I'm always looking to improve how I use technology. My latest move is to clean up the AVS . The AVS is the after visit summary created by our EHR - it’s an aggregated mashup of meds, recommendations, and clinical goodness. The power of the AVS is in the hands of the provider who shapes smart phrases and customized text for an patient experience that extends beyond the ... Continue Reading about My AVS Dilemma
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Digital Health and the AMA Snake Oil
This week, James Madara, CEO of the AMA loosely referenced digital health technology as snake oil. He went one further suggesting it was the AMA that was going to save us from the looming threat of 21st century progress. It’s worth a read but for all the wrong reasons. The comments showcase the Shirky Principle: institutions will work to preserve the problem to ... Continue Reading about Digital Health and the AMA Snake Oil
EPIC and Analog: A Tale of Two Offices
There are two doctors I work with: those using EPIC in my hospital network and those outside of EPIC. Increasingly, the experience with the two providers is very different. EPIC practice. I have full access to everything that’s ever been done to a child. After I see a patient my findings and impression are immediately available to the referring doctor. As labs ... Continue Reading about EPIC and Analog: A Tale of Two Offices
How Do We Restore Joy to the Practice of Medicine?
I see it every day. Physicians discouraged over the state of medicine feel that they are powerless over the forces changing health care. And it would appear that what I see represents a broader national trend. The results of a survey of over 400 full-time practicing physicians released this morning by Geneia show what physicians are thinking. Here are a few of the ... Continue Reading about How Do We Restore Joy to the Practice of Medicine?
Human Bandwidth Will Never Scale to Match Clinical Supply
In his book, Too Big to Know, David Weinberger suggests that information is becoming the problem rather than the solution. There used to be a nurse practitioner in another specialty in my hospital who copied those involved in a child's care with every encounter. Anything - phone calls, routine visits, etc. The rationale was that "it's better to be too informed ... Continue Reading about Human Bandwidth Will Never Scale to Match Clinical Supply
Polishing Glass
We’re all convinced that Google Glass will change medicine. But no one’s really sure how. The idea of a doctor talking to her glasses just seems inevitable. This closing paragraph from a FastCo.Exist article on surgeons and Glass showcases our dogged determinism in forcing technology into every corner of medicine. "For advocates of the technology, the big ... Continue Reading about Polishing Glass