This week I got the change to spend the day at SXSW at the Dell Healthcare Think Tank event. This is my third year in a row participating and it’s always an exciting event. In case you missed it, I’ve embedded the 3 Healthcare Think Tank sessions on EMR and HIPAA so you can watch the recorded video stream from the event.
Also, during each of the three sessions of the event, an artist was capturing what was being said. You can see each of the three drawings below (Click on the drawing to make it larger).
Session 1: Consumer Engagement & Social Media
Session 2: Bridging the Gap Between Providers, Payers and Patients
It’s Friday on Super Bowl weekend, so I thought we’d do a Fun Friday post. If you’re looking for fun, where better to look than ZDoggMD? In case you don’t know him, his recent Taylor Swift parody video might be a good intro:
I thought this comment by Christina Padrutt on YouTube describes many of the physician and nurse reactions I’ve seen to ZDoggMD’s work:
I absolutely LOVED this. It is a genuine reflection of the issue of drug seeking patient behavior. I can relate so closely to this. I have shown it to many coworkers. I even emailed it to my boss, who in turn forwarded it to other administrators. I actually loved how you show both sides of the story: the provider and a glimpse at the patient’s struggles as well. This is INDEED a real issue. In fact, it is such an issue that our unit is having a “burnout, difficult patient populations, and patient abuse towards staff” inservice to help staff cope. Thank you, Dr. Damania for this comic relief! Also, I would like to add that at least physicians get to spend limited time with this population, nurses are anchored to this behavior for 12-16 hours at a time at the bedside.
One of my ophthalmology friends posted this video. I’m sure that many doctors can relate to patients like this. It reminds me of someone who told me they wish their was a health grades where the doctor can rate the patients the same way that patient rate the doctors. That’s probably not a productive approach, but it definitely shares the sentiment of many doctors who have challenging patients. Like most things in life though, it only takes a few bad apples to spoil the bunch. I’m not sure what can be done to deal with these challenging patients. Either way, this video highlights one of the challenges of being a doctor: difficult patients.
In 2014, I made a good effort to create a lot more video content. You can check out our Healthcare IT Videos on YouTube (Subscribe to the Channel if you like them). The majority of our videos were done as Google Plus hangouts and we posted them on our EHR Video blog as well. Although, I did also do a number of videos at conferences.
Here’s a playlist of all my Healthcare Scene Google Plus hangouts:
I just checked the YouTube stats for the videos and they tell an interesting story:
47,900 minutes watched
56 Subscribers Gained
Just for reference, here are the stats for the life of the channel:
119 Subsribers Gained
Another interesting stat is that 36% of views of these videos came from a YouTube Search or YouTube suggested video. One of the big reasons I started doing more videos is YouTube is the second largest search engine in the world (Google is the first). Although, as you can tell from the numbers above, the percent of healthcare IT and EHR searches on YouTube is an infinitesimally small number of total searches.
I still think video presents a great opportunity. Although, as I enter into 2015, I’m looking at making some changes in my approach. First, I’m not sure that the video really matters that much. I always told people I talked to that people watching the videos were doing it for what was said as opposed to the production value. With that in mind, in my latest video I did more of a radio style interview with just our headshots: http://www.ehrvideos.com/2015/01/02/the-future-of-him-with-charlie-saponaro/ There’s something infinitely simpler about audio than video which will make doing these much easier for everyone involved. I’ll be exploring people’s reaction to an audio stream like the one linked and see what people think of them. I’ll still throw in the occasional video one where it makes sense.
Second, I want to find a way to do more short videos that focus on some key insights. I’ve got a few ideas on how to execute this, but it’s basically an extension of what we’ve done here on the blogs. We give you short and sweet value. I want to do more of that with videos. Some of those will be chopping up my larger videos into shorter segments. Although, we’ll also be exploring new short format options that I think you’ll enjoy.
All in all, I’m excited by what we’ve started with video. I think the 2014 work we did with video has laid the groundwork for the future and 2015 should be our best year ever with video. It will be fun to look back on this post and see how we do in 2015.
Oh yes, I’m also determined in 2015 to do a few Healthcare IT music videos with some help from Health IT Rock Star, Mandi Bishop.
What do you think of the videos we’ve created? Are there other things you’d like to see us do with video?
In this interview we sit down with Comtron’s VP of Business Development, Ron King to cover a bit of background on Comtron and their Medgen EMR. We also talk about the key to effective EHR use and the need for EHR customization. Then, we also dive into meaningful use and ACOs and how a clinical practice should handle those regulations.
At the 2014 Patient Privacy Summit, Shahid Shah had a “Fireside Chat” with Karen DeSalvo. The interview was really great because it was the first time that I’ve seen Karen DeSalvo talk in a more casual and less scripted setting. In the interview you learn a lot about the leader of ONC and what’s on her mind and how her and ONC plan to approach healthcare IT in the future. Of course, since it’s at the Patient Privacy Summit, there’s a specific emphasis on privacy, but they also cover a lot of other related topics. Enjoy!
In my regular series of Google Plus hangouts, I had a chance to interview Vishal Gandhi, Founder and CEO of ClinicSpectrum. I was most interested with Vishal’s almost obsessive view of the value of the hybrid workflow in healthcare. You can watch the video below to see all of the ways he applies the hybrid workflow and what he means by it, but it’s basically a mix of technology and people power to improve any workflow. I think the idea has a lot of merit and needs to be applied to a lot more areas of healthcare. Like I’ve said many times, just because there could be a technology solution doesn’t mean it’s the best or the right solution.
A big thanks to L-J Cunningham (@UXforHealth) for tweeting out this really cool time lapse video that shows SoftServe‘s work doing the UX design for the mEMR application. While the process they use is really cool to watch, it’s also interesting to see what a mobile EHR UI could look like.
I had the chance to sit down and interview John Squire, President and COO of Amazing Charts. I was interested to learn about the transition Amazing Charts has experienced after being purchased by Pri-Med and the departure of Amazing Charts Founder, Jonathan Bertman. Plus, I wanted to learn why Amazing Charts wasn’t yet 2014 Certified and their plans to make it a reality. We also talk about the value of meaningful use and the ICD-10 delay. Then, we wrap up with a look at where Amazing Charts is headed in the future.
Detroit’s Wayne State University students are pioneering fEMR, a special EMR for pop up clinics. These are transient clinics operating in under served areas with mass medical emergencies.
Beginning after Haiti’s devastating, 2010 earthquake, WSU’s undergraduate, medical students and doctors started staffing several pop ups. Operating with little or no electricity or other basic supports, these clinics often provide residents their only medical services.
Two volunteers, med student Erik Brown, and premed grad Sarah Draugelis, realized the need to create a basic medical record to aid their work and to print out for the patients. They looked at current EHRs, but they were far too complex, as Draugelis told Improvewsu.org,
We needed something that was fitted for high volume short-term clinics,” Draugelis explained. “We don’t have time to scroll and look at all the tabs in the EMR system. We need something very bare bones, very, very basic.” So, they looked into the EMR systems that already existed, but none of them fit the bill.
For help, the two turned to WSU Computer Science professor, Dr. Andrian Marcus, who recruited senior, Kevin Zurek, as technical lead.
fEMR is the result. Built using Play, a fast, light platform for web and mobile apps, fEMR incorporates a simple workflow of three steps: Triage, Medical and Pharmacy. Running on iPads, its tap and touch interface is designed for speed.
fEmr Triage Screen
I contacted Zurek who gave me a login to their test site running on Chrome. It is, indeed, bare bones and fast. I created a patient, shown in the web shot above, and played with the package. Though a work in progress, it had no surprises, that is, no crashes, mysterious behavior, etc.
I asked Zurek what he sees as fEMR’s future? Are they going to take it commercial, etc.? He told me,
Our target audience generally consists of volunteers, so we have no concrete plans to commercialize fEMR as of right now. The purpose of fEMR is to bring continuity and increase efficiency in transient medical clinics while producing important data that can be used for research purposes.
In terms of the EMR system, we plan on delivering this to the end user in the most intuitive way possible, with as little training as possible. We have come to the conclusion that the best way to approach this is via an open environment that promotes collaboration across the board.
They need help to finish the work. Right now, they have two of six needed iPads. As befits the bootstraps nature of the project, they plan to raise funds with a car wash.
If you know some iPads that are a bit bored and looking for something more interesting to do, drop Zurek a line. He and the WSU team can keep them busy.