Private practice with Dr Seth Bilazarian

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Health Information Exchange: For my discharged patients, I am #HIE for the #EHR

Mar 12, 2012 09:00 EDT


We're still years away from a comprehensive, fully functional system of health information exchange. Until all parties invest the time and resources necessary to make it work, health information will continue to exist in isolated pockets, like computers disconnected from the internet.

Is your practice committed to the exchange of health information? What has been your experience with electronic health records: blessing or curse? 

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Your comments
Health Information Exchange: For my discharged patients, I am #HIE for the #EHR
# 1 of 1
June 20, 2012 10:27 (EDT)
Paul O'Brien, M.D.
The patient needs to be able to carry their medical record with them on some sort of a very portable device, which would be amenable to national standardization and updated at each visit.  A back up record could be kept in a repository, perhaps at their primasry point of entry into the system.

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About Dr Seth Bilazarian
Seth Bilazarian MD has been a Clinical and Interventional Cardiologist at Pentucket Medical Associates in Massachusetts since 1993. He is board certified in Internal Medicine, Cardiovascular Medicine, Nuclear Cardiology, Vascular Ultrasound, Interventional Cardiology, and Vascular and Endovascular Medicine.

Dr Bilazarian performs coronary and peripheral interventions at Lahey Clinic and Massachusetts General Hospital. He has been an investigator in the interventional laboratory for new devices including drug-eluting stents, distal protection devices, imaging devices (OCT and InfraRed), and anticoagulant pharmacotherapy.

Dr Bilazarian is an active participant in clinical trials in congestive heart failure, hypertension, coronary disease prevention, prediabetes management, anemia, atrial fibrillation, and anticoagulation/antiplatelet therapies in the outpatient setting. He has authored numerous papers and book chapters in clinical cardiology. He was appointed as a physician advisor to the circulatory device panel of the FDA in 2008.
About this blog
My intent is to create a forum for dialogue on issues pertinent to private practice cardiology around topics such as:

  • Integration of new data and guidelines on inpatient and outpatient practice in clinical and interventional cardiology
  • Practice approaches to the extra clinical issues in dealing with managed care insurers
  • Strategies for navigating the restrictions of pharmacy benefits managers (PBMs) on pharmacologic therapies for our patients
  • Experiences with restrictions on testing and imaging
The video blog (VLOG) will provide an opportunity to share broadly different approaches to the common conundrums we face in caring for patients. My hope is that this forum will provide useful data points for practice outside of tertiary and academic centers and a look inside community hospitals and physician?s practice patterns in the office, starting with mine.