Tuesday, September 6, 2011

If hospital cannot afford to legally defend EMR mishaps, should they be investing in them?

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The hospital where my mother was injured has still refused to substantively answer EMR-related questions, after a motion by my mother's attorney to compel discovery.

As part of their response they write:

"The burden and expense of more detailed responses would put a substantial drain on the hospital's limited resources."

If this is true, perhaps hospitals (which generally do have limited resources) should not be spending tens or hundreds of millions of dollars on electronic medical records, a still-experimental technology (link).

If they cannot afford to defend the technology when mishaps inevitably occur (such as in the Feb. 2010 FDA internal memorandum on health IT related mishaps, link, which the director of CDRH states are likely the "tip of the iceberg, link), then perhaps they need to rethink the initial investment and ongoing maintenance/upgrading costs until the technology is more mature.

Should the motto of hospitals be "Millions for IT, nothing for defense?"

Finally, perhaps in some attempt to damage my credibility, the hospital's brief mentioned me, now representing my mother (of blessed memory) as a "self-described expert in computerized medical records" and "critic of use of computerized medical records in hospitals" (as opposed to the reality of my being a critic of misuse of computerized medical records in hospitals.)

Just to further nail that point down as to what an amateur I am, they also included as an attachment to their brief my entire CV and publications history -- 17 pages long - as retrieved from http://www.ischool.drexel.edu/faculty/ssilverstein/cases/?loc=about (picture included).

Perhaps I should send the hospital a thank-you note for introducing me to the judge, without my having to lift a finger.

-- SS

scotsilv@aol.com (InformaticsMD) 07 Sep, 2011


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Source: http://hcrenewal.blogspot.com/2011/09/if-hospital-cannot-afford-to-legally.html
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The hospital where my mother was injured has still refused to substantively answer EMR-related questions, after a motion by my mother's attorney to compel discovery.

As part of their response they write:

"The burden and expense of more detailed responses would put a substantial drain on the hospital's limited resources."

If this is true, perhaps hospitals (which generally do have limited resources) should not be spending tens or hundreds of millions of dollars on electronic medical records, a still-experimental technology (link).

If they cannot afford to defend the technology when mishaps inevitably occur (such as in the Feb. 2010 FDA internal memorandum on health IT related mishaps, link, which the director of CDRH states are likely the "tip of the iceberg, link), then perhaps they need to rethink the initial investment and ongoing maintenance/upgrading costs until the technology is more mature.

Should the motto of hospitals be "Millions for IT, nothing for defense?"

Finally, perhaps in some attempt to damage my credibility, the hospital's brief mentioned me, now representing my mother (of blessed memory) as a "self-described expert in computerized medical records" and "critic of use of computerized medical records in hospitals" (as opposed to the reality of my being a critic of misuse of computerized medical records in hospitals.)

Just to further nail that point down as to what an amateur I am, they also included as an attachment to their brief my entire CV and publications history -- 17 pages long - as retrieved from http://www.ischool.drexel.edu/faculty/ssilverstein/cases/?loc=about (picture included).

Perhaps I should send the hospital a thank-you note for introducing me to the judge, without my having to lift a finger.

-- SS

scotsilv@aol.com (InformaticsMD) 07 Sep, 2011


--
Source: http://hcrenewal.blogspot.com/2011/09/if-hospital-cannot-afford-to-legally.html
~
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