A Single Medical Record

A SINGLE MEDICAL RECORD

Several people have asked about the importance of having a single medical record. As previously mentioned, by age 50, on average you have 22 medical records and by age 60 you have 28.

SingleMedicalRecordHaving 22-28 medical records is problematic and in some cases can even be catastrophic. Why – because none of those records communicate or share data among themselves, therefore they’re just an isolated file sitting in a medical office, practice or hospital filing cabinet or computer. They are useless information. The data they contain is meaningless to your doctor, because they don’t have access to them or know anything about them. To your doctor they don’t exist.

What ailments have you had in the past? Any surgeries? What medications have you taken? Do you have allergic reactions to medications? Is there family history, or any issues in your past that might be related to your current medical condition? Who knows – not your doctor!

It is very possible you may even have multiple medical records in the same hospital. Many departments store independent records and don’t  share information about you – but they should and need to. It is vital!

Do you see the problem yet? You should – your doctor can only see the medical data in front of them – if it’s not there, your medical past never happened.

Unless you have been seeing the same doctor from your birth and continue seeing them until you die – you have this problem. We all do!

This is one of the critical initiatives World Inter-Med’s EMERgE Electronic Healthcare Record aims to solve. With your support we can complete our mission in providing your doctor, your insurer and you with a single medical record.

Thx -b

Problems in Healthcare

Healthcare is one of the top social and economic problems facing Americans today.  As much as they try, our healthcare system is still in the dark ages compared to today’s technology standards. As a matter of fact, the government and the healthcare industry struggle to agree upon a single standard. This has plagued our healthcare system for too long and we as a society deserve better.

Policy makers and professional organizations have become increasingly concerned about physician professional satisfaction. Because of this incentives and penalties to adopt electronic health records (EHRs)—have provoked widespread and intense responses from practicing physicians.  Despite recognizing the value of EHRs in concept, of those physicians who do use an EHR system struggle to use their EHRs effectively, which they describe as negatively impacting patient care in several important ways and undermining their professional satisfaction.

We’ve addressed the major points, which only scratch the surface:

A single medical record for each patient

  • A 50-year-old patient on average has 22 medical records.
  • These records are static and do not “talk” or exchange information with one another.
  • Most are forgotten, misplaced or lost – losing valuable information and your history with them.

Saving lives

  • On July 17 2014 it was disclosed at a public senate hearing that preventable medical errors persist as the No. 3 killer in the U.S. – third only to heart disease and cancer – claiming the lives of some 400,000 people each year.
  • This equates to 1096 deaths every single day.
  • It was revealed that current information technology is falling short.

Significantly reduce medical fraud

  • The FBI stated that in 2014 Medicare alone paid $98 Billion dollar in fraudulent claims, including private insurers such as Aetna, BlueCross, Health Net, etc. that number jumps to a staggering $600+ Billion dollars each year.
  • The FBI only recovered $211 Million of Medicare fraudulent claims.
  • Recent cases show that medical professionals continue, and may be more willing, to risk patient harm in furtherance of their schemes.

Fraud consist of:

  1. Medical Identity Thief – Medical identity theft involves the misuse of a person’s medical identity to wrongfully obtain health care goods, services, or funds.
  2. Billing for Unnecessary Services or Items.
  3. Billing for Services or Items Not Furnished.
  4. Upcoding – is a term that is not defined in the regulations but is generally understood as billing for services at a level of complexity that is higher than the service actually provided or documented in the file.
  5. Unbundling – Unbundling occurs when multiple procedure codes are billed for a group of procedures that are covered by a single comprehensive code. The way this form of fraud works is that the reimbursement for the individual
  6. Kickbacks – defined as offering, soliciting, paying, or receiving remuneration (in kind or in cash) to induce or in return for referral of individuals for the furnishing or arranging of any item or service for which payment may be made under Federal health care programs.
  7. Medication abuse – because the current tracking mechanism is obsolete & antiquated, with standard photocopies many criminals can obtain the same prescription such as Vicodin and OxyContin hour after hour. It takes the current system 6 months to 1 year to catch up. Drug dealers use this method regularly.

Create an easy and cohesive environment for Physicians, Insurers and Patients alike

  • Create an easy to understand platform bring all three parties together in a LIVE environment.
  • Patients no longer need to fill out multiple medical history forms, it is collected one time, in the patients home and they can updated as needed.
  • Medical history can be updated automatically from family members, (father, mother, brother, sister, etc…) when patients op-in, no matter the clinic, hospital or physician office.

There is currently no permanent standards for the Healthcare sector

  • Interoperability is problematic – there is no single standard to transfer patient information from one location or physician to another.
  • Information exchange is mostly still printed on paper and mailed or couriered.

To literally drag the Healthcare industry to current technology standards

  • The majority of medical records are built within the MUMPS platform (Massachusetts General Hospital Utility Multi-Programming System), which was creating in 1966. It was last updated in 1995 – 20 years ago. To put this in perspective – the first generation Smartphone was announced in 1997.

Quick Reporting

  • Under the current model, health related infectious & diseases are reported to CMS & CDC after 9 months of the Physician/Patient visit
  • CDC uses this information for epidemic & pandemic purposes, example – the flu vaccines.
  • Because the information the CDC is 9 months old, the CDC has to guess which vaccine to use.
  • The 2014/2015 flu season vaccine was a bust. The vaccine is only 10%-20% effective.
  • Within World Inter-Med’s (WIM) system, we can report this information to the CDC with 5 seconds of the Physician/Patient visit

Reducing bill cycle time

  • Hospitals & Physicians typically get reimbursed for their services within 6 months.
  • Within our system, we can reduce this to 19-25 days.

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Here is the Fact Check of our numbers:

Saving Lives: (400,000 people die annually)
http://www.healthcareitnews.com/news/deaths-by-medical-mistakes-hit-records

Medical Fraud:
http://www.economist.com/news/united-states/21603078-why-thieves-love-americas-health-care-system-272-billion-swindle
http://insider.foxnews.com/2015/07/07/doctor-farid-fata-be-sentenced-giving-chemo-healthy-patients

Drag Healthcare to current technology: (MUMPS)
http://en.wikipedia.org/wiki/MUMPS

Quick Reporting: (Flu)
http://www.today.com/health/flu-vaccine-barely-working-year-cdc-says-1D80428360
http://www.cdc.gov/flu/about/season/flu-season-2014-2015.htm
http://www.cdc.gov/flu/about/qa/vaccineeffect.htm