical records. The initial costs often exceed $ 30,000 or more, including software packages, hardware to run the software, labor for installation and configuration, and to provide training and support medical users. Even some practitioners of alternative health services such as chiropractic and acupuncturists, to implement electronic medical records. Several startup companies, for example, Fremont, CA based title = "PracticeChoice – Web based EMR"> PracticeChoice, Inc., and based eClinicalWorks MA, are beginning to offer "hosted" and the web versions of REM and other features.

Given the size of Obama's plan, more vendors are rushing in space, and open source projects are available. Prices are falling. eClinicalWorks offers a feature rich EMR by about $ 500 per month per doctor, while upstarts such as accounts PracticeChoice providers are offering as low as $ 99 per month, making it affordable to smaller clinics and chiropractor Dr. Rishi Shahani, DC to the vitality of Health Services. "I used to spend hours every night after to see patients doing paperwork. Now I'm [the] clinic and is now! "

In addition to increasing productivity for physicians, EMR provides options for patients electronic access to doctors. The Noe Valley Clinic, located in the exclusive Noe Valley, a suburb of San Francisco home to many urban upper class, uses EMR to allow "email access to your doctor" and "personal health records online and renewals prescription "according to its website . While this is also being offered by health care giant Blue Cross, Kaiser, Sutter Health, and others, it is remarkable that a small clinic can now provide such boutique advanced services safely and affordable.

EMR is not without its detractors. Despite several years of active marketing vendors established EMR adoption in hospitals and private clinics remains well below 30% nationally. Critics argue that the money Obama would be better spent on preventive care, educational programs, and increase access to quality health care for the poor. Even within the framework of the HiTech act, newcomers say unfairly rewards established vendors, with outdated technology, rather than encourage innovation. Unlike the corporate world, where the source initiatives open, outsourcing, and an increase in standards-based frameworks have lowered the cost of business productivity applications, medical technology continues still a relatively closed market, dominated by a a few large providers who use relationships with large hospitals to fend off the incursions of traders smaller. One of the sites, EMR – Reviews by doctors "> more emr.com, hopes to provide an impartial forum for physicians to submit reviews, comments and criticisms of the provider packages, large and small. According to their site, "We will present the reader with clear and convincing reviews of the best EMR solutions in the market. "

Taking into account security and privacy of digital medical records, it is reasonable to rely more on large, established players to safeguard their systems. EMR public opinion seems to vary from distrust to outright paranoia, fear of theft or mismanagement of records is the most frequently cited criticism on sites like Digg, where many items 100s of comments from readers on their opinions. However, players small have some credibility. "Our systems use more [modern software technology that] the larger competitors that has been used in banking and payment systems, national security, and safe systems of government for years, "responds Neeraj Datta, CEO of PracticeChoice." The answer security concerns is not to rely on established products, but rather to use peer-reviewed, open and technology independent software audited, as open source. "

Most agree, however, it will be several years before the result of the spending bill is determined. Perhaps imperfect, President Obama might later be proved to provide an ounce of prevention to help heal a suffering U.S. attention. If not delivered on its promises, it could be a bitter – and expensive – the pill to swallow.

About the Author

Robert Ficcaglia is a veteran software technology executive, author of several patents, and former engineer in several public and venture capital funded private software companies. He is an active advisor to several Silicon Valley companies in the areas of information security, healthcare, and consumer services.

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