Matthew Holt

So I’m on TV, unfortunately in piece of crappy reporting

So last month the nice people from KTVU (the local Fox affiliate in SF) came by to interview me and last night it aired. They’d been over at web-based EMR vendor Practice Fusion and had found out about EMRs. Then they came to interview me. I should probably have got the hint when reporter John Fowler kept on asking me about privacy concerns. I spent 20 minutes giving a balanced nuanced view about the advantages and problems of adopting medical records which is not exactly represented by the 6 second soundbite I get.

Unfortunately—despite the producer’s stated desire to use Bay Area people—Texan nut job Deborah Peel gets almost half the piece including almost all the interview content. (Apparently Deven McGraw couldn’t be tracked down? Maybe DC is too far away) And what does Deb Peel say? Well you know what she says…

The casual viewer seeing this piece would believe that paper records are completely safe and that identified patient records in the Practice Fusion system are being sold to evil marketers and insurers. Oh and by the way that somehow it’s their fault that John Muir Health System lost a computer.

And other than my one sound bite, a very brief mention of a Kaiser study that EMRs improved care and outcomes, and the doctor interviewed saying the EMR saved him time, every single innuendo was about how some big evil was lurking within the electronic records to steal your data and do something terrible to it. Oh, and Practice Fusion was helping with the connivance of stupid or malicious doctors. And apparently Deb Peel has a $5 per person per year solution to the whole problem. Perhaps this is the other shoe dropping and we’ll be hearing from her pimping her product soon. After all Microsoft bit.

This really was crappy journalism. Not least in not challenging Peel on her contention that selling de-identified medical data is somehow new and a “nightmare”—both statements are total crap. Of course research on de-identified records precedes computers by decades, and I’m still waiting for Peel’s spotlight of the case of the de-identified data being re-identified to harm a patient. Of course identified records (mostly on paper) are moved/sold in our health system everyday for purposes I don’t approve of (underwriting).

Nor did Fowler try to distinguish between research on de-identified data versus use of identified data for all kinds of care processes….something Peel also thinks is a nightmare.My wife’s comment was “none of those interviews supported their story other than that one nut job”.

Still our home office looks nice, and the Health 2.0 logo got on TV. So you can watch it here if you can stomach the bullshit that surrounds it.

Livongo’s Post Ad Banner 728*90

Categories: Matthew Holt

17
Leave a Reply

17 Comment threads
0 Thread replies
0 Followers
 
Most reacted comment
Hottest comment thread
10 Comment authors
LillyciphertextTruth Seeker, MDWendell Murraypraetorius Recent comment authors
newest oldest most voted
Lilly
Guest
Lilly

I hope all their doctors are aware of the risk of getting a free EHR. I wonder how they would react to this news. http://www.forbes.com/sites/kashmirhill/2013/10/24/practice-fusion-reviews-whoops/

ciphertext
Guest
ciphertext

Putting aside all of the political rhetoric associated with healthcare policy “on the whole”, we can be far more objective about the eHR, eMR, and HIT general systems. As is the case with all evolutions (or revolutions as some may see it) of a process from paper based to computer based technology, there are trade-offs. Let’s examine some of the more popular “buzz words” in light of the trade-offs. EfficiencyMost likely, a practice that is currently using a paper based workflow to conduct its business, will need to modify their workflow to accommodate the eHR (or if you are a… Read more »

Emily Peters
Guest

@WendellMurray – I’d be glad to help you compare our EHR system to the other installed systems. Just go to http://www.practicefusion.com/go to register for an online account and feel free to email me at emily@practicefusion.com if you have any questions.

Wendell Murray
Guest

Mr. Seeker: The thesis advanced in The Shallows to the extent that I know it from reading about the book, rather than reading the book itself, is that the nature of Internet-based human interaction lessens rather than increases knowledge. That is an empirically-testable hypothesis, but creating an accurate testing model is difficult, if not practically impossible, if one wants to draw valid conclusions from any test. The hypothesis has some plausible validity, but the hypothesis has nothing to do with digitizing of clinical data in usable data elements which in essence is what any EMR system does. In other words… Read more »

Truth Seeker, MD
Guest
Truth Seeker, MD

Interesting book out there called the Shallows. Wendell and others should read to affirm what praeorius stated.

Wendell Murray
Guest

“An EMR wastes time and impairs quick thinkers.”
Classic Ludditism and not from the positive aspect of what the original Luddites did.
One could state this about any “technological” advance for humankind, including presumably the invention of human speech millions of years ago.
Does praetorius use a telephone device to communicate or is he/she still using smoke signals for remote communication or still walking everywhere rather than using powered transportation of one sort or another and on and on and on?

Wendell Murray
Guest

Not worth the bitching and moaning from Mr. Holt. Mr. Holt at least got some attention. The great unwashed out there will be propagandized about EMRs as they are about everything else, so nothing new. TV news outlets, particularly local stations that offer so-called “news”, as opposed to publicizing accidents, murder and mayhem or sports or weather which are their bead and butter, do a pathetic job on any reporting, so nothing unusual about Mr. Holt’s experience. Never heard of Dr. Peel before, so will check her out. I see PractionFusion is using this as an opportunity to self-promote. Okay,… Read more »

praetorius
Guest
praetorius

Peel is for real. A quality physician and protector of the rights of patients.

Matthew Holt
Guest

I was modestly amused that the local TV station was totally fixated on the SF Bay area reaction, that they rejected my patients from out of town, & interviewed some no-nothing hijacked consumers on the street — then had out of towner loony Deb Peel on making more random accusations, and passed her off as some type of expert.
Margalit I’ll look into that meeting and figure out who was there
And Maggie, this wasn’t Fox News–I would have thought twice about going on that non-live.

praetorius
Guest
praetorius

Emily,
Are you the same Emily who says: “If your doctor does not have an EMR, switch doctors to one who does”?
I say, would anyone ever buy an EMR from a company that provides such meningfully useless advice.
These devices are disruptive to most thoughtful doctors who think about complex pathophysiology to cure their patients. Comparing multiple interactive variables of treatment, diagnostics, signs and symptoms is imminently efficient with a well organized paper chart and perhaps, with on line reporting of lab results and radiographic. An EMR wastes time and impairs quick thinkers.

maggiemahar
Guest

Matthew & Lynn-
Lynn is right that media coverage of healthcare has been heading South as the mainstream media runs out of money and resources.
But I understand why Matthew went on FOX: It’s an opportunity to reach the unconverted. Folks who watch FOX know very little about EMR.
I went on Lou Dobbs in order to reach an audience that would never read my blog. I’ve had many experiences like Matthew’s, but that one time it worked out. So you never can tell. It’s worth trying.

Margalit Gur-Arie
Guest

Oh, this is priceless, Matt… LOL The $5 figures comes from one of the presenters at the ONC consumer technologies meeting in DC that I wrote about on this very blog https://thehealthcareblog.com/the_health_care_blog/2010/07/consenting-technologies-.html One of the cutting edge vendors showed a pretty cool add-on that can manage privacy policies, regardless of software, and said that it should run at about $5 per year. I assumed that was per policy, which means per patient, which means that for the doctor, it would be over 10K per year. Dr. Peel asked about that price several times during the meeting. There were other blunders… Read more »

Lynn
Guest
Lynn

Matt, you’re surprised that you didn’t get “fair and balanced” news from a Fix News station. I’m shocked, shocked, shocked.
I’ve spend hours over the years working behind the scene to educate reporters, both print, radio, and TV, only to have the good ones be moved out of the healthcare beat. Local stations and newspaper unfortunately no longer have the resources in reporter experience or time to do good and thorough piece on all the issues in healthcare. That’s why Death Panels live.

BobbyG
Guest

Agreed, Matthew. As I wrote Emily:
The nutcases are out in force. I saw a news comment this morning that, because Certified HIT will have to be able to calculate BMI ((w/h^2)*703), “the government will be telling you what you can eat.”
LOL.

Matthew Holt
Guest

Bobby, you’re probably right, but they were a vaguely respectable local TV news show before they became a Fox affiliate–and I dont think this is a right-wing slant, just a dumb one