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<th align="right" nowrap="nowrap" valign="baseline">Assunto: </th>
<td>[Ce-compsaude] Fwd: [SBIS-News] Adoção de registros
eletrônicos de saúde nos EUA poderá custar mais do que o previsto</td>
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<th align="right" nowrap="nowrap" valign="baseline">Data: </th>
<td>Tue, 7 Apr 2009 17:37:59 -0300</td>
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<th align="right" nowrap="nowrap" valign="baseline">De: </th>
<td>Marcia Ito <a class="moz-txt-link-rfc2396E" href="mailto:ito@mind-tech.com.br"><ito@mind-tech.com.br></a></td>
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<th align="right" nowrap="nowrap" valign="baseline">Para: </th>
<td><a class="moz-txt-link-abbreviated" href="mailto:Ce-compsaude@grupos.ufrgs.br">Ce-compsaude@grupos.ufrgs.br</a></td>
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<th align="right" nowrap="nowrap" valign="baseline">Referências: </th>
<td><a class="moz-txt-link-rfc2396E" href="mailto:49DB7394.2010309@edumed.org.br"><49DB7394.2010309@edumed.org.br></a></td>
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---------- Forwarded message ----------<br>
<span class="gmail_quote">From: <b class="gmail_sendername">Renato
M.E. Sabbatini, PhD</b> <<a moz-do-not-send="true"
href="mailto:listas@edumed.org.br">listas@edumed.org.br</a>><br>
Date: Apr 7, 2009 12:39 PM<br>
Subject: [SBIS-News] Adoção de registros eletrônicos de saúde nos EUA
poderá custar mais do que o previsto<br>
To: <a moz-do-not-send="true"
href="mailto:sbis-news@yahoogrupos.com.br">sbis-news@yahoogrupos.com.br</a><br>
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<p>Resumo: Líderes do setor de saúde e políticos americanos advertem
que o <br>
pacote de 17 bilhões de dólares de estímulo à adoção de prescrição <br>
eletrônica e RES pelos médicos e hospitais americanos poderá ser <br>
insuficiente. As economias previstas no mesmo período estão estimadas
em <br>
15 bilhões de dólares, então a implementação do pacote será paga apenas
<br>
por essas economias. Médicos acham, no entanto, que os custos de <br>
manutenção e suporte podem subir a mais de 1.300-1500 dolares por mês,
e <br>
que "ao contrário do que se pensa, médicos não são ricos", e não <br>
conseguiriam suportar tais custos. Além disso, os médicos deveriam <br>
especificar a ergonomia e interfaces de uso, que geralmente são muito <br>
criticadas e dificultam a adoção, que será lenta e gradativa.<br>
Resumo por Renato M.E. Sabbatini<br>
============================================<br>
<br>
Adopting e-health records could cost more than anticipated<br>
<br>
By Bob Brewin 6th April 2009<br>
<a moz-do-not-send="true"
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href="http://www.nextgov.com/nextgov/ng_20090406_1509.php?zone=ngtoday&goback=.hom"
target="_blank">http://www.nextgov.com/nextgov/ng_20090406_1509.php?zone=ngtoday&goback=.hom</a><br>
<br>
Chicago -- Doctors and hospitals could receive as much as $39 billion
in <br>
economic stimulus funds during the next five years to acquire
electronic <br>
health record systems, a top Healthcare Information and Management <br>
Systems Society official said on the opening day of the organization's <br>
four-day conference here.<br>
<br>
Though the Recovery Act provided $17 billion for payments to clinicians
<br>
and hospitals through the Centers for Medicare and Medicaid Services, <br>
actual spending could be more than double that figure, depending on the
<br>
rate of e-records adoption, said Dave Roberts, HIMSS vice president for
<br>
government relations, during a press briefing on Saturday.<br>
<br>
Roberts said the $17 billion in the stimulus package is an estimate of <br>
funding needed to meet the act's pledge of giving providers that use <br>
health information technology systems in a "meaningful way" $44,000
each <br>
during a five-year period to defray expenses, starting with an $18,000 <br>
payment in 2010. The e-records initiative is an entitlement program
like <br>
Social Security, he said.<br>
<br>
Roberts said his $39 billion estimate was based on a Congressional <br>
Budget Office analysis. CBO estimated that information technology could
<br>
reduce overall health care costs by $15 billion for that same time <br>
period as a result of increased efficiencies, he added.<br>
<br>
A January 2009 Commonwealth Fund report by Dr. David Blumenthal, named <br>
national coordinator for health information technology in March, <br>
estimated that 17 percent of U.S. physicians and 8 percent to 10
percent <br>
of U.S. hospitals have only the most basic electronic health record
systems.<br>
<br>
Federal funding, Blumenthal wrote, would spur adoption of e-records, <br>
especially by financially weak or troubled providers such as solo <br>
physicians, community health centers and publicly funded hospitals that
<br>
treat uninsured patients.<br>
<br>
Roberts said clinicians planning to adopt a health IT system might want
<br>
to start with electronic prescription systems, because as of 2012, CMS <br>
will impose a penalty on clinicians who treat Medicare patients without
<br>
using such systems.<br>
<br>
Herb Conaway Jr., an internist who is also a Democratic assemblyman in <br>
the New Jersey state legislature, told the HIMSS audience that a total <br>
payment of $44,000 will not fully cover the costs of a health IT system
<br>
in a doctor's office, based on his personal experience. During an <br>
interview, Conaway said initial costs for his health IT system totaled <br>
$44,000, plus ongoing monthly maintenance and support costs of $1,200
to <br>
$1,500.<br>
<br>
Contrary to common perceptions, "doctors are not rich," Conaway said.
He <br>
plans to work to secure additional grants to help doctors afford health
<br>
IT systems.<br>
<br>
Charles Campbell, chief information officer for the Military Health <br>
System, said during the briefing that clinicians should be able to <br>
choose the look and feel of the interface to the underlying software. <br>
End users pilloried the interface of MHS' Armed Forces Health <br>
Longitudinal Technology Application electronic health record system <br>
during a 2008 online town hall meeting.<br>
<br>
Based on feedback from that town hall discussion and other Defense <br>
health care providers, Campbell said he realized "we need to give <br>
providers choices" on a new AHLTA interface planned for deployment
later <br>
this year.<br>
<br>
Campbell also warned that switching to electronic records will be a <br>
slow, incremental process. "Don't wait until it is perfect," he said.<br>
<br>
Meanwhile, Linda Upmeyer, a nurse practitioner who also is a Republican
<br>
representative in the Iowa legislature, said during an interview that <br>
rural health care providers could benefit from the $9 billion for rural
<br>
broadband development in the stimulus act. While Iowa operates a <br>
statewide government broadband network, stimulus funds could provide <br>
last-mile connectivity to help rural clinicians move large data files, <br>
including X-rays and MRI scans, Upmeyer said.<br>
<br>
</p>
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SBIS News - Boletim Eletrônico Noticioso<br>
Sociedade Brasileira de Informática em Saúde<br>
Assinstura gratuita para associados da SBIS<br>
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Marcia Ito, M.D., PhD <br>
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<pre class="moz-signature" cols="72">--
=================================================================
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: <a class="moz-txt-link-abbreviated" href="mailto:awangenh@inf.ufsc.br">awangenh@inf.ufsc.br</a>
Skype: awangenh
Web: <a class="moz-txt-link-freetext" href="http://www.inf.ufsc.br/~awangenh">http://www.inf.ufsc.br/~awangenh</a>
Coordinator:
Cyclops Group Brazil
<a class="moz-txt-link-freetext" href="http://www.cyclops.ufsc.br/">http://www.cyclops.ufsc.br/</a>
Image Processing and Computer Graphics Lab/CS Department
<a class="moz-txt-link-freetext" href="http://www.lapix.ufsc.br/">http://www.lapix.ufsc.br/</a>
Telemedicine Lab/UFSC University Hospital
<a class="moz-txt-link-freetext" href="http://www.telemedicina.ufsc.br/">http://www.telemedicina.ufsc.br/</a>
Vice-Coordinator:
GeNESS Incubator Fpolis <a class="moz-txt-link-freetext" href="http://www.inf.ufsc.br/genesis/">http://www.inf.ufsc.br/genesis/</a>
=================================================================</pre>
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