Feds To Help Train 50,000 Health IT Workers 212
Lucas123 writes "The US Department of Health and Human Services is spending about $144 million on grant programs at more than 80 colleges and universities to help fill a void of about 50,000 workers for IT jobs in the healthcare industry. The workers are needed to help hospitals, physician practices and other healthcare entities to roll out electronic medical records, which the government is promoting through the use of reimbursement funds for those who implement EMRs and penalties for those who don't. The Health IT courses are set to begin this fall in five regions around the US and are aimed exclusively at workers who have previous IT or healthcare experience."
yeah, sure is a lack of unemployed IT types (Score:5, Insightful)
How often must the government / industry claim there is a lack of qualified workers in some field before people just laugh and wonder who wants to bring down whose salary?
How about giving them loans for training which are paid back as part of their salary once they've secured a job?
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Wouldn't bringing down salaries for IT workers in the health care industry reduce health care costs? Isn't that basically what the whole debate was about with regards to health care "reform" was about for the last 2 years? They need more IT people to support moving everything to computers, but that means they can pay them less at the same time, as there's a larger supply than demand at that point. Makes sense to me, even if it sucks. But not my industry, so meh.
Re:yeah, sure is a lack of unemployed IT types (Score:4, Insightful)
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The people who handle your servers/routers or run cables are not grunts, the reason they make 50-100k is because maintaining your system services requires major skill and dedication while cabling is tiresome and dangerous work akin to electrical wiring. These are big jobs and if you're offering $35k a
Re:yeah, sure is a lack of unemployed IT types (Score:4, Insightful)
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We've got plenty of EMRs, thanks.
What we need is a decent EMR that isn't horribly expensive that small organizations can use. Unfortunately, unlike other industries where the scale of information in a monolythic application largely relates to the organization's size, this isn't true in healthcare: the 5-doctor clinic needs the same access to EMR as the 1,000 doctor hospital network.
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Yes, and it's a fucking stupid idea. Healthcare IT sallaries are already low compared to other industries. Unlike most for-profit business, hospitals and healthcare in general have yet to learn that IT assets, like any other physical asset, depreciates over time. They replace it when it breaks (or provide you with the funding to do so when it breaks), and the pay for an individual healthcare IT worker is similarly treated. Granted, there are more healthcare IT workers per capita than in most other industrie
there is no shortage... (Score:5, Insightful)
Re:there is no shortage... (Score:5, Insightful)
I think your label of "government handout" is very presumptuous.
Re:there is no shortage... (Score:4, Interesting)
As someone who as worked in healthcare IT for a grand total of 5 years now I can tell you that we (Americans) and in severe trouble. This entire industry needs to be scrapped and outsourced to private industry asap. The level of incompentency is simply staggering. You have to understand a very large portion of healthcare (beyone the large private HMOs) is delivered by state institutions. That means safety net hospitals, state institutions, and hospitals that operate inside or parellel to higher ed instituions. I work on an applications team of about 80 folks (yeah 80 no shit). Most of these peeps have Analyst in thier title and many came from other areas of the organization (nursing, med techs, etc). I think there are maybe 3 or 4 of us with a realistic IT background that have actual skills to solve problems....e.g., understand relational databases, know a scripting language, undersand basic operational guidelines of managing large complex systems. Basically the modus opandi here is to throw a bunch of money at our prefered vedors and hope that we get a positive result. Combine this with a culture of "never fire anyone for any reason" and you get the worst of the worst case scenarios. This isn't FUD and I am absolutely not blowing this out of propotion. If our education system operates on any of the same principles that I see here (and I think it does), then its starting to become really clear about why thats in the shitter too. On the other hand.....good place to be when there is 15% unemployment....for now.
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Uh, that's a GOOD thing. (Score:2, Informative)
Most of these peeps have Analyst in thier title and many came from other areas of the organization (nursing, med techs, etc). I think there are maybe 3 or 4 of us with a realistic IT background that have actual skills to solve problems..
My wife is currently using this iPhone/iTouch medical app for her NP program. Long story short, the UI and the selections make absolutely no sense from a practitioner's standpoint. Once, after swearing at it, she asked what the fuck they were thinking. I answered, "Honey, it was probably designed and developed by programmers that have no clue what a practitioner needs or uses in a system." I know, I've worked on some medical systems for a very large medical software company that everyone in the business wou
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It appears MUMPS programming is about 50 years old.
http://en.wikipedia.org/wiki/MUMPS [wikipedia.org]
If they'd redo it with something a bit more current and open source
they'd save money, time, and sanity.
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Errr, a little over 40 yrs old.
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The original was written on a government grant and is in the public domain.
This is a GPL/LGPL version which works with PostgreSQL http://www.cs.uni.edu/~okane/mumps.html [uni.edu] "The Mumps Compiler is distributed under the GNU GPL and GNU LGPL licenses." This is of course not a whole IDE or deployable system as best I can tell and there is still code to be written to implement a system.
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Though I'd agree with you, there are many types of "IT worker", and you would be surprised at what an average SAP, Oracle ERP, or BI consultant makes... do you think working with EMR/HIPAA is any easier than CRM, HCM or any of the other enterprise domains?
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Apparently you've never done IT work, because you demonstrate a severe lack of understanding of what's involved.
(Oh wait, you're a developer; everyone's job but your's is easy!)
Altering a couple toggles or switching a few bits is not the half of it. While a developer can release a bug fix at any time they so please (or not at all, as so fucking often appears to be the case) IT tends to suffer directly for a developers' shortsightedness. The people who use a developer's software rely on IT people to make it
If ALL the big hospital/healthcare companies.. (Score:2)
would stop discriminating against older IT workers (over 40) there would be no shortage!
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This is why I refuse to work full time anymore.
My motto as it is for a lot of other ppl tired of Welfare state is ....
"Starve the Beast"
As Ron Paul said, if you subsidize something you get more of it.
We need Co-op healthcare like the way USAA does Insurance, not for profit,
and no government bloated bureaucracy running it like the VA.
As a former veteran I can tell you the VA is often substandard.
The MSM even covered stories of returning injured not getting the care they needed.
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Well, if you dislike the welfare state, then rejoice! The Beast is getting starved, it no longer has resources to take care of all those unable to do soe themselves! You got what you wanted. Enjoy.
You do realize that "welfare state" means a place where injured get taken care of, right? And that in non-welfare states those crippled i
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Executive salaries are such a miniscule percentage of the oil industries revenue you could cut them to NOTHING and it would barely make a dent.
Likewise, if you knew what the hell you were talking about you'd know that the health care industries profit margin isn't really all that high. The problem is not profit, it's that top quality healthcare is expensive to provide. Everybody wants the best but nobody wants to pay for it.
Windows != IT (Score:3, Insightful)
Making it a general programme for people with health care experience will work. Getting even into an entry level medical job entails around 6 years of school plus at least a year or two of work experience. There are exceptions for some specialties, like phlebotomy, where the training period is shorter. Even then it still is not knowledge that can be faked or made up for in a few months of side reading. However, legitimate IT backgrounds, if present in a small ratio, can provide skills and insight not av
Re:Windows != IT (Score:4, Informative)
Unfortunately, healthcare in the USA (and many other countries) is *extremely* entrenched in Microsoft products (trust me, I know) and closed source software. The whole "giving out money for EMR's" has been a disaster. Special interest groups have pretty much ensured that all the money will go only to "approved" or "certified" systems, which are all closed-source, commercial packages (and almost all also running on MS-Windows).
And guess what those companies did? They RAISED THEIR PRICES for that software by the same amount of money that is being pumped into handouts to hospitals and physician groups!
Instead of pumping billions of dollars into closed source, single-platform, commercial products that lock in customers, the Fed should have directed that money into open standards, open source, and multi-platform research and coding. You want to talk about savings? Imagine how much the industry could save if there was at least one robust, flexible, open-source, multi-platform EMR? (And no, that isn't OpenVistA). Let EMR companies make their money off custom (but open) additions, installation, training, support, hosting, etc.
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Federally supported open source alternative (Score:2)
You might be interested to know that the federal government (under the guidance of HHS) is funding and fostering community support for development of an open source health information exchange framework. This includes the software to run the system that health care providers (think hospitals, insurance, HMOs, etc) can install and run, and administration of the network backbone to connect them (also known as the NHIN [hhs.gov]).
http://www.connectopensource.org/about/what-is-CONNECT [connectopensource.org]
Bizzarro World - health IT closed, oil IT open (Score:2)
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Why isn't Openvista good?
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I don't want to slam OpenVistA/EVistA/WorldVistA (or whatever people want to call it)... but from what I know about it:
1) It is an ancient system
2) It is developed in what is now an obscure language (MUMPS)
3) It is barely multiplatform (especially since there is no Linux nor MacOS GUI client)
4) The design is very rigid- for example, it can't really be used in nursing homes nor rehab facilities because it is designed around acute care
Granted, things may have changed over the last few years in ways I am not a
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What can kill the project dead, dead, dead is if people with Windowz Skillz are allowed to pose as IT workers. Microsoft products have little to do with IT except that they are placeholders blocking legitimate, functioning protocols, formats, applications, and operating systems. The kind of slug that tries to make a living of of Microsoft products lacks the ability to analyze and solve problems. They're usually either rote memorization monkeys or sales marketeers.
How did this comment get moderated up? The
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What can kill the project dead, dead, dead is if people with Windowz Skillz are allowed to pose as IT workers. Microsoft products have little to do with IT except that they are placeholders blocking legitimate, functioning protocols, formats, applications, and operating systems. The kind of slug that tries to make a living of of Microsoft products lacks the ability to analyze and solve problems.
Mommy not give enough love when you were little?
Every person I've ever met who sounds like you is also the same t
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How often must the government / industry claim there is a lack of qualified workers in some field before people just laugh and wonder who wants to bring down whose salary?
How about giving them loans for training which are paid back as part of their salary once they've secured a job?
Maybe their premise is wrong. There doesn't appear to be a lack of qualified IT workers. (My boss is searching for a go-out-and-replace-this-motherboard technician, and a majority of the applicants are 'big players'--like former Oracle DB developers). I think the correct question is "Why aren't we getting a lot of IT people wanting to work in the medical industry?".
My guess is the horribly insane regulations like HIPAA, SOX, etc... that make the job more 'risky'.
If someone hacks into a windows box a
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Maybe their premise is wrong. There doesn't appear to be a lack of qualified IT workers. (My boss is searching for a go-out-and-replace-this-motherboard technician, and a majority of the applicants are 'big players'--like former Oracle DB developers). I think the correct question is "Why aren't we getting a lot of IT people wanting to work in the medical industry?".
My guess is the horribly insane regulations like HIPAA, SOX, etc... that make the job more 'risky'.
Speaking for myself, these jobs aren't in places I want to live, or places I already live. I would take a decent-paying IT job if it didn't require me to move to Bumfuck, AK, where the women are scarce and the seals are scared.
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How about giving them loans for training which are paid back as part of their salary once they've secured a job?
And then people can't change job... Or they'll have to pay the loan themselves... Who would want it then ?
- I doubt six months training is cheap...
Slightly off-topic but I never understand why you Americans are so willing to take huge loans so early in your life, just to get into college...
I'm fairly happy with my free education and educational support (about 1000 USD / month). I've just finished fourth semester computer science, don't live at home or receive financial support from my parents and haven
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Case in point.. my job is being replaced by indian programmers.. and I work in healthcare/IT.
I want to be motivated and excited about the news in this article, but I'm not. Sucks when you are in said field and you can't compete with cheaper indian labor.
That's 50k unhealthy people... (Score:2)
This is corporate welfare. (Score:5, Insightful)
Were at Wal-Mart 2.0, now any job can be paid by government instead of the employers themselves.
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Yes and no. It looks like most of these will fund training for technical schools which are, as the /. crowd already knows, basically worthless for actually being productive in IT, and probably won't help you get a job. (The stories of people who went into debt to go to one of these schools, hoping to get an IT job but becoming just as unemployable anyway.
What's worse, as those who get e.g. "Cisco certification" know, it can tell employers that, "This applicant knows enough to destroy your system, but not
drug testing? (Score:2)
i've always looked right over health care jobs because they drug test and I refuse to work for a company who does that...end of story. They wonder why they can't find anyone to work for them? hah...
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Re:drug testing? (Score:4, Insightful)
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yep that's pretty much the point i'm trying to make - people should be judged by how they perform their jobs, not on what they do outside of their jobs. Some of the commenter's here acting as if someone who smokes pot is an inferior person is just hilarious and goes to show how ignorant the masses can be. Sure too much of anything can be a bad thing, but losing a job cause you smoked some pot at a party 2-4 weeks ago (the amount of time it could potentially show up on a piss test) or something is just reta
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From my experiences with drug users the fact that they use drugs does say a lot about how well they perform their jobs.
Plus, it reflects pretty poorly on the company if you ever get publicly busted for drugs. In a large city no one would notice probably, but in smaller towns every little drug bust shows up in the local newspaper.
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maybe, but the fact they are getting busted means they probably aren't being very responsible in the first place....and anecdotal experiences hardly speak for everyone...but even so I'm not sure you're really disagreeing with me - if their job performance is shit then that should speak for itself should it not?
as for company image, i haven't seen too many cases where people getting busted for drugs listed the company they worked for and what not, not unless the person was a high ranking official in the comp
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as for company image, i haven't seen too many cases where people getting busted for drugs listed the company they worked for and what not, not unless the person was a high ranking official in the company that people otherwise knew anyway...
In small towns you don't have to post the name of the company you work for. People know who you work for and if your name gets posted in the newspaper it will get talked about by a lot of people and will reflect on the company you work for if you have a job with a lot of
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Big city anonymity does not exist in small towns.
In high school, I was dropping my mom off at the doctor's in the nearby city one afternoon, when I broke one of my blinker covers. (Was squeezing into a narrow space, going about 0 mph because I was worried about hitting the bumper of the SUV next to me. Damn thing was *higher* than my bumper, so instead of touching, the SUV bumper cleared mine and took out the plastic covering my blinker.) At 8:30am the next morning, a kid in my school said to me, "so I heard you got into an accident last night..."
I grew
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Big city anonymity does not exist in small towns.
In high school, I was dropping my mom off at the doctor's in the nearby city one afternoon, when I broke one of my blinker covers. (Was squeezing into a narrow space, going about 0 mph because I was worried about hitting the bumper of the SUV next to me. Damn thing was *higher* than my bumper, so instead of touching, the SUV bumper cleared mine and took out the plastic covering my blinker.) At 8:30am the next morning, a kid in my school said to me, "so I heard you got into an accident last night..."
I grew up in one of those sorts of towns. And really, nothing reflected poorly on the local companies. Because anything YOU did was tied to YOU. Not to your company. Nobody decided not to go to the store I worked at because their employee had an accident. When a local guy got into an accident and got a DUI, everyone knew the lawyer he was going to hire, because he was one of the three in town. When he got off with a misdemeanor, everyone knew he was a drunk who got into an accident. But nobody boycotted his company. They might go in an harass him, but that was about it.
Big city anonymity does not exist in small towns.
It's true. but I've never seen the sort of "punish the company for bad employees" mentality of you and a couple other people in this thread. Did I just grow up in sensible towns, or is everyone just making up shit that doesn't happen in the real world?
You're looking at this from an unrealistic point-of-view. You're taking a fender bender and generalizing it to a drug bust. That's not a rational generalization.
Just imagine if you had been the head of IT at a local hospital, a manager at a local bank, a police dispatcher, or any other kind of position of responsibility that directly affects the public, and gotten busted for illegal drugs. The response to both you and your employer would have been a lot different. People would call into the question the
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From your experiences with people who you knew used drugs, far more people use drugs and you just don't know it. The average worker who might enjoy recreational drugs is not going to be telling everyone that.
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From my experiences with drug users the fact that they use drugs does say a lot about how well they perform their jobs.
Great. Then don't do invasive drug testing, and base their employment on how well they perform their jobs. In my experience, most of the drug users I know were indistinguishable at their jobs from non-drug-users.
I lived most of my life in small towns. I must have been in some liberal paradise, because there were lots of local people busted for drugs. And lots of people *everybody* knew were doing drugs outside of work. But by and large, nobody gave too much of a shit. Why? They based that person's respect
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yep that's pretty much the point i'm trying to make - people should be judged by how they perform their jobs, not on what they do outside of their jobs.
You mean the guy who has trouble getting into the office before noon because he is always sleeping off his weed buzz from the evening before?
Re:drug testing? (Score:4, Insightful)
You are an asshole. Did it ever occur to you that there are people (myself included) that have NEVER used illegal drugs and yet refuse to be drug tested because it is a violation of our privacy and almost always with no probable cause?
1) You also have no idea what else they are testing for
2) You have no idea what information is shared and to whom
3) There is a absolute possibility of false positives that could ruin your reputation
Drug testing is evil, period. Legal drugs (such as alcohol and prescription drugs, even over-the-counter meds) can be just as debilitating. Even sleep deprivation can cause severe performance problems. And those that do choose to use a illegal drug on their own time don't necessarily affect their on-the-job performance.
If a company wants to ensure their workforce is not "impaired", then they should test for impairment through some type of coordination, response time, or mental exercise. Or perhaps even through observation of performance.
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More and more it seems drug testing is used as a sort of blanket "cover our asses" type of thing for companies which are too lazy to actually monitor the performance of their employees. It's quite sad honestly.
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Knowing him has made me more in favor of the employers right to test for drugs (as part of the employment contract).
I'd really like there to be some sort of disincentive for him being high as a kite (or recovering) whilst he is working on medical equipment that may be keeping someone alive.
Re:drug testing? (Score:4, Insightful)
There is a major difference between being presently intoxicated (which would be grounds for firing anyway) and having had a smoke in the past couple of weeks (which a drug test could yield a positive from.)
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Re:drug testing? (Score:4, Insightful)
this is anecdotal at best and really speaks out more about your friend as a person than it does the effects of the drugs on him....
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Traffic rules also let other drivers know what to expect. Your aggressive driving could cause someone else to brake reflexively, getting rear-ended in the process. Your lack of patience is dangerous. I'm not going to waste time finding references because you will probably conclude that you aren't one of those people, but when people think they are good drivers it's usually because they are good at other things and haven't caused an accident yet. You are probably no better than most, and your arrogance,
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I never said I was taking anything nor did I claim to be better at "handling my substances" than anyone else as you seem to imply by your driving analogy. It's anecdotal because this is a single personal account a friend and not a scientifically significant subset of the general population or a representation of much of anything at all except for that specific person's issues.
I mean, maybe the laws are there to protect, but quite honestly i don't know what your friends taking, but the laws protecting peopl
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well i've got a decent paying job with benefits and they don't drug test, so maybe i am limiting my options, but it hasn't hurt me any. Our employee handbook actually focuses more on addiction and rehab and stuff like that which I actually think is somewhat respectable. I'd much rather work for a company who is realistic than one who decides to violate the employee's privacy right from the start, it doesn't really speak well for the company and it's not the kind of place I'd want to work for...
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Shoulda put a "usually" in there. but all the luck to ya :P
This is for existing IT field people (Score:5, Informative)
I always hate to RTFA and burst the naysayer bubbles, but "the training programs are aimed at people who already have health care or IT backgrounds -- not workers from other fields who have no previous experience or training in either discipline." As such I don't think it is dilutive in terms of IT worker salaries... they are taking people would would have been in the IT workforce and steering them to healthcare.
This isn't the old "train the janitor to develop complex systems" move from dot-com era. However the article does not seem to address the possibility of recipients of this training going overseas with the expertise.
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The correct answer remains the same: the industry need to offer better compensation.
Hah! You could offer me a million bucks a year and there are still certain fields I WILL NOT work IT in. Health care is one, finance is another. I do not want the stress of the environment, nor the knowledge that someone's life or livelihood may hinge on whether I inverted an 'if' test.
Compensation is not the only thing that keeps smart people out of health care.
As an IT worker in the healthcare industry... (Score:3, Interesting)
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That's 100% total. Which group are you in?
This is just the rise of evil diploma mills (Score:5, Interesting)
There's a movement in the Obama admin to take away these pseudo-school's eligibility for gov't if they can't show 80% of their graduates get jobs in their field and actually enforcing it. Right now they're skirting around these regulations by claiming stuff like call center work is 'IT'.
Anyway, if the gov't really gave a flying fsck they'd stop the H1-B Visa program dead. At any rate this is just more free money for the rich. Yea America.
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http://www.google.com/search?q=crack+down+on+diploma+mills [google.com]
Lots of state and federal movement to do exactly the opposite of what you're saying - too many to list, so read up a bit.
I said there was a movement (Score:2)
The government focus on healthcare is troubling (Score:2)
Healthcare is a service that has evolved to benefit productive societies. It is mostly unexportable and can not sustainably drive GDP anymore than government spending can. Thus the government's push to expand the sector while the rest of the productive economy is contracting is nothing more than a malinvestment which will result in a weaker economy overall.
Re:The government focus on healthcare is troubling (Score:5, Insightful)
A cut in healthcare expenses puts just as much capital in consumer pockets as a tax cut. Arguably, unlike the tax cut, it puts the capital in the consumer pockets that are likely to need it.
Consumers then spend that money, into the productive economy but without screwing up a budget surplus.
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A cut in healthcare expenses puts just as much capital in consumer pockets as a tax cut. Arguably, unlike the tax cut, it puts the capital in the consumer pockets that are likely to need it.
Consumers then spend that money, into the productive economy but without screwing up a budget surplus.
That's great. Now when is somebody going to do something to reduce healthcare expenses?
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Better healthcare leads to more healthy people, which leads to more productive people, which leads to a better GDP. That's one angle.
Another is that American healthcare is a huge industry, and the processes that are effective there can be expected to migrate into other industries easily, having passed the test of scale. It's hospital EMR today, leading to the fabled paperless office down the road.
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Things like strokes are a very small percentage of what hospitals actually deal with. Instead, they deal with a lot of broken bones and other "normal" things like complicated pregnancies.
What's a hospital supposed to do to fix the diet problem, anyway? Send scalpel-armed surgeons into the street to stab anyone eating a cheeseburger? By the time a hospital sees the patient, they've already screwed up their body to the point where treating the cause is practically impossible. Most healthcare systems I've ever
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I'd argue that it is partly exportable, as some people come to the US for medical procedures, but your point stands that it is primarily local.
Of particular importance, and as mentioned by some sibling posts, is that the federal government spends an inordinate amount of money on healthcare. This could have cost implications which would potentially lower (albeit a small amount) the cost per procedure in overhead and administrative expenses. Will that be reflected in the bills we pay or in the size of the hou
Healthcare IS exportable, and becoming more so (Score:2)
There is a huge push for telemedicine right now. Lots of money is going into developing systems where docs can perform consultations via internet.
An objective of all of this is to further reduce healthcare costs by offshoring many routine examinations to Bangkok or other third world physicians. Your tax dollars at work.
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So my tax dollars are being used to make this market more efficient? Sounds great to me.
Digital records are NOT a good thing (Score:4, Interesting)
I've been in hospitals with digitized systems. The nurses simply don't have the time to do data entry on top of their jobs.
It's hard enough grabbing the pills and running room to room without having to stop after each one, scan the cup into the system, fix the system when it doesn't log the cup correctly or the patient opt'd not to take the drugs yet or has a script that gives a different number of pills at night vs day or spit the pills out and she needs to get more.
Now you have nurses with several cups of pills they have to hold because the digital system already has them checked out. Patients who can't get medication because the nurse can't just go get more pills to replace the ones she knows weren't taken. People who aren't attended to at all because the nurse has to spend an extra 15 minutes per patient per room stop to handle data entry overhead.
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Working in the medical field myself, I can tell you that digitizing makes things faster, not slower. Back when it was all paper, you still had to take just as many notes and chart just as much stuff... you simply had to do it with a pen, and if you made a mistake, you had to cross it out in red, file it anyway, and go get a blank chart to copy it all onto. Then there was also the travel time aspect; when patient C was issued a new RX, you had to physically walk down to records to get the medication histor
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Pls see the post above.
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When I was still practising I worked out I was spending around 3 hours a week just transcribing prescription cards from full ones to fresh ones because the card served as the nurses administration record as well - a total waste of my time as a qualified doctor, but legally it had to be me because they were prescriptions.
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Well is it really better? When my son goes to the doctor for his annual checkup ( a 9 year old ) the doctor spends most of the time logging into ( if it works ) some windows box, then getting to the screen to lookup my son's medical records, then typing in why he is there. That takes about 1/3 of the scheduled slot. Then the exam followed by more intermediate typing, followed by more questions from him, answers by my son, me and his mother ( if we can both be there ) followed by yet more typing.
All in al
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Sorry I was replying to the other post below.
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So what happens to those notes? Are they copied into a permanent record? Are they made available to anyone who needs them? Or are they ignored, as in the case of my father, who suffered an allergic reaction to a surgical disinfectant, because his allergy information was compared (by a human, mind you) against the list of materials to be used, and they missed that one note?
Paper records are great for recording notes that the doctor never wants to see again. Anything that might be useful in the future should
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Your doctor needs a medical transcriptionist, which would raise costs, and have the staff open the patients' charts before you are called back. If you have a complaint, this person is providing a service and you are free to share your concerns or find a new doctor. I'd share my concerns because it will benefit all of the doc's patients in addition to yourself.
Blaming technology for its incompetent users requires you to distinguish which is the cause of the problems. A child services applciation that auto
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bad in the old ways the doctor made a few salient notes here and there and 90% of the time was used to address issues and or questions about my sons health instead of dicking around with a computer.
The problem with the "bad old ways" was that no-one could read the doctor's writing. If the data is entered into the EHR, not only can all of the other care providers that see your son understand what your doctor entered, but if the entries are coded correctly using one of the standardized medical vocabularies like SNOMED-CT, for example, then the computerized decision support systems can look at your son's condition and alert the provider before the inject him with something that will kill him. Being able
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I've been in hospitals with digitized systems. The nurses simply don't have the time to do data entry on top of their jobs.
Sounds like those nurses didn't have time to do whatever the digital system replaces either.
People who aren't attended to at all because the nurse has to spend an extra 15 minutes per patient per room stop to handle data entry overhead.
Then hire more nurses so they can do their jobs. What you're tell me is that a 1000 bed hospital which I guestimate to require 12,000 bed visits (assuming a full hospital and one visit per two hours on average over the course of a day) would require roughly 125 years of solid labor per year in order to keep up with the alleged data entry overhead. That's somewhere around 350 nurses just devoted to data entry. I doubt
Outsource? (Score:2)
Insource (Score:2)
No, it's easier to insource indian workers with H1-b's.
Shortage Or Willing? (Score:2)
I think it has more do with finding IT workers willing to work in the field then it does a actual shortage. I can only speak for myself but I just don't see many positive aspects to working in health IT.
I wish they were doing this in San Francisco (Score:2)
I just spent three semesters at a community college in San Francisco, studying system administration. High on my list of places I'd like to work is the healthcare industry, given that I want to find work that actually helps people, and that the healthcare industry is one of the places they're taking personal privacy most seriously. Had this program been available at the school where I studied, it would have helped me enormously. I'd gladly spend more time in school if the financing were available.
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Re:Works out to $30000 per worker (Score:4, Funny)
You may have left your sliderule out in the rain.
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Actually, that's the way government math works. The representative wrings out $3000 from Congress. He returns to his constituency and yells, "Y'all gettin' $30000!"
Being off by an order of magnitude is "compliant with government levels of computational accuracy."
Re: (Score:2)
1. your math is wrong
2. 30,000 would pay for 1 maybe 2 years. Perhaps went you went to college this was not the case, grandpa.
Re:$3k/worker (Score:4, Insightful)
EMR is absolutely awesome, and with regards to the government push for it: it's about time.
I'm assuming your "unconstitutional" comment is with regards to privacy. I'm also assuming you have no idea how things currently work.
The concept behind EMR (Electronic Medical Records) is simply taking your medical data, previously filed on paper, and instead storing it on a computer. All the previous privacy regulation (mostly HIPAA) applies, as well as extra regulations (HITECH). The information is still behind firewalls and physical locked doors. The biggest operational difference is that now third parties (like insurance providers, pharmacies, specialists, labs, researchers, etc.) can get access to your data much faster, once they have enough credentials.
In the days of paper, a third-party representative would have to come into the hospital, go to a big room full of paper, stand there making copies of the records they need, then go back and have someone transcribe them all into a computer. For a while, all your data would be carried in a briefcase down the street, easily available for theft. Among the data the third party needs is a lot of other information they don't, but since it's on the same form, they see it anyway.
Now with EMR, the third-party computer system can just connect to the hospital, and supply their credentials to gain access. At the hospital I work with, that means two rounds of username/passwords, plus a physical token. That's far more secure than simply needing a hospital badge and a good excuse. The records are pulled by request, so there's no extra information given. If the third party (like a pharmacy) doesn't need to know about your religious preference (kept by the hospital in case they have to call for last rites), they simply don't get it. Once the electronic medical data's in transit, it's also more secure. There's no briefcases to grab here. Instead, there's an encrypted connection inside an encrypted VPN. When the data arrives at the third party's office, it's easily formatted for their system, with no extra people staring at it.
All in all, EMR is far better than old processes. It's faster, more reliable (think of the stereotypical doctor's handwriting), and more secure.