why aren't we measuring this more?
Cognitive load with the EHR and burnout:
why aren't we measuring this more?
Category: journal publications
stuff i/we have published
Turn Inward to Keep the Flame Burning. Dr. Elizabeth Toll, RIMJ (news)
My good friend Dr. Elizabeth Toll, pediatrician, professor of pediatrics and medicine at the Warren Alpert School of Medicine at Brown University, has done it again. Her piece in the Rhode Island Medical Journal. Her timely, moving portrait of the immigrants of the Bhutanense-Nepali refugee community is emblematic of the struggles and triumphs of immigrants … Continue reading Turn Inward to Keep the Flame Burning. Dr. Elizabeth Toll, RIMJ (news)
EHR v Covid-19: MDPOA (power of attorney) & Advance Care Plans and the Covid BUMP
Full open-access paper here. https://preprints.jmir.org/preprint/21385/accepted What I love about working in an academic health center is the luxury of being surrounded by people smarter, and more hardworking than I am. Here are Drs. Portz and Lum analyzing our data on the capture of patient's Advance Care Plans - ACPs (including the Medical Durable Power of … Continue reading EHR v Covid-19: MDPOA (power of attorney) & Advance Care Plans and the Covid BUMP
Clinical Informatics Accelerates Adaptation to Covid-19: Examples from Colorado. JAMIA-accepted manuscript!
https://academic.oup.com/jamia/article/doi/10.1093/jamia/ocaa171/5873873 Thanks to a great team of collaborative physician and nurse informaticists and our broader community of brilliant clinicians. We are happy to share our many uses of informatics in response to the Covid-19 crisis and hope that some of these findings are of use to other clinicians and health systems. The article is open … Continue reading Clinical Informatics Accelerates Adaptation to Covid-19: Examples from Colorado. JAMIA-accepted manuscript!
Pharmacogenomics (PGx) at UCHealth, getting serious about Personalized Medicine (published article)
https://www.futuremedicine.com/pb-assets/images/logo-md-1533264422427.png Thanks to Pharmacogenomics Journal at Future Medicine https://www.futuremedicine.com/doi/10.2217/pgs-2020-0007 Thanks to Christine Aquilante, lead author and main force of nature behind our early experience with Pharmacogenomics. Pharmacogenomics is the specifc branch of Genomics and Personalized Medicine that deals purely with "drug-gene pairs" or how a patients genetic variants might affect their ability to process and … Continue reading Pharmacogenomics (PGx) at UCHealth, getting serious about Personalized Medicine (published article)
Medical Scribes: mixed methods study by Heather Holmstrom and team
https://medinform.jmir.org/2019/3/e14797/ A mixed methods study. Important work on how to reduce documentation burden and also impact physician and patient satisfaction in ambulatory encounters. Dr. Holmstrom and colleagues at the University of Michigan did some nice work investigating the Medical Scribe model, and it's acceptability by patients and impact on physicians. I look forward to our … Continue reading Medical Scribes: mixed methods study by Heather Holmstrom and team
“I, EHR” A thoughtful first person reply by our friend, the EHR
from thenounproject.com A couple of our University of Colorado medical students and their mentor wrote this wonderful, thoughtful piece about the intersection of medicine and technology and how it has impacted our colleagues. This is a unique first-person EHR response to the various critiques. I don’t have feelings and I can’t read, but I do … Continue reading “I, EHR” A thoughtful first person reply by our friend, the EHR
Optimization Sprints: Improving Clinician Satisfaction and Teamwork by Rapidly Reducing Electronic Health Record Burden (published in Mayo Clinic Proceedings Feb 2019)
Sprint team action shot! Congratulations to Amber Sieja, Katie Markley, Jon Pell, Christine Gonzalez, Brian Redig, Patrick Kneeland, co-authors on our published article in Mayo Clinic Proceedings this week. I've spoken of some of the details on this blog, so I'll let the paper speak for itself. Nice to be recognized! Coming soon: a video … Continue reading Optimization Sprints: Improving Clinician Satisfaction and Teamwork by Rapidly Reducing Electronic Health Record Burden (published in Mayo Clinic Proceedings Feb 2019)
White paper: the Future of EHRs (National Symposium at Stanford)
I had the privilege recently of being invited to a national symposium hosted by Stanford Medicine and Dean Lloyd Minor, sporting numerous EHR clinical experts, informaticists, vendors and other thought leaders. See the resulting white paper (caution, in addition to expert opinions, there are quotes from me): http://med.stanford.edu/content/dam/sm/ehr/documents/SM-EHR-White-Papers_v12.pdf CMIO's take? I found it an invigorating, … Continue reading White paper: the Future of EHRs (National Symposium at Stanford)
Successful Implementation of APSO Notes Across a Major Health System (AJMC publication)
Congratulations to colleague Amber Sieja MD on her first-author publication of our work on improving EHR (electronic health record) usability by reconfiguring traditional SOAP notes into APSO notes, and then deploying it across an entire health system, AND THEN measuring the outcomes. As always, a pleasure to work with smart people who can turn their … Continue reading Successful Implementation of APSO Notes Across a Major Health System (AJMC publication)