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Medical Records Must Enter the Modern Era!

When the author sat on a jury, she saw first-hand how dangerous archaic paper medical records could be.



Sometimes, the contrast between two things is so stark you just have to laugh. That’s what happened a few weeks ago when I sat on a jury for a personal injury case.

In the past, I’d written about the need for electronic medical records—heartily agreeing with one expert who had told me, “If you walked into a bank today and the teller hand wrote your deposit in a huge ledger book and filed it on the wall, you’d be horrified. Yet doctors do something similar every day.” But this jury duty case was the first time I got to see first-hand just how our Neanderthal of system of documenting medical procedures really is.

We were sitting in the jury box when the plaintiff’s main doctor approached the witness box to testify. When he sat, he perched so many stacks of papers before him I feared that if they fell over he’d need his own personal injury lawyer. There must have been four or five stacks of hundreds of papers each. Every time the plantiff’s lawyer asked the doctor about one of his client’s procedures, the doctor spent minutes (sometimes more than five) flipping through the papers. In several cases he couldn’t find the information at all, despite looking hard. Now this was only for a lawsuit, but imagine if your doctor needed to quickly put his hands on your prior treatment to deal with a current health emergency? You could be dead before he even got the papers off the shelves. And that’s not even taking into account mistakes that can be made when doctors try to decipher their own scribbled handwriting. (Yes, more than once the doctor on the witness stand couldn’t determine what he himself had written.)

Contrast this with the high-tech way trial records were handled. When one of the lawyers asked the judge if testimony from a prior day could be read aloud, the judge would turn to the court reporter, who in ten seconds flat had it up on her machine. She’d read the testimony of a specific witness as if it had happened seconds, not days, before.

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Comments
10.01.2009
Jerry Green
I totally agree with your thoughts, but I strongly feel that it will have to come from the consumer end. The current medical structure is designed to make doctors limit the time with each patient in favor of volume. They are, by choice or habit, resistant to any changes to the current system. The only reason many went to electronic payment systems is that the government enforced it (via Medicare). People need to be empowered to create their own answers and technology is available to help them do just that. Companies like Microsoft and Google have created electronic Personal Health Record repositories that consumes can control and share with their medical providers. The challenge has been how you get from ground zero, were most patients are operating now, to the fully integrated environment all of us recognize we need to be. Our experience has taught us that any solution that attempts to change entrenched behavior needs to be “brain dead simple” or have a very strong stimulus.
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