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“Prius Effect” of Non-Judgmental Reporting

Posted on November 29, 2011 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.

@forbodyandmind – Scott Henady, MSTCM
“Prius effect” changing behavior via non-judgmental reporting – quoting Dr. Ravi Iyer #pfconnect

The above was a tweet from Scott Henady who attended the panel that had Dr. Ravi Iyer at the Practice Fusion Connect user meeting. Dr. Iyer made some really interesting comments about Non-Judgmental reporting of data that helps to improve behavior. He called it the “Prius Effect.”

A search on Google seems to indicated there are a number of Prius Effects out there. However, the one that Dr. Iyer mentions is the display in the Prius that tells you how much gas mileage you’re getting and when you’re using the battery versus the gas in the car. It becomes quite clear as you accelerate, your miles per gallon goes down and so most people’s automatic response is to not push the gas pedal as much. I know I’ve had this exact experience. Just by being informed of the consequence of what I was doing, it changes behavior.

I believe it was Dr. Iyer also that talked about the signs on the side of the road that display how fast you’re driving down a street. It’s amazing how this little piece of non-judgmental information gets people to do something they wouldn’t have done otherwise (in this case push on the brake and slow down).

I think we could see a lot of benefit from these non-judgmental reporting of data in healthcare and EHR software as well. In fact, this is true for both a doctor who can provide better patient care with the right information warnings at the right time and also to patients who aren’t taking good care of their bodies. Just by providing good information to people, we can see behaviors improve. That’s a powerful concept that I think we need to see more of in EMR and EHR software and in healthcare.

EMR Should Make it Easy to Do the Right Thing and Hard to Do the Wrong Thing

Posted on August 16, 2011 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.

There’s a really good article by Paul Cerrato on Information Week which tells the story of how a flawed EHR could threaten a patient. While I can’t say I agree completely that the EHR was the cause of the issue described in the article, I do see how an EHR could have possibly prevented the issue if it had been used right.

The article offers the following conclusion:

They hope that these measures will in fact make it “easy for clinicians to do the right thing and hard for them to do the wrong thing.” Among their suggestions:
— Establish an electronic link between operative notes and the EHR problem lists. Doing so would automatically insert “splenectomy” in the latter.
— Use billing data to identify patients who have had the surgery and let the billing data “talk” to the physician through the EHR system, prompting the physician to add that fact to the problem list.

I don’t think these electronic fixes are enough. The real solution is one that nobody in the healthcare reform camp wants to hear: Short of implanting a microchip in every doctor’s head, the simple truth is each clinician needs to see fewer patients and spend more than the typical eight minutes with each of them. And they need more time to manage all the thousands of tasks they have to perform daily. Obviously, this isn’t going to happen anytime soon. But that doesn’t make it any less true.

Those are some good suggestions. Of course, the first suggestions all focus on getting the right information into the EHR so that the doctors have that information when they’re treating the patient. This is a challenge that is really eternal. I do like some of the things they mention. Some of which are already possible.

The last suggestion is a hard pill for healthcare to swallow. More time with patients, in our current reimbursement model, translates to lower pay.