3 ms·
Another option is to go live in a forest and not use any of the digital tech at all. But that isn’t a smart solution if you’re doing all of this only not to get
by heavenlyblue 6y ago
Another option is to go live in a forest and not use any of the digital tech at all. But that isn’t a smart solution if you’re doing all of this only not to get hacked.
PS: let’s say a patient in that clinic wanted to move their history to another clinic. Are they now supposed to pro-rata their surgeon just to get the information from that custom-built database? That is incredibly expensive; and no matter how smart that surgeon is that database is almost certainly not that much more secure than off-the-shelf solution.
- ChrisMarshallNY 6y agoIn the US, that's actually the way it works. HIPAA laws are very strict. When I change doctors, I have to go around to all my prior physicians, and get hand-signed releases delivered (if I'm lucky, they will accept a fax). Sometimes, the records are physical papers. I still have all my old MRI and CAT pics (long story).
- 52-6F-62 6y agoWith MyChart it's fairly simple to get health care summaries here in Canada (Toronto at least), but I still have to go t through the rigamarole for my images and getting them around to other caretakers. I should have done that last week actually...
- treeman79 6y agoDown side is some years ago I got badly injured. I was unable to get my own records. I was not mentally competent during it, and I could not get assistance. So I failed to get disability, even though I had excellent coverage. Eventually recovered, have a ton of notes and instructions in place on who to talk to and how to gather all the correct documents in case of a future episode.
- ChrisMarshallNY 6y agoHope that you have been able to recover. Been there. Done that. Got the T-shirt (see "MRIs and CAT Scans," above).
- toomanybeersies 6y agoOn the other hand, the Australian government decided to create a system called "My Health Record", which centralises all your medical information. Luckily it's possible to opt-out, because there is absolutely no way I trust the Australian government to keep my personal data safe.
- jermaustin1 6y agoAs the husband of a Marriage and Family Therapist operating in NYC and upstate, I can tell you that most client notes are still done on paper, and locked away. My wife's notes are either locked in a "safe" at her office (heavy time-locked door to a room, with locking file cabinets) in the city, or in a small locking fire-proof file safe at home. Really the only things that get computerized are the things required by insurance (diagnosis and treatment plans). But notes are highly personal to the therapist, and can include any number of on-topic or off-topic , and it is rare even under subpoena to release your personal notes. Her office has a lawyer on retainer who's only job is to quash subpoenas. She's never had one served to her, and I dont know if any of the other clinicians have. But back on topic - though, I'm 90% sure the clinicians at the psychotherapy clinic in GP's comment probably had the same thing. They would take paper notes, and only digitized what they needed to digitize, and most of those digitized records are non-transferable anyway, because they would be diagnosis and treatments for that patient/client provided by that clinic, and if a clinician left, and was allowed to take clients/patients to their new practice (sometimes allowed, but often times not), the clinician would take their personal notes with them.
- mattr47 6y agoAll MH notes are now digital for the US Department of Veterans Affairs and Department of Defense.
- jermaustin1 6y agoI'm guessing in practice that translates to MUCH less notes.