Category: Ukulele parody songs

’nuff said

EPCS: Morphine (ukulele video)

ctlukeepicmanbig
This guy thinks he can sing. How unfortunate.

Has your organization adopted technology to electronically prescribe controlled substances (EPCS)? If so, good for you! If not, what are you waiting for? UCHealth is kicking off this project on April 9, 2018, a “big bang” for all providers who have a DEA number to be able to e-prescribe and avoid that horrible, bifurcated workflow of “electronically transmit all the regular prescriptions directly to pharmacy, but remember 1) keep your tamper-proof prescription paper stocked in the correct drawer of the printer, 2) to go get that narcotic prescription off the printer, 3) sign it with pen-and-ink, 4) then tell your staff to track down the patient to come pick it up or remember to put it in certified mail to the patient, especially if the patient called to request, or worse, you forgot to get it off the printer before the patient left clinic.

After the DEA ruling to permit EPCS a few years ago, our EHR vendor developed the 2-factor authentication tool to meet the regulation, and now we have finally contracted with a company to provide that service, link our physician identities to their smartphones via an encrypted app, and now a smartphone alert and a password (something you have and something you know) are our two factors that permit EPCS.

Here’s a little something I wrote to commemorate our EPCS go live:

CT on ukulele singing “Morphine” inspired by Eric Clapton’s classic song “Cocaine.” https://youtu.be/EC6yXXYl1vY
(Part of my YouTube channel)

I also created an internal-only training video for Duo Mobile as second factor for EPCS.

I learned the structure of a well-told instruction video from the original “Apple Business” video tips back in the early zips (2000’s). You’ll see a human, then a quick screen video, then close with a human. Perfect format:

https://www.youtube.com/watch?v=oswqRHFJqH4

CMIO’s take? Sometimes a video tip (or video musical tribute) is what gets an audience’s attention.

I’m a Fellow of the American College of Medical Informatimusicology!

That’s FACMIMI to you regular folk.

Here’s the ACMImi blog, with a recent contribution by yours truly for the EPCS “Morphine E-prescribe” song.

https://www.acmimimi.org/

Here’s to colleagues in healthcare getting the word out, and having fun while we’re at it! Also, here’s an update with more songs!

https://www.acmimimi.org/2018/10/InformatimukulelogicalOfferingsfromCTLin.html 

CMIO’s take? What are YOU doing to inject fun into your daily work? Let me know!

Ukulele: Dear Burned Out Colleague

Ukulele at CHIME17

https://www.dropbox.com/s/6z8470q2ccjbfpg/2017%20UGM%20CEO%20Council%20CT%20Uke%20Performance.mp4?dl=0

Ukulele at Epic UGM17 CEO Council

Thanks to the organizers at CHIME17 for a great conference. Just returned from giving my presentation on “EHR 2.0 Sprints: Can Providers and EHR’s Just Get Along?” with my collaborator and colleague Steve Hess, CIO at UCHealth.

We are all about improving the well-being of our provider colleagues using the EHR by developing our 2-week in-clinic technology sprints to improve provider efficiency. We created an 11-person team, led by a physician informatics, managed by a project manager, with a clinical nurse informaticist, 4 Epic analyst-builders and 4 Epic trainers. Their main directive: “Go in there and make things better, but whatever you do, you must be done in 2 weeks.” They spent 1/3 of their time on building new, specialty-specific custom tools and 2/3 of their time on training efficiency strategies on the existing EHR tools. Most importantly, they created a people/process/tools conversation and redesigned quite a few workflows.

We measured Net Promoter Score (NPS: range of -100: terrible, to +100: perfect). We are gratified to be able to move our providers from an NPS of -15 to a +13 by end of a 2-week Sprint. And, the NPS for Sprint itself (how likely would you recommend Sprint to friends or colleagues?) was +54, which is up the range for Apple, Inc. We are in good company!

We also measured provider burnout on the Maslach Burnout Inventory scale. At baseline we found a 39% burnout rate, which decreased to 35% when measured within a month after completion of the 2-week sprint, a small but significant decrease. Importantly, providers told us “finally, someone cares!” “You made me a better mother! – I’m getting home to see my family.” and “I’m no longer going to retire because of EHR issues.” The rapid cycle improvements made a huge difference provider satisfaction.

From the great attendance at our session (standing-room only?!?), it seems there’s lots of interest also from many in the healthcare CIO community; and for that we are grateful for their feedback and conversation.

And, as with other talks I give, I ended with a song… enjoy!

CMIO’s take? Dance like no one can see you; Sing like no one’s listening.

Doc Prudence (a ukulele parody) about Open Notes

I’m here at CHIME16, the College of Healthcare Information Management Executives, at the fall CIO forum, speaking about Open Notes. I’m honored to be invited to speak, and even more honored to be selected as an Encore by the audience, who choose their favorite presentations for an ‘encore’ presentation on the last day of the conference. And at the end of my talk, a ‘bonus’ presentation on ukulele of “Dear Prudence” by the Beatles, repurposed to illustrate the benefits of Open Notes and the principle of information transparency in healthcare.

It has been great to be here in Phoenix learning from and sharing ideas with healthcare’s pre-eminent CIO’s.

Slicer Dicer, ukulele parody of Helter Skelter

 

So, I just got back from Wisconsin, hob-nobbing with over 15,000 people at Epic’s UGM 2016 (national user group meeting). We sent a half-dozen folks to present talks on such topics as our Physician Builder governance program where our physician informaticians are trained and given the keys to build sophisticated charting, ordering and reporting tools directly into Epic; our Smart-pump integration to deliver safer IV medications to patients; and this, my participation on the Slicer-Dicer discussion panel.

Slicer is an Epic tool for the average Epic physician user to “surf” the de-identified patient data in a simple self-explanatory way in order to see patterns in the data (in our case, applying to over 5 million unique patients). The tool can make it easier to look for quality improvement opportunities (what percent of my coronary artery disease patients are taking the recommended aspirin dose?), for teaching opportunities (does an increasing BMI correspond to an increasing rate of being diagnosed with diabetes?), for process improvement (which clinics have the highest patient-adoption of our online patient-portal for communication?), and even pre-research, hypothesis generating questions (which blood pressure medications are associated with the highest rate of patients with blood pressures below 140 systolic?). The tool shows bar graphs of de-identified data that can point out surprising trends and lead to more sophisticated projects downstream.

Of course, in case the audience of 250+ wasn’t adequately entertained with our expert panel’s recommendations (Stanford Childrens, Novant, and ourselves at UCHealth), I volunteered to play my uke to illustrate the finer points of our academic arguments…

Forgive the off-key singing and enjoy!