If you spend time nosing around medical charts you’ll find that the quality of physician notes vary as much as the doctors who creates them. Even as physicians we sometimes have difficulty understanding what’s happening or where a patient is headed in their care. An informed patient begins with clean information It got me thinking of OpenNotes. This is a tremendous ... Continue Reading about Physician Notes: Access is Only as Good as the Notes Themselves
Carbon Health – 6 Ways it is Reinventing Healthcare and Revolutionizing the Clinical Encounter
We’re excited to have Carbon Health as our featured sponsor this week. The ideas expressed, however, are shaped and written on my own. You don’t have to look far to find doctors and patients at odds with what happens in a clinic. Repeated questions, unfriendly EHRs and poor communication add up to a miserable experience for everyone. It seems way the information ... Continue Reading about Carbon Health – 6 Ways it is Reinventing Healthcare and Revolutionizing the Clinical Encounter
EHR and the Failure to Communicate
I once had a clinic nurse who wouldn’t talk to me. First a little history. Clinical workflow in my early career included the ritual of phone messages. Every day, at least once and usually in the afternoon, I would sit with my clinic nurse and a pile of manilla folders to discuss phone calls. Details were discussed, recommendations were made, triage assessments ... Continue Reading about EHR and the Failure to Communicate
The Illusion of Empowerment
As reported by Politico, Epic CEO Judy Faulkner found herself in hot water when she told Joe Biden that, irrespective of access, he wouldn't understand his medical record. The social health infosphere was outraged. My take: Judy was wrong to imply that Joe shouldn't have access to his stuff. Judy was right to suggest that a chunk of Joe's stuff is beyond what he ... Continue Reading about The Illusion of Empowerment
White Board Documentation Beats the EHR
It's a recurring story: A mother brings her child for follow-up. When discussing how things have gone, mom summons her phone and references a white board picture taken during her initial visit. It's a picture that outlines what her child has and what we're doing doing about it. Collaborative thinking on a white board is central to the patient encounter As most of my ... Continue Reading about White Board Documentation Beats the EHR
EHR and Challenges of the Modern Medical Note
There was a time when documentation was an almost inconsequential process. After seeing a patient, the doctor would scratch a note, close the folder, and file it on a shelf until the next visit. Things are different and the medical note has evolved. As it’s evolved, electronic health records (EHR) have brought efficiencies to the medical note while introducing new ... Continue Reading about EHR and Challenges of the Modern Medical Note