Here are my posts on Informatics and EHR (electronic health records).
We are all scrambling to put together simple documents to explain to patients and providers about INFO BLOCKING / SHARING coming in a week. Here’s our latest document. Link to full PDF here. Feel free to adapt this for your organization. We are also hoping our very smart Epic colleagues in Wisconsin can add a … Continue reading “When Can I See Results in My Patient Portal?”
The national discussion on Info Blocking / Sharing is resulting in rapid improvement. MMOLC helps a great deal!
Since the passage of the 21st Century Cures act and the INFORMATION BLOCKING rule, I’ve gotten a ton of questions about our experience with Open Notes and Open Results. AND A UKULELE SONG
Info Blocking means inpatient and outpatient progress notes released immediately to patients, along with lab results, CT/ MRI/ PET scan results, pathology results. Immediately. Ready?
Telehealth Ukulele Song!
My awesome colleague Zuzanna Czernick and collaborators have written a brilliant piece about the EHR. She used a CT scan image with a large pulmonary abscess to get the attention of an otherwise hostile, disengaged hospital patient.
What is CT looking at? Could it be … his own radiology image in his patient portal? What does this mean about secrecy in healthcare?
Dr. Glissmeyer, informaticist, Utah, notes that emergency department visits plummeted in March and are much slower to rebound. Why?
EHR Patient Portal Advocates! I need your brains.
Six months into pandemic, what is happening to telehealth visits at UCHealth? Inquiring minds want to know!
Well, it is time to update my resume. It has been a year, I have failed at more things. I’ve read more failure resumes, and I like some of the newer ideas, for example, listing your NON-skills. I’ve added mine. One idea for brave souls willing to try, is to submit both your Regular CV … Continue reading “My Failure Resume, redux”
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”
https://www.statnews.com/2020/06/30/taiwan-lessons-fighting-covid-19-using-electronic-health-records/ It is fascinating, inspiring (and disappointing) to see effective responses to the Covid pandemic from other countries. Great partnerships and effective connection of governmental leadership, industrial production, and healthcare information can combine to combat the pandemic. Taiwan has had only 446 cases and 7 deaths, for 24 million residents, since the start of the … Continue reading “EHR v Covid-19. Taiwan, EHR and effective pandemic response leads to economic growth”
Dialing in to an Aging Parents Telehealth Visit… Why aren’t more of us Doing it? (Guest Blog: Glenn Sommerfeld)
I forgot about my father’s memory and neurology clinic visit even though I had promised to go down to Denver with both of my parents to help them navigate the complex world of healthcare four months before. A lot changed in those four months, most notably COVID-19 swept across the world and made its way … Continue reading “Dialing in to an Aging Parents Telehealth Visit… Why aren’t more of us Doing it? (Guest Blog: Glenn Sommerfeld)”
https://klasresearch.com/resources/blogs/2020/04/06/from-chief-complainer-to-the-sprint-program Thanks to KLAS research for highlighting my backstory, my inauspicious beginnings as Chief Complainer in the 1990’s.
Time for more data surfing! UCHealth’s overall visit volume (including in-person and video visits and scheduled phone visits) have recovered about 80-90% of pre-pandemic levels. Today, we’re looking at visit volumes among different age groups of patients. Keep in mind, UCHealth is primarily an adult hospital. Our partner, Childrens Hospital of Colorado, sees most of … Continue reading “EHR v Covid-19. What age groups do well with Video Visits?”
We are well into our fourth month of this pandemic. Looking at our graph, purple shows influenza B peaking in December, influenza A peaking in February, and leaving aside an artifactual spike in mid March, when we started co-testing for major respiratory viruses at the same time we started testing fro Covid-19 in earnest, all … Continue reading “EHR v Covid-19. Where’s Covid now? And, patient care is already looking different!”
Thanks to those of you who caught my non-displaying graph images, I’m reposting now converting my original PNG to JPG. Please let me know if you can see these and follow the reasoning below! (edited 6/15, CTL) —– Thanks to Brendan Drew, one of our data scientists, who is diving into the analysis of Leading … Continue reading “EHR v Covid-19. Leading Indicators: work-in-progress, VERSION 2”
For fun, I’ve set my Zoom background with an actual vintage 1997 photo I took of the medical records room in the basement of University of Colorado Hospital on Ninth Avenue in Denver (back when giants walked the earth). This aisle featured 6 stacked rows of medical record charts AND piles of paper record folders … Continue reading “All y’all EHR-using folks don’t know how good you have it.”
If you’re here to understand some of the challenges of antibody testing with Covid-19, read on. Be warned: math ahead. What’s the TL;DR? We don’t know whether having antibodies indicate that a person is IMMUNE to future re-infection now or later with Covid-19. We don’t know whether having antibodies mean that a person is NO … Continue reading “EHR vs Covid-19. Antibody tests: Yikes.”