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(Buzzfeed)   Doctor in Kentucky needs to close his small medical practice due to the crushing requirements imposed by the brutal dictatorship known as Obamacare. That crushing requirement: Using computers   (buzzfeed.com) divider line 192
    More: Asinine, obamacare, Kentucky, electronic records, electronic health records, incentive programs, Reinvestment Act, medical practices, Centers for Medicare  
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2823 clicks; posted to Politics » on 10 Dec 2013 at 4:06 PM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-12-10 05:22:46 PM  

machoprogrammer: There is a reason they are forcing small doctors offices to either close or to retire...

In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.

The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).

The reason? Well let's just say EMR vendor CEOs know who to donate money to

It was NOT the ACA, but the HITECH Act that is causing it.


This person knows.
 
2013-12-10 05:24:46 PM  

Arcanra: Serious Black: Kiteck said he is approaching retirement age, and that he and his office are "computer illiterate," adding that he would need special training to add electronic records. He said it would be a financial burden and take "thousands of man hours or woman hours to get the records on the computer."

How the hell is every single person in his office computer illiterate in 2013? Do they use abacuses to calculate people's bills?

Cool Story time. I work for a Medical Practice as the IT Manager, and we're a very computer savvy and literate bunch, from top to bottom, and use technology in every facet of our practice. We just bought a practice that has no computers period, and for the last thirty years has done everything with paper and pen. The transition for their staff to our way of doing things has been very, very difficult. They had prided themselves on being grognards and staying away from technology, but that strategy seems to have backfired since their boss, i.e. the managing partner of their practice, decided to sell to us so that when he retires in a year or so his patients have someone good to care for them. I expect that it's going to be a very, very painful transition for his staff. He of course, gets a pass as he is a physician and will be retiriing. His staff, not so much, and they are none too happy with the situation.


Heh. My Dad is the old, tech illiterate fart in his practice because he goes into his office and uses a keyboard when typing stuff up. The rest of the doctors are using iPads in the hallways between exam rooms these days. Their records have been electronic since the mid 90s- this guy is way out of the loop.
 
2013-12-10 05:24:53 PM  

gingerjet: What the doc may look like:

[www.mannbeisstfilm.de image 800x534]

/obscure?


Epic win!!!!!
 
2013-12-10 05:24:57 PM  
..too much.

Begin Alpha Protocol.
 
2013-12-10 05:27:07 PM  
Firstly, this is a legitimate reason to retire.  If professional standards have changed in such a way that you cannot keep up with the standards of your profession, it's sensible and entirely honorable to bow out since you can no longer serve the people your profession serves at the minimum level of competence.  Medicine, especially, has always been a field where acceptable competence is a moving target, that's why continuing education and training is  required to renew your medical license.  If you don't feel up to keeping up, then don't, that's a perfectly valid decision that doesn't make you a bad human being.

That said:

1. This isn't about "the policies of Obamacare".  It's about you and your staff deciding that you'd rather stop practicing than do the required continuing education for your profession (and as noted above, continuing education has  always been a requirement).

2. The law doesn't "require" you to use computers.  The law allows the federal agencies to charge you a couple percent of the payout as a processing fee if you force  them to waste the man-hours to convert your paper records for you.  Essentially, they're offering a new paid service for doing your work for you, which you're free to pay for if you don't want to do it yourself.

3. That ad is in a custom computer-generated font, dipshiat.  You clearly have access to  someone who could be typing shiat into an electronic form for you, and the money to pay them.
 
2013-12-10 05:27:08 PM  

NeverDrunk23: mrshowrules: From wiki: "Doctors who fail to use EMRs by 2015, Medicare reimbursements will be reduced by 1%. The deduction rate increases in subsequent years by 2% in 2016, 3% in 2017, 4% in 2018 "

In other words, he has no reason to close now and very little reason to close later.  Article already indicates that he was close to retirement.  So Obama is now responsible for doctors retiring.

Obama said I could keep my doctor. Now my doctor wants to be a dancer and I need a new doctor now. Thanks Obama.


Can I keep my barber?
 
2013-12-10 05:27:52 PM  

natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?


What kind of doctor was that?
 
2013-12-10 05:33:46 PM  
www.themoviescene.co.uk

Nurse Packer approves.

image1.frequency.com

As does Mr. Tidwell.
 
2013-12-10 05:33:53 PM  

machoprogrammer: There is a reason they are forcing small doctors offices to either close or to retire...

In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.

The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).

The reason? Well let's just say EMR vendor CEOs know who to donate money to

It was NOT the ACA, but the HITECH Act that is causing it.


Maybe it is an inconvenience for some doctors, but I was please this past year when I went to a doctor in a different hospital group and then were able to retrieve my electronic records from original doctor.  It saved me a lot of time and hassle.
 
2013-12-10 05:35:17 PM  

Girl Sailor: natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?

What kind of doctor was that?


Probably most of them?  Overhead = every expense but salary and materials, and the vast majority of private practices have no material costs whatsoever (insurance buys the customers' drugs and so on).  A lot of doctors count employee salary in the overhead, too, meaning that 70% is probably basically all of her expenses and her profit margin is on the order of 50%, which is farking excellent.

Even if she's using the term properly, the usual ratio of benefits (insurance and retirement) to salary for nurses and other medical workers is something on the order of 3:1, so an overhead that's 70% of the gross probably still leaves a healthy profit margin.
 
2013-12-10 05:35:41 PM  

ox45tallboy: If this guy resisted learning about computers, which have been pretty ubiquitous business practice for the past 20 years, imagine what other technological advancements he has resisted learning about regarding the practice of medicine.



This.

One can romanticize the archetype of  the folksy rural doctor, but there's probably a reason why many of them plant themselves to a captive pool of patients who don't have many accessible alternatives (and far, far away from the nearest malpractice lawyer).
 
2013-12-10 05:36:03 PM  

Serious Black: natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?

Jesus titty-farking Christ. That's a ton of money.


Not in a service industry after THE DOCTOR PAYS HERSELF
 
2013-12-10 05:36:13 PM  

Southern100: [www.themoviescene.co.uk image 400x185]

Nurse Packer approves.

[image1.frequency.com image 354x200]

As does Mr. Tidwell.


i.imgur.com

Nurse Packer approves.

//sneaky Moviescene.
 
2013-12-10 05:39:44 PM  
How the hell do you even get this backward?

(And when you hear that from someone who lives 35 miles from the closest movie theater and occasionally rides a horse to the grocery store, that's pretty bad.)
 
2013-12-10 05:41:24 PM  

Cletus C.: Doc Lee: Interesting opinions on the doc...   http://www.topix.com/forum/city/somerset-ky/TBFFTRU5EKATF3NA5

My favorite.

He is a good doc, but he does like to grab ass and play with breasts. People who work at LCRH all know that. I personally like him. And it's hard to prove a dr touched you sexually, unless there is a witness.


Why is that your favorite?
 
2013-12-10 05:45:12 PM  

ox45tallboy: If this guy resisted learning about computers, which have been pretty ubiquitous business practice for the past 20 years, imagine what other technological advancements he has resisted learning about regarding the practice of medicine.


That is the first thing that I thought.
 
2013-12-10 05:45:19 PM  

natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross.



If only there were some way to reduce her overhead costs.  Perhaps some kind of computing machine that could manage her medical records in electronic form?  If only such a thing existed...
 
2013-12-10 05:52:13 PM  

Turbo Cojones: Serious Black: natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?

Jesus titty-farking Christ. That's a ton of money.

Not in a service industry after THE DOCTOR PAYS HERSELF


A doctor's salary to themself isn't overhead, even if they're incorporated.
 
2013-12-10 05:53:47 PM  

Jim_Callahan: Girl Sailor: natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?

What kind of doctor was that?

Probably most of them?  Overhead = every expense but salary and materials, and the vast majority of private practices have no material costs whatsoever (insurance buys the customers' drugs and so on).  A lot of doctors count employee salary in the overhead, too, meaning that 70% is probably basically all of her expenses and her profit margin is on the order of 50%, which is farking excellent.

Even if she's using the term properly, the usual ratio of benefits (insurance and retirement) to salary for nurses and other medical workers is something on the order of 3:1, so an overhead that's 70% of the gross probably still leaves a healthy profit margin.


Sorry, came off as more snarky than I meant to.

Stupid internet making ME look like a psychopath and I never even touched that guy and I don't know how the gloves ended up there and...
 
2013-12-10 05:55:15 PM  

skullkrusher: InmanRoshi: ox45tallboy: If this guy resisted learning about computers, which have been pretty ubiquitous business practice for the past 20 years, imagine what other technological advancements he has resisted learning about regarding the practice of medicine.


This.

One can romanticize the archetype of  the folksy rural doctor, but there's probably a reason why many of them plant themselves to a captive pool of patients who don't have many accessible alternatives (and far, far away from the nearest malpractice lawyer).

Because they like living in rural areas just as many people in other professions do would be the logical first guess. I suppose you'd be happier if rural people were left without a licensed physician to care for them and forced to see a veterinarian for their health care needs but most people aren't assholes like that.


*the point*
--------------
*your head*

I'd be happier knowing doctors in rural areas bothered to stay with the times. Even my shiat-splat town growing up in LA had doctors with electronic records.
 
2013-12-10 05:55:49 PM  

Doc Lee: Interesting opinions on the doc...   http://www.topix.com/forum/city/somerset-ky/TBFFTRU5EKATF3NA5


God damn, reading those comments made my brain hurt. Sometimes I forget how illiterate most of the rest of the internet is.
 
2013-12-10 06:02:07 PM  

skullkrusher: InmanRoshi: ox45tallboy: If this guy resisted learning about computers, which have been pretty ubiquitous business practice for the past 20 years, imagine what other technological advancements he has resisted learning about regarding the practice of medicine.


This.

One can romanticize the archetype of  the folksy rural doctor, but there's probably a reason why many of them plant themselves to a captive pool of patients who don't have many accessible alternatives (and far, far away from the nearest malpractice lawyer).

Because they like living in rural areas just as many people in other professions do would be the logical first guess. I suppose you'd be happier if rural people were left without a licensed physician to care for them and forced to see a veterinarian for their health care needs but most people aren't assholes like that.


Actually, I'd like standards to ensure that the doctors in rural areas were the kind you described, rather than the kinds who stay out in the sticks because they know they couldn't cut the mustard in a market where people had alternatives.   Weeding out doctors who haven't figured how to use a computer or  log onto the internet after 20 years seems like a good place to start.   I think a licensed medical professional should display the same intellectual curiosity and  technical competence in his craft as the guy changing my oil at Jiffy Lube, but that's just me.
 
2013-12-10 06:06:09 PM  
DAMN YOU, OBLAHMA!!!!!

*shakes tiny fist*
 
2013-12-10 06:11:12 PM  
500 point deduction for the use of the Hobby Headline font in the newspaper ad.
 
2013-12-10 06:16:20 PM  

skullkrusher: InmanRoshi: ox45tallboy: If this guy resisted learning about computers, which have been pretty ubiquitous business practice for the past 20 years, imagine what other technological advancements he has resisted learning about regarding the practice of medicine.


This.

One can romanticize the archetype of  the folksy rural doctor, but there's probably a reason why many of them plant themselves to a captive pool of patients who don't have many accessible alternatives (and far, far away from the nearest malpractice lawyer).

Because they like living in rural areas just as many people in other professions do would be the logical first guess. I suppose you'd be happier if rural people were left without a licensed physician to care for them and forced to see a veterinarian for their health care needs but most people aren't assholes like that.


Nope.  We want them to have decent doctors - that is why non-rural people tend to be quite happy to subsidize doctors who will work in rural areas.  But, there is a certain segment of rural doctors who are there precisely because they have no competition.  Either they are inept hacks who know they have a captive audience; or, they become inept hacks because no competition means they can slide by, and they atrophy.  I've met some perfectly fine rural doctors - but I have met far more that would actually make me suggest that their patients visit the vet.  The vet doea have competition, and so is on top of his game, and he probably has a better understanding of medicine than Doc Peckerwood.
 
2013-12-10 06:33:43 PM  

Clever Neologism: I wonder if he was still taking chickens as payment...


I once read about a Civil War pension application in Kentucky where a divorce fee was paid with bales of hay.
 
2013-12-10 06:34:30 PM  

skullkrusher: I don't care if my doctor receives his journals in print format under the bottles left by the milkman. Knowing how to use an automated records system has absolutely farkall to do with being a doctor.


Intellectual curiousity has a lot to do with being a doctor.  If you can't learn how to use a computer after 20 year of them being common place in your profession, you're lacking in it.   We have no problem requiring other professional stay in the 20th Century. You just got your panties in a wad because you have some ridiculous romantic Hollywood quaint archetype about rural docs.
 
2013-12-10 06:34:31 PM  

Spaced Lion: How the hell do you even get this backward?

(And when you hear that from someone who lives 35 miles from the closest movie theater and occasionally rides a horse to the grocery store, that's pretty bad.)


It's not even a matter of "backward;" it's a matter of "left behind." Time marched on, and he stayed right where he was. Now he can't catch up.

/Just curious, can anyone make that sound more pretentious? Because I think I hit a barrier there.
 
2013-12-10 06:35:29 PM  

Serious Black: Somerset, KY

Yes, yes, it's a small backwoods town, but still, nobody in their office is even remotely computer literate? And there HAVE to be technically literate people in the area given that there are huge centers for SAIC and Blackboard nearby.


Knowing this area I don't see how he wasn't using a computer to check KASPER,it prevents doctor shopping and shiat.
 
2013-12-10 06:48:34 PM  

machoprogrammer: There is a reason they are forcing small doctors offices to either close or to retire...

In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.

The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).

The reason? Well let's just say EMR vendor CEOs know who to donate money to

It was NOT the ACA, but the HITECH Act that is causing it.


Where are you getting your information?

This EMR is popular and free.

In small doctor's offices, they install an EMR on a laptop on a roll stand and wheel it from room to room. I've helped to install them and they certainly don't cost anywhere near 10s of millions of dollars.
 
2013-12-10 06:49:59 PM  

Serious Black: Kiteck said he is approaching retirement age, and that he and his office are "computer illiterate," adding that he would need special training to add electronic records. He said it would be a financial burden and take "thousands of man hours or woman hours to get the records on the computer."

How the hell is every single person in his office computer illiterate in 2013? Do they use abacuses to calculate people's bills?


jerrygarcia.com
 
2013-12-10 06:51:48 PM  

Serious Black: urbangirl: Serious Black:

How the hell is every single person in his office computer illiterate in 2013?


Somerset, KY

Yes, yes, it's a small backwoods town, but still, nobody in their office is even remotely computer literate? And there HAVE to be technically literate people in the area given that there are huge centers for SAIC and Blackboard nearby.


Something tells me that you've never worked with/for SAIC at any point. This statement is highly amusing.
 
2013-12-10 06:57:30 PM  
If he cant be bothered with computers, imagine what else he's not up to date on.
 
2013-12-10 06:59:54 PM  
How am I supposed to make my deliveries with all these dad-blamed motorized contraptions a-spooking my girls?!?!?! These new motor vehicle laws are no good, I tell you!!! They're disrupting everything!!!


www.miltonhistory.org
 
2013-12-10 07:04:45 PM  
So how did this doctor stay informed with the latest medical literature?  Does the research people still do paper?
 
2013-12-10 07:18:40 PM  

urbangirl: Serious Black:

How the hell is every single person in his office computer illiterate in 2013?


Somerset, KY


That's still impossible. They use dial telephones? Not one single person has a home PC? Hell, my aged grandmother can use a computer, and even program her smartphone with assistance.

And you don't have to "convert" ALL your files. You can just start from where you are, and add as you go. This guy is just being a dick.
 
2013-12-10 07:23:30 PM  

artifishy: machoprogrammer: There is a reason they are forcing small doctors offices to either close or to retire...

In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.

The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).

The reason? Well let's just say EMR vendor CEOs know who to donate money to

It was NOT the ACA, but the HITECH Act that is causing it.

Where are you getting your information?

This EMR is popular and free.

In small doctor's offices, they install an EMR on a laptop on a roll stand and wheel it from room to room. I've helped to install them and they certainly don't cost anywhere near 10s of millions of dollars.


The major vendor EMRs are very expensive, is what I meant. There are exceptions, but the "big boys" are tens of millions.

The problem with OpenEMR is that if there is a problem, you either hire a developer to fix it or you wait until it is fixed.  Also, did you miss the big, red bold letters on that website about Meaningful Use Stage 2 not being done and needing funding? MU Stage 2 is pretty damn important right now.

I have worked in healthcare IT for quite a few years.
 
2013-12-10 07:24:07 PM  
^ Sorry, that should say MU Stage 2 certification, not MU Stage 2.
 
2013-12-10 07:29:02 PM  

machoprogrammer: There is a reason they are forcing small doctors offices to either close or to retire...

In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.

The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).

The reason? Well let's just say EMR vendor CEOs know who to donate money to

It was NOT the ACA, but the HITECH Act that is causing it.


Fancy, expensive equipment is one of the things that has contributed to the U.S. Post Office's problems.
 
2013-12-10 07:52:11 PM  

mrlewish: So how did this doctor stay informed with the latest medical literature?  Does the research people still do paper?


Listen if radioactive bath salts were a good enough treatment in 1909, they're a good enough treatment today.
 
2013-12-10 08:06:12 PM  

Serious Black: urbangirl: Serious Black:

How the hell is every single person in his office computer illiterate in 2013?


Somerset, KY

Yes, yes, it's a small backwoods town, but still, nobody in their office is even remotely computer literate? And there HAVE to be technically literate people in the area given that there are huge centers for SAIC and Blackboard nearby.


Blackboard sucks
 
2013-12-10 08:06:28 PM  

Gyrfalcon: This guy is just being a dick.



This.

These chodes love this bullshiat where they get to claim "Immagonna __________ cuz of Obamacare!!!"

A doctor I work with (and who I actually do like) switched to a concierge practice and was running radio spots like three years ago saying "Are you tired of the crazy waiting times caused by Obamacare?!?!"

He was a client, so I kept my mouth shut about it. But, it was really hard not to be like "fark you. Have you no decency, sir?"

I mean how can someone bring themselves to knowingly just flat-out farking lie like that? and so publicly? I mean, if your position is actually a good one... shouldn't you be able to sway people WITHOUT resorting to manipulative bullshiat? Shouldn't there be plenty of legitimate criticisms to rely on?

If you've got to pull shiat like that, it might be time to reevaluate where you stand.
 
2013-12-10 08:12:13 PM  

Serious Black: Angry Drunk Bureaucrat: Serious Black: natazha: I was speaking to a doctor last Sunday, who said the ACA was going to destroy her practice for exactly that reason. She doesn't use computers and her overhead is almost 70% of her gross. She's going to go to a cash practice, but that won't last very long. If most people have insurance, who's going to pay cash?

Jesus titty-farking Christ. That's a ton of money.

That was nearly my response too. Although, I said "Christ on a Bicycle" instead.

I like JTFC personally. There's no way Jesus wasn't a horny dude, and I think there's just something poetic about him blessing Mary Magdalene with a pearl necklace.


I lol'ed then I smfmotg (spit my farking milk on the ground)
 
2013-12-10 08:15:01 PM  
HAHAHA.  I knew it had to be somewhere down around Somerset before I even clicked on the link.  This is the county that has racked up thousands of dollars in legal fees fighting the ACLU over the right to post the 10 Commandments in all the courthouses.  It's a freaky religious area.  There are honest-to-God snake handling Christian churches in that shiathole of an area.

Good riddance, Dr. Asshole.
 
2013-12-10 08:23:51 PM  

captainktainer: Doc Lee: Interesting opinions on the doc...   http://www.topix.com/forum/city/somerset-ky/TBFFTRU5EKATF3NA5

From the page:

He is a good doc, but he does like to grab ass and play with breasts. People who work at LCRH all know that. I personally like him. And it's hard to prove a dr touched you sexually, unless there is a witness.

What in the fark.


I know WTF? I was going to do a little Obummercare farked my sister joke- this being Kentucky and all- but then I read that post and it appears the old doctor grab a vag is maybe should get out medicine at this point
 
2013-12-10 08:51:19 PM  

mrshowrules: From wiki: "Doctors who fail to use EMRs by 2015, Medicare reimbursements will be reduced by 1%. The deduction rate increases in subsequent years by 2% in 2016, 3% in 2017, 4% in 2018 "

In other words, he has no reason to close now and very little reason to close later.  Article already indicates that he was close to retirement.  So Obama is now responsible for doctors retiring.


He probably has some derper friend telling him the law said X.
 
2013-12-10 08:53:57 PM  

bintherdunthat: machoprogrammer: There is a reason they are forcing small doctors offices to either close or to retire...

In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.

The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).

The reason? Well let's just say EMR vendor CEOs know who to donate money to

It was NOT the ACA, but the HITECH Act that is causing it.

Fancy, expensive equipment is one of the things that has contributed to the U.S. Post Office's problems.


No, being forced, by republicans in congress, to carry an unreasonable amount of future funds for pensions has caused all of the post offices problems, but thanks for playing!
 
2013-12-10 08:54:03 PM  

smellysocksnshoes: captainktainer: Doc Lee: Interesting opinions on the doc...   http://www.topix.com/forum/city/somerset-ky/TBFFTRU5EKATF3NA5

From the page:

He is a good doc, but he does like to grab ass and play with breasts. People who work at LCRH all know that. I personally like him. And it's hard to prove a dr touched you sexually, unless there is a witness.

What in the fark.

I know WTF? I was going to do a little Obummercare farked my sister joke- this being Kentucky and all- but then I read that post and it appears the old doctor grab a vag is maybe should get out medicine at this point


Wow...

And then:

Oct 6, 2011

"I used to work Home Health here and I do remember he lost his license for prescribing pain meds for sexual favors. Do not trust him my fellow girls and women and do not trust him with children and I am deadly serious. Doubt me I can prove it."


and:

Oct 6, 2011

unsure wrote:
he did get into something long time back, like maybe 25 yrs ago, but i can not remember what it was

It was in the mid nineties I remember.


 
It would be hilarious if his childish little attempt at propaganda blew up in his face and unearthed some old long-forgotten transgressions just in time to wreck his reputation as walks off into the sunset.

(Assuming these accusations are true, of course. I wouldn't wish false accusations of that nature on my worst enemy.)
 
2013-12-10 09:01:39 PM  

machoprogrammer: artifishy: machoprogrammer: There is a reason they are forcing small doctors offices to either close or to retire...

In 2009, the HITECH act was passed as part of the stimulus. Part of that is using an electronic medical record (EMR) in a "meaningful way", called "Meaningful Use". If the physician/hospital chooses not to partake, they do not get extra free money from taxpayers right now... In a few years, those tax payer dollar incentives turn into no medicare reimbursement penalties.

The problem is that EMRs are very, very expensive and the cheaper, smaller ones do not handle Meaningful Use very well. The nice ones are for bigger healthcare organizations and are tens of millions of dollars to just install (not counting support from the vendor, which is also in the millions).

The reason? Well let's just say EMR vendor CEOs know who to donate money to

It was NOT the ACA, but the HITECH Act that is causing it.

Where are you getting your information?

This EMR is popular and free.

In small doctor's offices, they install an EMR on a laptop on a roll stand and wheel it from room to room. I've helped to install them and they certainly don't cost anywhere near 10s of millions of dollars.

The major vendor EMRs are very expensive, is what I meant. There are exceptions, but the "big boys" are tens of millions.

The problem with OpenEMR is that if there is a problem, you either hire a developer to fix it or you wait until it is fixed.  Also, did you miss the big, red bold letters on that website about Meaningful Use Stage 2 not being done and needing funding? MU Stage 2 is pretty damn important right now.

I have worked in healthcare IT for quite a few years.


I will confess that I openly laughed at a client that was threatening to leave us for OpenEMR, and that was before meaningful use. Our support department is the reason that we have such high success rates with achieving meaningful use. I couldn't imagine an office trying to go about it alone.

That said, you don't need to spend a million dollars to meet meaningful use. Or even $100k. There are a ton of great American companies that do very well, and are owned by those "small business owners" that the republicans go on and on about, you'd think that they'd be all for this type of growth in an industry.

/almost MU2 certified
//private corporation
///one of the owners does basically the same thing I do there
 
2013-12-10 09:03:18 PM  
Seems kind of a shame throwing away a perfectly good doctor.
 
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