re: Stage 2 EHRs Require Meaningful Patient Engagement
The idea of institutional health providers even having their act together enough to allow patients to get at their records feels like decades away. My local hospital, part of a fairly advanced hospital network, can't even get my name right, and I've been going there on and off for 20 years. Some of the medical practices at this hospital are still 100% paper based, and they never had a real picture of me as a patient - even for what they've done for me, even while I've been still checked in.
The sad part - I first worked on (as a hospital volunteer when I was in high school) an early EHR system - in the early 1970's. Everything ordered for the patient - tests, xrays, meds, all went into the system TO GET IT TO HAPPEN, not just to record it. To get an xray, the xray department received the order by computer. Too early to attach images, but way ahead of its time - for some hospitals, even today.
Even more frightening - hospitals where I live don't want to hire IT experts to install these systems - they insist on hiring friends of friends... They have jobs begging for months but reject anyone the nurse recruiters don't know personally. I do understand that - the hospital staff members are scared stiff of these systems. In the meantime, I'm studying to learn how to implement them, but suspect that no matter what certifications I earn it won't make any difference as they stonewall like crazy.