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Minnesota officials say thousands of health care providers are violating the state's new rules requiring electronic patient health records but there isn't much they can do about it.

State regulations that took effect Jan. 1 call on all providers to use sharable electronic health records. But while all hospitals and nearly all primary care clinics are complying, the state Health Department says many dentists, mental health professionals and chiropractors are not.

The department argues the digital rules make health care safer and more efficient. Some providers, however, say converting from conventional paper record keeping is too expensive. Others say they worry about patient privacy.

Some state lawmakers are paying attention. A bill moving through the Minnesota House would let providers with seven or fewer caregivers opt out of electronic record keeping. That would exempt about 80 percent of clinics from the mandate and defeat the purpose of the rule, officials say.

"There are very strong patient benefits to electronic health records," said Diane Rydrych, director of the Health Department's policy division. "The reason why we have a mandate is because we want to make sure that those benefits are shared with all patients."

The federal government also has a new requirement for electronic health records, and if health care providers fail to comply they will see reduced Medicare payments. But providers who don't depend on a lot of federal money have less of an incentive to comply with the federal mandate.

When doctors and clinics keep electronic records that can be shared with other medical professionals, their patients get better care, Rydrych said. That was the reason lawmakers passed legislation eight years ago calling for the digital records conversion by the start of 2015.

"If I go to see my doctor or any caregiver that I might have, it's important for them to know about things like allergies, other tests that I've had, other conditions that I have so that they can be providing appropriate care for me," Rydrych said.

Some health care professionals worry about the privacy of electronic records. It's a particular concern in practices such as psychotherapy, said St. Paul psychologist Peter Zelles.

Original post:

MN health providers fall short on digital records