I wonder how many of us remember going to the airport with carry-on luggage before they put wheels on them? What a pain it was! Then one day I went to the airport and everyone had wheels on their carry-on luggage. There were no advertisements, slide shows, or fights over whether or not wheels were better. Everyone knew wheels were better. I quickly bought hand luggage with wheels.
The front-line staff have opinions about which EHR is best; but if you ask them generally, if they like EHRs, the answer is no. It’s because the amount of time they need to invest in using an EHR isn’t worth the value it creates for them. It creates great value for the business office and the administrative staff, but only marginal value for the front-line staff. And it really slows them down.
I wonder if we stopped thinking about the problem in terms of Cerner versus VistA, and instead looked into the future to imagine an EHR so compelling, you wouldn’t need to sell it, because everyone would understand it is superior.
When I look into the future, it see a lot of technology that already exists, but is not integrated into modern EHRs. I see AI tools that could help clinicians with both diagnosis and treatment. I see HIEs that can be bring the complete patient picture onto one screen. I see wearables that can send exception notifications when one occurs. I see this system connected to pharmacy, where a recommended lab test could be given with results sent directly through the Smart phone, wearable or pharmacy lab. Think of a clinician having data points from many locations and patient experiences, not just 15 minutes in the exam room. Think of the exam room as everywhere, not in a scheduled time slot in some building.
The system would be designed to reduce the number of physician visits, and improve diagnosis and treatment. This should create value not only to front-line staff, but the actual patient, too.
The idea here is that we shouldn’t be spending money on another suitcase with no wheels, because then we won’t have money for the wheels. We should be spending money on building the wheels.
What do you see when you think of your EHR on wheels?
m
I see Matt pulling it and flying right by everybody else!
--
Nancy Anthracite
Excuse me, Matt, but what is HIE. Google says 'Neonatal hypoxic ischemic encephalopathy' but that does not fit into the context.
;-(
Wolfgang
BTW.: Happy New Year!
-----Original-Nachricht-----
Betreff: [Hardhats] EHR on Wheels
Datum: 2022-01-01T22:09:42+0100
Von: "Matt King" <flyd...@gmail.com>
An: "Hardhats" <hard...@googlegroups.com>
Matt, if I think on 'EHRs on wheels' (I like your description) I see what I call an 'active' EHR which knows the patient AND the special interest profile of the user (physician, nurse, technician) and augments patient data with every info that is relevant for the patient problem and new for the user. (She or he can indicate how often news shal be repeated.) It isn't anymore a technical problem, but exists only as (forgotten?) prototype, as far as I can see.
Btw. That is what BAIK was intending and the idea behind the transatlantic cooperation in the NSF/EU project MuchMore.
Wolfgang
-----Original-Nachricht-----
Betreff: [Hardhats] EHR on Wheels
Datum: 2022-01-01T22:09:42+0100
Von: "Matt King" <flyd...@gmail.com>
An: "Hardhats" <hard...@googlegroups.com>
I wonder how many of us remember going to the airport with carry-on luggage before they put wheels on them? What a pain it was! Then one day I went to the airport and everyone had wheels on their carry-on luggage. There were no advertisements, slide shows, or fights over whether or not wheels were better. Everyone knew wheels were better. I quickly bought hand luggage with wheels.
Health Information Exchange(s) Personally, I think they are fine if you want them to exchange your information, but here in the states, patients' information gets loaded into them whether they give permission or not and then patients have much less control over who gets to see their personal information than I think there should be. Most states, if not all, have them. Then there is PCORI (https://www.pcori.org/), which takes the information as well, and CMS that takes it in the form of quality measure reporting, etc., etc.
--
Nancy Anthracite
> <mailto:hardhats+u...@googlegroups.com> .
> To view this discussion on the web visit
> https://groups.google.com/d/msgid/hardhats/65bb68a9-ffc1-4831-9d42-7f239f160051n%40googlegroups.com
Best Regards,
Jim St.Clair
Executive Director
Linux Foundation Public Health
Connect with me: https://calendly.com/jstclair-4
Best Regards,
Jim St.Clair
Executive Director
Linux Foundation Public Health
Connect with me: https://calendly.com/jstclair-4
Thank you Nancy and Matt -- so HIE is a nightmare for German "Datenschützer", officials (state employde and required by law in any company with more than xxx employees) who try to preserve privacy of data.
Wolfgang
-----Original-Nachricht-----
Betreff: Re: [Hardhats] EHR on Wheels
Datum: 2022-01-02T01:03:28+0100