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(36 posts)

business opportunity?


  1. I have encountered what i think might be a good business opportunity for someone finding themselves without employment.

    i drove to Vancouver, Wa to see my old doc last week so that i would be able to compare current test results with old test results and look for changes in my condition.

    While i was away in Minnesota, they computerized and have not put old chart information into the system so i might as well have been seeing a new doc without the resources of old information.

    I will send to the clinic for a copy of my full records... and i had best pick them up because i am pretty sure there are a couple of binders...

    but i would love to have a couple of spreadsheets... medical history at a glance and test results...

    i don't think there is anyone filling this need during the transition to electronic records... and with the number of people who are chronically ill. there might be a need...

    Posted 3 years ago #         
  2. beachdrivegirl
    Member Profile

    beachdrivegirl

    There are softwares out their that complete this but it is very costly for businesses to do this so most dont have the funds available to invest in them.

    Posted 3 years ago #         
  3. Anonymous
    Member Profile

    There are companies that handle conversion of medical records from hard copy to electronic format, and as Beachdrivegrrl stated there are software packages that can be purchased as well. With the latter, you still have the labor of configuring the application and any manual transcription / data entry to the table(s).

    The biggest concerns are the HIPAA laws.

    Posted 3 years ago #         
  4. beachdrivegirl
    Member Profile

    beachdrivegirl

    And yes their are companies and software packages that do both, meet HIPAA compliance, and yes they are very labor intensive but it is becoming easier and easier. i am in the business and know.

    Posted 3 years ago #         
  5. trensuela
    Member Profile

    trensuela

    HIPAA laws are nice and make me smile. I work on pharmacy software and am currently working on what would be an easy project sans HIPAA but because of them I have a good challenge. I like good challences provided firearms and a duelling ring are not involved.

    Posted 3 years ago #         
  6. Anonymous
    Member Profile

    That's what I'm saying and I know too because I've been in the business as well ;-)

    Here's another million dollar idea, pro bono: call your software / application suite / service "Hipaapotomus". Imagine the logo and marketing possibilities.

    Posted 3 years ago #         
  7. i was thinking smaller... personal service..

    i have 60 years of medical records that could be of use in my treatment.. if they were accessible...

    if nothing else, i will end up doing the work myself.. sans codes...

    Posted 3 years ago #         
  8. beachdrivegirl
    Member Profile

    beachdrivegirl

    Oh i get it. you are offering a job to someone here on the blog. How much are you paying?

    Posted 3 years ago #         
  9. beachdrivegirl...

    When i have possession of my records, if i decide i want to shop the job of creating a couple of tables for me.. i promise to post the scope of the job and what i am willing to pay on the west seattle blog forum... because i believe in hiring locally.

    in the meantime, it was just a small business idea i floated...

    one you tell me is too expensive and cumbersome to do...

    probably not a gig for you.

    Posted 3 years ago #         
  10. beachdrivegirl
    Member Profile

    beachdrivegirl

    JoB I think it is fantastic that you think it is so important to keep jobs locally. I am sure many on the WSB forum would appreciate the opportunity for some extra cash!!

    I wasnt trying to discourage you from your plans and dreams; i was just trying to let you know that something similar to your dream existed. I was trying to pave the way for you and let you know that it was possible. I even gave you a huge key as how you could be more successful i.e. making the product(s) more affordable!!

    Can you please explain why you believe this isnt a gig for me? i do have the experience!

    Posted 3 years ago #         
  11. Google Health is already working on this. Not sure where they are with it because they haven't made a lot of it public. But stay tuned.

    Posted 3 years ago #         
  12. cjboffoli...

    i have been watching the progress with google health...

    but i am active in one of the patient communities for the chronically ill in which cognitive challenges are part of the illness package...

    as it turns out... any chronic pain condition causes some cognitive challenges... but neurological conditions can have pretty severe cognitive challenges associated with them.. and that particular type of detail work is often difficult for members of those (and other) patient communities..

    i suspect there will be a market for someone who is willing to input basic information into a small database format for that population.

    I have been trying to interest a researcher in inputting lifetime databases of objective information of chronic illness patients but so far haven't had much luck :(

    i suspect there will be progression patterns there that will be helpful for individuals and perhaps illuminating for researchers...

    in the meantime, i have realized that either i will be charting my own information or paying someone else to do it for me since i am probably not going to wait for google...

    but maybe they will surprise me and do it more quickly than i anticipate..

    Posted 3 years ago #         
  13. Interesting idea JoB. It made me think - how about a chronic pain WIKI site? I am interested in a number of factors that none off the researchers are covering (that I know of) And I don't want to go into the medical field just to find out.

    I have a chronic pain issue, too (FM) and have wanted to compare with others some factors. Interesting. I'll have to look into it. I wonder if people would participate?

    Posted 3 years ago #         
  14. Karen...

    i have been contemplating doing the something web based and i think that there are a fair number of people who would participate..

    if you would like to talk about this issue, please PM me. As it happens, i have been active in the FM patient activist community for decades. perhaps we can pool resources.

    at one time a group of CFS patients did something similar the old fashioned way and actually created a profile that made sense of some of the immune tests that were done on many patients.

    sharing information has been incredibly useful in this greater population.

    Posted 3 years ago #         
  15. beachdrivegirl
    Member Profile

    beachdrivegirl

    still would love to know why you dont think i am fit for your gig???

    Posted 3 years ago #         
  16. perhaps you should contact her personally as it's not really OT? maybe she could answer your questions for you away from this thread.

    Posted 3 years ago #         
  17. Anonymous
    Member Profile

    BDG - I think that would be a great idea for you to make some extra cash. You are already familiar with the field. Hopefully you will look into it - you'd be great!:)

    I'm not sure why exploring a new job opportunity would be considered "harassment".

    Posted 3 years ago #         
  18. it didn't seem to me that JoB was ready to hire someone this very minute...but that she was just exploring options out in the world, and spoke up here...where lots of ideas go by all the time. So..for wwhat it's worth..there was/is no job...just an idea. When there is a job, I bet she'll be happy to take resumes...as I would.

    Stating that one has "experience" doesn't make you right for any job.."gig", if you will...it was a question that didn't have an answer...you know..."why am I not right for the gig"?

    I know, being in the alternative medicine field, that one has to be very, very careful who you share your health history with...lest one makes a mistake and trusts the wrong person. Caution on these things is a really, really good idea...don't you think?

    Posted 3 years ago #         
  19. JanS...

    you were pretty accurate as to my intentions...

    i posted what i saw as a generalized unmet need that could be a business opportunity for someone who wanted to pursue it.

    the need is still there. it is still unmet.

    it won't be met by businesses trying to meet a need the medical community has managed to circumvent by choosing to begin most electronic patient records on the day of the first use of medical service after the implementation of computerization.

    Although i do believe there might be a market for the input of limited past objective data and medical coding in physician's practices... and as more physicians computerize the market will expand ... lowering prices....

    those products are unlikely to meet individual needs.

    When i experienced my first medical care, your medical records were retained by your physician and you had a reasonable expectation that you would be seen by the same physician or their successor for the rest of your life.

    That is no longer the case.

    Unless there was new legislation in Washington regarding the ownership of medical records while i lived in Minnesota.. individual medical records in this state still belong to the physician or clinic who provided the service and they release those records to you at their discretion... or by court order.

    This probably hasn't been an issue for most patients, chronically ill or not, before computerization because most medical practices freely transferred your mostly unedited medical records to the practice of your choice...

    However, with the advent of computerization, there is a good chance that complete medical records will become increasingly unavailable.

    The accumulation of complete medical records is one more burden that has been moved to patient responsibility... without the legalities of ownership catching up with the need to access records.

    There is currently a source of complete objective medical records including illness codes and providers for individuals , but individuals and physicians have no legal access to that record... insurance companies do.

    But that's a matter for activism..

    in the meantime, patients like me who want a history of objective data have to request their medical records and chart the data they find in them... something which is difficult for many chronically ill patients to do..

    even if they could read their physician's writing:)

    I don't know how many chronically ill patients could afford this service.. or if i will at one point make an employment offer for this service for myself...

    but it is my opinion that someone who understands this need only in the context of business applications is unlikely to be a good candidate for meeting the smaller need of those who are trying to make some objective sense of their personal medical records.

    And that if you are seriously pursuing an opportunity for employment and not just commenting on a generalized discussion of a possible opportunity, it is always prudent to do so privately... especially when your prospective employer would be depending upon your discretion.

    As for harassment... I refer anyone who is unclear to Wikipedia for a discussion of what constitutes harassment...

    http://en.wikipedia.org/wiki/Harassment

    I used the term in the context of "behaviour intended to disturb or upset"... which i believe to be an accurate representation of a repeated demand for answers from someone who has chosen not to answer you...

    i still think this is a good idea for someone to pursue but am unlikely to continue this conversation further publicly...

    anyone who is interested in talking with me about this or any other related issue is welcome to PM me. I would be more than happy to engage in further conversation privately.

    Posted 3 years ago #         
  20. HunterG
    Member Profile

    HunterG

    My mother was a project Manager @ Harrison Hospital before it became Harrison Medical Center, in Bremerton.

    She headed up a group that was developing and working to implement computerized medical charts and etc. Unfortunately with the mass amount of charts the hospital had, and the amount of disagreement between Docs, nurses and staff about how this system would work...the project died (new management didn't help either).

    Hospitals and medical providers really should see computerizing this data as mandatory! And there are enough tech literate, educated people out there unemployed now, that supply shouldn't be an issue.

    Healthcare providers would be able to spend less time dealing with sorting, searching and analyzing charts and doing more of what matters most - treating patients.

    Posted 3 years ago #         
  21. beachdrivegirl
    Member Profile

    beachdrivegirl

    HunterG that is exactly what many hospitals and other medical facilities are doing! It is really exciting because software development companies have not only made their systems now with open architecure to compliment all existing systems but also with an increased securtiy than paper files. This systems are HIPPA compliant. However, many agencies are still afraid of the dreaded change but within the next five years I would guess that any major institution would be using these systems. That is too bad to hear about your mothers hospital!

    Posted 3 years ago #         
  22. beachdrivegirl
    Member Profile

    beachdrivegirl

    JoB why do you think that with computerization that these records will become increasingly less available? to be quite frank I strongly disagree with this statement. Not only does computerization keep your records more secure but it also allows the records to be transferred in a more efficent & secure manner. If you would like, you can PM me and I can send you some more information on the compliance of these products.

    Posted 3 years ago #         
  23. ok...here's what you're missing...when the docs and hospitals go computerized, they do NOT input important stuff from your paper files. They keep records from the date that you first saw them AFTER the computerization. I know, because it happened to me, still happens. I have to go over again and again to every new doc a very serious health problem that I had 13 years ago, that affects my health even today...and they're always amazed about it...oh! they say....and take a few notes. I have an extensive history from back then that entails long stays at Harborview, and again at UWMC...and now that I'm a patient at UWMC, it's like it never happened. It's frustrating since any decision that they make regarding my health plans now have to take into consideration wheat happened then. If they don't, it could quite literally kill me.

    I don't care how much IT expertise you have in the health care field...that's all well and good. These places needed to employ you back then to transfer the material from the paper files into their computerized files, so there is continuity.

    Posted 3 years ago #         
  24. beachdrivegirl
    Member Profile

    beachdrivegirl

    JanS, that is the hospitals choice as to whether or not they back file. Many choose not too b/c of the labor costs that are associated with back scanning of the files. They can if they want and I do know that some do. And if they dont they keep the paper files so you as well as others can access that very important information. If your doctor is missing parts of your medical records you may want to consider a new doctor, imo.

    Posted 3 years ago #         
  25. Beachdrivegirl...

    I suspect you are not comprehending the lack of connection between access of old paper based medical files and computerized files, the lack of standardization in state law governing access to medical records or the scope of the problem for someone with decades of medical care spread over several clinics in several states for a chronic illness.

    in fact, the very reasons that computerized access to a national database makes sense...

    Lack of computerization apparently prevented my paper medical records from traveling from the storage facility where they are housed by the clinic... to the doctor to whom those records belonged... and whose nurse had been notified of an appointment after 5 year's lapse (with the stated intention of doing lab work where previous reports were available) and who had put in a timely request for them.

    If my pre-computerized records are not easily accessible to my physician who owns them, it is likely they are not easily accessible.

    I have the information needed to request a copy of my full medical file at that clinic... and at the affiliated hospital...

    it will be very expensive since they have tagged a handling fee on top of excessive copying fees to discourage patients from requesting records...

    and it will be time consuming since the request has to be filtered through my physician who can choose to allow me access to only partial records...

    I have two or three standard 6 inch binders of medical records currently at the clinic and another binder + at the hospital.. not to mention the computerized records from my latest visit.

    that doesn't even count the binder plus of records at the clinic i used in Minnesota who are currently declining to release them to me since the physician i saw there no longer practices at that clinic... and there were apparently conflicts when she and several other physicians left the clinic to start their own practice... and i was not a current patient at the time she left and didn't know to request that my records be transferred to her ... so they retained ownership of my medical file.

    To add complications... they have since computerized and permanently stored those files they did not destroy..

    It is possible i can circumvent the need for a court order in that instance by having the records transferred to a physician here.. medical courtesy and all... if they have not been destroyed since i was not a current patient.

    however, the physician here is unlikely to release them to me once they arrive since they are owned by the clinic in Minnesota.

    Navigating the morass of medical-legal issues is often far more complicated than policies would indicate.

    I am contemplating getting an attorney to get court orders for the release of complete medical records from both facilities.. not an inexpensive proposition..

    and certainly not one i ever thought i would face in my lifetime...

    i spent most of my adult life in Oregon where access to complete medical records for individuals is mandated by law and there is no difficulty getting copies.

    I am all for the computerization of complete patient records...

    which would be easily and cost effectively accomplished by legal access to national insurance company data bases...

    i suspect that won't happen soon. Although insurance companies pretty much allow one another courtesy access to those records.. they are owned by the insurance companies who provided the service...

    I broke my stated intention to not comment further publicly because i thought my personal experience with the medical data system might be of use to others who are or will soon be struggling with similar issues...

    but i really don't think there is anything of value i can publicly add to this discussion so i am letting you know i am choosing not to pursue it with you.

    The largest problem for individuals is that each area of expertise only sees this issue in the context of their own expertise and policies... and is largely guarding their proprietary information and either unaware or unconcerned how individuals are going to handle the transition in technology...

    I am sure there are solutions here.. but in my opinion, they are more likely to come in the form of business opportunities than legislation.

    Posted 3 years ago #         
  26. HunterG
    Member Profile

    HunterG

    BDG..

    It was very disappointing for her, being an RN for 20+ years, she saw the need and demand for this, and that patients with long term issues would benefit greatly from having these documents available. which is why she instigated and headed up this project for the hospital. Unfortunately, she was a little before her time - the late 90's were a different time technologically.

    Bet they are kicking themselves now....

    BTW, and I hope to not offend you JoB, you're a smart lady and I have sincere regard for your condition - a close friend of mine suffers from FM; (and though it is none of my business i am gonna open my big mouth) I don't see the problem with BDG asking why you decided she wasn't appropriate for the specific business opportunity you presented. Personally, if I was deemed not right for something I would want to know why, its human nature.

    Posted 3 years ago #         
  27. HunterG..

    You may be sorry you asked.. i am in a reflective mood this morning.

    In the first place, i didn't offer a job... i just said that i had run into this circumstance and it looked like a business opportunity for someone to me.

    It still does.

    beachdrivegirl's post #8 brought up the personal employment issue..

    "Oh i get it. you are offering a job to someone here on the blog. How much are you paying?"

    i thought my reply to her in post #9 was pretty clear .. i told her i wasn't offering a job and when and if i did i would post the offer here...
    I concluded that post with

    "in the meantime, it was just a small business idea i floated... one you tell me is too expensive and cumbersome to do... probably not a gig for you."

    i think it's reasonable to assume that if the business concept is totaly misunderstood.. it's probably not a good fit.

    the reason i concluded that the concept was not understood is beachdrivegirl's post in response to my OP.. her post #2...

    "There are softwares out their that complete this but it is very costly for businesses to do this so most dont have the funds available to invest in them."

    i made the comment that this wouldn't be her gig because it is obvious to me that if she is recommending expensive software and speaking from the perspective of business to business transactions that she doesn't understand the need from a patient's perspective... and that is the unmet need that i presented.

    I intended no insult. I am sure that she is very competent at her job...

    but her job does not address the need that has surfaced in response to computerization of medical records for patients with established pertinent medical histories.

    Nor will it close the gap for those whose expectation is that their personal physician will have ready access to their complete medical histories.... changes in test values are often the first indication of developing medical issues...

    but that is a need that will eventually be addressed business to business... because if not rectified it will result in some horrendous lawsuits when people die because their physicians didn't access pertinent information that was in their medical file because it wasn't in the computer.

    Rectification via lawsuits will take decades and it is unlikely the results will be pertinent to a huge group of patients by the time they are resolved and the situation remedied. Our very lives depend upon finding a solution to a problem we are not legally entitled to solve... Put that way it seems just a little dismal.

    HunterG.. people don't die of Fibromyalgia or Chronic Fatigue Syndrome, but the actuarial tables indicate that their life expectancy is shortened due to these illnesses... the rates those who are so diagnosed pay for life insurance reflect that reality... these illnesses along with most chronic illnesses... often mask symptoms that would indicate life threatening illness... catching objective changes in test results is critical for people with chronic illness.

    This really is a life or death issue for some of us.. thus the business opportunity...

    As for why i didn't choose to respond publicly... when beachdrivegirl chose to make this personal...

    Let's assume it was an honest misunderstanding...
    that she had been right and i was trolling for someone to do this job for me...

    would you publicly respond to someone who issued a public demand to know what the job you hadn't yet offered paid?

    The same message sent privately wouldn't have compelled me to pursue an applicant... so why would i respond to it publicly?

    It is far more likely that responding would only increase the adversarial atmosphere in the thread... with more posters chiming in to defend their friends from perceived insults.

    If you had posted this idea.. is that how you would want the thread to end?

    Because that is how it has come down... with the focus on individuals and not ideas...

    I am well aware that some will blame me for that.. after all, i didn't need to tell beachdrivegirl that it probably wasn't her gig.

    and you would be right. Even meaning nothing personal by the comment.. i could have avoided this particular challenge by saying nothing...

    but i have to say that i am exceedingly weary of being the person responsible for not saying anything that could in any way be construed as a personal insult to some posters... when the very act of posting anything at all... a personal experience germane to the thread or a perceived business opportunity... is an invitation to posts making assumptions about what i said at best and outright insults at worst and then response to those assumptions creating adversarial environments that leave the question of what was actually said behind.

    I have very nearly left this forum more than once because it just plain gets old.

    If everything is personal.. if it is not possible to post an idea or an opposing opinion without getting a storm of personal reactions from a small group of posters.. what use is conversation?

    I am weary, but i persist because i feel that without conversation our society becomes one big reaction to sales pitches.. and i am not yet ready to contribute to that with my silence.

    I am going to continue to believe that it is possible to have an exchange of ideas and opinions and that doing so will encourage others to do the same.

    i believe the survival of our democracy depends upon it... and i don't want to die without optimism for my children, grandchildren and great-grandchildren... all more than a gleam in their parent's eye.

    told you that you might be sorry you asked ;-)

    Posted 3 years ago #         
  28. Anonymous
    Member Profile

    You are correct, JoB. It is only natural for friends to want to defend their friend when another person has criticized or demeaned them.

    That's what friends do - I know that you are well aware of that. :)

    I have to defend my friend here, though, and say, contrary to whatever you say the reason is, it is "personal" to tell someone that a job is not "for" them.

    It's not about trying to create an uncomfortable or hostile environment, it's about preventing a friend from getting their feelings hurt. It doesn't always have to be a bigger deal than what's on the surface - and it doesn't always have to be about you. Had anyone made that comment to BDG, the same concerns would have been shared.

    Posted 3 years ago #         
  29. HunterG
    Member Profile

    HunterG

    JoB,

    You were right! ;) (Just kidding) thank you for the thoughtful response.

    And no....that would not be the way I would want a discussion to end.

    Posted 3 years ago #         
  30. NewResident...

    ah.... there's the rub.

    if you believe pointing out that someone doesn't get the point that was made is demeaning them.. then yes..

    if you believe that any assessment or opinion that could be considered negative is an insult.. then yes..

    if you believe that you support and defend a friend by confronting the person you think offended them when they post on any topic .. then.. yes...

    i don't believe any of those assumptions has a place in adult conversation about ideas...

    that was the point.

    Posted 3 years ago #         
  31. inoffensive comment deleted by poster

    Posted 3 years ago #         
  32. cruiser
    Member Profile

    cruiser

    Ah, the old blog is coming back:) Hi all

    Posted 3 years ago #         
  33. cruiser..

    sorry to disappoint you.. you will have to find someplace else to park your bum for entertainment..

    be sure to take that beer with you.. it would be a shame to waste a good beer ;->

    Posted 3 years ago #         
  34. Anonymous
    Member Profile

    I tried. :(

    Posted 3 years ago #         
  35. alki_2008
    Member Profile

    alki_2008

    Wait - so, patients in WA don't have a legal right to their medical records?! I wasn't aware of that. I've always requested and received copies of my lab or other test results. I've never received push-back from my doctors, and they've even paid the postage to mail those results to me. Are my doctors doing something that most doctors in WA don't do?

    When I left another place that had a thick folder of my records, then they 'loaned' me the folder and a copy machine and I made photocopies of everything I thought mattered. They did charge me a dime per page, but not too bad.

    Not sure I'd be happy with a national database though. If the db has to be accessible enough for doctors from across the country to access, then there will undoubtedly be some hackers out there that figure out to crack it also. Then again, I've always believed that patients need to advocate for their own care (or the care of their family) and so keeping their own records is always a good idea...even if their doctors have copies as well. Who knows, the doctors office may catch fire or the hard-drive and back-up might crash. Having your own back-up adds some security.

    Lastly...to JoB: you had said that "In the first place, i didn't offer a job". Just for context, I had also inferred that you were offering a job...mainly from this statement: "in the meantime, i have realized that either i will be charting my own information or paying someone else to do it for me since i am probably not going to wait for google..."

    Posted 3 years ago #         
  36. alki_2008...

    it was never my intention to give the impression that i was offering anyone a job...

    however, if the service existed i probably would pay for it since the results of any spreadsheet generated would be more likely to be accurate if they were done by someone without my cognitive challenges ;)

    that said.. i am not currently trolling for someone to do the work since it will be some time before i have accumulated the medical records that provide the data...

    when and if i do.. i promise to be direct and exceedingly clear about the task and what i am willing to pay for having it completed. i already have one file drawer full of accumulated medical records so we aren't talking about an afternoon's work here :(

    i shudder to think what a dime a sheet will cost me for several 6 inch binders worth of medical records.. but it would probably be cheap in contrast to the cost of hiring an attorney to make sure that i get complete medical records... including the reports from specialists i was referred to by that physician.

    And it is a small price to pay if having that information available saves my life one day:)

    i wish the law requiring full patient access was consistent throughout the states...

    Oregon's law mandating access makes it very easy for patients to compile their complete medical records.

    I can see why some physicians hesitate though... i chuckled when i saw the phrase "well nourished" on my chart.... but others might not be so appreciative of the frank comments physicians make in their charts describing patients or the misrepresentations of personal information ...

    as with any communication there is often a vast difference between the intent of communication and the way it is received... there is no objective way to communicate the distress of many physical symptoms and how your words are perceived depends not only on your ability to communicate but how your physician filters that communication through their experience.

    this isn't all as straightforward as it seems:)

    i for one.. would have been perfectly content to leave all those records in the hands of my providers... had they remained easily available for assisting with my medical care.

    Somehow.. i think i am not the only person who is not eagerly looking forward to store-housing and compiling medical records. It's just not where i want to put my energy...

    and to be honest, i am a little ticked at finding out i have to if i want that information available...

    Posted 3 years ago #         

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