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	<title>Brian Burke &#187; Electronic Patient Records</title>
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		<title>Don&#8217;t Fear Progress</title>
		<link>http://blogs.gartner.com/brian_burke/2009/04/17/dont-fear-progress/</link>
		<comments>http://blogs.gartner.com/brian_burke/2009/04/17/dont-fear-progress/#comments</comments>
		<pubDate>Fri, 17 Apr 2009 15:44:27 +0000</pubDate>
		<dc:creator>Brian Burke</dc:creator>
				<category><![CDATA[EA]]></category>
		<category><![CDATA[NHS]]></category>
		<category><![CDATA[Barack Obama]]></category>
		<category><![CDATA[Electronic Patient Records]]></category>

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		<description><![CDATA[In an open letter blog to President Obama, Burton Group Senior Analyst  Joe Bugajski opines that President Obama is spewing &#8220;delusional visions of a nation-covering, interoperable, secure, private, reliable, accurate, and instantaneous electronic healthcare data network is at best terrifying and at worst pernicious.&#8221; OK &#8211; I had to look up ‘pernicious&#8217;.  It&#8217;s not good. [...]]]></description>
			<content:encoded><![CDATA[<p>In an <a href="http://dmsblog.burtongroup.com/data_management_strategie/2009/04/dear-mr-president-a-data-model-for-my-electronic-health-records-nearly-killed-me.html">open letter blog</a> to President Obama, Burton Group Senior Analyst  <a href="http://www.burtongroup.com/AboutUs/Bios/PrintBio.aspx?Id=137">Joe Bugajski</a> opines that President Obama is spewing &#8220;delusional visions of a nation-covering, interoperable, secure, private, reliable, accurate, and instantaneous electronic healthcare data network is at best terrifying and at worst pernicious.&#8221; OK &#8211; I had to look up ‘pernicious&#8217;.  It&#8217;s not good.</p>
<p>Mr. Bugajski goes on to relate a horrifying personal experience in which he ended up in a clinic and then a hospital that both used electronic health records. He relates the story of his stay in which electronic health records hindered rather than helped and concludes that most health care professionals &#8220;longed for handwritten charts hanging at the foot of every patient&#8217;s bed.&#8221;  While I don&#8217;t doubt his experience, and I disagree that building a national health information network is an unsound idea.  In fact, the National Health Services (NHS) in the UK is several years into its ‘<a href="http://www.connectingforhealth.nhs.uk/">Connecting for Health</a>&#8216; program and has already built a nation-covering, interoperable, secure, private, reliable, accurate, and instantaneous electronic healthcare data network.  The UK is reaping the benefits of improved treatment and cost savings. You can read additional background in my research note, <a title="http://www.gartner.com/DisplayDocument?ref=g_search&amp;id=500076&amp;subref=simplesearch" href="http://www.gartner.com/DisplayDocument?ref=g_search&amp;id=500076&amp;subref=simplesearch"><span style="text-decoration: underline">Toolkit: Enterprise Architecture for the U.K.&#8217;s National Health Service (Case Study)</span></a></p>
<p>Mr. Bugajski is correct that the initiative will be large and costly and I also agree that the US government should approach the program with caution. But the benefits are enormous &#8211; it&#8217;s about saving lives! While I sympathize with Mr. Bugajski&#8217;s unfortunate experience, I believe moving forward on this initiative is truly one of the bright spots in President Obama&#8217;s stimulus plan.</p>
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