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August 26, 2004
Health Care Technology Standards Needed Stat
Posted by Dana Blankenhorn

I have written several times about how antiquated computing is in the area of health care.
Politicians are starting to take notice of the same thing. (Registration Required)
Fortunately this is a bipartisan recognition. The Post comment above is written by the Republican Senate Majority Leader, Bill Frist (right, from CNN), and a leader of the minority Democrats, Hillary Clinton.
But what are they really proposing?

Cut through the boilerplate from both sides (to the left is the other side) and this is the phrase that stands out:
We need interoperability standards so systems can communicate with each other.
The fact is that any effort to move toward smart card technology by any insurance carrier will run afoul of the fact that other carriers won't support the specifics. This means doctors will be reading smart cards for one carrier but patients using other carriers will still require manual intervention on everything. So where are the savings?
Worse you could get carriers opting for different standards, trying to force doctors and hospitals to choose one-or-the-other.
If insurance companies want to play this game they should go whole-hog and start buying medical networks, like hospital chains. That would enable them to create standards that are enforceable.
This is not the optimum solution, of course. The idea of having a Cigna hospital, or an Aetna hospital, sounds silly. The idea of having to change doctors because they're in the wrong network seems wrong.
But at this point, whatever it takes to get standards and real computing solutions into the medical industry is a good thing. Whether those standards are imposed by government or a private company is irrelevant to the essential need.
Comments (1)
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1. Tom Mariner on August 27, 2004 03:37 PM writes...
Dana,
You are correct about the IT end of health care industry that trades in small bits of data like names, insurance carriers, etc. However, the end of the business which carries 99.999% of the data, medical imaging, has some strongly supported interchange standards. We have a standard called DICOM that specifies how to put a wrapper around the bits from an X-Ray, MRI, CAT, sonogram, etc. Everyone who produces these images uses the standard as does everyone who stores and displays them. Since an average full body scan MRI is approximately a gigabyte, you can see the David and Goliath relationship.
However, you are right that the end of the health care business where real mistakes are killing people does need a serious make over. Our first attempts have backfired dramatically with nurses typing in patient data in a closed "nursing station" while the patients have to practically throw themselves out of bed in order to get any attention.
Hopefully wireless and portable technology can get nurses and doctors at bedside so the patient can get where he or she really wants to be -- Home.
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