The face of medicine in the United States has changed dramatically in the last 10 years and will continue to change in the future. Patients are more involved in their own health care and decision making, and their expectation of what medicine should offer them has dramatically changed. Patients are hungry for information, and are eager to know that their decisions regarding their medical care are well advised.
At the same time, Health Care Insurance Companies continue to encroach on the practice of medicine. They influence medical practice through financial decisions which are often flawed by simplistic profit motivation and not the quality or "Outcome" of medical care. The quest for improved quality will in fact ultimately lead to lower costs.
Patient oriented Validated Outcomes Measures, or Evidence Based Medicine, has the ability to improve medical care, by utilizing patient outcomes in evaluating health care interventions, and allow the medical community to validate what is most effective in improving patients, using Validated Outcomes Instruments. Recently, Pay for Performance Measures have been suggested by the AMA and Congress to improve medical care, and lower the cost of Medicine in the United States. Unfortunately, these efforts although well meaning, may be more about money than improved medical care. Our feeling is that Outcomes Measures must begin in the hands of individual Physicians and their Patients. Despite obvious benefits, which result from widespread Outcomes data collection, Medical Outcomes have had a rocky course since their inception. Problems with data collection, integration with patient demographics, patient diagnosis and co-morbidities, physician treatment data, and widespread physician data collection have all been difficult hurdles to overcome. Good data collection efforts have generally occurred in expensive multi-center (randomized-prospective) studies that can answer a very limited number of questions, and only with enormous costs both financially and in personnel time. Large, widespread data collection in contradistinction has the capacity to answer many questions and may even be analyzed retrospectively. Early outcomes efforts resulted in validated instruments, but there has been considerable difficulty in data collection and integration with patient demographics medical diagnosis, co-morbidities, and physician data. Only when all components are integrated into a robust database, which can be shared securely with other physicians, will the full impact of data collection and analysis be realized.
Electronic Medical Outcomes© was designed to automate nearly every aspect of Outcomes Data collection allowing this to become a viable tool, which physicians can easily integrate into office practice, and use routinely to improve patient care. In addition, it is imperative that the physicians who use these tools be capable of analyzing their own data, and able to share it confidentially for collaborative efforts. Electronic Medical Outcomes© was designed for the most difficult situation: the Solo Practitioner with limited financial and personnel resources, but may also used for a large group of physicians who equally value the quality of their care. Physicians are able to easily collect data with low cost and minimal personnel requirements. Data may be shared with colleagues confidentially. This allows Evidence Based Medicine to be practiced as an integral part of daily Medical Practice
EMedOutcomes© was designed to maintain patient and physician confidentiality under current HIPAA regulations, both in local and widespread data collection efforts. This enables us to fulfill the elusive goal of widespread data collection between multiple physicians and sites without concern for confidentiality breaches of either patient or physician.