Private practice with Dr Seth Bilazarian

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When an EMR feels like a computer without internet how do we share health records?

Jul 29, 2010 09:25 EDT


It's been several years since our practice adopted an electronic medical records (EMR) system, and while the system does work for clerical tasks, its inability to connect with hospitals and other regional academic medical centers is a tremendous source of disappointment and an impediment to optimal patient care. What are your thoughts on the electronic exchange of patient files and health data? Is your EMR blazing the trail or pulling up the rear?

See:

Fontaine P, Zink T, Boyle R et al. Health Information Exchange: Participation by Minnesota Primary Care Practices. Arch Intern Med. 2010;170(7): 622-629. Available here.

Chang SW. Health Information Technology as a Tool, Not an End. Comment on "An Empirical Model to Estimate the Potential Impact of Medication Safety Alerts on Patient Safety, Health Care Utilization, and Cost in Ambulatory Care". Arch Intern Med. 2009;169(16):1474-1475. Available here.

Frank RG, Zeckhauser RJ. Health insurance exchanges--making the markets work. N Engl J Med. 2009 Sep 17;361(12):1135-7. Available here.

Rudin RS. The Litmus Test for Health Information Exchange Success: Will Small Practices Participate? Comment on "Health Information Exchange." Arch Intern Med. 2010;170(7):629-630. Available here.

Electronic medical record adoption: The worst year of my professional life!

 








Your comments
When an EMR feels like a computer without internet how do we share health records?
# 1 of 1
July 30, 2010 01:24 (EDT)
Frank
These systems need to communicate...and there is no incentive for that to happen.

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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.