Beth Schultz

It's Your Medical Data Own It!

NO RATINGS
View Comments: Newest First | Oldest First | Threaded View
Page 1 / 5   >   >>
WaqasAltaf
User Rank
Data Doctor
Re: Keeping records
WaqasAltaf   6/8/2013 2:28:41 AM
NO RATINGS
@ Seth

"It also opens the door to everthing a doctor did not do or could have done (whether appropiate or not) and Dr.'s. will have to justify their every step. "


I think that is also a major reason why hospitals should be reluctant to issue records to the patients. However, if a doctor messes up, patients' relatives should and do reserve a right to extract and verify medical records and the rationale behind certain treatments.

WaqasAltaf
User Rank
Data Doctor
Re: Keeping records
WaqasAltaf   6/8/2013 2:08:18 AM
NO RATINGS
@ Beth

"I would like to have the data handy to be at all times in case it's needed for an emergency. So, I woud store it locally and make paper copies, for example, rather than having to rely on access to the health system's files if I need the data quickly."


Yes. In my state, there is a practice of handing over a hard file to the patient when he gets released; obviously they charge for it too. This way the patient always has access to the data for referring it to any other hospital esp in case of emergency. Would like to know of the practice in your state ?

WaqasAltaf
User Rank
Data Doctor
Re: Getting the soft copies from the clinics
WaqasAltaf   6/8/2013 2:03:16 AM
NO RATINGS
@ Beth

"meaning, one medical provider presents the data in this way, another medical provider presents the same data in a completely different way. So it's not just having access but being able to get that access in a meaningful way."

For that to happen it is the regulatory authorities in the field of medicine that should define the standards in which patients' records are generated and stored so patient does not become dependant on a hospital just because the data isn't easily comprehended by other hospitals. I'l be surprised if there is such lack of standardization.

BethSchultz
User Rank
Blogger
Re: Keeping records
BethSchultz   5/23/2013 9:28:47 AM
NO RATINGS
@noreen -- that's an excellent example of the types of services medical providers should be offering patients. Thanks for sharing!

Ariella
User Rank
Blogger
Re: Keeping records
Ariella   5/23/2013 8:57:00 AM
NO RATINGS
@Noreen the forms ask for a lot more than the vaccine records, and that does bother me to some extent. A lot of that is personal information that has no bearing on a possible risk of contagion to other kids. They also ask for the doctors to sign off on whether or not the child has restrictions with respect to physical activity, and I can see the school or camp insisting on having the word of the doctor for that rather than the parent's assurance. BTW it's all on only a page or two, so the fee has nothing to do with printing costs. I think that they just feel they are entitled to charge it for the time the doctor or assistant has to spend on the paperwork. 

I am now in NY. It was in NJ that we were charged $10 per record by the pediatrician's office. Doctors want official records rather than parental copies of immunization records, so we had to pay. We asked a medical advocate about it, though she was outraged by the very idea, there was no egal recourse.  Apparently. the law allowed them to charge up to $10, so they did. This was not nearly as outrageous to me, though, as the doctor who gamed the insurance system to get additional office visit payments on top of the standard set amount of prenatal care by only entering a pregnancy diagnosis after 3 visits, each billed on its own.  

Noreen Seebacher
User Rank
Blogger
Re: Keeping records
Noreen Seebacher   5/22/2013 11:31:01 PM
NO RATINGS
In NYS, the law allows physicians and institutions to charge no more than 75 cents a page, plus postage, for paper copies of medical records. Physicians may charge the actual reproduction costs for radiographic materials, such as X-rays or MRI films. A provider may not impose a charge for original mammogram films, but may charge postage. However, an individual cannot be denied access to information solely because he or she is unable to pay. So if the doctor is in NYS, Ariella, ask to see your child's medicsl records -- and snap images of any pertinent pages - like vaccine records -- with your phone. Attach them to the school form and simply wrote "see attached" where it asks for the physican signature

Ariella
User Rank
Blogger
Re: Keeping records
Ariella   5/22/2013 10:01:18 PM
NO RATINGS
@tinym well, we have no choice, and they know it. But they probably would claim it is just to prevent people from wasting their time with unnecessary forms. They don't otherwise nickel and dime in that way. When they outsourced their billing, the person who handled that always put in for a second copayment for the hearing and vision screening. That bothered me because it really was part of the checkup, and those who wear glasses still had to go to an eye doctor to get their prescriptions set.  But others were also not happy with the service and the office switched back to billing in-house.  

tinym
User Rank
Data Doctor
Re: Keeping records
tinym   5/22/2013 9:42:37 PM
NO RATINGS
@Ariella $5 per form!? That's outrageous! As you know, I work for a commercial printer that also manages machines & supplies for law offices. $5 for per page isn't reasonable even for a doctor's office. Lawyers are charging less per printed page...

Noreen Seebacher
User Rank
Blogger
Re: Keeping records
Noreen Seebacher   5/22/2013 5:54:51 PM
NO RATINGS
Just today my husband hot a call from his physican's office, who gave him a login for a site where he can not only see most recent test results but past test results - and then graph them over time. It's a wonderful way for someone with a chronic condition like diabetes or high cholesterol to compare the state of his health.

BethSchultz
User Rank
Blogger
Re: Keeping records
BethSchultz   5/22/2013 2:12:21 PM
NO RATINGS
@DavosCollective -- excellent points. I absolutely agree domain knowledge is required for truly understanding personal medical data.  But by all means I would say doing your research and forming some of your own opinions as to how you might proceed is a good idea. But the key is calling on those who have domain knowledge for their expert opinion. That should be your own doctor, specialists, etc. Emotions are hard to control, as you say, no matter how much data you can cull through and absorb. Unbiased sources can help counteract the emotional affects.

As for the guardianship of medical data... I like your idea that parents share their own medical data as an example for their children. I'd add a caveat, though: This should be age dependent, as well as maturity dependent, especially if there are health risks in that data.

Lastly, thanks for joining in the conversation here!

Page 1 / 5   >   >>
Information Resources
More Blogs from Beth Schultz
It's been a fun three years, but now it's time to say goodbye.
Take inspiration from Christopher Columbus as you pursue your analytical journeys.
The "big" in big data is no reflection of the size of the organization embracing its potential.
Whether you're an undergrad, a graduate student, or an analytics professional already, the same best-practices advice lives large.
Satellite data can help solve puzzles, from the lofty to the mundane.
Radio Show
Radio Shows
UPCOMING
James M. Connolly
Hire and Manage a Great Analytics Team


9/1/2015   REGISTER   1
ARCHIVE
James M. Connolly
Use Mobile Analytics to See the Big Picture


8/26/2015  LISTEN   83
ARCHIVE
James M. Connolly
Survive the Digital Transformation


8/18/2015  LISTEN   85
ARCHIVE
James M. Connolly
Health Analytics: Find Data Beyond the Hospital Doors


7/28/2015  LISTEN   47
ARCHIVE
James M. Connolly
Finding Answers Through Prescriptive Analytics


7/21/2015  LISTEN   117
ARCHIVE
James M. Connolly
Visualization: How to Bring Data to Life


6/22/2015  LISTEN   55
ARCHIVE
James M. Connolly
Learn Why Analytics Are at Home in the Cloud


6/15/2015  LISTEN   26
ARCHIVE
James M. Connolly
Analytics: Your Defense Against Cyber Threats


5/27/2015  LISTEN   60
ARCHIVE
James M. Connolly
Big Data & Big Pharma: How Analytics Might Save Your Life


5/19/2015  LISTEN   37
ARCHIVE
James M. Connolly
Live Interviews From SAS Global Forum


4/28/2015  LISTEN   11
ARCHIVE
James M. Connolly
How to Hire Great Analytics Talent


4/23/2015  LISTEN   51
Information Resources
Follow us on Twitter
Follow us on Twitter
Quick Poll
Quick Poll
Like us on Facebook
Like us on Facebook
About Us  |  Contact Us  |  Help  |  Register  |  Twitter  |  Facebook  |  RSS