Give Dr. Wollschlaeger some power in the profession and I guarantee you will see change.
Covering all areas of medical technology, and the public policies under which they're paid for. From networked systems and electronic medical records to gadgets, breakthroughs, and research.
If expert systems are questioning your calls, are you going to be upset or grateful?
Studies claiming physicians using paper do just as well at diagnosing and treating their patients as those using computers, are beside the point. Health care is a system, your office is not the only piece of it. The utter refusal of doctors to get their heads around this fact is what is killing their autonomy.
My chiropractor's assistant is a whiz with these codes. My pediatrician, not so much. Should my chiropractor make more than my pediatrician as a result?
The standards the QIOs measure can be measured, the results digitized, networked, and tracked. The "patient outcome" measures advocated by reformers like Dr. Stanley Feld are more empirical, less black-and-white, therefore less subject to automation.
Dr. Feld's solution is to unite with patients and government. So the question becomes, which do doctors fear more, the government or the insurance industry?
Robots can keep a surgery suite going 24-7, with physicians working shifts and teams wheeling patients in-and-out. That has to improve productivity.
HIPAA requires secure tracking of medical information, and controls who can access the records. VirtualHealth is adding a security module to Veriscrip that can secure pharmacy records as they track prescriptions in real-time.
You can easily see the fear. You're no longer a sole practitioner, with your own office and your own credibility. You're an employee. The face to your patients may be CEO Charles Willey.
Are medical device buyers? Will doctors "go to market" in New York to check out the latest-and-greatest? Is it vital that such companies have a physical presence in New York, close to their investment bankers? How many middlemen can afford the rent?