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This is an interesting endeavor – it will be interesting to see if they can make a living by providing EBM consulting. The problem wityh excellent healthcare practices is that there is no clear ROI for the people who would pay for it. For example – in my few years with medremote, we developed WONDERFUL prototypes proptotypes for bayesian algorithms that would extract salient items from free text notes. This has enormous protential for improving the quality and potentially the quality of care.
ok .. here's how it goes: The progres note says "Marge has a hx of hypercholesterolemia, hypertension and type 2 diabetes. She's not allergic to anything but her mom had hives when she took Bactrim."
ITEA would be able to make this:
- Diabetes – Type 2
- Allergies: NKDA
(notice that it isn't fooled by the mom's Bactrim Allergy).
Now we can use the computer to prompt the physician to check A1c, treat or monitor the cholesterol, etc … and this is all WITHOUT an EMR. That is the cool part.
But it's hard to get anyone to invest in this component of the services .. and I'll be surprised if people become instantly motivated to push EBM either. EBM is a religion (of which I am a faithful congregant) yet it's hard to convert the masses. As CMS devises methods of reimbursing better practices .. perhaps this will fall into place. Then again .. maybe not. Time for Matthew Holt to chime in. I feel like we're getting into his terrritory.