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.
This Fall we decided to do a whole series of weekly video interviews with top healthcare IT thought leaders. Many of you may have come across our EHR video site and the Healthcare Scene YouTube channel where we host all of the videos. The next interview in that series is happening Thursday, October 3rd at 1:00 EST with Dr. Tom Giannulli, discussing the future of small physician practices. You can join with us live or watch the recorded video after the event. Plus, you can see all the future interviews we have scheduled here.
Last week’s video interview was with Mandi Bishop, Principal at Adaptive Project Solutions and also a writer at EMR and HIPAA. Mandi does an amazing job sharing her insights into healthcare big data and the challenges of meaningful use. We also dig in to EHR data sharing with insurance plans and ask Mandi if meaningful use is completely devoid of value or not.
For those who missed the live interview, you can watch the recorded interview with Mandi Bishop embedded below.
A while back, I suggested that EHR vendors might want to integrate Google Search into their EHR. I still think this is a really interesting idea since I’m sure that many are doing Google Searches regularly as part of the care they provide.
While I’m sure that many doctors use Google searches in their care, I was really intrigued by a demo video I saw of the Blausen Google Chrome extension. Rather than try and explain it, you can watch the video demo:
This is a really fascinating product and a simple way to distribute the content that Blausen has available in their library. While the Google Chrome extension is interesting, I could see something similar easily added to an EHR interface.
Imagine a doctor wanting to show a video demonstrating something to their patient. Straight from their EHR, they could pull up the Blausen video and show the patient in a really rich way something about their condition.
Of course, we’re just at the start of what could be done with great visual education like this. Over time I’m sure we’ll be able to get to very specific parts of a video or pieces of education. We’ll be able to publish the educational information you saw in the office in your patient portal. Not only does that reinforce what was said in the office, but it also provides patients a great way to share what’s going on with their loved ones.
I know Force Therapeutics is doing work like this with videos for Physical Therapists and Orthopedics. I think we’re going to see a lot more video integration into our patient care over the next couple years and that’s a very good thing.
I usually reserve the various EHR videos I find for the Healthcare Scene EHR video website. However, this one was too funny to not share with a wider audience. Here’s the YouTube description for the video:
Meaningful Use of Electronic Health Records (EHRs) involves more than implementing an EHR. It involves interacting with patients and the computer in the exam room in a way that is productive and enhances the interaction between the patient and the physician. Learn about how Reliant Medical Group (formerly known as Fallon Clinic) uses Kaiser Permanente’s LEVEL technique to ensure a successful patient encounter.
While I’ve said that the video is funny, it also does bring out some really important points about physician exam room EHR etiquette. When I first started watching the video I was wondering how they were going to get physicians to actually take the time to watch the video. Then, about half way through I was laughing at the video which made me watch through more of it. I’m not sure if the humor was intentional or not, but I expect those reading this site will get a good laugh at the video embedded below while seeing some important points on EHR etiquette.
Thanks to Carl Bergman for pointing the video out to me.
*Thanks to Carl Bergman from EHR Selector for pointing it out to me. For those unfamiliar with Gilbert and Sullivan, here’s their wikipedia page.
If you’re someone who loves watching EMR and Healthcare IT related videos as opposed to reading about it, be sure to check out this EMR & EHR Video website.
Here are the lyrics in case you want to take your time reading them:
I am the model user of an EMR that’s meaningful
My patient’s information is computerized and digital
Each visit note and test result is easily retrievable
With speed and accuracy that is almost inconceivable!
It’s shared by every health provider who should need to see it all
And yet it’s safely kept behind a well-protected firewall
If somebody should hack into it that would be a federal crime
And if I share my password it’s for sure I’ll do some prison time
The demographic information I collect may seem absurd
There’s date of birth, race, gender, ethnic group and languages preferred.
In short, in matters medical, computerized and digital
I am the model user of an EMR that’s meaningful.
I reconcile each medication, noting every single pill
Except for controlled substances, I electronically refill
I check for interactions for each single drug I may prescribe
And allergies to medications that my patients may describe.
I take blood pressure, weight and height, and calculate their BMI
And check the box that says I told them if it is too low or high.
The system plots a growth chart I don’t need to do it manually
I ask each patient’s smoking status and update it annually.
I keep a current and updated patient diagnosis list
I send reminders to my patients to prevent appointments missed
I’m typing better than my Mom who once worked in a steno pool
I am a model user of an EMR that’s meaningful.
At each encounter’s end I print an after visit summary
I’m tracking 14 core objective measurements of quality
Plus 5 of 10 more menu set objectives chosen just for me
Will this improve the care I give or is it just frivolity?
It does not matter, ’cause my data pretty soon will be online
And patients who can see it will be judging me in no short time
Deciding if I am a doctor who provides them decent care
Based only on the numbers that the CMS report puts there.
It’s been 5 years since I have looked a patient straight into the eyes
Without my finger on the keys or else a laptop on my thighs
Though I have carpel tunnel syndrome, trigger thumb and shoulder pull,
I am a model user of an EMR that’s meaningful.
Ok, so this was the first video that I made in the EMR video series (see the other video I posted on EMR data sharing). So, I stumble around a little bit on the video, but I think I provide some interesting answers to the question. Although, I’ll admit that it’s a really hard question to answer.
Here’s the question I try to answer in this video: How will Healthcare IT and EMR save on Medicare costs?
Let me know if you like these videos. Also, let me know what I might have missed in this video.
Yesterday I started testing out a new idea where I’d film some original EMR and EHR videos where I answer questions about healthcare IT and EMR that people have sent to me. I’ll post the first video here and possibly another one this weekend. Then, I’ll probably start posting the videos on my new EMR and EHR video website. Although, I may do some updates with links to the latest videos that are posted.
It’s a low budget production as you can imagine. I also was streaming it live on the internet, so you’ll see me look down a number of times to check how many were viewing it live. Those things aside, hopefully you’ll find the content of the video interesting and useful.
This first video tries to answer the question: Does the EMR allow data sharing with the patient’s PHR and/or Social Net account(s)?
As always, I’m interested to hear your thoughts on the subject as well. Was there anything I missed? Was I wrong about anything? What else is important about EMR data sharing? Should we be able to share our EMR data with social networks like Facebook, Twitter, etc?
Also, if you have other questions you’d like me to answer in a future video, be sure to leave a comment or let me know on the contact us page.
I’ve always loved the discussion on benefits of an EMR. There are a lot of interesting possibilities. It’s certainly a hard thing to measure since you’re often comparing apples and organes, but there’s certainly some interesting possible benefits. Looks like the video got most of my list of EMR benefits. Enjoy!
In the ongoing series of videos (I hope you like them), this video talks about the pros and cons of web based (often called SaaS) EMR systems. I’m sure this video will be a bit controversial. There’s just a lot of passion for SaaS EHR software.
One of the relatively controversial, or at least scary, ideas talked about in the video is the idea of your SaaS based EMR vendor going out of business and you losing your data. First, this situation would be pretty rare. In most cases, they won’t go out of business and just turn the servers off and flee the country (although, I’m sure something like this has happened before). In most cases, the EMR vendor is going to sell off to another EMR vendor or something like that. Still not a pretty situation, but 100 times better than just having them disappear.
Of course, check out the section on EMR contracts in this EMR selection e-Book and you’ll have made sure that in your contract with your EMR vendor you’ve worked through what will happen if they go under and you’ll have gotten regular backups of your EMR data and the EMR datbase schema.
Enough of that, check out the video on Pros and Cons of Web Based SaaS EMR Systems.
This is a short little video that looks at the pros and cons of Server-Based EMR Systems. It gives a pretty good short summary of the pros and cons. One pro is they say that server based EMR systems are faster than SaaS (web) based EMR systems. I think this is becoming less and less of an issue. Both the SaaS EMR systems themselves have become highly optimized and our network connections are much faster. This isn’t a comprehensive list of pros and cons, but it’s a good starting place for those who don’t know much about server based EMR versus hosted or web based EMR.