2 thoughts on “OARRS Report as Part of Patient Record”

  1. If I am going to be judged in this report,i feel I should have access to it as well as a way to improve it and dispute it

  2. My physician presented me with a form to sign that said I had been made aware of the report, it had been discussed with me and all my questions had been answered. Yet he only quoted a score and not the source where it came from. When I asked detailed questions about it, he refused to discuss any aspect of it. When I asked to see the report, he refused to show it to me. He then insisted I come in twice a month because the score was elevated, no problem there, but I had to get a nurse practitioner to show me the report and she said, “I’m not allowed to do this so be quick”. Later I asked the doctor if he believed I was compliant with my treatment and medication use, he said yes. I asked, do you personally believe I am at risk, he said no. So the basis for his current treatment plan is centered on a report score he won’t discuss or show me. That’s nuts, it’s part of my medical record but I’m not allowed access to it nor can I ask questions. It’s like being told your lab work is abnormal but we can’t tell you exactly what is abnormal about it, and by the way, here is how we will treat it but we can’t tell you why.

    My score is high because the first clinic I went to had six prescribers, I don’t get to choose who see’s me or writes my scripts and when one left and was replaced, it added another prescriber to the report and the score went up. Then the first clinic closed, went out of business, so I had to find another, there are four prescribers there, again I have no control over who I see or who writes the script. When I went on Medicare, I had to change pharmacies or pay out of network prices, so the score went up again.

    My current doctor is simply scared out of his wits, he doesn’t know how to respond to this report so he overreacts due to liability concerns. The algorithm in the report needs to reflect real world events for which a patient has no control over, so as not to over inflate the score and the doctors need training on how to exercise balanced professional judgement while following the mandates for using the report.

    Personally I have no problems with the concept, but I do believe the scoring process needs to be reviewed by a peer group of healthcare professional which incorporates patient advocates.

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