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f you would NOT use a free online EMR system such as a broadened Microsoft's HealthVault, what are your reasons? Click on all that apply.
#Response DateOther (please specify)
1.11/14/2007 1:41:00 PMour health system has it own database
2.11/14/2007 5:30:00 PMFiancial and work-flow issues
3.11/14/2007 7:48:00 PMNA
4.11/14/2007 8:49:00 PMSee my ans to #15. We are not there yet.
5.11/15/2007 4:41:00 PMI would use it
6.11/15/2007 11:45:00 PMn/a
7.11/16/2007 3:29:00 AMincomplete, not upadated EMR
8.11/16/2007 5:41:00 PMThis is an istitutional decision.
9.11/19/2007 3:58:00 PMconcerned about time and data entrly constraints
10.11/19/2007 10:14:00 PMWe currently have EMR
11.11/19/2007 10:40:00 PMNo autonomy in decision making about EMR - Parent organization controls EMR choice
12.11/20/2007 1:06:00 AMna
13.11/20/2007 1:36:00 AMI would use a secure system.
14.11/22/2007 1:10:00 AMI would prefer to have my own EMR with interface to others
15.11/22/2007 4:30:00 PMThis would be a phenomenal asset to the medical profession and the country's healthcare system.
16.11/22/2007 4:41:00 PMNA
17.11/22/2007 6:01:00 PMalready have an EMR
18.11/22/2007 6:28:00 PMA real EMR/EHR system to be complete not only has to document patient data, but has to have areas where physicians can put their incomplete thoughts, considerations, and plans. Those areas should not be available to patients without physician incorporation into the specific patient record. Access to all physician thoughts could be destructive, and would likely cause physicians not to write down those thoughts...and will negatively impact on patient care, because he/she would have to rely on memory...or keep an entirely separate &quot;diary&quot;...
19.11/22/2007 6:50:00 PMour EMR is accessible to physicians in our health system
20.11/22/2007 6:53:00 PMconcerned about abiloity to integrate
21.11/22/2007 7:15:00 PMDepends on functionality of HealthVault
22.11/22/2007 7:20:00 PMwould it hold up in court???
23.11/22/2007 8:01:00 PMMy EMR records are many years old and very detailed, their is no need for duplication and my patients already have access
24.11/22/2007 8:17:00 PMSame answer as in #14
25.11/22/2007 8:40:00 PMSecurity is not my concern. It's workflow functionality, integration of InPatient and Ambulatory records/workflows. My current belief is that mecivcal communities need to aggregate around enterprise systems that are patient/community focused. Addressing medicine as a collection of free-standing small proviiders fails to rercognize the potential for providing best-practice knowledge and quality review at the point of care. It's about community building.
26.11/22/2007 9:19:00 PMPatients will feel inhibited from telling me things of a sensitive nature
27.11/22/2007 9:36:00 PMI have my own EMR program at this point and am happy with it.
28.11/22/2007 9:45:00 PMbite me
29.11/22/2007 11:36:00 PMI want free, Microsoft EMR
30.11/23/2007 12:01:00 AMNA
31.11/23/2007 12:49:00 AMIn the future the legal issues could come to dominate the concerns unless there is wide spread torte reform.
32.11/23/2007 1:04:00 AMI think paper charts are just as good as most of the record is superflous anyway
33.11/23/2007 1:16:00 AMLearning curve is usually steep for staff and physicians
34.11/23/2007 1:20:00 AM1,2 ,3 4
35.11/23/2007 1:48:00 AMhospital requires me to use the their EMR
36.11/23/2007 2:16:00 AMNo EMR currently and too time consuming to upload the files
37.11/23/2007 2:33:00 AMI am in a large group and have no control over the EMR
38.11/23/2007 3:29:00 AMprefer to select my own EMR.
39.11/23/2007 5:17:00 AMN/A
40.11/23/2007 6:31:00 AMOur EMR does a lot of processing including growth chart plotting, prescription writing etc
41.11/23/2007 8:22:00 AMconcerneded about a one size fits all approach.
42.11/23/2007 1:04:00 PMNA
43.11/23/2007 1:16:00 PMHave a good EMR system
44.11/23/2007 1:32:00 PMNA
45.11/23/2007 2:04:00 PMna
46.11/23/2007 2:11:00 PMsee above
47.11/23/2007 2:15:00 PMI do not at all trust Microsoft to do this correctly and to keep it secure. I would not deal with them at all.
48.11/23/2007 2:20:00 PMI would like a system compatible with other comments above with which I can share most but perhaps not all of the patient's history
49.11/23/2007 2:24:00 PMNeed to identify if Healthvault accomodates parameters that are specific to my subspecialty.
50.11/23/2007 2:27:00 PMAll above are concerns but the benefits outweigh these
51.11/23/2007 3:31:00 PMI DO NOT TRUST THE QUALITY OF MICROSOFT PRODUCTS
52.11/23/2007 3:43:00 PMHealthVault would not be in competition with our in house EMR system.
53.11/23/2007 3:57:00 PMThe queston of to whom the access password is given is difficult when you consider primary recipients. It becomes enormously more complex when you consider secondary and tertiary recipients
54.11/23/2007 3:57:00 PMI am primarily concerned about confidentiality. No EMR system can guarantee such.
55.11/23/2007 6:59:00 PMNote that I did not say that I would NOT use a broadened HealthVault instead of current EMR, BUT the above checked issues are all valid concerns
56.11/23/2007 7:06:00 PMI need more information about srecific system
57.11/23/2007 7:30:00 PMThere hasn't been a free and practical EMR system available yet. One needs to look and like it. Reputation alone is no enough sway me.
58.11/23/2007 8:41:00 PMthe above would be my concerns, but I would still consider using such a system
59.11/23/2007 9:19:00 PMNOT APPLICABLE
60.11/23/2007 10:05:00 PMHave my own EMR I am perfectly happy with.
61.11/23/2007 10:59:00 PMAgain, I am in a University. The practice plan business administrators make those decisions.
62.11/24/2007 12:15:00 AMHospital issues
63.11/24/2007 12:39:00 AMI would use it; but am still concerned about all of those issues.
64.11/24/2007 4:27:00 AMI work for a healthcare system with 800 attendings and 1100 trainees. I don't get to make this decision.
65.11/24/2007 5:58:00 AMsee response 14.
66.11/24/2007 12:36:00 PMlinks to the financial software exist
67.11/24/2007 2:49:00 PMna
68.11/24/2007 3:35:00 PMFirst kill all the lawyers - Shakespeare
69.11/24/2007 7:12:00 PMN /A
70.11/24/2007 11:48:00 PMtime management
71.11/25/2007 1:37:00 AMIf I am always thinking about how anyone else (non-medical) could have access to such information without my ability to explain or frame in the context of what might be searched for, I would not be able to efficiently complete records as I would be constantly thinking of how it might be searched or used.
72.11/25/2007 1:55:00 AMInsurance companies would demand access prior to issuing coverage, and would use data to discriminate
73.11/25/2007 3:02:00 PMnot applicable.
74.11/25/2007 6:36:00 PMi have signed up with one
75.11/25/2007 6:54:00 PM?
76.11/26/2007 1:14:00 AMI have an EMR already in place
77.11/26/2007 1:59:00 AMno time
78.11/26/2007 3:03:00 AMTOO EXPENSIVE in my time and my employee's time. obtaining old records is rarely necessary, except for emergency room/ICU
79.11/26/2007 12:25:00 PMWe have EMR.
80.11/26/2007 3:58:00 PMI would possibly use a free online system
81.11/27/2007 2:40:00 AMIt depends on how complicated the system is to learn and to run.
82.11/27/2007 9:59:00 PMI jhave a system cuurently
83.11/28/2007 12:41:00 AMtime and benefit to cost ratio to input
84.11/28/2007 2:55:00 PMWould depend on ease of use.
85.11/28/2007 9:02:00 PMsee answer to #15
86.11/30/2007 12:13:00 AMInsurance companies could take advantage of this system to deny or overcharge
87.11/30/2007 1:51:00 PMsee above