DesRoches CM, Campbell EG, Vogeli C, Zheng J, Rao SR, Shields AE, Donelan K, Rosenbaum S, Bristol SJ, Jha AK. Electronic Health Records’ Limited Successes Suggest More Targeted Uses [Internet]. Health Aff 2010 Apr;29(4):639-646.
Provocative question #1: If a (fee for service) hospital’s livelihood is dependent on providing more care, how can any technology be expected to result in an outcome that less care is provided (such as reduced hospital days, reduced readmissions)?
Provocative question #2: Would patient and family access to the hospital record in real time result in downward pressure on the outcomes measured above?
(See @ReginaHolliday’s April 20, 2010 testimony to the Meaningful Use Workgroup, in Washington, DC, for an idea of what an activated family might be able to uncover and improve during an admission or prevent re-admission)
Informational question #1: Does anyone know of a hospital that grants real-time access to the full electronic record to patient and family during hospitalization?
Feel free to answer any / all of the above in the comments.