[Telessaude SC] [Fwd: [Ce-compsaude] Fwd: [SBIS-News] Adoção de registros eletrônicos de saúde nos EUA poderá custar mais do que o previsto]
Aldo von Wangenheim
awangenh em inf.ufsc.br
Quarta Abril 8 11:26:45 UTC 2009
-------- Mensagem original --------
Assunto: [Ce-compsaude] Fwd: [SBIS-News] Adoção de registros
eletrônicos de saúde nos EUA poderá custar mais do que o previsto
Data: Tue, 7 Apr 2009 17:37:59 -0300
De: Marcia Ito <ito at mind-tech.com.br>
Para: Ce-compsaude at grupos.ufrgs.br
Referências: <49DB7394.2010309 at edumed.org.br>
---------- Forwarded message ----------
From: *Renato M.E. Sabbatini, PhD* <listas at edumed.org.br
<mailto:listas at edumed.org.br>>
Date: Apr 7, 2009 12:39 PM
Subject: [SBIS-News] Adoção de registros eletrônicos de saúde nos EUA
poderá custar mais do que o previsto
To: sbis-news at yahoogrupos.com.br <mailto:sbis-news at yahoogrupos.com.br>
Resumo: Líderes do setor de saúde e políticos americanos advertem que o
pacote de 17 bilhões de dólares de estímulo à adoção de prescrição
eletrônica e RES pelos médicos e hospitais americanos poderá ser
insuficiente. As economias previstas no mesmo período estão estimadas em
15 bilhões de dólares, então a implementação do pacote será paga apenas
por essas economias. Médicos acham, no entanto, que os custos de
manutenção e suporte podem subir a mais de 1.300-1500 dolares por mês, e
que "ao contrário do que se pensa, médicos não são ricos", e não
conseguiriam suportar tais custos. Além disso, os médicos deveriam
especificar a ergonomia e interfaces de uso, que geralmente são muito
criticadas e dificultam a adoção, que será lenta e gradativa.
Resumo por Renato M.E. Sabbatini
============================================
Adopting e-health records could cost more than anticipated
By Bob Brewin 6th April 2009
http://www.nextgov.com/nextgov/ng_20090406_1509.php?zone=ngtoday&goback=.hom
<http://www.nextgov.com/nextgov/ng_20090406_1509.php?zone=ngtoday&goback=.hom>
Chicago -- Doctors and hospitals could receive as much as $39 billion in
economic stimulus funds during the next five years to acquire electronic
health record systems, a top Healthcare Information and Management
Systems Society official said on the opening day of the organization's
four-day conference here.
Though the Recovery Act provided $17 billion for payments to clinicians
and hospitals through the Centers for Medicare and Medicaid Services,
actual spending could be more than double that figure, depending on the
rate of e-records adoption, said Dave Roberts, HIMSS vice president for
government relations, during a press briefing on Saturday.
Roberts said the $17 billion in the stimulus package is an estimate of
funding needed to meet the act's pledge of giving providers that use
health information technology systems in a "meaningful way" $44,000 each
during a five-year period to defray expenses, starting with an $18,000
payment in 2010. The e-records initiative is an entitlement program like
Social Security, he said.
Roberts said his $39 billion estimate was based on a Congressional
Budget Office analysis. CBO estimated that information technology could
reduce overall health care costs by $15 billion for that same time
period as a result of increased efficiencies, he added.
A January 2009 Commonwealth Fund report by Dr. David Blumenthal, named
national coordinator for health information technology in March,
estimated that 17 percent of U.S. physicians and 8 percent to 10 percent
of U.S. hospitals have only the most basic electronic health record systems.
Federal funding, Blumenthal wrote, would spur adoption of e-records,
especially by financially weak or troubled providers such as solo
physicians, community health centers and publicly funded hospitals that
treat uninsured patients.
Roberts said clinicians planning to adopt a health IT system might want
to start with electronic prescription systems, because as of 2012, CMS
will impose a penalty on clinicians who treat Medicare patients without
using such systems.
Herb Conaway Jr., an internist who is also a Democratic assemblyman in
the New Jersey state legislature, told the HIMSS audience that a total
payment of $44,000 will not fully cover the costs of a health IT system
in a doctor's office, based on his personal experience. During an
interview, Conaway said initial costs for his health IT system totaled
$44,000, plus ongoing monthly maintenance and support costs of $1,200 to
$1,500.
Contrary to common perceptions, "doctors are not rich," Conaway said. He
plans to work to secure additional grants to help doctors afford health
IT systems.
Charles Campbell, chief information officer for the Military Health
System, said during the briefing that clinicians should be able to
choose the look and feel of the interface to the underlying software.
End users pilloried the interface of MHS' Armed Forces Health
Longitudinal Technology Application electronic health record system
during a 2008 online town hall meeting.
Based on feedback from that town hall discussion and other Defense
health care providers, Campbell said he realized "we need to give
providers choices" on a new AHLTA interface planned for deployment later
this year.
Campbell also warned that switching to electronic records will be a
slow, incremental process. "Don't wait until it is perfect," he said.
Meanwhile, Linda Upmeyer, a nurse practitioner who also is a Republican
representative in the Iowa legislature, said during an interview that
rural health care providers could benefit from the $9 billion for rural
broadband development in the stimulus act. While Iowa operates a
statewide government broadband network, stimulus funds could provide
last-mile connectivity to help rural clinicians move large data files,
including X-rays and MRI scans, Upmeyer said.
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--
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"...tomamos emprestado o slogan da Nike, 'Just do It'. Quer dizer, nao
se vanglorie, faca. E mostre ao mundo depois." (Linus Torvalds)
-------------------------------------------------------------------------
Marcia Ito, M.D., PhD
Coordenadora
Laboratorio de Pesquisa em Ciencias de Servico (LaPCiS)
Centro Estadual de Ensino Tecnologico Paula Souza
R. Bandeirantes, 169 - Bom Retiro - 01124-010
Sao Paulo - SP - Brasil
tel/fax: (11) 3327-3104
Blog:http://marciaito2000.blogspot.com/
CV: http://lattes.cnpq.br/4302456847507371
Agenda: http://calendar.yahoo.com/marciaito2000
--
=================================================================
Prof. Dr. rer.nat. Aldo von Wangenheim
Lab for Image Processing and Computer Graphics - LAPIX
Department of Computer Sciences - INE
Universidade Federal de Santa Catarina - UFSC
88049-200 Florianopolis - S.C.
Brazil
Phone: +55-48-3721-9516-R17 (LAPIX)
+55-48-3721-9166 (Telemedicine)
+55-48-3222-2506-R23 (Home)
FAX: +55-48-3721-9516-R16 (LAPIX)
+55-48-3222-2506-R21 (Home)
E-Mail: awangenh at inf.ufsc.br
Skype: awangenh
Web: http://www.inf.ufsc.br/~awangenh
Coordinator:
Cyclops Group Brazil
http://www.cyclops.ufsc.br/
Image Processing and Computer Graphics Lab/CS Department
http://www.lapix.ufsc.br/
Telemedicine Lab/UFSC University Hospital
http://www.telemedicina.ufsc.br/
Vice-Coordinator:
GeNESS Incubator Fpolis http://www.inf.ufsc.br/genesis/
=================================================================
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