commandar
@commandar@lemmy.world
- Comment on why are fax machines still used by medical systems? 5 weeks ago:
Secure email is nearly always implemented as a portal-based system in practice. It’s also typically only used for one-off exchanges. It’s not our first-line method of communication, but it gets used within the facility literally every day.
HIE portals are more commonly used for provider-to-provider exchange that doesn’t justify full data integration.
At any rate, the fundamental point stands: regulatory compliance has absolutely nothing to do with why faxes are still in use in the industry.
- Comment on why are fax machines still used by medical systems? 5 weeks ago:
To be clear, this is specifically what I was calling incorrect:
An email, even an encrypted one, is not.
Faxes are a compliant means of electronic communication. They’re just not the only one. Secure email is fine.
- Comment on why are fax machines still used by medical systems? 5 weeks ago:
That’s likely a peculiarity of the niche you’re in. HL7/FIHR are the norm for enterprise-level systems. Hospitals couldn’t function without it.
Definitely less defined in the small-practice and patient-side space. Though, like I said, the big problem there ends up being data normalization anyway.
- Comment on why are fax machines still used by medical systems? 5 weeks ago:
There’s no one standard…except for faxes.
HL7 and FHIR have been around for decades. Exchanging data is actually the easy part.
The problem is typically more on the business logic side of thing. Good example is the fact that matching a patient to a particular record between facilities is a much harder problem than people realize because there are so many ways to implement patient identifiers differently and for whoever inputs a record to screw up entry. Another is the fact that sex/gender codes can be implemented wildly differently between facilities. Matching data between systems the really hard part.
(I used to do HL7 integration, but have since moved more to the systems side of things).
- Comment on why are fax machines still used by medical systems? 5 weeks ago:
Such a company has little motivation to completely change to something new, since they’d have to retain this for anyone that hasn’t switched.
They’ve had motivation since the HITECH Act passed in 2009. Medicare/Medicaid compensation is increasingly directly tied to real adoption of modern electronic records, availability, and interoperability. Most healthcare orgs rely heavily on Medicare/Medicaid revenue, so that’s a big, big deal.
You’re dealing with it first hand, so you know what’s involved.
I do. Which is why I’m actively and aggressively removing fax machines from our environment. Efaxing (e.g., fax-to-email gateways) will stick around for back-compatibility purposes with outside organizations, but the overall industry trend is to do everything you can to minimize the footprint of fax machines because they’ve traditionally been used in ways that will cost the company serious revenue if they cause you to miss CMS measures.
- Comment on why are fax machines still used by medical systems? 5 weeks ago:
Speaking as someone who works directly in the field: this is just plain factually incorrect. Encrypted email is compliant with patient privacy regulations in the US.
The issue is entirely cultural. Faxes are embedded in many workflows across the industry and people are resistant to change in general. They use faxes because it’s what they’re used to. Faxes are worse in nearly every way than other completely regulatory-compliant means of communication outside of “this is what we’re used to and already setup to do.”
I am actively working on projects that involve taking fax machines away from clinicians and backend administrators. There are literally zero technical or regulatory hurdles; the difficulty is entirely political.
- Comment on Why are laptop adapters so much larger than phone adapters of same power rating? 1 month ago:
Wattage = V x A.
They’re pointing out that it’s impossible to hold both wattage and voltage constant while changing the amperage.
- Comment on why does every single flashlight have multiple settings that you have to scroll through? 2 months ago:
The old FourSevens Quarks used to rotate the tailcap the switch between modes. The newer models since they got bought out ditched it which sucks because it was such a simple interface.
I got a couple of Fenix lights recently that I don’t hate. They still do the “cycle through modes with a button” thing, but it’s at least a dedicated button separate from the tailcap switch.
- Comment on Speeding ticket goes from 0 to 100 with the quickness. 4 months ago:
Did the cops ever answer the question of what he was being arrested for?
They legally don’t have to. They can, and often do, but there is no requirement that they do so.
The side of the road is always the wrong place to argue your case.
Shut the fuck up and only talk to an attorney.
- Comment on Pros / cons of riding a bike? 6 months ago:
80%+ of severe injury and death on a bicycle is caused by motor vehicles, or complications of motor vehicle involvement.
Which would mean ~1 in 5 have absolutely nothing to do with a motor vehicle. That’s significant.
There is considerable evidence that everyone wearing a helmet in a car would save vastly more lives and prevent severe head injury
Then that should be an easy [citation needed] for you because my searches are coming up blank for actual studies. Lots of assertions of it, but I’m not finding anything in terms of actual data.
It’s very easy, on the other hand, to find comprehensive meta analyses on the efficacy of helmet use.
It’s also worth noting that the introduction makes a point of calling out another common online assertion that you repeated – that helmets make people engage in more risk-taking behavior – as false:
There has already been an extensive peer-reviewed literature review conducted by Esmaeilikia et al.5, which found little to no support for increased risk-taking when cyclists use helmets and if anything, they cycled with more caution.
I don’t feel those people should be called stupid for their choice.
I don’t think they’re stupid. I think they’re bad at risk analysis. That’s a pretty inherent feature of humans. It’s the reason I want to see actual data.
- Comment on Pros / cons of riding a bike? 6 months ago:
A helmet is only needed if you intend to spend significant time in traffic.
The worst wreck I’ve ever had on a bike was without a single car in sight. Pinch flat while carrying speed through a steep downhill curve. I split an expensive MIPS helmet in two and still hit hard enough that I had a minor concussion, road rash up one side of my body, and cracked the face of a week old watch just to pour salt in the (metaphorical) wound. I mostly landed on my head at north of 30 MPH and that helmet is the reason I didn’t have drastically more severe head injuries.
Helmets aren’t just for traffic.
- Comment on Sequel to Star Control 2 - The Ur-Quan Masters 7 months ago:
Free Stars is being made by the original creators of the series, Paul Reiche and Fred Ford. They had nothing to do with the SC3 or Origins.
The reason why it’s not using the Star Control name is because the IP ownership around the whole thing is messy. The short version is that the original creators owned the rights to the universe, but Atari owned the rights to the Star Control name.
When Atari went bankrupt, Stardock bought the name. They thought they’d bough the universe. This resulted in Stardock spending the next couple of years trying trying to use the courts to bully Paul and Fred into turning over the rights to them and generally being dickheads.
This finally ended in a settlement and worm on Free Stars has been happening quietly for the last couple of years.
- Comment on Kingdom Come: Deliverance II Official Announce Trailer 8 months ago:
It’s a shame that the game systems are so polarizing because it legitimately has some of the best written characters I’ve seen in any game ever.
- Comment on Derps of Tiktok 8 months ago:
Kurt Cobain has been dead longer than Kurt Cobain was alive at this point.
- Comment on Why there are no "secondary" sports league that allow performance enhancement drugs? 11 months ago:
PEDS aren’t limited to bulking up via steroids. A lot of PEDS use is about shortening recovery time. As an example, cycling is the kind of sport you’re describing where increased bulk is a disadvantage and doping in the sport has been absolutely endemic for years. It’s what the Lance Armstrong controversy was about and Armstrong was more representative of the norm at high levels than not.