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Comment: Re:HIPPA never had a "P" for privacy. (Score 1) 46

The original HIPPA law was called the "HIPAA: Health Insurance Portability and Accountability Act" but the portability never happened.

Sure it did. We've had portability of health insurance for a long time now--where portability simply meant that once you had health insurance, you could keep getting it...

Comment: Re:HHS Asleep At The Switch (Score 1) 184

Your ignorance of the issue is appalling.

You're the one who is ignorant of the issue. I deal with it all the time. And, frustrating as it is, I, unlike you, am aware of the history of the various attempts, and the reasons they have failed. Primarily, you have absolutely zero concept of the overwhelming complexity of the data involved, how rapidly it evolves, and the cost to society if we retard that evolution via regulation. (The example I gave was a deliberately simple one, the simplest imaginable, so that anyone could understand it.)

And, oh, by the way. There are standards for the simple little things you mentioned in your initial post--reluctance to connect to those devices is rooted at least in part in fear of regulations. But those simple little things are the tiniest most infinitesimal part of what a universal data standard would encompass.

Comment: Re:What's a... (Score 1) 184

"Heatlh" record?

In the miasma of bullshit jargon that permeates this industry, an Electronic Medical Record is that thing your doctor uses to keep his records about you. An Electronic Health Record is that mythological thing that contains your complete life-long history and is shared--instantly, seamlessly, yet with complete privacy protection--between all your medical providers.

Comment: Re:Why store the patient's Age instead of Birth Da (Score 1) 184

However, long outdated programming practices is the norm in EMRs.

Long-outdated programming practices were traditionally merely the norm in EMRs. But now thanks to subsidies, Meaningful Use requirements, and certification procedures, they are effectively mandated by the federal government.

Comment: Re:HHS Asleep At The Switch (Score 5, Insightful) 184

Really? And let's say that instead of a normal adult visit, we're talking about a pediatric visit for a child or infant with a congenital heart defect. Will the oxygen-level gauge transmit whether the reading was from a finger or a toe? Will the manometers also transmit: 1) what side the pressure was taken from, 2) whether the pressure was taken from the arm or leg, 3) whether the patient was sitting, standing, or supine?

Yeah, that's the thing. When the /. crowd starts saying there should be a "single standard" for medical records, those of us who actually work in the industry just roll our eyes... You have no idea of the complexity of the problem, nor of how fast things change on the cutting edge of the specialties.

Comment: Re:Usability metrics, anyone? (Score 2) 184

...but I'll bet that there's almost nothing concrete in them about usability.

It's worse than that: 1) There's not even anything at all regarding usability, not even the most vague amorphous pablum; 2) Many of the regulations have the unintended side effect of pushing things toward poor usability.

Comment: article is flamebait (Score 2) 184


In the case mentioned, the patient suffered permanent damage because he did not receive appropriate care. It doesn't really matter whether it was the doctor, or a nurse, or improperly maintained equipment, or a frickin' janitor's laziness, or the EMR--the hospital is responsible for providing appropriate treatment to patients.

Yes, I'm sure there's a small number of sleazy lawyers who will latch onto harmless mistakes in the EMR to try to invent a case where there is none, just as they have always done with all mistakes, long before EMRs existed.

But the real problem is not the lawyers. The real problem is the byzantine UIs of these monstrous "Enterprise Medical Record" systems, if you get my pun ;-) After all, some data entry mistakes do cause actual harm.

Comment: Re:Yeay! (Score 2) 39

by sribe (#49465355) Attached to: Briny Water May Pool In Mars' Equatorial Soil

At least Europe is going to get something now - not my personal favorite (if there is anything interesting there, which we don't actually know, it's buried way too deep for us to get at it for a long, long time).

If you're really that curious about what's in Europe, why don't you just visit the next time you take a vacation?

Comment: Re:Systemic and widespread? (Score 5, Insightful) 489

by sribe (#49437595) Attached to: The Courage of Bystanders Who Press "Record"

That happened with this one as well. It doesn't show the previous action which led up to the officer and the suspect being out in the middle of the grass after a traffic stop. It doesn't show where the officer and the suspect were involved in a tussle as claimed by the officer, during which the suspect reportedly took the officer's stun gun.

NOTHING justifies shooting an unarmed fleeing man in the back when he's already 10 yards away.

Comment: Re:Systemic and widespread? (Score 1) 489

by sribe (#49437569) Attached to: The Courage of Bystanders Who Press "Record"

I know what the groupthink around here is, but ", because of videos, we are seeing just how systemic and widespread it is" is an expression of a preconceived notion, not a valid inference from data.

It is systemic and widespread, but also locally varying, not ubiquitous. That is to say, there are many departments like Ferguson where it is accepted, even promoted, by those in charge and thus systemic and widespread. And there are many many departments where it is absolutely not. Speaking as someone who's lived in a number of different areas of the country, I've lived in areas where the cops were awful, and even a white male would be wise to dread any contact with them, and I've lived in areas where they were highly professional.

"I've seen it. It's rubbish." -- Marvin the Paranoid Android