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In this episode, Kelly and Lalita discuss how the EHR creates additional constraints on physical space design in the clinical setting and talk about various ways to use data and information while in the exam room.
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Whittaker, Zack. "As the Change Healthcare outage drags on, fears grow that patient data could spill online." TechCrunch., 9 March 2024. https://techcrunch.com/2024/03/09/change-healthcare-fears-data-breach-ransomware/Whittaker, Zack. "UnitedHealth confirms ransomware gang behind Change Healthcare hack amid ongoing pharmacy outages." TechCrunch., 29 February 2024. https://techcrunch.com/2024/02/29/unitedhealth-change-healthcare-ransomware-alphv-blackcat-pharmacy-outages/Pierce, Alisa. "CMS Announces Flexibilities Following Cyberattack." Texas Medical Association. 8 March 2024. https://www.texmed.org/Template.aspx?id=63784.Whittaker, Zack. "Ransomware attack blamed for Change Healthcare outage stalling US prescriptions." TechCrunch. 26 February 2024. https://techcrunch.com/2024/02/26/ransomware-attack-change-healthcare-prescription-pharmacy-outages/Diamond, Dan. "Medicare announces emergency funds for doctors affected by Change Healthcare hack." The Washington Post. 9 March 2024. https://www.washingtonpost.com/health/2024/03/09/medicare-change-healthcare-hack/."U.S. and Plaintiff States v. UnitedHealth Group, Inc. and Change Healthcare Inc." AntiTrust Division, United States Department of Justice. https://www.justice.gov/atr/case/us-et-al-v-unitedhealth-group-inc-and-change-healthcare-incThe Paul Weiss Antitrust Practice. "Takeaways from the DOJ’s UnitedHealth-Change Healthcare Merger Loss" 3 October 2022. https://www.paulweiss.com/practices/litigation/antitrust/publications/takeaways-from-the-doj-s-unitedhealth-change-healthcare-merger-loss?id=44360Office of Public Affairs. "Justice Department Sues to Block UnitedHealth Group’s Acquisition of Change Healthcare." United States Department of Justice. 24 February 2022. https://www.justice.gov/opa/pr/justice-department-sues-block-unitedhealth-group-s-acquisition-change-healthcare.American Academy of Family Physicians. "Ethical Application of Artificial Intelligence in Family Medicine." Policy. August 2023. https://www.aafp.org/about/policies/all/ethical-ai.html"HHS Statement Regarding the Cyberattack on Change Healthcare." United States Department of Health and Human Services. 5 March 2024. https://www.hhs.gov/about/news/2024/03/05/hhs-statement-regarding-the-cyberattack-on-change-healthcare.html
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In this Episode, Kelly and Lalita discuss optimizing pre-visit planning through EHRs, why schedule simplicity matters for longevity of care and preventing provider burnout, what NOT to do, and how any conversation with health tech HAS to include data protection, privacy, and patient information safety discussions (a la Change Health).
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Kelly and Lalita get a little off topic from onboarding with too many car analogies. We talk about what people need to learn about EHRs, how to do shared documentation, and how artificial intelligence, narrative medicine, storytelling, and patient centeredness has impacted our own medical documentation. We also touch on EHR standardization (is it possible?) and we get into a conversation about pre-visit-planning including the use of point-of-care testing, patient entered surveys, and a unique helpdesk ticket of the week!
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Articles discussed in today's podcast:
Glaser, J., Vaezy, S., Guptill, J., (2024). Why the Tech Industry Won’t Disrupt Health Care. https://hbr.org/2024/02/why-the-tech-industry-wont-disrupt-health-careAdelman, J. S., Applebaum, J. R., Schechter, C. B., Berger, M. A., Reissman, S. H., Thota, R., Racine, A. D., Vawdrey, D. K., Green, R. A., Salmasian, H., Schiff, G. D., Wright, A., Landman, A., Bates, D. W., Koppel, R., Galanter, W. L., Lambert, B. L., Paparella, S., & Southern, W. N. (2019). Effect of Restriction of the Number of Concurrently Open Records in an Electronic Health Record on Wrong-Patient Order Errors: A Randomized Clinical Trial. JAMA, 321(18), 1780–1787. https://doi.org/10.1001/jama.2019.3698 Kannampallil, T. G., Manning, J. D., Chestek, D. W., Adelman, J., Salmasian, H., Lambert, B. L., & Galanter, W. L. (2018). Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. Journal of the American Medical Informatics Association : JAMIA, 25(6), 739–743. https://doi.org/10.1093/jamia/ocx099 -
Welcome back to a new season and a full rebrand of this technology empowered family medicine podcast. We're learning the ropes of podcasting while we build this plane and hope you'll join us on this journey.
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In this episode Kelly an Lalita discuss what will make a great EHR in the future, why we need information sharing and good data in medicine, and the importance of measuring the unmeasurables of patient care. This conversation is inspired by the March 18th TECO MIG meeting. If you're an AAFP member, you can join us for our next meeting on April 22nd!