While Hurricane Katrina has disrupted healthcare for millions of people, one beneficial outcome may be more public and private
efforts to develop a national electronic health records (EHR) system.
Health and Human Services (HHS) Secretary Mike Leavitt stressed the value of a national e-health system that could prevent
people from losing their medical records in the case of a pandemic or natural disaster. Several days after the hurricane hit,
Leavitt announced the 16 members of a new federal advisory committee formed to lead the development of an interoperable national
EHR system. The panel includes CMS administrator Mark McClellan, MD, PhD, plus executives from health plans, insurers, and
IT companies.
"If we had a national EHR system, the impact on the healthcare system would be lessened," said Christopher Valerian, DO, MMM
(Master of Medical Management), executive medical director, quality and clinical innovations, Horizon Blue Cross Blue Shield
of NJ. Valerian experienced the devastation firsthand when deployed to New Orleans on a 10-day mission as medical manager
for New Jersey Task Force One (NJ-TF1), an urban search and rescue team. "Most, if not all, paper records are probably going
to be at least partially affected by the floodwaters. This loss will cost a lot in the form of repetitive testing, office
visits, etc," he said.
The events surrounding Hurricane Katrina have illustrated a need for a disaster preparedness plan (DPP) that "identifies potential
risks, articulates how they will be mitigated, and most importantly, ensures that there are already actual solutions in place
to ensure business continuity, especially in medical records," said Joseph M. Mack, MPA, senior vice president in the National
Healthcare Practice of Beecher Carlson, an insurance brokerage and risk management firm. "The DPP for EHRs requires that backups be made frequently and separated from the institution so that the disaster that befalls
the facility doesn't also befall the storage facility," Mack says. "Healthcare organizations must balance the cost-benefit
of potential back-up solutions with effective risk management analysis and insurance coverage specific to the components within
their DPP."
In New Orleans, Kindred Hospital has been transformed into a forward command center by the Centers for Disease Control and
Prevention (CDC) and other government agencies.
"Kindred stores e-medical records locally, but also duplicates them on a central server and back-up systems off site," said
Rick Chapman, executive vice president and chief administrative and information officer for Kindred Healthcare.
Health plans in particular should view Hurricane Katrina as a wake-up call to begin assisting their providers toward the migration
of an EHR, said Jay Anders, MD, chief medical officer at InteGreat, an EHR provider to group practice physicians. "This also
should be a call to the federal government to start funding grants to set up community health records to allow central secure
storage of patient data," Dr Anders said.
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