Re: [ontolog-forum] Survey of Doctors on EHR Ontology Effectiveness

[Duane Nickull <duane@xxxxxxxxxxxxxxxxxxxxxxx>]

Rich:

Strangely enough, the company I am now working for owns Cientis, the largest HER rating system.  For the United States, the website is the AmericanEHR.com.  For lack of a better explanation, Cientis is really the "Consumer Reports" of EHR systems, operating on behalf of many US government agencies and US health care groups.

Unlike MedScape who have only surveyed 20K physicians over 1 year, Cientis has a base of over 750,000 health professionals and has been in continuous use for surveys since 2010.

I have perused many of the ratings for various HER vendors that comes in through our system and often wondered if the lack of a shared vocabulary for describing this one aspect of patient care is somehow responsible for the vast disappointment with HER systems by many doctors.

I would be very interested in showing you more of what we are doing and get your input into how the topic of ontologies might help. The US government earmarked $28 billion for this aspect of health care alone and if improvements can be noted and implemented, it would benefit all American's.

Since Cientis is proprietary and privately owned, I suggest we honour the IPR policy and discuss any details off list (My interpretation was that it is ok to briefly mention a private system but not okay to discuss the topic in any details on this list).

Best wishes,

Duane Nickull

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t.  @duanenickull

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From: Rich Cooper <rich@xxxxxxxxxxxxxxxxxxxxxx>
Reply-To: "[ontolog-forum]" <ontolog-forum@xxxxxxxxxxxxxxxx>
Date: Wednesday, 16 July, 2014 3:49 PM
To: "'[ontolog-forum] '" <ontolog-forum@xxxxxxxxxxxxxxxx>
Subject: Re: [ontolog-forum] Survey of Doctors on EHR Ontology Effectiveness

EHRs represent an ontology of sorts that has been designed with the best of intentions by the HHS and other interested medical people.  There is a survey of doctors and hospitals on how well the EHR changes are effecting health care in hospitals, physician offices, medical labs and other places. 

 

This is the first BIG ontology based standard that I know of, and in concept it’s nearly impossible to disagree with.  But the EHR is imposing a burden on physicians and lab techs of all kinds; it also produces some benefits.  We need to study those benefits and costs if we want to evaluate this ontology task as a prototype of other future tasks we may consider. 

 

This slide:

http://www.medscape.com/features/slideshow/public/ehr2014?src="">

 

is pretty damning, IMHO, in that it says the cost has mainly been paid in reduced care for the patients.  But there have been benefits for the docs, such as improved collections, integration with their insurance billing, and so on. 

 

The survey as a whole starts at:

http://www.medscape.com/features/slideshow/public/ehr2014?src="">

 

and contains 35 slides summarizing the surveyed opinions.  Unfortunately, the individual contributions have been nulled out by showing only summary data, so there is no deeper data pool to dive into so far as I am aware.  It would be nice to have more descriptive prose from the docs and nurses and techs before limiting the view to just summarized data, as Medscape has done.

 

-Rich

 

Sincerely,

Rich Cooper

EnglishLogicKernel.com

Rich AT EnglishLogicKernel DOT com

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