phreesia

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This is predictable but depressing. Like the websites that fund research for every click. As long as we are willing to expose ourselves to more advertising we get "free stuff" (I mean we collectively.) I imagine an increasing exposure of ads until the ad wars of the future ... remember the scene in Demolition Man: "All restaurants are Taco Bell"Locke's in Colorado wrote: On the video, the swipe card was so the patients name was enteredautomatically.Sort of like checking into

the airline at the airport -- swipe the card andit pulls your name off the magnetic tape. Locke, MD -----Original Message-----From: [mailto: ] On Behalf Of Graham ChiuSent: Saturday, February 09, 2008 4:34 PMTo: Subject: Re: Re: Phreesiawell, you are basically selling your patients to big pharma to fund this ...Maybe the swipe card is there to buy the drugs on line while they wait tosee you?On Feb 10, 2008 12:17 PM, Padma <padma8332> wrote:>>>>>>> I forgot

to mention that it is being beta-tested to interface with > Amazing Charts. The lady also said they could create all the forms we > usually have the patients sign, including office policy, HIPAA etc, > and looks like they will customize questions for IMH. Currently these > can be saved as PDF files.>> I am stunned that it is all free--apparently the Pharmaceutical > industry has figured it will make a profit on direct to consumer > advertising in doctor's offices. I signed up as well, have to see how > pushy they will get with ads.> --Padma--Graham Chiuhttp://www.synapsedirect.comSynapse-EMR - innovative electronic medical records system

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i am interested to find out exactly what and how this is, so i'll wait to hear from phreesia. how would i be selling my patient data to big pharma? could this be used to steal my data? i don't even know how this works yet.LL Graham Chiu wrote: well, you are basically selling your patients to big pharma to fund this ...Maybe the swipe card is there to buy the drugs on line while they waitto see you?On Feb 10, 2008 12:17 PM, Padma <padma8332> wrote:>>>>>>> I forgot to mention that it is being beta-tested to interface with> Amazing Charts. The lady also said they could create all the forms> we usually have the patients sign, including office policy, HIPAA> etc, and looks like they will customize questions for IMH. Currently> these can be saved as PDF files.>> I am stunned that it is all free--apparently the Pharmaceutical> industry has figured it will make a profit on direct to consumer> advertising in doctor's offices. I signed up as well, have to see> how pushy they will get with ads.> --Padma-- Graham Chiuhttp://www.synapsedirect.comSynapse-EMR - innovative electronic medical records system

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ok, i have made contact with phreesia today, and will speaking more with them. i have asked for written contract information which specifies that any data which they may hold is not to mined in any way. additionally, they would be one's practice business associate, in other words, a covered entity under HIPAA. apparently they make their money by measuring advertising hits provided by drug company sponsors. i will let you all know what else i find out. LL

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here's my phreesia report, posted previously; stop being tortured by them, block them from your phone and email.please do not give them any information about our practiceimprovement group, they are precisely whom we don't want here.if they do come here, we may be forced to close this listserv, which may not be a bad thing.LLAs previously promised, I did some research into exactly what and how Phreesia is; here is my report.I

contacted Phreesia, and spoke with Mike off, one of the founders

and the individual demonstrating Phreesia on their Internet website.

We spoke for quite a long time. I wanted to make sure that I had a

very good understanding of what and how he was trying to do, if what he

was providing would have any benefit to ideal micro-practice, and what

if any downsides were there.Specifically, drug companies pay him

for however many hits there are by a patient to their sponsored

information once the patient goes through the registration,

demographics, medical history and complaint pages.The information

is not presented in a drug neutral format, like "if you have a problem

with headaches and insomnia, you should talk to your doctor, this

message courtesy of Pfizer",

rather it is presented in the form of the benefits of a particular

drug, targeted to the individual patient, since the patient has told

Phreesia what medical problems they have. Although HIPAA compliant, I

reviewed their business associate agreement with Mr. off, and

there is nothing to prevent Phreesia from using the patient information

in whatever ways they see fit, as long as those ways are HIPAA

compliant. Essentially, it is designed to target individual patients

with their individual problems at the point of entry to the doctors

office, before the doctor sees the patient, and with a specific

medication, presented in the form of educational material. It is

obvious this is designed to alter our prescribing habits, having

recruited the patient as the drug company representative.This

program is designed to do something far more dangerous than at first

look. This is not just advertising; this is a direct insertion of the

drug company with its financial interest into the very heart of the

doctor-patient relationship, performed by none other than the patient,

at the direction of the drug company.At

best, any discussion of the advertised product merely takes additional

time, and time away from the patient's needs, the very thing we need to

do our job, and for which we get paid. At worst, this helps to create

an adversarial relationship, where the patient may think that the

doctor is not doing everything he or she can for the patient's benefit.The

fact that Phreesia is offering this service for free as long as a

certain number of patients per week is met, and as long as the

sponsored information is not totally removed, is laughable. This is a

blatant scam by the drug companies, using a new and sophisticated

high-tech weapon, to continue to attempt to influence the marketplace,

in a very insidious manner.I think the idea of a patient coming in

and being able to swipe a magnetic strip and have that information

check eligibility and benefits, populate demographic fields in an

electronic record, go to instant medical history or something similar

and present that data to the doctor, would be great. I think that

insurance companies may want to know when their patients show up, and

to emphasize good health habits, and that may be a way to pay for such

a service. Nonetheless, even in such a scenario, it gets ever closer

to others being in the exam room with the doctor and the patient,

necessarily altering the free and open discussion about that patient's

medical condition and needs.When

I go into the exam room with a patient, we are afforded a shade of

opacity which descends to prevent advertisers, insurers, politicians

from inserting their message into the doctor-patient relationship.

Phreesia is a device whereby I, who stands at the door regulating who

may come in my office, invites someone in, who always brings in someone

else whom I may not want there.That is

unacceptable. I told

Mr. off that I am member of a large group of doctors, and that I

would be reporting this conversation and my opinion to the group. Mr.

off wanted to know who was this group of doctors, and how could he

participate in a discussion with them. I told him this group is for

doctors only, and that I was not comfortable giving that information to

him.My opinion is, in a phrase, this is blatant commercialism and

totally unacceptable. I think this also very clearly demonstrates how

much money there is in medicine from a pharmaceutical perspective. If

we are going to continue to make a significant difference, we are going

to have to work to reduce and eliminate the influence of the three

major players, the drug companies, the private insurance companies, and

the largest doctor organizations, geared to the needs of specialists.

These are the three groups who control the money.just my thoughts.hope

that's helpful.LLSubject: Sublease Vs Lease and PhreesiaTo: Date: Monday, May 5, 2008, 3:14 AM

Hi friends what wasthe final verdict on phreesia? I am tortured by their phone calls. I have not called them yet and I remember previous mail, where u guys were concerned about drug company profit vs patient information safety. Also when subleasing in a specialist office do u always worry about being forced to find a space at end of lease. I am the one who was trying to see if I could work with another physician for $3000 rent, 10% for him and I pay condo fee. Well till now I waited on him to give me the keys to office but never happened. I signed this agreement in Dec 2007 to start office in March 08. So like many of u suggested I didnot walk I ran..... Well I am looking for office space here in VA (DC metro). Can't decide between sublease and leasing. Help me please. Thanks and u all have a wonderful week. Malar Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

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Hi Appreciate your input. Don't worry I am not a easy goer to free stuff. As I said haven't spoken back with them so don't worry. Malarlawrence lyon wrote: here's my phreesia report, posted previously; stop being tortured by them, block them from your phone and email.please do not give them any information about our practiceimprovement group, they are precisely whom we don't want here.if they do come here, we

may be forced to close this listserv, which may not be a bad thing.LLAs previously promised, I did some research into exactly what and how Phreesia is; here is my report.I contacted Phreesia, and spoke with Mike off, one of the founders and the individual demonstrating Phreesia on their Internet website. We spoke for quite a long time. I wanted to make sure that I had a very good understanding of what and how he was trying to do, if what he was providing would have any benefit to ideal micro-practice, and what if any downsides were there.Specifically, drug companies pay him for however many hits there are by a patient to their sponsored information once the patient goes through the registration, demographics, medical history and complaint pages.The information is not presented in a drug neutral format, like "if you have a problem with headaches and insomnia, you should talk to your doctor, this message courtesy of Pfizer", rather it is presented in the form of the benefits of a particular drug, targeted to the individual patient, since the patient has told Phreesia what medical problems they have. Although HIPAA compliant, I reviewed their business associate agreement with Mr. off, and there is nothing to prevent Phreesia from using the patient information in whatever ways they see fit, as long as those ways are HIPAA compliant. Essentially, it is designed to target individual patients with their individual problems at the point of entry to the doctors office, before the doctor sees the patient, and with a specific medication, presented in the form of educational material. It is obvious this is designed to alter our prescribing habits, having recruited the patient as the drug company representative.This program is designed to do something far more

dangerous than at first look. This is not just advertising; this is a direct insertion of the drug company with its financial interest into the very heart of the doctor-patient relationship, performed by none other than the patient, at the direction of the drug company.At best, any discussion of the advertised product merely takes additional time, and time away from the patient's needs, the very thing we need to do our job, and for which we get paid. At worst, this helps to create an adversarial relationship, where the patient may think that the doctor is not doing everything he or she can for the patient's benefit.The fact that Phreesia is offering this service for free as long as a certain number of patients per week is met, and as long as the sponsored information is not totally removed, is laughable. This is a blatant scam by the drug companies, using a new and sophisticated high-tech weapon, to continue to attempt to influence the

marketplace, in a very insidious manner.I think the idea of a patient coming in and being able to swipe a magnetic strip and have that information check eligibility and benefits, populate demographic fields in an electronic record, go to instant medical history or something similar and present that data to the doctor, would be great. I think that insurance companies may want to know when their patients show up, and to emphasize good health habits, and that may be a way to pay for such a service. Nonetheless, even in such a scenario, it gets ever closer to others being in the exam room with the doctor and the patient, necessarily altering the free and open discussion about that patient's medical condition and needs.When I go into the exam room with a patient, we are afforded a shade of opacity which descends to prevent advertisers, insurers, politicians from inserting their message into the doctor-patient relationship. Phreesia is a device whereby

I, who stands at the door regulating who may come in my office, invites someone in, who always brings in someone else whom I may not want there.That is unacceptable. I told Mr. off that I am member of a large group of doctors, and that I would be reporting this conversation and my opinion to the group. Mr. off wanted to know who was this group of doctors, and how could he participate in a discussion with them. I told him this group is for doctors only, and that I was not comfortable giving that information to him.My opinion is, in a phrase, this is blatant commercialism and totally unacceptable. I think this also very clearly demonstrates how much money there is in medicine from a pharmaceutical perspective. If we are going to continue to make a significant difference, we are going to have to work to reduce and eliminate the influence of the three major players, the drug companies, the private insurance companies, and the

largest doctor organizations, geared to the needs of specialists. These are the three groups who control the money.just my thoughts.hope that's helpful.LL From: Malar Anbarasan <mals10675>Subject: Sublease Vs Lease and PhreesiaTo: Date: Monday, May 5, 2008, 3:14 AM Hi friends what wasthe final verdict on phreesia? I am tortured by their phone calls. I have not called them yet and I remember previous mail, where u guys were concerned about drug company profit vs patient information safety. Also when subleasing in a specialist office do u always worry about being forced to find a

space at end of lease. I am the one who was trying to see if I could work with another physician for $3000 rent, 10% for him and I pay condo fee. Well till now I waited on him to give me the keys to office but never happened. I signed this agreement in Dec 2007 to start office in March 08. So like many of u suggested I didnot walk I ran..... Well I am looking for office space here in VA (DC metro). Can't decide between sublease and leasing. Help me please. Thanks and u all have a wonderful week. Malar Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.