Computer Support Blog

The United States is full of fiercely independent people.  These independent Americans have a tendency to resist any form of change that involves the United States government.  When the U.S. Postal Service first adopted the ZIP code, these independent alarmists preached that the government was categorizing its citizens!  While members of this same subculture have resisted the Electronic Health Record, they are not the biggest obstacle to the adoption of the new technology.  Doctors have actually been slower to adapt to the practical development of the EHR than consumers or developers!

In case you have not heard of it, Electronic Health Records are a relatively new concept that would provide doctors with a universal framework for medical records through the United States government.  The Federal government has sought to create both an identification card and a standardized computer system that would make your medical records completely portable.  More than simply a database, the EHR would completely overhaul the field of health informatics.

The Electronic Health Record would be accessible through the Internet or a more protected government/medical intranet (this is part of the technology that is still under development and the subject of much debate).  In order to gain access to your records, you would need to provide your identification card.  Swiping your identification card in the EHR terminal, your doctor would have complete access to your entire medical history.  The EHR is not a system like stuffy old medical records; it is more like a Cloud-based multimedia presentation!  Every doctor you have ever had will make notes in your EHR and they may include photographs, diagrams and even video footage of their procedures!

. . . At least, that is the theory of how the EHR will work.  Despite mandates and government incentives, many doctors have not purchased an Electronic Health Record system.  There is a sizable portion of physicians who have purchased their EHR hardware, but have not used it yet!  In addition to bearing the expense of the EHR system, many doctors have been resistant to take the time to learn the new computer system that the Electronic Health Record creates.  Moreover, doctors with vastly different proficiencies in using the system contribute to each patient’s record.  If a particularly loquacious doctor provides an extensive narrative that is read by a doctor who just needs bullet points, your treatment may be delayed.  Similarly, if a doctor does not provide all necessary information in a useful fashion, your next doctor may misdiagnose any subsequent ailment.

The theory behind the Electronic Health Record is that you will have an entirely portable medical history.  If your job transfers you to a different part of the country or you get hurt on vacation, your EHR record will give doctors in any medical facility every medical fact about you.  But because the system requires doctors to learn how to both contribute to and gather data from the Electronic Health Record, it is clear that the practical implementation of the EHR is still many years away.

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