At risk of being now being know as a Jewish Puerto Rican. What the boffins
doing some of these studies seemed to miss were the clear and measurable
benefits in electronic records. Measuring only clinical forget a doctor is
more than a simple diagnostic and prescribing tool

 
1-Hands up any paper based practice who has not lost or misplaced whole
files.  Computer melt downs are manageable if backed up properly
2-Scanned or better still electronic messaging saves both doctors and staff
considerable time. I estimate about 25K in staff savings per years over
paper. 
3-Electonic records can be backed up daily and be restored and accessed
remotely- Try that with few tonnes of paper records 
4-Summarys- Most electronic systems can/Will have significant improvements
to current summaries. Every paper records brought to my practice has been
nothing short of disgraceful and complete waste of time. Medicare smart card
from paper- LOL
5- Most people can type at 50 plus words a minute and have spell/grammar
checkers and auto inserted texts. Reading many/most of the paper based
records sent to us is hard or impossible and often pointless!!! 
6-Voice records to manual or automatic transcription is already happening.
Not in hand written notes for every good reasons

I wonder if the authors have had fun telling banks to go back to passbooks
and thousands of branches. 

As a data analyst the truth must be told. These guys may also be behind the
argument that the worlds is round or creationist beat Mr Darwin theory of
evolution. 

Regards 
James- 

is James an old Jewish - Puerto Rican name??? 

Talking about Darwin- It was the most Jewish one I could find!

Living on Zionist Time 
1999 Darwin Awards Winner
Confirmed True by Darwin
5 September 1999, Jerusalem    In most parts of the world, the switch away
from Daylight Saving Time proceeds smoothly. But the time change raised
havoc with Palestinian terrorists this year.

Israel insisted on a premature switch from Daylight Savings Time to Standard
Time to accommodate a week of pre-sunrise prayers. Palestinians refused to
live on "Zionist Time." Two weeks of scheduling havoc ensued. Nobody knew
the "correct" time.

At precisely 5:30pm on Sunday, two coordinated car bombs exploded in
different cities, killing three terrorists who were transporting the bombs.
It was initially believed that the devices had been detonated prematurely by
klutzy amateurs. A closer look revealed the truth behind the explosions. 

The bombs had been prepared in a Palestine-controlled area, and set to
detonate on Daylight Saving Time. But the confused drivers had already
switched to Standard Time. When they picked up the bombs, they neglected to
ask whose watch was used to set the timing mechanism. As a result, the cars
were still en-route when the explosives detonated, delivering the terrorists
to their untimely demises.


 -----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of David Guest
Sent: Wednesday, 11 July 2007 12:06 PM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] More Grist To the Mill

David More wrote:
> *Methods * We performed a retrospective, cross-sectional analysis of 
> visits in the 2003 and 2004 National Ambulatory Medical Care Survey. 
> We examined EHR use throughout the United States and the association 
> of EHR use with 17 ambulatory quality indicators. Performance on 
> quality indicators was defined as the percentage of applicable visits 
> in which patients received recommended care.

I remember hearing an American urologist from Florida who stated that a 
cross sectional analysis showed you were born Puerto Rican and died Jewish.

David



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