Episodes
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Kelly and Lalita talk to Shawn Martin, CEO of the AAFP on a new collaboration with Rock Health, a digital health investment and consulting group. They talk about the intention and the vision behind the collaboration and about how family physicians can get a seat at the table. They also discuss how this collaboration can help family physicians better understand our current technological environment, support family medicine education, improve operational and clinical workflows, and help disruptors build better digital health tools for our diverse and unique family medicine practices. Be sure to fill out the AAFP x Rock Health survey at www.aafp.org/ai to help support this initiative!
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In this episode, Kelly and Lalita chat with a good friend of the podcast, Dr. Kalie Dove-Maguire. Kalie is an Emergency Medicine physician who is now the Chief Product Officer at Evidently, an AI-enabled chart review tool. Previously, Kalie was the Senior Director of Product at Carbon Health, where she oversaw the EHR and the rollout of AI-enabled ambient documentation.
Kalie, Lalita, and Kelly chat about career journeys, innovations in the future of health tech, and ground their conversations in the practical data and human connection. -
Missing episodes?
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In this episode Kelly interviews Lalita on her experience attending the Rock Health Summit in San Francisco, California. The Rock Health Summit "is a digital health conference that brings together diverse minds from technology, medicine, public health, and beyond for a day of inspired conversation and connection." Lalita shares the overall gist and gets into the specifics of some of the themes and products that she saw during the event.
If you're interested in reviewing all of the speakers, you can check out the 2024 speakers here: https://www.rockhealthsummit.com/speakers2024 -
Kelly and Lalita welcome their very first guest! Matt Sakumoto is the Regional Chief Medical Informatics Officer at Sutter West Bay Medical Group in San Francisco, and health tech start-up consultant. He is a graduate of the UCSF Health Informatics Fellowship and an Internal Medicine Physician at a Virtual First Medical Practice at Sutter. In this episode Kelly, Lalita and Matt talk about using personas in clinical technology education, AI scribing, and Matt shares a Help Desk Ticket of the Week!
Episodes on tips and tricks to advocate for yourself to designers and leaders:
User Centered Design: https://technology-empowered-clinical-optimization-podcast.simplecast.com/episodes/user-centered-design-and-feedback-y-mg5qth2.How can I get involved in advocating for appropriate use of technology in medicine?: https://technology-empowered-clinical-optimization-podcast.simplecast.com/episodes/how-can-i-get-involved-in-advocating-for-appropriate-use-of-technology-in-medicine
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Assistant Secretary for Technology Policy. HTI-2 Proposed Rule Patient, Payer, Provider API Information Session https://www.youtube.com/watch?v=hn3Bn3_9l9M
Public Comment for ONC rule: https://www.federalregister.gov/documents/2024/08/05/2024-14975/health-data-technology-and-interoperability-patient-engagement-information-sharing-and-public-health
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In this episode, Kelly shares her experience and takeaways from Epic's UGM! We discuss Epic's influence on the software space including:
- Generative and Predictive AI
- Whether we should start tackling downtime issues
- Cybersecurity
- Epic's international, interconnected influence
- Change Management
- Keeping up with change
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Alternate Title: Slime Mold Maps and Taco Seasoning
In this excellent episode, Kelly and Lalita dive back into the discussion on Health IT legislation, this time starting with HITECH (Health Information Technology for Economic and Clinical Health Act) and moving through the 21st Century Cures Act. We discuss the role of Health IT regulation in developing the current landscape, and where we hope things go as we build out some of the aspirational goals of the Cures Act. Also, how do we swing the pendulum back towards the small practice? -
References:
Institute of Medicine. Computer-Based Patient Record: An Essential Technology of Health Care. 1991. https://nap.nationalacademies.org/catalog/18459/computer-based-patient-record-an-essential-technology-for-health-care
Ambinder, EP. A History of the Shift Toward Full Computerization of Medicine. J Oncol Prac. 2005 Jul; 1(2): 54–56. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2793587/
George W Bush White House Archives. President Bush Strengthened America's Health Care System. https://georgewbush-whitehouse.archives.gov/infocus/bushrecord/factsheets/healthcare.html
Mennemeyer ST, Menachemi N, Rahurkar S, Ford EW. Impact of the HITECH Act on physicians’ adoption of electronic health records. J Am Med Inform Assoc., Volume 23, Issue 2, March 2016, Pages 375–379, https://doi.org/10.1093/jamia/ocv103
Simborg, DW. Promoting Electronic Health Record Adoption. Is It the Correct Focus? J Am Med Inform Assoc. 2008 Mar-Apr; 15(2): 127–129. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2274790/
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Mentioned in Today's Episode:
Grimes, William. Dr. Lawrence Weed, Pioneer in Recording Patient Data, Dies at 93. The New York Times. June 2017. https://www.nytimes.com/2017/06/21/science/obituary-lawrence-weed-dead-patient-information.html
Newman David, MD, Dhanda Shan, MD. Taming the Problem List. Family Practice Management. May/June 2023.
https://www.aafp.org/pubs/fpm/issues/2023/0500/problem-list.htmlDr. Glaucomflecken. The Epic Problem List. YouTube. Jul 20 2024. https://www.youtube.com/watch?v=LDJvS8Iz4a8
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In this episode, Kelly and Lalita focus on the backbone of VBC: Metrics! As data nerds and yet, somehow luddites, they discuss current news (CrowdStrike debacles), HEDIS measures, and putting patients at the center of everything. They also pose a question to the listener: what should we actually be measuring (and how) to get a good sense of health and successful outcomes?
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"Value" based care is all the rage, but as two family docs interested in data and measurability, we're not so sure. VBC will likely increase the need for informaticists and good data queries, but are proxies dictated by payers really able to capture the value of primary care? Or is qualitative research a better way to measure the immeasurable?
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In this episode Kelly and Lalita discuss what makes a "good" patient portal experience? What elements are necessary? Focusing mostly on scheduling and messaging, Kelly and Lalita share stories highlighting the physical and technological constraints to practicing medicine and how standardization might mean losing the individual experience in order to achieve more individualized care.
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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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