Lawmakers speak up for healthcare IT

Push for legislation despite ‘tough year’ in Congress

WASHINGTON – Members of Congress were absorbed this year in federal budget issues and the economy, but not all of them have forgotten the cause of healthcare IT advancement.

“When I came to Congress in 2003, I was not the biggest proponent of health IT,” Rep. Michael Burgess (D-Tex.) told Healthcare IT News in an interview, in advance of his keynote at the HIMSS Policy Summit (in conjunction with National Health IT Week) in Washington in September.

But events after Hurricane Katrina in 2005 changed his mind “in a big way,” he said.

At a field hearing post-Katrina in New Orleans, Burgess said he saw “row after row” of paper records at Charity Hospital turned black from mold. Hazmat protection was required to touch the destroyed documents.

A few days after the hurricane, Burgess assisted other doctors in the Dallas Arena in treating victims of the hurricane. Many were in no condition to remember any of their medical history or the medications they were taking, he said. Walgreens was there with computers loaded on a truck, assisting victims who had used them as a pharmacy. They were able to look up prescription records electronically to get some of a patient’s medical history. “These were powerful images,” Burgess said.

Since then, Burgess has carried the torch for electronic health records. He has co-sponsored a bill to extend HITECH incentives to multi-campus hospitals. It has been “a tough year,” he said, for getting Congress to spend time on healthcare IT, “but it’s coming along.”

Rep. Ted Deutch (D-Fla.) and Phil Gingrey, MD, (R-Ga.) are also congressional spokesmen for healthcare IT. “The adoption of electronic medical records and cutting-edge information technology by the healthcare industry is a win for patients, providers and the American economy at large,” Deutch said. “Health IT is already paying off in Florida, from the adoption of electronic health records in South Florida’s hospitals to the Florida Department of Health’s innovative use of technology to better track pandemics and other threats to public health,” he said.

Gingrey sees HIT as a way to increase the quality of care. “We must focus on reducing waste and medical errors, while maximizing every healthcare dollar spent,” he said.

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darrelldk say: Dentists are left out of EHRs. That's not all bad.

“We must focus on reducing waste and medical errors, while maximizing every healthcare dollar spent,” - Phil Gingrey, MD, (R-Ga.).

Not so fast, Dr. Gingrey. You’re leaving dentists behind, but worse things could happen to American dental patients.

According to the Ponemon Institute’s 2011 Benchmark Study on Patient Privacy and Data Security, breaches of patients’ Protected Health Information (PHI) from health organizations increased 10% to an estimated $6.5 billion a year. Do you think that makes healthcare more expensive or less expensive, Dr. Gingrey?

What’s more, almost 30% of the providers reported that one consequence of data breaches was medical identity theft. As I am sure you and Dr. Burgess (D-Tex.) are aware, when one’s medical identity is stolen, allergies and other important health facts can be imperceptively changed to suit the thief’s customer. Such a life-threatening danger simply cannot happen with paper dental records, and my patients like it that way.

Physicians have no choice. Years ago, they lost control of medical care to several of Gingrich’s financial supporters of his history skills, and must adopt EHRs to stay in business. On the other hand, EHRs in dentistry are not only more expensive than paper dental records, but they are far more dangerous for dentists as well as patients. Since the business of dentistry is much simpler, dentists are naturally far less susceptible to healthcare stakeholders' tyranny than physicians.

D. Kellus Pruitt DDS