Conflict of Interest?

[Wneglia]

All arguments undoubtedly written by Luddites, whether or not factually correct. That's what happens when things get put together piece-meal. But aren't standardized diagnostic codings better than descriptions? And overall, the angst of common data usage for billing went away, didn't it? You don't have to file claims 5 different ways for 5 insurance carriers any more, do you? What would make us think that some of these systems are better than others and eventually there will be a uniform system that works and is cross-compatible everywhere? Look at it as a goal - everybody can just keep on pushing paper, or can work toward something like having an updatable "flash drive type" thing with all records, all prescriptions, yada that when they come to your office you plug it in an know everything about them any previous service provider knew.

Part of the problem is the diversity within medicine. The software is often specialty specific, and unfortunately is not compatible with other specialty software. Coding was standardized long before EMR's but has been more cumbersome and ridiculous with each iteration. The EMR software has also made it easier for upcoding(charging a higher level of service than what was actually delivered).

[O Really]

Part of the problem is the diversity within medicine. The software is often specialty specific, and unfortunately is not compatible with other specialty software. Coding was standardized long before EMR's but has been more cumbersome and ridiculous with each iteration. The EMR software has also made it easier for upcoding(charging a higher level of service than what was actually delivered).

I don't doubt that, and you know far more than I. But I still say if the medical profession would find a way to work collaboratively on it, instead of dragging feet, you could get a lot better result. Seriously - you've got equipment that, along with professional expertise works miracles. You've got robots doing brain surgery. But you're (generic) happy to have some clerk chasing paper files and sending information to consulting physicians by fax or pony express?

[Wneglia]

Part of the problem is the diversity within medicine. The software is often specialty specific, and unfortunately is not compatible with other specialty software. Coding was standardized long before EMR's but has been more cumbersome and ridiculous with each iteration. The EMR software has also made it easier for upcoding(charging a higher level of service than what was actually delivered).

I don't doubt that, and you know far more than I. But I still say if the medical profession would find a way to work collaboratively on it, instead of dragging feet, you could get a lot better result. Seriously - you've got equipment that, along with professional expertise works miracles. You've got robots doing brain surgery. But you're (generic) happy to have some clerk chasing paper files and sending information to consulting physicians by fax or pony express?

Fax works fine for us. We dictate our notes and many are transcribed by voice-recognition software, and after review and approval (or editing) by the physician they are automatically faxed to appropriate places (such as referring physicians). There may be some problems sending records via email because of HIPPA laws. I personally think that using some sort of cloud computing records archival would solve many of the problems.

[O Really]

Encrypted email works. Also, as you mentioned, a secure file-sharing site.
BTW, what voice recognition software do you use? Mine is highly unreliable.

[O Really]

The entire IT resources of the NYT and its successor, along with 2 full-time staff, could not keep little old computer dunce me from doing as I wished. Fax (phone) lines can be hacked, I don't know how intruder-proof encrypted email is.

Unless it's critically important I never record the illegal drug use a patient admits to. Why risk ruining their life?

I doubt the big-time IT people put much effort to it, and we know the local mods were idiots. Besides, sometimes you just set up enough security to take care of the majority and don't worry about a few outliers. For example, the posters formerly known as Big Ugly and Det. Thorn bragged about being exemplary citizens because of taking their suspensions. I suspect they were such "good citizens" because they couldn't figure out how to get back in.

[Wneglia]

Encrypted email works. Also, as you mentioned, a secure file-sharing site.
BTW, what voice recognition software do you use? Mine is highly unreliable.

Not all of ours is voice recognition, but I believe it is the Olympus system.

[Tertius]

As best I can tell the machines are no more vulnerable than paper ballots at worst and much less vulnerable in the most.

It is easier to pick a lock remove say 100 ballots and replace them with a 100.

The machine could be tampered with by the original programmer. But they are double sealed after programming. The poll worker breaks a seal and sets up the machine for voting but does not break the other seal. A 2 zero tapes are run. One posted and one retained. After the polls are closed a final tapes are run the tapes include totals by machine and total for the precinct. One is posted and one is retained with the zero and turned in. The second seal is broken the serial number of the seal is recorded and the broken seal is turned with the tapes and memory card. The pouch with all these are turned in along with the signed voter roll. Additionally a count balance sheet is turned in.

All this is done witnessed by three or more people.

[Wneglia]

Encrypted email works. Also, as you mentioned, a secure file-sharing site.
BTW, what voice recognition software do you use? Mine is highly unreliable.

Not all of ours is voice recognition, but I believe it is the ******* system.

Ummm, I know your name, what you do, where you practice, and now what system you use for "confidential" documentation. Tsk tsk. What's your password?

[O Really]

. Tsk tsk. What's your password?

"Spyder."

[Wneglia]

. Tsk tsk. What's your password?

"Spyder."

Not even close.

[scooter]

Mama has joined Bungalow's world of nut jobs.

Oh yeah! Wellll,I'm tellin' you mama on you!
That's how I talk to ignurnt pubbies. :-0?>

A private equity company run by fervent supporters of Republican presidential nominee Mitt Romney....

The way the first line of mama's post is written, and her subsequent responses smack of pure moonbattiness; on her part and the author of the piece she posted.

[billy.pilgrim]

Mama has joined Bungalow's world of nut jobs.

Oh yeah! Wellll,I'm tellin' you mama on you!
That's how I talk to ignurnt pubbies. :-0?>

A private equity company run by fervent supporters of Republican presidential nominee Mitt Romney....

The way the first line of mama's post is written, and her subsequent responses smack of pure moonbattiness; on her part and the author of the piece she posted.

it's against forum rules to post blackfoot's picture

fer shame fer shame

[Stinger]

Please describe how the machines can be hacked.

Highly trained teams of white grandparents raising their mulatto grandchildren make a preparatory sacrifice of any available gay ambassador assist nonexistent Marines in hacking into the mainframe.

[mama]

I start stuff just to watch pubbies squirm. There really is no reason why I should respond to to anything after I have posted and linked. It's just my way of having fun with those who think they know it all. Hehehehehe..... I know, weird sense of humour. :p

[Stinger]

A private equity company run by fervent supporters of Republican presidential nominee Mitt Romney....

The way the first line of mama's post is written, and her subsequent responses smack of pure moonbattiness; on her part and the author of the piece she posted.

So it's not a private equity company run by fervent supporters of Republican presidential nominee Mitt Romney?

[Wneglia]

A vote for Romney is a vote for Obama.


"Those who cast the votes decide nothing.
Those who count the votes decide everything." - Uncle Joe

Different state-same problem.

No wonder Obama is not worried about the polls.

[rstrong]

If you do software or hardware development, there's a must-read mailing list called The Forum On Risks To The Public In Computers And Related Systems. The Risks started in 1985. I started reading it on Usenet about 15 years ago. You can read it on the web here here.

It's a collection of news clipping and anecdotes about problems with new technology, with an emphasis on lessons learned. Often some new product or service is pointed out, with how they haven't learned from previous failures.

Electronic voting machines get plenty of mentions over the years. The trend in those stories goes like this:

- "Electronic voting machines CAN be made secure and trustworthy, so long as they do X, Y and Z."

- "Electronic voting machines are in place, and they have NOT done X, Y and Z."

- "Well, that was the fiasco we all expected. Maybe now they'll do X, Y and Z."

- "Nope, they haven't done X, Y and Z as we head into another election."

[Wneglia]

If you do software or hardware development, there's a must-read mailing list called The Forum On Risks To The Public In Computers And Related Systems. The Risks started in 1985. I started reading it on Usenet about 15 years ago. You can read it on the web here here.

It's a collection of news clipping and anecdotes about problems with new technology, with an emphasis on lessons learned. Often some new product or service is pointed out, with how they haven't learned from previous failures.

Electronic voting machines get plenty of mentions over the years. The trend in those stories goes like this:

- "Electronic voting machines CAN be made secure and trustworthy, so long as they do X, Y and Z."

- "Electronic voting machines are in place, and they have NOT done X, Y and Z."

- "Well, that was the fiasco we all expected. Maybe now they'll do X, Y and Z."

- "Nope, they haven't done X, Y and Z as we head into another election."

Why couldn't voting machines be developed that print a receipt for the voter with all the information of how he voted, as well as some sort of centralized website where one could check the receipt against what was tabulated, to see if there was a change after leaving the voting booth?

[billy.pilgrim]

If you do software or hardware development, there's a must-read mailing list called The Forum On Risks To The Public In Computers And Related Systems. The Risks started in 1985. I started reading it on Usenet about 15 years ago. You can read it on the web here here.

It's a collection of news clipping and anecdotes about problems with new technology, with an emphasis on lessons learned. Often some new product or service is pointed out, with how they haven't learned from previous failures.

Electronic voting machines get plenty of mentions over the years. The trend in those stories goes like this:

- "Electronic voting machines CAN be made secure and trustworthy, so long as they do X, Y and Z."

- "Electronic voting machines are in place, and they have NOT done X, Y and Z."

- "Well, that was the fiasco we all expected. Maybe now they'll do X, Y and Z."

- "Nope, they haven't done X, Y and Z as we head into another election."

Why couldn't voting machines be developed that print a receipt for the voter with all the information of how he voted, as well as some sort of centralized website where one could check the receipt against what was tabulated, to see if there was a change after leaving the voting booth?

that was what the leon county tech did, he could make the paper trail say you voted for x but let the vote count go to y

[billy.pilgrim]

http://www.opednews.com/articles/opedne ... ng_rep.htm