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Controversial e-health record database being created by Department of Veterans Affairs

The controversial aim to take health records online through a national e-health record database is now underway, but controversy regarding patient privacy and security remains high.

Specifically, veterans who travel may have a difficult time transferring medical records in case of a medical emergency -- an issue the Department of Veterans has long attempted to fix.  Officials believe a national database with shared information is the best method, but there are many mountains that must be conquered in the years to come.

"It's increasingly frustrating for us and other providers that it's difficult to find a workable interface," Kansas City veterans hospital director Dr. James Sanders told the AP.  "Our systems don't talk to each other."

Industry experts warn it may be as late as 2014 before an integrated network shared by health care workers can be properly developed.  Until then, companies must figure out how to present, share and access information in a universal method -- which means most of the industry will be forced to adapt to a completely new system.

Members of President Barack Obama's administration said a national healthcare e-system is years off, so it's likely President Obama will wait to see how the VA e-health system develops.

Security is still a major concern as having a central e-health record system will draw attention of hackers seeking to compromise patient records.  In the past, hackers have compromised patient records in order to hold them ransom from insurance companies and national governments, which routinely leads to large bounties paid to the hackers.

Instead of using a single network, some security analysts said using a so-called network of networks would be ideal.



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overbudget and years late
By fic2 on 10/1/2009 8:21:39 PM , Rating: 3
I am guessing this will be like any other gov't computer project type thing - millions of $$$ over budget, years late and doesn't actually do what it is supposed to do.




RE: overbudget and years late
By shabby on 10/1/2009 8:41:07 PM , Rating: 4
Nonsense, it'll be as good as the canadian one... oh wait.


RE: overbudget and years late
By sgw2n5 on 10/1/2009 11:53:26 PM , Rating: 4
Yep, that highway you drove to work on this morning after you ate your non-toxic, FDA approved cereal for breakfast sure is pure government waste.

Damned evil government, why can't they just leave us alone eh?


RE: overbudget and years late
By MrPeabody on 10/2/2009 8:36:36 AM , Rating: 2
If you're holding up the Interstate Highway System of the United States as an example of a government project that was not "millions of $$$ over budget, years late and [something that] doesn't actually do what it is supposed to do", then I'm not sure I can take the rest of your sarcasm entirely seriously.

Good point about the cereal, though.


RE: overbudget and years late
By stilltrying on 10/2/2009 9:58:50 AM , Rating: 2
How do you know its non toxic. I guess just the same non toxicity of sodium flouride in your water eh. Funny how 90% of Europe doesnt flouridate there water. Well I forgot Hitler was actually the first person to flouridate the water to make the ciizens more docile and obedient, I guess it worked in your case.


RE: overbudget and years late
By Ammohunt on 10/2/2009 3:19:55 PM , Rating: 2
If flouride in the water is so bad for you why is it that US has one of the highest number of Centenarians on the planet? i bet you believe 911 was staged by the government too...one word KOOK!


RE: overbudget and years late
By stilltrying on 10/2/2009 5:18:53 PM , Rating: 2
As if the FDA isnt bought out on a semi regular basis. Hell it took them just til this last year to publicly admit that mercury was bad for you. Come on now KOOK get a clue. Money talks.


RE: overbudget and years late
By stilltrying on 10/2/2009 8:55:55 PM , Rating: 2
Refute the history and facts presented, dont try to sidestep it and then make an allegation and attack my character. Your attack and tactics only shows that you cant refute the facts. Your tricks have been caught on to.

“First they ignore you, then they laugh at you, then they fight you, then you win.” - Gandhi


RE: overbudget and years late
By Ammohunt on 10/5/2009 2:41:06 PM , Rating: 2
what facts are those? the ones you read off of the flouride kook websites? LOL I can make up those kind of facts too just by standing up a website. Same goes for vaccination autism kooks and the un-pasturized milk kooks as well.


RE: overbudget and years late
By acase on 10/2/2009 10:14:51 AM , Rating: 2
But seriously, security risks aside, this should not be that difficult to make. Their seperate systems don't need to be able to "talk to eachother". They just need to make a new database and a program for each of these seperate systems to "talk to it" and enter the information into it. A college entry level programming class should be able to handle that.


Good news to me
By Shig on 10/1/2009 6:48:31 PM , Rating: 5
Driving records, tax records, bank records, credit card records, criminal records can all be seen online and are generally considered pretty secure.

I personally don't see how e-health records would need anymore or any less security than the above mentioned records.

However I could see how insurance companies could run hog wild with this. They find out you're not so healthy, rates through the roof / your employer finds out, fires you because you're a high health care cost risk.




RE: Good news to me
By ClownPuncher on 10/1/2009 7:03:11 PM , Rating: 2
You wouldn't want to do business with an insurance company like that anyway.


RE: Good news to me
By fic2 on 10/1/2009 8:20:02 PM , Rating: 5
Is there any other type of insurance company?


RE: Good news to me
By hopsandmalt on 10/1/2009 7:15:25 PM , Rating: 2
Also, those types of records usually dont have considerable fines associated with leaking of health related information.

The management of Personal Health Information (PHI) must conform to HIPAA standards which can fine clinics, hospitals, health records management companies (basically anyone) a $250k fine for inappropriate or negligent management of PHI.


RE: Good news to me
By callmeroy on 10/2/2009 9:51:41 AM , Rating: 2
What you stated is EXACTLY why many folks have anxiety over e-health records.

And as for security -- the general population, I think, is more concerned about who sees their medical history than even who sees their bank or tax records.

I think its all about the embarrassment factor -- for example if you are a guy and are being treated for erectile dysfunction you probably wouldn't want that getting looked out by many folks...in fact I'd say you be happy to share your tax or bank records INSTEAD of those records.

Me -- I'm more practical minded....I think more harm can come to me if folks know my tax or bank information than my medical data. But that's just me.


Not That Difficult To Imagine
By Floorbit on 10/2/2009 2:49:46 AM , Rating: 2
..at least from here at my desktop. The idea of logging into something available onto the Internet. Just go to the .com address,log in with correct credentials,and either access the database. Or for patients fill out forms required by a medical institution- or for doctors filling in required forms.
The privacy question ,and security one(s) are difficult. Whole institutions became as they are for thinking for themselves. So something that does a SS.gov type for ''everyone'' is asking for some true to life lawmaking- with no speculation needed. Then being on social security,it is all too well known how difficult it is to make definition out of government speak. Since what is created into law,defines what is necesary for the governments point of view. Not necesarily that of something for the patients necesity.
That speculation is a big problem. Since a government 'imagines' that this solves anything but corrolation between disparate office work- it is the only thing it actually will do. So the ideal of doing the person something like his own rights to his own documents in any other way,than comparing their information to copyright,is the only way a government will understand the signifigance of making the 'all private',and 'all public'mistake.
You can see this in government practices of 'private information required for making surveys'(its a requirement),then a ''freedom of information act'' creating a back door to a basic fundamental flaw. Much later caught to law,than the accesory the law is considered to have helped in the first.
I think that besides trying to vindicate a government health plan that the govy should just create a better way to pay.The ideas of 'previous existing health problems'should be held to something other than a Health Care plan. But since both these are the most perplexing issue. Not to say the least of criminalizing not having money to pay a monthly premium (solves only two things- making the poor poorer,and creating a fault towards making 'health care'monetary and civil..contract law. Also breaking a separation of powers Constitutional law). To make a state by state national health bank which makes deposits into,sells a savings bond type instrument redeemable at the institution for health care at face value,or cashing a monetary value out in cash at the bank for the rate the value is accessed.
I've writtten this before.

The govy seems to be creating separate issues out of the D-base. And the National Health Care. But health care has got to pay for itself.Both the web access,and the NHSB would eventually take govy out. Then again proof of wealth,might keep you from going to jail. Rather than being poor,and for being so keep the jailers,police,and courts happy for you to be so-this is wrong.




RE: Not That Difficult To Imagine
By Indianapolis on 10/2/2009 11:45:45 PM , Rating: 2
I think that's English. At least, I recognize many of the individual words you typed. I just can't get them to make sense together. Hooray for public schools?


RE: Not That Difficult To Imagine
By Floorbit on 10/6/2009 9:54:48 PM , Rating: 2
Yeap I understand .


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