At the recent conference of the National Organization of Social Security Claimants Representatives Marianna LaCanfora, Social Security's Assistant Deputy Commissioner for the Office of Retirement and Disability Programs, spoke of a plan to to introduce an automated system by which medical records are obtained automatically by Social Security before claims files ever reach Disability Determination agencies for adjudication. That was the fantasy she was talking about.
Meet the reality. Even in theory, this plan can only work if medical records are stored electronically. However, the New York Times reports on a New England Journal of Medicine study that shows that fewer than one in five doctors in this country has started using electronic records systems. Only 9% of doctors in small offices have such systems. Those who are experts in electronic records believe that smaller medical practices have little incentive to switch to electronic records and that government incentives will be required to make it happen. An upcoming experiment by Medicare will cost $150 million just to convert 1,200 small practices! The cost of converting all medical practices in this country would be astronomical.
Even if all medical practices in the country could be converted to electronic medical records, developing a fully interchangeable system such that medical records could be obtained with almost no effort would still be a long way off.
Please, no more moonbeams, Social Security. Let us talk about what can be done in the here and now about the current problems.
Meet the reality. Even in theory, this plan can only work if medical records are stored electronically. However, the New York Times reports on a New England Journal of Medicine study that shows that fewer than one in five doctors in this country has started using electronic records systems. Only 9% of doctors in small offices have such systems. Those who are experts in electronic records believe that smaller medical practices have little incentive to switch to electronic records and that government incentives will be required to make it happen. An upcoming experiment by Medicare will cost $150 million just to convert 1,200 small practices! The cost of converting all medical practices in this country would be astronomical.
Even if all medical practices in the country could be converted to electronic medical records, developing a fully interchangeable system such that medical records could be obtained with almost no effort would still be a long way off.
Please, no more moonbeams, Social Security. Let us talk about what can be done in the here and now about the current problems.
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