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Decreased need for middlemen
The jobs of health care middlemen requiring significant health care dollars can be eliminated
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Explain
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VA VisTa
VA VisTa☜☜F1CEB7
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Financing the Obama-Biden plan?☜☜FFB597
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$ from middlemen to Pt-Dr. interaction via EHR's as VA VisTa
$ from middlemen to Pt-Dr. interaction via EHR's as VA VisTa☜Funding for middlemen like Senior Drug Plan administrators shifted to finance the implementation of customized Public Option focused VA VisTa EMR/EHR☜59C6EF
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VA VisTa's potential to enhance Doctor-Patient interaction
VA VisTa's potential to enhance Doctor-Patient interaction☜Commercial versions of VA VisTa have the potential for being the EHR for all publically funded patients at a very low cost point.☜98CE71
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Be the EMR/EHR for the Public Option
Be the EMR/EHR for the Public Option☜VA VisTa could be the very low cost EMR/EHR for the Public Option☜98CE71
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Meet objections of physicians to the Public Option if:
Meet objections of physicians to the Public Option if:☜Customized versions of VA VisTa could meet physician objections to the Public Option☜98CE71
■
Decreased need for middlemen
Decreased need for middlemen☜The jobs of health care middlemen requiring significant health care dollars can be eliminated☜98CE71
↳
Decreased need for HIT support personnel
Decreased need for HIT support personnel☜VisTa can be supported by far fewer HIT personnel than competitors.☜98CE71
↳
Decreased need for insurance personnel
Decreased need for insurance personnel☜A cost-effective Public Option managed with an integrated proven EMR/EHR will eliminate the jobs of many in the health insurance industry.☜98CE71
↳
Decreased need for medical record keeping personnel
Decreased need for medical record keeping personnel☜With guaranteed availability and secure backup across nodes spanningstates, there is no longer a need for almost all Medical Record keepingpersonnel.☜98CE71
↳
Decreased need for medical supply personnel
Decreased need for medical supply personnel☜The order entry capability of VisTa can link to medical / prosthetic supplies; the personnel requirements to support the health care supply chain will be signficantly lower with the added benefits of evidence-based ordering.☜98CE71
↳
Decreased need for pharmacies
Decreased need for pharmacies☜Since VisTa can be linkined directly to central pharmacy distribution centers, there is a decreased need for health care dollars to support the salaries of pharmacists and pharmacy support personnel.☜98CE71
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Decreased need for quality management personnel
Decreased need for quality management personnel☜VisTa can be customized to support continuous quality improvement with minimal need for ancillary review personnel.☜98CE71
□
Coverage of Health Care Injury Claims
Coverage of Health Care Injury Claims☜No cap on reimbursement for health care injury claims; tort system completely out of the health care injury claims adjudication process. No health care dollars for lawyer middlemen. Democratic access to adjudication process.☜98CE71
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No oppressive data monitoring and misuse
No oppressive data monitoring and misuse☜It is possible to misuse the best tool. Any attempt to use VisTa to oppressively monitor care will backfire. There should be institutionalized means of preventing this misuse.☜98CE71
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Nominal practice cost
Nominal practice cost☜Commercial versions of VA VisTa are available at a much lower cost than other EMRs and especially to those that have Enterprise Health Record (EHR) capability.☜98CE71
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Non-punitive feedback of outcome information
Non-punitive feedback of outcome information☜As in the VA clinicians can receive non-punitive, objective, comparative outcomes information (eg, control of blood pressure)☜98CE71
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Reimbursement concurrent to visit
Reimbursement concurrent to visit☜Health care database information could be analyzed concurrent to the visit to define immediate reimbursement to the physician without going through layers of middlemen who take their cut for information processing.☜98CE71
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Graph of this discussion
Graph of this discussion☜Click this to see the whole debate, excluding comments, in graphical form☜dcdcdc
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Entered by:-
Charles Beauchamp
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Entry date (GMT):
2/1/2010 11:20:00 AM
Last edit date (GMT):
2/1/2010 11:20:00 AM
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