Heath care, at it's root is about caring for the patient.  The ONLY 
relevant outcome reporting is what the patient thinks.  Were they well 
cared for and how do they feel now?  No one in HIT is doing that kind of 
work. 

Unfortunately all our current models are about reporting  for 
reimbursement and trending (at the highest level) and not about health 
care.  EMR systems are a wart on the side of that, right now.   They 
could be used to share relevant data between providers and the patient 
that would promote actual health, the native language of the patient 
might be a good specification to follow.

As long as the health care industry is about making money, not about 
health then we will be forced to support the use of arcane coding and 
terminology.

The "meaningful use" of an EMR system is that which results in sick 
people becoming healthy.  That can only happen when the method of 
communicating that data are transparent and obvious to all, including 
the patient.  The data about a persons health, ultimately, belongs to 
the person not the provider, insurer not the government.

My two bits,
Tony McCormick
www.mi-squared.com

fred trotter wrote:
> Hi,
>         It looks like I have been invited to testify in Washington on
> what it means to have 'Meaningful Use' of EHR systems.
> http://www.ncvhs.hhs.gov/090428ag2.pdf
>
>         As before, I want to ensure that my testimony reflects the
> attitudes and values of our culture. Using Google moderator for the
> CCHIT meeting seemed to work. It is even more important this time,
> because I may be the only voice of reason (the FOSS angle) at this
> meeting. For this reason:
>
> http://moderator.appspot.com/#15/e=4a793&t=4a795
>
>
>   


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