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Rural vs. City Medical Record Perspective

Posted on April 20, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

While at the ACP conference in San Diego (yes, it’s fun for a tech person to attend a medical conference), I had a really interesting conversation with a medical records lady from Cardone EHR Solutions. In our discussion she highlighted an interesting difference between the rural and city perspectives on a medical record.

In essence…

Rural clinics want to keep the medical record forever. City clinics want to get rid of as soon as possible.

When she said this idea, it really rang true to me. Of course, the real issue has to do with liability. The real issue is how litigious our society has become and I think it’s fair to say that those in the urban environment are more litigious than those in the rural setting. That’s why clinics in a city generally want to dispose of the record as soon as is legally possible. They don’t want to be held liable for a record that’s 20 years old. However, the rural community would be aghast at the idea that a clinic wouldn’t keep their clinical record forever. Of course, it’s quite likely that many of those in the rural community will be going to that doctor or hospital for their entire life.

I’ll admit that I’m far from an expert on the differences in these environments, but I found this perspective quite interesting. Has some interesting impacts as clinics and EHR vendors start to discuss the idea of records retention in a digital world.

Another side benefit to talking with Cardone EHR Solutions at ACP was that I got a chance to meet Dr. J. I guess it’s fitting to have Dr. J at a conference for doctors.

Health Related Mobile Applications Expected to Triple by 2012; Mobile Health Market Worth $1.7 Billion by 2014

Posted on I Written By

I am well aware of the popularity of any number of apps, and especially healthcare apps in all of their many forms.  However, even I underestimated how big this industry really is.

An article about WebMD really put it all in perspective for me.  You can read the entire article here, but here is the major stuff:

According to a report by Pyramid Research, more than 200 million health applications for mobile devices are being used by doctors and patients today. The number is expected to cross 600 million by the year 2012. Another report claims that the mobile health annual market will be worth $1.7 billion by 2014.There are already several apps available in the market, most of which focus on disseminating health-related information to users. Epocrates, the leading drug reference source, was identified as the most popular health app among providers by the Pyramid Research. The app is used by healthcare providers as their point of care drug reference site…

…It is not just health care providers, but their patients who are turning to the mobile apps. Healthagen’s iTriage has information on symptoms, diseases, and medical procedures. The app is also a directory of nationwide hospitals, clinics, and pharmacies. It helps users search for and gives them turn-by-turn directions to the nearest choice among its database of over 750,000 physicians or 350 specialty clinics…

…The Medscape app was recently named the most downloaded free medical app of the year for iPhone by Apple on its iTunes Rewind 2010 featured list of Apps. The app provides a comprehensive reference on more than 6,000 drugs, 3,500 diseases, 600 procedures and 80 tables and protocols; gives daily medical news and alerts; and is part of WebMD’s Continuing Medical Education activities. The company recently expanded the reach of its popular MedScape app to both the iPad and Android devices. Since its release, earlier last year, for the iPhone and BlackBerry devices, the Medscape Mobile app has registered over 700,000 healthcare professionals.

Among other apps, iPharmacy was selected as the No. 1 medical app of 2010 of Apple App Store with its medication guide on 10,686 drugs. The Pocket Lab Values app was the highest rated iPhone lab value App for being a useful reference point for students, doctors, and nurses by providing access to lab values, clinical information, critical lab values, differential diagnoses, tube colors, and useful websites. Another app, iMeds – The Medication Reference claims to be the most complete medication app with over 7,300 FDA approved medications and to be the only app to provide full prescribing info.

The really crazy thing is that the development of apps is still essentially in its infancy so who knows what we may have in the future.