Category: Ukulele parody songs

What gracious hosts, our CCHS colleagues have been. We have enjoyed our time with our clinical and IT colleagues, had some enjoyable meals (prime rib, pizza, Mexican food). Pictured below are 20 of my best friends: clinical nurse informaticists, physician informaticists, EHR trainers and implementation specialists. It takes a village (not pictured: the rest of the village).

Personally, it is a joy to connect with colleagues IRL (hey! you aren’t just a 2 x 2 inch face on my laptop!). Epic go-live is our excuse, but human connection is what we live for.

Of course, some of us introverts have to head home, exhausted after all this socializing, and others (Jon Pell!) go off after dinner to the Big Lost Meadery for trivia night, apparently.

It is so gratifying to bring colleagues successfully through a big change like implementing an EHR. Congrats to all. CCHS is doing well: already breaking even financially for their go live on day 4. And, the doctors and nurses handling the transition very well, hiccups and all.

And, oh yes, enjoy the song, and thanks to Hope Thompson for bringing real singing talent to this poor man’s recital.

Here are the lyrics

Campbell County Bighorn Mountain High (thanks to John Denver’s Rocky Mountain High)
Intro: D Em G G A7

She went [D]live in the [Em]summer, of her [C]twenty seventh [A]year;
Coming [D]home to a [Em]system she'd never [G]used before
She [D]left Meditech behind her, You might [Em]say she was [C]trained [A]again
You might [D]say she found a [Em]use for her [G]keyboard. 

When she [D]first put down her [Em]script pads, her [C]life was [A]far away;
In [D]Hyperspace, [Em]hanging by a [G]thread
But [D]Epic was really [Em]tough for her, and she [C]found it hard to [A]care;
It keeps [D]changing fast, and it's [Em]hard to stay [G]ahead

[G]Campbell County [A]Bighorn Mountain [D]high
We're [G]saving patients and [A]we're improving [D]lives.             
[G]Friends around the [A]keyboard, [D]keeping our quality [G]high. 
[A]Bighorn Mountain [D]high, [Em]Wyoming [G]     
[A]Bighorn Mountain [D]high, [Em]Wyoming [G] [A7]

She [D]mastered Epic [Em]chart review, she saw [C]morning vitals[A] flow;          
She saw [D]lab results as [Em]far as you can [G]see
And they [D]say that she got crazy once, and hit [Em]control [C]alt [A]delete
She thought she [D]lost her note, but it was [Em]saved in [C]memory [A] 

Now she [D]works in quiet [Em]solitude, with a [C]keyboard and a [A]screen;       
Making [D]sense of [Em]complex patient [G]history            
Her [D]sight has turned [Em]inside herself to [C]try and [A]understand;             
The [D]serenity of a [Em]collaborative [C]discharge [A]plan
             
[G]Cambell County [A]Bighorn Mountain [D]high
We're [G]saving patients and [A]we're improving [D]lives.
[G]Friends around the [A]keyboard [D]keeping our quality [G]high
[A]Bighorn Mountain [D]high, [Em]Wyoming [G]            
[A]Bighorn Mountain [D]high, [Em]Wyoming [G] [A7] [D]

UCHealth has been using RTBT since 2019. Now that it is a federal requirement, over 70% of health systems have this deployed. We discuss our lessons learned in deploying this tool:

• When to interrupt the prescriber for an alternate med that might save the patient $ ($2 monthly savings or more), and perhaps to restrict geography for internal pharmacy alternatives
• How to display Colorado Medicaid costs alongside the $0 copay for patients. (Eg both valsartan and losartan are $0 for patients but one might cost Medicaid a lot more) we can’t yet display 2 costs to the prescriber. Development opportunity for the Epic Wisconsin team
• How to get PBMs pharmacy benefit managers to clean up their own databases and suggested alternatives to show more relevant choices. Eg don’t show me creams and inhalers as alternatives when I’m prescribing prednisone steroid in oral form for asthma.
• Many prescribers don’t understand Medicaid issues above, and then only care if there is a prior authorization or a much bigger copay difference between alternatives.
• Using Arrive health and Surescripts. Worth working with both RTBT vendors in detail to improve data feeds.
• Still, patients save over $600,000 per year in copay costs because of alternatives selected by prescribers. For example one of my own patients saved $50/month for my switching from doxycycline tablets to capsules. Go figure.

And a new RTBT ukulele song!

Fun fact, thanks to my daughter Ann-Claire Lin for the initial song title, song selection and first draft of lyrics. Not many daughters would listen to dad and help write an RTBT ukulele tune. Thanks AC!