Here are my posts on Informatics and EHR (electronic health records).
EHR Inbox @UCSF
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.
EHR Inbox @UCSF
Productivity paradox. Why are we not more efficient with fancier tools? But it should get better, right?
EHR inbox @UCSF
Bob Wachter MD citing Betsy Toll’s article on how EHRs have caused unanticipated effects on the patient physician relationship.
EHR inbox conference at UCSF. Live posting
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.
Machiavelli, “The Spare” and Medical Informatics? A reflection
What does “The Prince”, Prince Harry’s new book, and Medical Informatics have in common?
Speech Recognition In the Exam Room with patients: could this work for you?
Speech recognition has been used in medical practice for years. Some physicians/APP’s use this in the exam room. What do patients think of this? We studied this, and published on this topic, come along for the ride …
Perspectives of Patients About Immediate Access to Test Results Through an Online Patient Portal
What do 8000 patients think about the immediate release of test results since the 21st Century Cures Act Final Rule on information blocking? 96% preferred receiving immediately released results online even if their health care practitioner had not yet reviewed the result. (and more!)
CT Lin’s CMIO interview with SeamlessMD
Thanks to Joshua Liu and Alan Sardana for a great chat spanning decades of my informatics career. We cover: https://seamless.md/blog/tdp-96-uchealths-cmio-dr-ct-lin-measuring-and-benchmarking-clinician-nps-augmenting-cds-with-ai-and-making-clinical-informatics-fun-ft-ukulele
How you name YOUR teams (the daily JIG)
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.
Swapping or Merging EHR’s? Don’t Make Me Start with a Blank chart! Or Should We?
You’re kidding right? No one wants to start with a BLANK EHR screen when seeing patients. There HAS to be a way to automatically move data from ___ EHR (fill in name) to ___ EHR (fill in name), RIGHT? RIGHT?
Grow humans, not IT employees (PIG-let series)
What do the books Good to Great (Collins) and How to Raise an Adult (Lythcott-Haims) have to do with Informatics? Don’t you wish you knew… (UPDATE! Link to Sinek’s Infinite game 2 minute summary)
Wide-Ranging Interview w This Week Health (CT Lin and Bill Russell)
Bill and I chat about Info Blocking, Anticipatory Guidance, Inbasket Redesign, a 350% increase in portal messages, a one-page pediatric medical record, and more!
Dig Deeper: A Case Report of Finding (and Fixing) the Root Cause of Add-On Laboratory Failures
Excess venipunctures can be caused by Electronic Health Record-related factors. By doing a root cause analysis, we eliminated about 1000 unnecessary blood draws monthly. Cool informatics work by smart colleagues.
Help! Secure Chat in Epic, a ukulele EHR parody
The latest ukulele song. Yet another illustration of how Culture Eats Technology for Lunch.
90 x 4, don’t bother me no more (ukulele)
Thanks to Chris Sinsky’s saying “90×4, don’t bother me no more”. Here’s a ukulele ditty go along with that. We’re making these changes to our inbasket for noncontrolled, maintenance meds.
Tips on Mentorship (a conversation)
The PAC mentor program I recently had the chance to sit down with David Bar-Shain MD, of MetroHealth, who single-handedly started the a mentorship program in the PAC (Physician Advisory Council), hosted at Epic in Verona Wisconsin. The program has been running for 4 years now and has matched over 70 mentor-mentee pairs, over 170 … Continue reading “Tips on Mentorship (a conversation)”
Where do you keep the (informatics) pixie dust? (borrowed from NYTimes)
This is hilarious: angsty flowcharts to help guide readers. Must-read article. Thank you to Fawzy Taylor, whose brainchild this is. Fantastic in so many ways. Why can’t we build our informatics and our internal education this way? For example, for newbie informaticists, how about my book-recs graphic above, based on the same idea? CMIO’s take? … Continue reading “Where do you keep the (informatics) pixie dust? (borrowed from NYTimes)”
Door-dash ride along, a parent’s and informaticist’s view
Ever wonder what the gig economy is all about? What is the experience of drivers, interacting with restaurants, with traffic, with the AI-in-the-cloud, with customers? My son recently turned to this service to make some cash prior to his upcoming trip. Wonder of wonders, he offered to let me come ride-along for a few hours … Continue reading “Door-dash ride along, a parent’s and informaticist’s view”
City Scooters: an informatics viewpoint
A colleague and I were recently making fun of tourists and others riding the city scooters around Seattle and other large cities. Nearly no one was wearing helmets, they’re zipping in and out of traffic, going up against SUV’s and 16 wheelers. Just asking for it. Now, it is true that Seattle has some the … Continue reading “City Scooters: an informatics viewpoint”