Dx accuracy for CAP

Dr Wil dr.will at FUSE.NET
Mon Nov 25 02:31:46 UTC 2013

My growing cynicism is that most hospital EMRs are designed for billing and a single "chart" to find data, not to promote quality communication between physicians that benefits patient outcomes. And as a result physicians have less time to communicate directly. But billing for hospitals is up.
I hope someone solves this problem soon for ALL EMRs and our patients benefit.
Will Sawyer, MD

Sent from my iPad

> On Nov 23, 2013, at 10:54 PM, robert bell <rmsbell at ESEDONA.NET> wrote:
> Pat,
> I would totally agree. 
> This could lead to a revolution in diagnosis. 
> If most things were labelled that way it would be more truthful and lead to more attention being made to making the diagnosis.
> The question then is it worthwhile to bias others by saying Rule Out (R/O)  A, B, C, X, Y, Z, ……………...
> Patients could proceed for weeks, months, years without a specific diagnosis. I think more attention would then be focussed towards solving the patient’s problem. 
> Is this a more honest way to conduct business?
> What it would do to coding I have no idea!
> Rob Bell 
>> On Nov 23, 2013, at 3:10 PM, Pat Croskerry <croskerry at EASTLINK.CA> wrote:
>> Robert: we do that here in Canada from the emergency department i.e. we can
>> admit with Chest pain NYD (not yet diagnosed), syncope NYD etc.
>> Some have seen this as a significant milestone. It leaves things open,
>> indicating the uncertainty, and reduces premature diagnostic closure.
>> Pat
>> _____________________________________________________________
>> Pat Croskerry MD, PhD, FRCP(Edin)
>> Professor,Department of Emergency Medicine, 
>> Director, Critical Thinking Program, Division of Medical Education,
>> Faculty of Medicine,
>> Dalhousie University,
>> QE II - Health Sciences Centre,

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