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If patients asked you to become a subscriber to HealthVault and FAX their paper medical records to a secure web site such as HealthVault, would you do so if it was free, and you had future access to the records, and it would reduce your paper medical charts?
#Response DateOther (please specify)
1.11/12/2007 7:52:00 PMDon't know
2.11/12/2007 8:57:00 PMpossibly
3.11/14/2007 1:41:00 PMnot allowed in my country as posted above
4.11/14/2007 4:49:00 PMmay be time factor
5.11/14/2007 5:00:00 PMProbably
6.11/14/2007 5:19:00 PMdepends on the emr
7.11/14/2007 5:30:00 PMI'm not sure hwo it would interface with the workflow
8.11/14/2007 7:48:00 PMit will not reduce my paper chars because it does not prevent from keeping them. Fax a huge paper MR might be very time consumming.... it is the patient to do so
9.11/14/2007 8:49:00 PMI don't know what is involved in &quot;become a subscriber&quot; but other than that i would probably say Yes.
10.11/15/2007 1:37:00 AMsee 15
11.11/15/2007 4:29:00 PMagain, only if I am clearly operating under HIPAA compliance with this system.
12.11/15/2007 8:04:00 PMWould not necessarily reduce paper charts
13.11/19/2007 2:00:00 PMAgain I have other legal precedents to follow.
14.11/19/2007 2:36:00 PMmybe
15.11/19/2007 3:58:00 PMperhaps in the future when I am confident the bugs are worked out
16.11/19/2007 10:40:00 PMMaybe - nothing is free - depends on time commitment to FAX/scan records and reliability of system
17.11/20/2007 3:14:00 PMIn most instaces I weould
18.11/22/2007 5:48:00 PMIt's not free if I have to pay for staff time to do the faxing, plus wear and tear on the fax machine.
19.11/22/2007 5:55:00 PMVery time consuming without reimbursement
20.11/22/2007 5:59:00 PMmaybe
21.11/22/2007 6:01:00 PMWould consider
22.11/22/2007 6:05:00 PMmaybe
23.11/22/2007 6:14:00 PMI am not sure
24.11/22/2007 6:28:00 PMAs a pediatrician, we are already significantly under-resourced by payers, relative to adult and specialty physicians. There would be no way to afford it...you say it is free, but that is to the patient. The time and direct cost to our practice, since this likely would not be a paid service, would take away funds used for patient care.
25.11/22/2007 6:37:00 PMneed to know more about the system
26.11/22/2007 6:59:00 PMYes if the system made that decision.
27.11/22/2007 7:20:00 PMmaybe. need to look at the system
28.11/22/2007 7:23:00 PMmaybe
29.11/22/2007 8:17:00 PMunless not compatible with Epic system
30.11/22/2007 8:40:00 PMOnce again, faxes are images, not data. Reviewing and recovering DATA from faxed images only displaces the responsibility for physical maintenance of the record. I become dependent upon electronic communications without the workflow benefits above. Again, a Level 2 record vs a Level 5 record. (Medical Record Institute).
31.11/22/2007 8:56:00 PMit depends on the nature of the documents
32.11/22/2007 9:19:00 PMbut I would still keep my copy, thus not reducing paper charts.
33.11/22/2007 9:36:00 PMmaybe
34.11/22/2007 11:37:00 PMI have too many locations to go looking for records now, why would I want another unstructured location?
35.11/23/2007 12:29:00 AMNot currently as I am not familiar enough with the software and I doubt my current hardware would support such a system.
36.11/23/2007 12:48:00 AMnot certain
37.11/23/2007 12:49:00 AMGuaranteed access and retention provisions haven't been mentioned.
38.11/23/2007 1:09:00 AMunsure
39.11/23/2007 1:16:00 AM.There would be some costs involving that process eventhough the sofware was free. I would want to be reimbursed for those costs.
40.11/23/2007 1:20:00 AMno
41.11/23/2007 2:16:00 AMsame as above, even if a pt requested, if I did not have EMR it would be too time consuming
42.11/23/2007 3:23:00 AMunsire at this time
43.11/23/2007 3:40:00 AMHard to trust this: If HealthVault went off-line, I could be liable for failure to maintain records. What if the pt disagreed with something I wrote and removed the document? I would be willing to submit, but not to delete my copy.
44.11/23/2007 3:42:00 AMIt would cost $$ to fax all those records.
45.11/23/2007 4:18:00 AMperhaps
46.11/23/2007 7:34:00 AMn/a
47.11/23/2007 8:22:00 AMtoo many questions wrapped up in this. If the patient asked me to trasmit my work product to their personal record i would do it.
48.11/23/2007 1:16:00 PMWe employ a service that takes care of that for us
49.11/23/2007 2:11:00 PMToo much of an administrative burden without obvious/immediate benefit to my office
50.11/23/2007 2:15:00 PMsee #16
51.11/23/2007 2:20:00 PMsee other comments above including time needed to use system
52.11/23/2007 2:30:00 PMThere would need to be a fee to cover staff time to fax the material.
53.11/23/2007 2:39:00 PMThis would be very time intensive
54.11/23/2007 3:35:00 PMProbably, but will need to further evaluate the service.
55.11/23/2007 3:57:00 PMNot until I had discussed my concerns about secondary and tertiary password recipients. And perhaps not even then.
56.11/23/2007 4:27:00 PMnot sure
57.11/23/2007 5:01:00 PMPossibly, but would need to evaluate the security and other uses of the system
58.11/23/2007 5:24:00 PMIt depends on how much time this take from myself or my staff.
59.11/23/2007 6:00:00 PMyes
60.11/23/2007 6:04:00 PMdo not know
61.11/23/2007 6:59:00 PMBecause FAX'ing is not currently secure, and because we currently do not routinely create paper documents from our EMR
62.11/23/2007 7:06:00 PMI need more information about specific system
63.11/23/2007 7:30:00 PMProvided it is for review and does not obligate me to switch automatically into the system without trying and liking it.
64.11/23/2007 9:05:00 PMmy staff time is not FREE for doing this
65.11/23/2007 10:59:00 PMNot my decision. The practice plan business administrators make those decsions.
66.11/24/2007 12:24:00 AMnot sure
67.11/24/2007 12:39:00 AMProvided I had everyone's permission.
68.11/24/2007 12:49:00 AMconcern over faxing
69.11/24/2007 2:07:00 AMnot sure
70.11/24/2007 2:18:00 AMprobably
71.11/24/2007 4:27:00 AMCouldn't depend on Microsoft to continue to support ANY product with the original terms of service. Just try asking them a question about DOS...
72.11/24/2007 5:37:00 AMIt can't possibly be free if I or my employees have to do anything to make it work.
73.11/24/2007 6:58:00 AMONLY IF IT WERE HASSLE FREE. IF I HAVE TO EXPEND TIME AND ENERGY, I WOULD RATHER NOT.
74.11/24/2007 12:48:00 PMWould HealthVault or the patient pay to scan the documents. I can't make a living with the current system of paperwork.
75.11/24/2007 1:51:00 PMIt may be free but this would not be without cost---the patient would be billed for my office staff's time and phone/fax charges
76.11/24/2007 3:03:00 PMFree is operative word - I would have to pay a staff member to upload all of this
77.11/24/2007 3:29:00 PMdepends
78.11/24/2007 3:35:00 PMSomeone has to pay for the time it takes to do this. Who is going to do that, the insurer, patient, government ?
79.11/24/2007 4:48:00 PMmay be.
80.11/24/2007 5:51:00 PMMaybe, it depends on all involved specialists getting on board
81.11/24/2007 6:08:00 PMcost involved to fax
82.11/24/2007 7:12:00 PMProbably
83.11/24/2007 9:17:00 PMmaybe
84.11/25/2007 1:37:00 AMIt requires a new level of medical support (to track and fax all such records) and it would not reduce my paper medical charts as I would still need to maintain them as the &quot;source&quot; record.
85.11/25/2007 1:38:00 AMwould consider it
86.11/25/2007 1:55:00 AMIt wouldn't be free, I'd be paying somebody to do the faxing.
87.11/25/2007 2:53:00 AMI would do it and charge a service fee. Faxing records to Microsoftis not a covered service. My Medicar fees are about to be cut 10% which is a 30% cut in my gross. Why should I provide additional services for nothing???
88.11/25/2007 3:57:00 AMPossibly
89.11/25/2007 4:33:00 PMwhat about cost for staff time to search, retrieve, and fax the records?
90.11/25/2007 6:03:00 PMonly for those that ask
91.11/25/2007 8:13:00 PMnot sure
92.11/26/2007 1:08:00 AMmay be-very time consuming and costly to accomplish
93.11/26/2007 2:04:00 AMWho pays for the staff time to fax all of this in?
94.11/26/2007 3:25:00 AMWork for a corporation who would have to agree to subscribe
95.11/26/2007 3:35:00 AMnot sure
96.11/26/2007 4:17:00 AMI would provide them with the records and let them fax it if they wanted but would prefer not to do so directly as I would continue to use our own EMR system
97.11/26/2007 11:04:00 AMfaxing is not free and consumes staff time, ties up the fax machine, etc
98.11/26/2007 12:25:00 PMMy institution would not allow it.
99.11/26/2007 2:28:00 PMI'll still have to keep my copies
100.11/26/2007 6:05:00 PMI generally give my patients paper copies of their records, I would let them fax it.
101.11/26/2007 9:42:00 PMI would ask the patient to fax their own records.
102.11/27/2007 12:57:00 AMtoo late; already have an EMR
103.11/27/2007 1:16:00 AMmaybe
104.11/27/2007 1:42:00 AMmaybe
105.11/27/2007 3:55:00 AMWould comply with their request but not eliminate other records
106.11/27/2007 1:06:00 PMnot at this time
107.11/27/2007 10:17:00 PMn/a
108.11/28/2007 12:41:00 AMmaybe
109.11/29/2007 5:24:00 AMNA
110.11/29/2007 9:17:00 PMSee #9
111.11/30/2007 12:13:00 AMFor a fee- our employee time is important and costs and our equiptment (including microsoft products) is not free
112.11/30/2007 1:51:00 PMWould not reduce paper charts, unsure of security then who patient grants access to chart info and when