NEW @ THCB PRESS: Surviving Workplace Wellness. Spring 2014. Al Lewis and Vik Khanna. e-book edition. # LIGHTHOUSE Healthcare. Illuminated.

Over the past 18 months, technology companies are jumping into one the biggest untapped frontiers in IMG_1534-leveled the economy:  Health care.

Among the groups taking the leap are Microsoft and Google.  Both have launched products called Personal Health Records over the past 18 months.

Both Microsoft Health Vault and Google Health, as they’re called, allow patients to store their own personal health histories online.  Like all of their other apps, they are both free to consumers.

Here’s how they work:

1) You create an account (or sign in if you already have an msn or google account)

2) you enter and/or modify you health history and even upload data from devices like blood sugar meters.

3) You can pull records in from medical centers, doctors’ groups  or insurers that have agreements with the PHR company.

In general, PHRs have received a lot of good press since they were launched.  But a recent story form the Boston Globe has to make you wonder if they’re the right solution.

The story describes a gentlemen named Dave deBronkart (known to many of us who follow health IT as “e-patient Dave,”
a very tech-savvy guy with an interest in online health.  Mr. deBronkart decided to transfer his medical records from a Boston hospital to Google Health.  When he did, he was shocked to learn he was one very sick man.

According to his hospital records, he had metastatic cancer (he is kidney cancer suvivor), chronic lung disease and an aortic aneurysm.

Funny thing, though.  He felt absolutely healthy.

It turns out the problem is that a good deal of the data had come from billing records and not directly from his medical records.  If you know anything about how doctors bill, we use all kinds of codes and associations for those codes that can easily be misinterpreted by your insurer. When that happens, your medical history can get jumbled with a lot of misdiagnoses.

Hence, Mr. deBronkart is not as sick as Google Health told him he is. But it’s a good case study in health care–consider these scenarios:

  • You’re a patient with a history of a bleeding ulcer that’s now gone, and you end up in the ER with chest pain.  You should get aspirin to unclot your arteries, but if your PHR tells doctors that you have a “GI bleed” you may not due to the risk of worsening bleeding.
  • A friend of yours  who uses a PHR is injured in an accident and hasn’t updated his records in over a year (even though he’s seen his doctor in that time).  How accurate is that data?

In the Globe article, the answer from a representative at Health Vault is that one needs to be very proactive about keeping things up to date and resolving any confusion.

But that’s like saying if you have a bank account, you, and not your bank, are responsible for calculating your balance, scanning images of your checks and calculating the interest in that 6 month CD.

And that’s the problem with PHRs.

Instead, a patients’ REAL record should accessible to him or her online, and those electronic medical records (as opposed to PHRs) across the country should just talk to one another like ATMs do.  Finally, docs like me need to keep your digital health history accurate and by updating your medications, allergies, and diagnoses regularly.

Share on Twitter

53 Responses for “Should You Keep Your Own Medical Records?”

  1. Коля says:

    Смотреть бесплатно Оз: великий и ужасныйКогда ураган забрасывает циркового фокусника Оскара Диггса из пыльного Канзаса в волшебную страну Оз, склонный к мошенничеству циркач полагает, что он поймал удачу за хвост — ведь с помощью своих трюков он с легкостью может добыть в новых землях и славу и богатство. Однако его ждёт встреча с тремя чародейками, Теодорой, Эванорой и Глиндой, которые сомневаются в том, тот ли это великий волшебник

  2. Натяжные тканевые бесшовные и ПВХ потолки ведущих производителей по низким ценам от производителя Свой Домовой в Москве и России

  3. Вклады под высокий процент инвестиционный фонд 1А Проинвест. Нас находят люди, кого интересуют: инвестиционный фонд, инвестирование, куда вложить деньги, вложить деньги под проценты, выгодные вклады.

Leave a Reply

MASTHEAD


Matthew Holt
Founder & Publisher

John Irvine
Executive Editor

Jonathan Halvorson
Editor

Alex Epstein
Director of Digital Media

Munia Mitra, MD
Chief Medical Officer

Vikram Khanna
Editor-At-Large, Wellness

Maithri Vangala
Associate Editor

Michael Millenson
Contributing Editor










About Us | Media Guide | E-mail | 415.562.7957 | Support THCB
© THCB 2005-2013
WRITE FOR US

We're looking for bloggers. Send us your posts.

If you've had a recent experience with the U.S. health care system, either for good or bad, that you want the world to know about, tell us.

Have a good health care story you think we should know about? Send story ideas and tips to editor@thehealthcareblog.com.

ADVERTISE

Want to reach an insider audience of healthcare insiders and industry observers? THCB reaches 500,000 movers and shakers. Find out about advertising options here.

Questions on reprints, permissions and syndication to ad_sales@thehealthcareblog.com.

THCB CLASSIFIEDS

Reach a super targeted healthcare audience with your text ad. Target physicians, health plan execs, health IT and other groups with your message.
ad_sales@thehealthcareblog.com
WORK FOR US

Interested in the intersection of healthcare, technology and business? We're looking for talented interns to work in our San Francisco offices. Get in touch.

Wordpress guru? We're looking for a part time web-developer to help take THCB to the next level. Drop us a line.

BLOGROLL

If you'd like to be considered for our Blogroll, drop us an email and we'll take a look. While you're at it, why not add us to yours?

SUPPORT
Let us know about a glitch or a technical problem.

Report spam or abuse here.

Sign up for the THCB Reader here.
Log in - Powered by WordPress.