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Duplicate Work in Healthcare

Posted on July 7, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

One of my favorite stories is the time we implemented an EHR in the UNLV health center. At first, we decided to do a phased implementation in order to replace some legacy bubble sheet software that was no longer being supported. So, we just implemented enough of the PM system to handle the patient scheduling and to capture the charge data in the EHR. Of course, we were also a bit afraid if we implemented the full EHR, the staff would revolt.

A week or two into the partial implementation, something really amazing happened. First, some of the providers started to document the patient visit in the EHR even though they still had to document it in the paper chart as well. I asked them why and they just said, “It was there and I thought it would be good to have my info in the note.”

Second, some of the providers started asking me why they had to do duplicate work. They really hated having to enter the diagnosis and charge codes into the EHR and then document them again in the paper chart. Plus, they followed up that they could see the other section of the notes in the EHR and “why couldn’t they just use that instead of the paper chart.” The reality was: Doctors hated doing duplicate work!

Once I heard this, I ran to the director of the Health Center’s office and told her what they’d said. We both agreed, why wait? A week or so later we’d moved from paper charts to a full EHR implementation.

There were a lot of lessons learned from this experience. First, it’s amazing how people want to use the new system when they can see that it’s possible. They basically drove the EHR implementation forward. However, what was interesting to me was the power of “duplicate work.” We all hate it and it was a driving force for using technology the right way.

While we used the concept of duplicate work for good, there’s a lot of duplicate work in healthcare which drives patients and healthcare staff totally nuts. However, we don’t do anything about it. This was highlighted perfectly in a recent e-Patient update from Anne Zieger. Go and read her full account. We’ll be here when you get back.

What’s astounding from her account is how even though doctors hate duplicate work for themselves, we’re happy to let our patients and support staff do duplicate work all the time. I’ve seen some form of Anne’s experience over and over. Technology can and should solve this. This is true across multiple clinics but is absolutely true in the same clinic where you handle the workflow.

I get that there are reasons why you may want a staff to verify a patient’s record to ensure it was entered correctly and is complete. That’s absolutely understandable and would not have likely been an issue for Anne. However, to disregard the work a patient had done on their intake paperwork is messed up. Let alone not tapping into a patient’s history that may have been entered at another clinic owned by the same organization or collecting/updating the info electronically through a patient portal. I’m reminded of @cancergeek’s recent comment about the excuse that “it’s how we’ve always done it.”

In the past this might not have mattered too much. Patients would keep coming back. However, the tides of consumerism in healthcare are changing. Do you enjoy doing duplicate work? Of course not! It’s time to purge duplicate work for patients and healthcare staff as well!

What Does It Take to Create the Ideal Patient Experience? – #MyIdealPtExp

Posted on December 14, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This new world of social media has created so many virtual friends for me. Over time I’ve had a chance to meet so many of them in person. While sometimes it’s a disappointment meeting someone in person, I’ve also had the opposite experience. This happened at RSNA when I got a chance to meet Andy DeLaO (@CancerGeek) in person. I’d always been impressed by his insightful tweets over the years. So, I was blown away when he was even more impressive and insightful in person. I love it when that happens.

One of the most impressive things he showed me was his new effort around what he calls My Ideal Patient Experience. He even had these really cool coins to hand out which was a great way for me to remember his concept:
My Ideal Patient Experience
Andy the team behind My Ideal Patient Experience has gone through the research and defined the patient experience using these 4 pillars:

  • Time
  • Trust
  • Transparency
  • Transitions

However, it’s worth considering the connective tissue between all 4 pillars:

Time Leads To Trust, Trust Leads To Transparency , Transparency Leads To Transitions; The 4t’s Lead To Relationships And Success!

Andy and his team have been at this for a while even though they’re just now getting their official patient experience website launched. I love that they’re even keeping track of their stats:

  • 50,850 Patients Impacted
  • 878 Physicians Engaged
  • 46 Clients Worked With
  • 30 Completed Projects

If you’re looking to improve the way you engage with patients or your patient experience, take a second to look at the consulting, market research, healthcare engagement, and education resources they offer. After my experience finally meeting Andy in person, I’m excited to see the impact for good “My Ideal Patient Experience” will have on healthcare. Plus, I look forward to digging into the concepts even more in the future.