Dell Takes Health Care Online 105
abb_road writes "Dell will announce today that it will begin offering employees an online system to track health care; the system, which will focus on insurance claims, doctor visits and prescriptions, is expected to improve employees' medical safety while reducing costs. The electronic records are expected to dramatically improve preventative care; employees will receive ongoing alerts for suggested and continuing treatment of health conditions. The system should also improve coordination among health care providers, especially when patients need to see multiple physicians. Other employers are expected to follow Dell's lead; the government 'has estimated that health IT can add $140 billion a year to the productivity of the $2 trillion health care industry.'"
Old News (Score:4, Insightful)
Re:Old News (Score:1)
Re:Old News (Score:3, Insightful)
I have PacifiCare and while it has a nice website that lets me do a number of things, it still leaves a lot to desire in terms of collaboration with all the parties concerned.
If my dentist needs information, it still requires a phone call. Likewise, to book with my doctor, I have to call them or get called back. Bills are still sent via mail, and carrier-vendor communication is horribly archaic. Perhaps this s
Indeed (Score:1)
I broke my clavicle last year and have been swamped with bills. I've been able to track my account on-line, which was particularly helpful in finding one bill sent to me wasn't sent to my insurer, first.
Particularly distressing because when I was taken in to hospital I had my wallet with me and insurance card, which they took down. The depressing bit, however, is in a modern US hospital are many companies
Re:Indeed (Score:2)
Re:Old News (Score:2)
Yeah, but this is Dell--if you die, they'll stick a restore CD in your mouth and have you back up and walking around in about an hour.
FROM: HEALTH SYS ADMIN TO: EMPLOYEE (Score:1, Funny)
Re:FROM: HEALTH SYS ADMIN TO: EMPLOYEE (Score:1)
Not that it was a great movie but that reminds of that when they wake up for the first time in the morning.. LOL
I can see it already... (Score:5, Funny)
Clippy pops up in the corner...
`It looks like you have cancer. Would you like to book a session of radiotherapy?'
Re:I can see it already... (Score:1, Funny)
Re:I can see it already... (Score:1)
Re:I can see it already... (Score:5, Funny)
`It looks like you have cancer. Would you like to book a session of radiotherapy?'
More like: 'Dude! You're getting a colostomy!'
Re:I can see it already... (Score:2)
"It looks like you have cancer, but sorry, Dell cheaped out on you and all you have is an HMO. Would you like to get on the three-year-until-we-decide-to-help-you-or-not waiting list in the hopes that you die before we have to cover your treatment, saving shareholders precious cents, or would you like to take advantage of our low-cost assisted suicide option?"
"[OK] [CANCEL]"
Re:I can see it already... (Score:2)
Here [lewrockwell.com] is a link or two [lewrockwell.com].
Dell is trying to do something to help their employees, but in the end it'll fail to help because all we'll see is another group of people trying to avoid taxes.
Denmark is a great example. (Score:1)
Dell isn't the first, and as each new project comes online new lessons are learned. I suspect there will be many more applications, in the near future, as information is invaluable in proper diagnosis and treatment in the modern medical system.
Which side of the ledger? (Score:4, Insightful)
Re:Which side of the ledger? (Score:2)
Of course, that's only what's needed, not what's going to happen in real life.
Since most hospital administrators aren't IT experts, I fearlessly predict a wave of huge shiny IT projects that go overbudget and make life harder.
Cost Cuts Be Passed Along? (Score:4, Interesting)
Re:Cost Cuts Be Passed Along? (Score:2)
Re:Cost Cuts Be Passed Along? (Score:2)
Except the doctor.:-)
I'm going to have to go ahead and disagree (Score:2)
Re:I'm going to have to go ahead and disagree (Score:3, Interesting)
Avaialble to...whom exactly? -is the question
Re:I'm going to have to go ahead and disagree (Score:5, Insightful)
It (theoretically) would provide me all the info I need and provide a gateway back to the company about what health information they could get on me.
Putting the company in-the-loop for this is just a bad idea in terms of privacy. (Although I've been in companies where you had to paper file the insurance claims for doctor's visits through the HR department... though I don't know if that was required or just provided as a convenience)
Re:I'm going to have to go ahead and disagree (Score:2)
Re:I'm going to have to go ahead and disagree (Score:2)
Re:I'm going to have to go ahead and disagree (Score:1)
Re:I'm going to have to go ahead and disagree (Score:2)
Re:I'm going to have to go ahead and disagree (Score:2)
Re:I'm going to have to go ahead and disagree (Score:2)
Represents one of the shifts (Score:2, Interesting)
An obvious question is why proprietary medical software vendors have not addressed this issue already. Part of the reason is that there is no "Microsoft" in the industry
Re:Represents one of the shifts (Score:1)
What about HL7? That's a standard, so are several of the other clinical, demographic and billing formats for electronic transmission.
The problem with ballooning healthcare costs for most of the civlized world are due to demographic shifts and increasing malpractice insurance costs.
Re:Represents one of the shifts (Score:2, Interesting)
In a way you have made my point. There is no one company large enough to make HL7 into a solid standard.
Also, while your comment regarding costs is true, it is also a massive oversimplification. What about drug costs, Fraudlent medical claims, uneeded CYA tests, and ineffecient pa
Re:Represents one of the shifts (Score:2)
Re:Represents one of the shifts (Score:1)
Re:Represents one of the shifts (Score:2)
Re:Represents one of the shifts (Score:1)
Re:Represents one of the shifts (Score:1)
HL7 is very unwieldy for communicating between systems. It also does not scale very well. As for these other formats, you hit the nail on the head w/ "several". Take billing codes - ICD-9 is a standard, but it is revised every year or so. CPT covers the same procedure, but is a completely different standard. For Emergency Departments, you have DEEDS. There are too man
Re:Represents one of the shifts (Score:1)
Go UCONN!
Re:Represents one of the shifts (Score:1)
Fine in theory but...
WHO are you? Each company/ service (doctor, hospital, radiology, blood test, etc) has their own ID number for you. When the HL7 msg arrives, how do you marry up the msg with your account?
IBM had a system which used very fancy algorithms trying to match things like name, sex, DOB, address, weight, height, and any other personal information it could find. The best the system could do was generate a confidence factor. There are lots of Smith, Wong, Mohammad in the world.
If t
Re:Represents one of the shifts (Score:1)
Every facility I've ever come across has an HIS which feeds the ancillaries the patient identifiers, the two main identifiers being a facility medical record number and a visit/encounter number. The ancillaries use those identifiers for clinical and billing functions, and not their own internally generated numbers.
Re:Represents one of the shifts (Score:1)
It's basically WebMD... (Score:1)
And the Point of the Investment? (Score:2)
2. Accelerate shifting the burden of medical care to the individual.
Most Americans are quite happy to assume this burden with no benefit to them at all. They assume a huge liability in exchange for absolutely nothing.
Socialized medicine might work some places, but the "S" word is derogatory in the U.S. and I don't see a good solution in either priva
Re:And the Point of the Investment? (Score:2)
That works for me. I don't mind paying my own way, as long as they go ahead and bump up my salary since they aren't paying par of my healthcare expenses anymore. Unfortunately, they won't want to bump you up 100% of the cost, because they get a tax break for their sahre of the benefit. Also, your premium will go up for an individual plan versus a group plan. But hey, you are in IEEE or something, right? They have group plans.
As for me, my
Re:And the Point of the Investment? (Score:1)
Re:And the Point of the Investment? (Score:2)
Any form of socialism works best on small geographic areas where almost everybody believes in some sort of collectivism; that's why Western European countries hasn't dumped its socialist programs. However, it completely falls apart in very large nations (the USSR is a great example). It is much easier to convince 35 million people of the same
This whole thing is marketspeak about an upgrade. (Score:4, Interesting)
From TFA:
So let me get this straight - this incredible new initiative is actually a lightly-used website, run by WebMD, that Dell employees have had for the past two years. And the newness is that the system can now "electronically" capture results. And Dell trumpets this in a major news release.
We will set aside the interesting question of how (and whether) WebMD has convinced thousands of independent labs, as well as laboratory giants like LabCorp, to send results to WebMD. We will ignore the HIPAA regulations that will require patients to sign releases with anyone sending results to WebMD. We will overlook the balkanized, backward, and poorly-penetrated electronic medical records world in which these patients' doctors work.
Even if all of these things were somehow not an issue, does anybody except Dell and WebMD marketing droids really believe that the only thing that was preventing this dramatic breakthrough from revolutionizing medical care for everybody was the lack of a stupid HL-7 interface?
Oh, wait. Never mind. Check the last part of the article:
Yup. Sure. Got it. Tinfoil hats meet blue-sky dreamers, and the result is ugly.
Free state health care rocks (Score:1)
Re:Free state health care rocks (Score:1)
you get what you pay for
Re:Free state health care rocks (Score:2)
So how does that interpolate to the US armed forces? I seem to recall that those are a free state service.
Re:Free state health care rocks (Score:2)
Re:Free state health care rocks (Score:2)
Please don't. It is one thing to say that a gov must fold all taxes into the outgoing product, but it is another to say that we are going to force more of our beliefs on another. It is why the rest of the world is now implementing method patents (it will be the bane of the commercial world), as well as making ridiculus patent/copyright terms.
Besides, Canad
Re:Free state health care rocks (Score:2)
Oh hell no! Socialized medicine only works in small, collectivist countries (Western European nations and Cuba, for example). Socialized medicine won't work in a large place like the United States; it is much too big and the costs are too great to support that type of health infrastructure without heavy tax
Re:Free state health care rocks (Score:1)
But actually, socialised medicine (like the NHS in the UK) doesn't work that well. Dirty hospitals, staff who frequently don't care, a blame culture, huge waiting lists, massive waste and politics. We are about to spend nearly $10 billion on the IT systems for this. Yes - $10 BILLION.
I recently paid for some private consultations. I had to wait about 2 weeks to be seen or wait FOUR MONTHS to be seen on the glorious NHS (which inc
furthermore (Score:2)
Excellent, and with an aging population and increasing cancer rates, the healthcare industry will grow even larger! Soon we'll be the busiest hamsters the wheel has ever seen!
lame (Score:1)
A new day is dawning.... (Score:1)
I th
HIPAA (Score:2)
Re:HIPAA (Score:2, Insightful)
HIPAA privacy regulations (there's a lot more to HIPAA than just privacy) don't for one second prevent you from consenting to the disclosure of your health care information to anybody you choose. It's not a "need to know" thing, it's a consent thing. Your consent to certain kinds of transfers (billing from your doctor to the insurance company) is obtained in writing, while your consent to others (your doctor talking to another treating physician) is implied. Your employer is completely free to solicit your
Re:HIPAA (Score:2)
My worry in this case is that I think it could enable unfair discrimination on the basis of health; and if there is anything that I have learned about corporate America, it's that if they can screw people over, they
Re:HIPAA (Score:1)
I agree. Unfortunately, there's no general agreement on this point from HR organizations.
Corporate America foots the bill for health insurance. Insurers will do anything they can to reduce payouts, but I'm not as worried about direct discrimination because it will attract the attention of too many people if it becomes egregious.
I'm far more worried about employer nanny-ism: my health care decisions are,
Re:HIPAA (Score:2)
Most us companies look for psychological problems and learning dissabilities as they affect job performance.
Wasn't it a few years ago here on slashdot where a post suggested employers maybe interested in MRI scans as a condition of employment to insure no candidate has a learning dissability?
the fundamental problem with insurance (Score:4, Insightful)
For example, when my grandmother was dying of cancer, Medicare and her supplemental picked up 95+% of the tab. Her doctor sent her to a nutritionist at first, as a way of acknowledging the mountain of research that proves nutrition is an important part of health. Grandma later said, "she wanted me to eat 5 servings of vegetables a day. She's CRAZY!" The doctor never mentioned nutrition again, and stuck to the high-tech/high-cost treatments he'd been trained in. She died after six months, after having spent $50k+ of other people's money.
A year ago I started seeing a Doctor of Osteopathy in the Cranial Field [osteohome.com] for some Osteopathic Manipulation. He works from a home-office, has an answering machine for an assistant, answers all his own messages, and basically does everything himself. He gives me a receipt that I can submit myself for insurance reimbursment, if I so desire. He doesn't accept insurance because a) he'd need an employee to handle the billing b) his practice is full regardless c) many insurances are likely to disallow his kind of therapy, or pay him pennies on the dollar.
In January I decided to see a homeopathic M.D. to see if there was something I could do about my cold hands. After taking an extensive history, he decided that my autonomic nervous system was probably out of balance, and injected me with novocain (same as what dentists use to numb the mouth) in a couple locations. He also gave me a couple of homeopathic remedies, and some fish oil/vitamin E at the next visit. I'm out $400 or $500 for his services, and am totally pleased with the results. He doesn't bill insurance either, also because it's not worth his time.
If I'd gone the conventional route, my insurance would've had to spend $2000 or $5000 on diagnostic tests (an MRI goes for $1000, and CAT scans aren't cheap either), $20,000 on hand surgery/whatever, and I still would've had the problem. As it is, I've spent approx $5,000 with the D.O., and I'm totally satisfied because the treatment program works.
Health Insurance should be carried for accidents, because you never know when you might have a $40,000 medical bill (like me, 8 years ago: a helicopter flight, a plane flight, a cat scan or two, 10 days in the hospital, etc...). But we should all pay our way, for the costs associated with living.
Modern Medicine has evolved with almost univeral insurance coverage, so our doctors have the mindset of "if cost were no object, what would I do?" (this is not a concious thing, but a mindset that gets passed from generation to generation of medical professionals) Which explains why there are so many $60,000 heart bypass surgeries being done, even though some researchers say that bypass surgery belongs in the medical archives [discover.com], because it is almost universally incompatible with the patient's long-term outcome. I clipped a story from the paper a few weeks back about a guy who died in his 50's, 3 weeks after having a bypass operation. Re-plumbing the heart while ignoring the rest of the vascular system seems like a foolish way to go about attaining health. But it makes the heart surgeon wealthy, so why should he do anything else?
See also:
100 years of Medical Robery [mises.org]
Real Medical Freedom [mises.org]
Re:the fundamental problem with insurance (Score:2, Informative)
Isn't "homeopathic M.D." an oxymoron? As long as we're throwing links around here are some about homeopathy:
Homeowatch (cousin of Quackwatch) [homeowatch.org]
The Skeptic's Dictionary [skepdic.com]
And if you want to spew anecdotes, when my dad was in his early 60's he could barely walk across a room without being o
Re:the fundamental problem with insurance (Score:2)
Re:the fundamental problem with insurance (Score:3, Informative)
With HSAs, which are US Federally qualified, you can deduct any expense that falls within IRS 213(d). Which means you can deduct chiropractice, homeopathic, eyeglasses or even massages. But the faster you deplete your account, the faster you are on your own to pay the other bills until the catastrophic coverage kicks i
Re:the fundamental problem with insurance (Score:2)
Mostly because we are barely qualified to make them, not having medical degress, and exposed to half-guessed medical opinions from competing clinicians with conflicting financial interests.
Re:the fundamental problem with insurance (Score:3, Interesting)
If such treatments really worked (in double-blind, scientific tests) then they would just be called "medicine" without any qualifiers.
You're right: spending big money on treating people who are days from death may not be a good use of economic resources. But referring them to quacks is certainaly NOT the solution.
manipulation works when everything else fails (Score:2)
While pharmaceuticals have their uses, the primary effect of the overdosing of America is to make the pharmaceutical companies wealthy at the expense of the people's health.
I myself did many, many things that could be qualifie
Re:manipulation works when everything else fails (Score:2)
Anecidotal evidence (such as you presented) means almost nothing to a scientist. Especially if this evidence comes from someone selling s
the research has been done (Score:2)
That's because the philosophical model they were trained in is inaccurate. M.D.s are trained that a patient needs something done externally to fix the problem - surgery, drugs, etc. Still's philosophy was that 'a body will fix itself if the impediments are removed'.
Anecidotal evidence (such as you presented) means almost nothing to a scientist. Especially if this evidence comes from someone selling something (in this ca
Re:the research has been done (Score:2)
I d
Corporate Health Planning (Score:1)
Re:Corporate Health Planning (Score:1)
Awesome! (Score:2)
Until I get really sick, and then Dell (since they have all my records) can fire my ass before I get too expensive! Schweet!!
Cancer (Score:1)
beware of "self diagnosis" (Score:2)