Healthcare Records: Digital and Personal

To get the best medical care doctors need to have instant access to their patient’s medical records. Millions of people think their medical records are updated in every hospital database when they go to their doctor. That is not true. When a doctor updates a database, they are only updating the database for that hospital system. If there is a medical emergency, there is no guarantee the attending physician will have the information they need to properly treat their patient.

To ensure doctors have the proper medical records, patients can have their medical records converted into digital records. These digital records can be kept with the patient and given to any doctor or medical facility they are seen at. This is an ideal solution for those that travel frequently or may have to switch doctors and be seen before medical records arrive. By having a complete set of medical records available, patients increase their chances for better care from new doctors.

Why Does This Matter?

Personal healthcare information is very important for many reasons. The records doctors keep of their patients will detail illnesses as well as care that have been given successfully and unsuccessfully. Not only will treatments be charted, so will a pattern of illness and request for help/care. All this information is very important. The seemingly small details will help a new doctor become familiar with their patient and their medical treatment.

When doctors are presented a patient that isn’t able to speak for themselves, they have to determine what the cause of their illness is and how to treat it. There are times that patients have had previous treatments that cannot be overlooked and shouldn’t be mixed with other treatment options. If a doctor doesn’t know this information, they can actually do more harm than good.

Time is of the Essence

In the event of an emergency, every second counts. People that are involved in an accident or are unable to speak for themselves will lose critical care time if a doctor isn’t able to get key information quickly. In the event of an emergency, doctors need to know if there is a pattern of illness, normal vitals, drug use, prescribed medication list and other information. This information will help prevent misdiagnosis, harmful medication interactions and wasted time.

When a medical staff is given key information, they will be able to better access the patient quickly. Even basic information will help medical personnel understand what is going on with an unresponsive patient or a patient that is suddenly in medical distress.

How to Get It Done

When it comes to transferring medical information to digital formats, there are different ways it can be done. There are some that choose to have a 3rd party place this information in an easy to use spreadsheet. There are others that choose to do it on their own. How it gets done is up to the person that wants it done.

There are specific things that are needed to insure a complete record is created. These things include:

·         Doctor summaries for the past year or two (if more are available, don’t go past 5 years unless critical illness is being monitored)

·         Emergency room summaries

·         Medication list (this should include dosages and instructions)

·         Allergies

·         Major surgeries

·         Chronic illnesses

·         Portable electronic device

Everything that is noted in these records should have the most recent information listed first.

It seems like a small thing to do but it can have a major effect in critical situations. Keeping an updated personal health record will help doctors give the best medical treatment for those they are seeing.

May. 8 14'
yes.pay your bill or request that your new phyicisan get the records.AS ALWAYS KEN IS WRONG>I suggest you actually read the statute from Indiana that ken halfway quoted.First, WRITTEN request is required. SECONDLY, there are various conditions required to be met by the requester before the phyicisan may release the records.And if he had read, he would have also noticed the following in the statute.IC 16-39-1-4Patient's written consent for release of records; contents Sec. 4. Except as provided in IC 16-39-5, a patient's written consent for release of the patient's health record must include the following: (1) The name and address of the patient. (2) The name of the person requested to release the patient's record. (3) The name of the person or provider to whom the patient's health record is to be released. (4) The purpose of the release. (5) A description of the information to be released from the health record. (6) The signature of the patient, or the signature of the patient's legal representative if the patient is incompetent. (7) The date on which the consent is signed. (8) A statement that the consent is subject to revocation at any time, except to the extent that action has been taken in reliance on the consent. (9) The date, event, or condition on which the consent will expire if not previously revoked.As added by P.L.2-1993, SEC.22.IC 16-39-1-5Withholding requested information Sec. 5. If a provider who is a health care professional reasonably determines that the information requested under section 1 of this chapter is: (1) detrimental to the physical or mental health of the patient; or (2) likely to cause the patient to harm the patient or another;the provider may withhold the information from the patient.As added by P.L.2-1993, SEC.22.Therefore, the correct answer is as I stated. YES, she can refuse.
Jul. 7 15'

Linda

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