Dec 16, 2008

Electronic Records Touted

A press release from Social Security:

The Social Security Administration announced today that it will be the first government agency to utilize the Nationwide Health Information Network (NHIN). Beginning in early 2009, Social Security will receive medical records for some disability applicants electronically through the NHIN gateway.

“Social Security is proud to be a leader in the use of health information technology,” said Michael J. Astrue, Commissioner of Social Security. “This safe and secure method for receiving electronic medical records will allow us to improve our service to the public by cutting days, if not weeks, off the time it takes to make a disability decision.”

Through the NHIN, Social Security will have instantaneous access to medical records. This will significantly shorten the time it takes to make a disability decision and make the process more efficient. Social Security uses individual medical records when making a decision for more than 2.6 million people who apply for disability each year. To make those decisions, Social Security relies on doctors, hospitals, and others in the healthcare field to provide medical records in a timely fashion. The NHIN will help ensure records are received timely by making it easier and less labor-intensive for medical professionals to submit records.

Social Security is working with MedVirginia, the North Carolina Healthcare Information and Communications Alliance, and Kaiser Permanente to implement the NHIN. In early 2009, the first real-world use of the system will begin between Social Security and MedVirginia.

The NHIN is an initiative of the Department of Health and Human Services and is supported by multiple government agencies and private sector entities. Please go to www.hhs.gov/healthit/healthnetwork/background/ for more information.

I am glad they are doing this, but talking of cutting weeks off the process is unrealistic. Only hospitals and the largest medical practices are involved. In the vast majority of cases, Social Security will have to get medical records on a claimant from other medical practices that do not have electronic records. Like all other technology changes at Social Security, this is being oversold. Disability determination is a labor intensive business no mater what technology you implement and Social Security is terribly short of labor.

3 comments:

Anonymous said...

What may happen is that smaller practices will be given incentives to store their records on a centralized database, much like people can store their digital photographs now through various entities.

Anonymous said...

My experience is that even small town clinics have already gone to electronic records. Until she went in a nursing home 18 months ago I took my mother to a small town clinic weekly and all their records were already electronic. They may not have started as soon as the Mayo Clinics of this world but because they have fewer patients they can make the switch much faster.

Anonymous said...

I guess you would prefer that we do nothing, and not even try to improve the process