From Daniel
Patient records - in any form - and with all it’s variations. Paper records, Electronic / Epic-like Records etc, home made, hand crafted patient records. Your story of the Chinese Medical Record in folder being given / entrusted to the patient at a certain point in their history is pregnant with possibilities for me. Think about it.
Even Apple Health’s App Medical Records import feature is more complete than my partial and Siloed health care records at Stanford Hospitals and Health Clinics, or Sutter Health, or on Athena Health and Dignity Health’s portals, and Harvard University Health portal etc.
But even if we can get our arms around most or almost all of a patients medical records, and into some organized paginated form, that version of a portable patient record lacks a visually clear and readable Graphical Interface.
It is missing many elements of what I imagine it will take get logarithmic if not Viral Adoption. What will it take to make a foldable, pocket-size, portable patient record with state of the art visual resolution to be “the thing” to have when one is chronically or critically ill?
I suggest it will fly if it allows one to see within EYESPAN on an A3 sheet of paper, (11 x 17”) A visually clear map of the realities of what is so and what is now possible for this Biological Holon.
So we can see I have a second focus on medical records for Social Co-ordination.
From Marc
Larry Weed did the most for medical records. We could safely and economically discard everything that happened after Larry Weed's SOAP note.
Electronic medical records have increased the cost of medical services and not improved the outcomes. There was a great hope and there remains a dim hope that electronic medical records could improve the experience of care, the experience of care giving, and even improve clinical outcomes. Those have been the espoused goals but never the goals in action.
Efficiency, especially efficiency in generating the largest bills possible, has been the driver behind the investments. Idealistic providers who were enlisted to helped implement these systems seldom saw who was guiding the investment decisions. CFOs (Chief Financial Officers) run health care in America and the goal is profit and paying the interest on debt--very compelling goals at the upper level of management.