纽约也要求打印纸质处方？（附报道）

medsoft

在找电子病历法律的时候看到了这篇报告，看来不光是我国，美国纽约也要求所有的医疗机构在特殊的纸张上打印处方，以防止处方欺诈。呵呵！
有兴趣者看看。
New York law could hold back EHR adoption, groups argue

A New York state law designed to prevent prescription fraud and abuse could hamper physicians' use and adoption of electronic health records, according to some medical informatics and hospital groups in the state.
The law, which goes into effect in April 2006, will require that all prescriptions written in New York be printed on special, serialized paper.
Currently, the state only requires prescriptions for certain controlled substances to be printed on this paper. The state believes the initiative will curtail the fraud or theft of prescriptions because the serialized, non-reproducible paper will make it harder to forge prescriptions.
But opponents of the law argue that the requirement to print prescriptions on special paper could hold back EHR adoption in New York because it would force physicians to purchase a dedicated printer, filled with the serialized paper. For a lot of practices in New York, especially those in Manhattan where space is limited, adding an extra printer is burdensome, says Jonathan Leviss, MD, medical director at Sentillion, a vendor of identity and access management products for the healthcare industry. Leviss also is founding member of the Association of Medical Directors of Information Systems for New York.
The law also could require additional programming within an EHR to print prescriptions on the serialized paper. Curtis Cole, MD, director of information services for Manhattan's Weill Cornell Physicians Organization, said in many cases, IT vendors would need to rewrite a code within their EHR systems to print prescriptions on special paper while other medical information is sent to another printer.
"It's an unfunded mandate to use paper," said Cole, who is also a member of the AMDIS-NY. "The state is just assuming that providers can program and buy their way out of this," he said. Members of the state's medical informatics community worry that physicians will opt to handwrite prescriptions on the serialized paper, rather than purchase an extra printer or program the EHR to print prescriptions on serialized paper, Leviss said.
"We're not just talking about $100 investment. We're giving a direct dollar obstacle to physicians using EMRs," said Leviss, who estimates that 20 percent of the state's physicians are using an EHR.
Leviss said the New York State Department of Health is considering a one-year extension to comply with the law for ambulatory physician practices that are affiliated with a hospital. But Leviss argues that there are many physicians who practice in offices not affiliated with a hospital that would still be burdened by the law. Leviss acknowledges that if physicians were able to transmit prescriptions from an EHR directly to a pharmacy, they could avoid the problem. However, many small pharmacies in the state still cannot accept prescriptions this way.
In the meantime, the AMDIS-NY and other groups, such as the New York Hospital Association, have raised concerns about the law with the state's department of health. The Healthcare Association of New York, which represents more than 550 not-for-profit hospitals, nursing homes and homecare providers in New York State, has met with state officials to discuss concerns that might arise from its members when the law goes into effect.
"We want to ensure that the new process accommodates the electronic medical records system and other IT systems that some of our members already have adopted," said Matthew Cox, a spokesman for the Healthcare Association of New York State.
The New York State Department of Health did not return calls requesting comment at press time.

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RFID?

熟透番薯

医院信息化也不是为了彻底消除纸张，一些必要的环节还是要的。

medsoft

但现在电子处方应该是潮流，比如英国计划到2008年在全国实现电子处方，叫EPS，目前已经开始使用，加盖电子签名的处方将完全无纸化。

而在有一些环节上，纸质形式是必须保留的，比如某些需要患者签字同意的环节，如知情同意书。电子与纸质会长期并存。

小城医生

很多人有个误解，就是认为信息化的目标就是无纸化，在我看来无纸化只是信息化的伴随品，水到渠成的产物。

url

无纸化是最低标准？

dongxi

无纸化，是“没有”纸化，还是“无用”纸化，还是纸”无用“化？