Informatics

https://academic.oup.com/jamia/advance-article-abstract/doi/10.1093/jamia/ocad074/7148302?utm_source=advanceaccess&utm_campaign=jamia&utm_medium=email Congratulations to Dr. Stephen Rotholz, outstanding colleague and informaticist, who authored this paper describing our organization’s journey to deliver test results immediately, supporting information transparency. Trouble is, sometimes the results can be life-altering, causing patient distress and anxiety. And of course, this happened on a Friday afternoon. Our open-access article details what exactly happened, … Continue reading ““I don’t think it should take you 3 days to tell me that my baby is dead” (Information Blocking anecdote, and JAMIA journal article)”

Here are my slides for EHR inbox innovation at UChealth. Including deleting 12 million messages from the inbox. And setting new teamwork standards.

What is Microsoft doing in the research and innovation space with LLM (large language models) matching complex cancer patients to clinical trials.

The brave souls at UCSF. Billing for online patient messages = eVisits.

Dr. Kris Lee showing us development work at KP.

Use data to redesign inbox work at Atrius. What did they figure out?! Out of box ideas as well as executing on standard work.

‘We run primary care (in Canada) like a bunch of convenience stores. Maybe we need to be more systematic.’ —Onil Bhattacharyya. Wow, spot on, sir, for all of us.

Transformation of work from paper to electronic inbox. Historical perspective and also ideas about where we might go next.

Online messaging is a challenge in Canada perhaps even more than in the US

Liz Salmi tells us about the Patients Inbox. Her journey with a astrocytoma brain tumor and her medical sojourn. ‘An insane experience.’ And ‘I was anchored by the patient portal’

3 premises. Inbox work is stress. Quantity drives workload. System leaders are needed to do this work.

Chris Sinsky speaking about the EHR transfer of work to physicians. And the impact of cognitive load on burnout. We are underperforming and under resourced in ambulatory care, nationwide.

Productivity paradox. Why are we not more efficient with fancier tools? But it should get better, right?

Bob Wachter MD citing Betsy Toll’s article on how EHRs have caused unanticipated effects on the patient physician relationship.

Hearing from A Jay Holmgren about the explosion of inbox messaging. And from Bob Wachter, chair of medicine at UCSF about the history of EHR deployments in the past decades. About 100 attendees. We are looking forward to a robust conversation today.

Do you have fun at work? Do you have committees named WONK, Large PIG, Small PIG, PIGlets, Daily JIG, SONG, PROM, SPOC, EMO? Perhaps GUANO? Maybe we did.