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Posted by Monty Solomon on April 14, 2009, 10:11 am
Electronic health records raise doubt
Google service's inaccuracies may hold wide lesson
By Lisa Wangsness, Globe Staff | April 13, 2009
WASHINGTON - When Dave deBronkart, a tech-savvy kidney cancer
survivor, tried to transfer his medical records from Beth Israel
Deaconess Medical Center to Google Health, a new free service that
lets patients keep all their health records in one place and easily
share them with new doctors, he was stunned at what he found.
Google said his cancer had spread to either his brain or spine - a
frightening diagnosis deBronkart had never gotten from his doctors -
and listed an array of other conditions that he never had, as far as
he knew, like chronic lung disease and aortic aneurysm. A warning
announced his blood pressure medication required "immediate
attention."
"I wondered, 'What are they talking about?' " said deBronkart, who is
59 and lives in Nashua.
DeBronkart eventually discovered the problem: Some of the information
in his Google Health record was drawn from billing records, which
sometimes reflect imprecise information plugged into codes required
by insurers. Google Health and others in the fast-growing personal
health record business say they are offering a revolutionary tool to
help patients navigate a fragmented healthcare system, but some
doctors fear that inaccurate information from billing data could lead
to improper treatment.
...
http://www.boston.com/news/nation/washington/articles/2009/04/13/electronic_health_records_raise_doubt/
***** Moderator's Note *****
Sigh. The thing you were scared of at lunchtime is now twice as scary; film at
eleven.
Seriously, this sounds like the classic case of GIGO: Garbage In,
Gospel Out(tm). Google's IT crew, knowing everything there is to know
about information science and nothing about
how-to-get-paid-more-from-health-insurance science, assumed that the
billing codes represented the truth. Unfortunately, they're going to
find out the hard way that nurses no longer take blood-pressure
readings; they provide followup care for hypertension treatment, etc.,
ad nauseum.
Bill Horne
Temporary Moderator
Please put [Telecom] at the end of your subject line, or I may never
see your post! Thanks!
We have a new address for email submissions: telecomdigestmoderator
atsign telecom-digest.org. This is only for those who submit posts via
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Posted by Sam Spade on April 15, 2009, 9:38 am
>
http://www.boston.com/news/nation/washington/articles/2009/04/13/electronic_health_records_raise_doubt/
>
> ***** Moderator's Note *****
>
> Sigh. The thing you were scared of at lunchtime is now twice as scary; film at
eleven.
>
> Seriously, this sounds like the classic case of GIGO: Garbage In,
> Gospel Out(tm). Google's IT crew, knowing everything there is to know
> about information science and nothing about
> how-to-get-paid-more-from-health-insurance science, assumed that the
> billing codes represented the truth. Unfortunately, they're going to
> find out the hard way that nurses no longer take blood-pressure
> readings; they provide followup care for hypertension treatment, etc.,
> ad nauseum.
That should be apparent on its face to medical professionals. Billing
codes mostly mean the procedure was performed, and that's it. I guess
some are rough diagnosis, but not even close to the report an an
angiogram or brain scan MRI, as examples.
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