tag:blogger.com,1999:blog-9551150.post5811775659590216020..comments2024-03-28T01:27:23.408-04:00Comments on Health Care Renewal: Are Health IT Designers, Testers and PurchasersTrying to Harm Patients? Part 3 of a SeriesRoy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-9551150.post-52630124689011992712010-07-23T02:59:00.685-04:002010-07-23T02:59:00.685-04:00Scott - I am taking the time to make sure you unde...Scott - I am taking the time to make sure you understand that *you are on the right track*. Your ideas around the "cognitive fuel tank" are extremely important and unfortunately are under-implemented to such a degree that a clear side effect of EMRs is that they can be deadly. Where the collection and data presentation to the physician and care providers holds the promise of improvingAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-76532941062141085932009-10-30T10:18:16.519-04:002009-10-30T10:18:16.519-04:00The author of this blog entry has made some very k...The author of this blog entry has made some very keen and true observations about software. <br /><br />You are absolutely right that programmers program for their convenience, not the end-user's. <br /><br />EMR vendors need to have MDs on their quality control and UI design teams. How many vendors even evaluate and respond to "user feedback" before the ship the product. What I'Jay Habibhttps://www.blogger.com/profile/08524836270468942574noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-85286346027628233562009-03-12T13:18:00.000-04:002009-03-12T13:18:00.000-04:00In this example of problem lists - you are right! ...In this example of problem lists - you are right! I would fire the programmer if he gave me something like that. (I spent hours showing in real life and diagramming this function) It is also why Medscribbler is not and probably never will be certified - Medscribbler uses both a manual and automatic management of the problem list with a lot more info possible than the example - ie onset, resolved Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-37230368657333485622009-02-26T16:19:00.000-05:002009-02-26T16:19:00.000-05:00With that in mind, can you help me with some point...<I>With that in mind, can you help me with some pointed questions I should ask, and things I should demand to see?</I><BR/><BR/>1. How many formally trained postdoctoral level medical informatics personnel are on staff, and what do they do.<BR/>2. What are the worst complaints about the system from clinicians (doctors, RN's etc.) at other hospitals? Can we talk to them?<BR/>3. Have you read InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-64026056896918405792009-02-25T21:21:00.000-05:002009-02-25T21:21:00.000-05:00The large group practice my PCP belongs to impleme...The large group practice my PCP belongs to implemented an EMR within the past year. This product barfs various almost relevant ICD-9 codes onto lab orders and other documents (I've scored "long term use of medication"among others). It also suffers from the "hit enter/Esc to bypass the often-meaningless warning dialog" problem (my pharmacist caught the drug interaction).<BR/><BR/>The pt gets to Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-4258431977213556012009-02-25T19:19:00.000-05:002009-02-25T19:19:00.000-05:00Dr. Silverstein:Our hospital will shortly be deali...Dr. Silverstein:<BR/><BR/>Our hospital will shortly be dealing with sales pitches from a couple of CPOE vendors. (Some of our management team are convinced that we need to go there at all costs).<BR/><BR/>I'm not a clinician, I'm the compliance officer and my background is in coding and reimbursement. So I can't speak from first hand experience as to what works on the clinical level. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-32764276220248944702009-02-24T23:44:00.000-05:002009-02-24T23:44:00.000-05:00Dr Borges,The EHR-Opoly game is great but you are ...Dr Borges,<BR/><BR/>The EHR-Opoly game is great but you are missing something: a pair of high heeled red pumps.<BR/><BR/>Did you attend the HIMSS Annual Conference 2007? More specifically the after party?<BR/><BR/>Have you seen the video of HIMSS CEO Steve Lieber--the one with him dressed in high heeled red pumps. <BR/>There is "Certification " here but not of the EHR type... <BR/><BR/>If you Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-13880852503464378562009-02-24T23:21:00.000-05:002009-02-24T23:21:00.000-05:00Excellent report. Everything that is presented her...Excellent report. Everything that is presented here has been my experience based on my extensive experience as a user of CCHIT (? c-$hit) "certified", yet, inferior CPOE contrivances. Patients were perpetually at risk because doctors are forced to use these defective products with a propensity for absurdity that reaches the patients. <BR/><BR/>Anechoicism is enforced since health professionalsAnonymousnoreply@blogger.com