Comment Technology is bad because of... (Score 1) 326
I had to put it in ellipsis because of the limit. But my comment subject means several things. First and foremost...I am on the medical professionals side with this. The problem starts at the THE TOP. Meaning the federal government. When I skimmed over the comments and one that mentioned about the ICD 9 and ICD codes not making sense. They are right. I downloaded them.. They are free for anyone to download. If you think writing writing programming code is crazy. But even moreso, there was another comment about and it was on the tip of my tongue, that is even more important than the ICD codes. Man! I wish I can remember what it was. Maybe I'll remember as I type my comments. I think it has to do with what I'm going to say. Now I remember!!! The next comment was someone made the comment about that having to do with having experience with Billing and that you had to have an A.A> in Billing or something to that effect. This goes to my main thoughts. The program the federal government came up with some years ago for Health Information Management. And of course where it involves HIPAA and all that other stuff. What came from that was a program to get persons to come into that field, mainly those from the medical field and secondly, those from the IT field. There are programs set up at 2 and 4 year colleges/universities where you can get either a certification and or an undergraduate and or graduate degree in Health Information Management or a variation of the like.
That's all well in good. When looking for a job in the field..the problem is this. They are usually looking for a a nurse or a medical professional with a nursing skills and/or nursing background with the wit usually at least 5-10 years work experience, 5 at the least. But here's the kicker. They want all of that and at the same time, they want equivalent high level IT skills as well and the same time frame.IT skills they want...database programmer/developer/better than entry-level networking skills, better than entry-level desktop support, training/trainer, advanced server skills to even sometimes Linux. Can you all see where I'm going with this???? Unless that nurse was an IT person in another life, they WON'T have those skills, much less have those advanced skills. And it would take them years to amass those skills. So, imagine asking a physician to take that on to their daily tasks? I think it's easier if IT people where being "the scribe" . They could be the perfect people to teach the medical professionals the needed skills. It would be easier for an IT person to pickup the data entry skills because that basic Computer 101 stuff to us, the networking, the database, the programming...all that would be basic stuff to us. 3 of my doctors come in with laptops now when they see me, the rest, the rooms have workstations in them already. And yea, they spend their time now, at least the ones that have to, entering in data. And I feel so bad for them, because I have some very unique health issues and lots of medicine allergies. . And I have doctors that are spread out that are at 2 different hospitals where their systems are not compatible, as it appears. I wish all of my doctors were all at the same hospital, under one system. There was another comment I remember where someone talked about User Interfaces. (I'm paraphrasing) And that if the programmers shadowed the actual medical professionals to see how they worked with the actual data, then the UI and I would guess the programs as a whole would be designed much much better and be much more user-friendly and be more beneficial to them. That would make sense. That goes to another comment I remember reading someone say that the people who come up with the guidelines for the functionality for the technology that medical professionals use and the federal government IT guidelines dealing with heath information are not IT persons, or specifically database professionals. I agree 100% they are not. These are people with no IT tech experience at all. This keeps reminding me of that hearing about the Healthcare.gov website.
I think it was the 2nd or the 3rd hearing about the status update about the website when they had all of the persons who where in change. And that one lady who was testifying for the prime contractor in charge of designing the Heathcare.gov website. What I could not stand about her was that she had no IT background, but she tried to explain how the website was going in terms of carpentry, because her father was a carpenter. The problem was, the analogies just did not work because she just did not understand IT period, so her analogies were crap. And happened to her down the line...she ended up leaving the company/losing her job . Technology..technology can be a big help to doctors. But, I don't want doctors to feel that they have to spent more time taping keys and not enough time talking to their patients and caring for them. I want medical professionals to use technology, but for them to use technology the right way and to be TRAINED in the RIGHT WAY and BY THE RIGHT PEOPLE. Not by someone who thinks they can train someone o someone who thinks just because they have an iPad, they are The Master of all tech of the universe.