Informatics

Here are my posts on Informatics and EHR (electronic health records).

Pandemic skills: Giving feedback successfully: I Like … I wish … What if … ?

By CT Lin | May 13, 2020

During this pandemic, many of us have been stuck in front of our screens, like talking heads (Max Headroom, anyone?). If “sitting is the new smoking” (or perhaps not), then I’ve been “smoking” a lot. Virtual meetings are draining, and I’m on them up to 8 hours a day, even busier now with all the … Continue reading “Pandemic skills: Giving feedback successfully: I Like … I wish … What if … ?”

Improving Communication with Video Visits: now with shorter video!

By CT Lin | May 9, 2020

Thanks to my excellent colleagues at UCHealth, Echo Vogel, Hillary Duffy and Duane Pearson, co-conspirators to spend an hour on a Zoom webinar to review Patient Experiences with online Video Visits. We are all on a rapid learning curve. Come spend some time with us as we review what we’ve learned. Here is a link … Continue reading “Improving Communication with Video Visits: now with shorter video!”

EHR v Covid-19. Follow the data: Hemoglobin, Viral tests, ‘data humility’

By CT Lin | May 5, 2020

For all the talk about Covid-19 testing, and testing for respiratory viruses, keeping mind, that the UCHealth (and most health system) labs do SO MUCH MORE than virus testing. Hemoglobin, for example. Hemoglobin is the measure of how much oxygen-carrying protein we carry in our blood, a way to detect anemia, blood loss. Look at … Continue reading “EHR v Covid-19. Follow the data: Hemoglobin, Viral tests, ‘data humility’”

EHR v Covid-19. Follow the data: Visits, Testing, Symptoms, Codes?

By CT Lin | May 4, 2020

It is time we looked back at the past month to update our data. Since we initiated social distancing in mid March, and then the Colorado Stay-at-Home order in late March and subsequent mask use, what has happened to Covid-19, and what about symptoms? other viruses, the geographic spread? Hold on to your hats. This … Continue reading “EHR v Covid-19. Follow the data: Visits, Testing, Symptoms, Codes?”

EHR v Covid-19. Nurses help families of ICU patients, from home

By CT Lin | April 30, 2020

These are our healthcare heroes at work: From ICU rounds at Poudre Valley Hospital, part of UCHealth: Starting from the left standing we have Respiratory Therapy, Palliative Care PA, and Chaplain. Sitting from the left are RN, intensivist MD and Charge RN. In front of the intensivist (in green scrubs) is a telephone on the … Continue reading “EHR v Covid-19. Nurses help families of ICU patients, from home”

Dr. CT Lin’s Covid-19 advice for patients. KOSI 101 and Mile Hi Magazine

By CT Lin | April 19, 2020

In the link below, it is the interview from April 12, 2020. https://kosi101.com/mile-high-magazine-public-affairs/ I had the pleasure of being interviewed by Mile Hi Magazine last week in regards to questions about how patients can cope with Covid-19 at home. I responded to such questions as: So many people contract but recover, is this what our … Continue reading “Dr. CT Lin’s Covid-19 advice for patients. KOSI 101 and Mile Hi Magazine”

EHR v Covid-19. Video Visits: How to Improve the Patient Experience

By CT Lin | April 15, 2020

Executive Summary: We have a global pandemic, daily policy changes, we work from home, have new video tech, and we are learning to communicate and build relationships in new ways. It is easy to forget that there may be a scared patient on the other end, counting on us. How might we improve the patient … Continue reading “EHR v Covid-19. Video Visits: How to Improve the Patient Experience”

EHR v Covid-19. Cough, fever, shortness of breath in the data

By CT Lin | April 14, 2020

Okay, I acknowledge that I’m a data dilettante. Hmm. Interesting concept. I guess that is one step up from me being a data ignoramus. Having an anonymized population graphing tool in the EHR leads to amateur data exploration. Come along, won’t you? DATA SET 1: 3 Years of CHIEF COMPLAINTS The above graph shows 3 … Continue reading “EHR v Covid-19. Cough, fever, shortness of breath in the data”

EHR v Covid-19. Other Confounding Viruses! and graphing data

By CT Lin | April 13, 2020

The Epic EHR has a tool called Slicer/Dicer that allows clinician-users to set up qualitative analyses of our populations in sophisticated ways. Of course this doesn’t replace the need for report-writers and more sophisticated analyses. But it is amazing what an informaticist can come up with, sitting in an Incident Command Center on an Easter … Continue reading “EHR v Covid-19. Other Confounding Viruses! and graphing data”

EHR v Covid-19. Prepping for the Surge: Inpatient Guide for Outpatient Doctors – Guest Blog

By CT Lin | April 10, 2020

Covid-19 threatens to hospitalize an exponentially increasing number of patients in the coming weeks. In addition to building more physical space and finding more equipment, what happens when we run out of hospitalists to manage their care? What if, instead of our usual 10 teams of hospitalists, we need 20 teams? Thirty simultaneous teams? Thanks … Continue reading “EHR v Covid-19. Prepping for the Surge: Inpatient Guide for Outpatient Doctors – Guest Blog”

EHR v Covid-19. Pandemic Drives Patient Portal Signup (and helicopters and dinosaurs)?

By CT Lin | April 9, 2020

Amidst the furor of the health industry struggling to battle a microscopic foe, there are some interesting tidbits. And a data update, thanks to a question by @TheLizArmy on Twitter. Here’s the TL;DR: Pandemic concerns, relaxation of Federal rules and Stay-at-home orders have resulted in explosive growth in our patient-portal sign ups at UCHealth. We … Continue reading “EHR v Covid-19. Pandemic Drives Patient Portal Signup (and helicopters and dinosaurs)?”

EHR v Covid-19. From the front lines: Virtual Visits take off at UCHealth. The Covid-19 burning platform

By CT Lin | April 8, 2020

As recently as 2 months ago, we, the virtual visit leadership team, sat in a conference room bemoaning our fates: HOW will we get our 4000 providers (doctors and advanced practice providers) to start conducting Telehealth or Virtual Visits with patients? In all of 2019, our organization conducted about 2700 visits between providers and patients. … Continue reading “EHR v Covid-19. From the front lines: Virtual Visits take off at UCHealth. The Covid-19 burning platform”

Pharmacogenomics (PGx) at UCHealth, getting serious about Personalized Medicine (published article)

By CT Lin | February 26, 2020

https://www.futuremedicine.com/doi/10.2217/pgs-2020-0007 Thanks to Christine Aquilante, lead author and main force of nature behind our early experience with Pharmacogenomics. Pharmacogenomics is the specifc branch of Genomics and Personalized Medicine that deals purely with “drug-gene pairs” or how a patients genetic variants might affect their ability to process and metabolize medication. The upshot is: some patients don’t … Continue reading “Pharmacogenomics (PGx) at UCHealth, getting serious about Personalized Medicine (published article)”

The EHR fights Hepatitis A outbreak!

By CT Lin | February 21, 2020

https://www-uchealth-org.cdn.ampproject.org/c/s/www.uchealth.org/today/hepatitis-a-outbreak-colorado/?amp Always excited to see awesome work from smart, altruistic colleagues. Our own Kelly Bookman, Senior Medical Director, Emergency Department and physician informaticist, helped develop and deploy a Clinical Decision Support alert in our Electronic Health Record, in conjunction with Michelle Barron, infectious disease specialist and Infection Control director, among other analysts and experts. With … Continue reading “The EHR fights Hepatitis A outbreak!”

Zoom! Powers of 10 IRL! How about a zoomable EHR?

By CT Lin | February 12, 2020

https://www.eso.org/public/images/eso1242a/zoomable/ Click the hyperlink (not the image) above. This is a ZOOMABLE 9 billion pixel image with 84 million stars (thanks to Seth Godin’s blog for the link). Thanks to the European Southern Observatory for hosting this image. Makes you think about our relative place in the universe. I’ve been fascinated with the night sky … Continue reading “Zoom! Powers of 10 IRL! How about a zoomable EHR?”

AMA Joy in Medicine recognizes – University of Colorado School of Medicine

By CT Lin | January 22, 2020

https://www.ama-assn.org/practice-management/sustainability/ama-honors-22-organizations-commitment-cutting-doctor-burnout We are honored to be among the organizations awarded the inaugural Joy in Medicine honor. We applaud the AMA for standing up a framework that all healthcare organizations can pursue, to ensure that the work-life balance of physicians is considering in the coming topsy-turvy days of healthcare. Physician burnout is a national epidemic, with … Continue reading “AMA Joy in Medicine recognizes – University of Colorado School of Medicine”

Medical Scribes: mixed methods study by Heather Holmstrom and team

By CT Lin | December 18, 2019

https://medinform.jmir.org/2019/3/e14797/ A mixed methods study. Important work on how to reduce documentation burden and also impact physician and patient satisfaction in ambulatory encounters. Dr. Holmstrom and colleagues at the University of Michigan did some nice work investigating the Medical Scribe model, and it’s acceptability by patients and impact on physicians. I look forward to our … Continue reading “Medical Scribes: mixed methods study by Heather Holmstrom and team”

A Second Sprint Team to reduce EHR-related burnout! UCHealth – Colorado

By CT Lin | December 4, 2019

https://www.hcinnovationgroup.com/clinical-it/electronic-health-record-electronic-medical-record-ehr-emr/article/21105576/uchealths-wellness-effort-includes-ehr-optimization-sprints We are so excited to welcome another 11 person team to our Sprint Optimization family! Our success in re-designing the physician-clinical team-EHR interaction has led to substantial reductions in time spent in the EHR: 16 minutes PER PHYSICIAN PER DAY, and in our sample of one academic medical practice comprising 26 providers (advanced practice … Continue reading “A Second Sprint Team to reduce EHR-related burnout! UCHealth – Colorado”

ME! Becker’s article about me, and our upcoming challenges in Health IT

By CT Lin | November 27, 2019

https://www.beckershospitalreview.com/hospital-management-administration/becker-s-health-it-clinical-leadership-pharmacy-4-questions-with-ct-lin-chief-medical-information-officer-for-uchealth CMIO’s take? ’nuff said.

“What Matters to You?” instead of “What’s the Matter with You?” -guest post, Heather Coats, PhD, APRN-BC

By CT Lin | November 20, 2019

Is the integration of an individual’s narrative into the Electronic Health Record FEASIBLE to Improve Person-Centered Care? (CT Lin: I’m excited to welcome Guest Blogger: Heather Coats PhD) Person-Centered Care, a buzz word to refocus our Western (US) healthcare system on the user of the system, the person who has a health need.  We as … Continue reading ““What Matters to You?” instead of “What’s the Matter with You?” -guest post, Heather Coats, PhD, APRN-BC”

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