http://apractis.com/blog My personal online blog Sat, 10 May 2008 05:16:06 +0000 http://backend.userland.com/rss092 en Proposal of systems review team about documentation of critical events during implementation planning for a new EMR system- Practice at other system facilities:  non-medical staff responders document in "significant event" system of the EMR and medical staff responders either document in the clinical documentation system template-driven tools or dictate. Proposal: as above, exclusive ... http://apractis.com/blog/2008/05/10/clinical-documentation-processes-must-map-to-workflow-and-roles/ I was recently asked to look at a good article from the VA about physicians over-riding drug-drug interaction alerts, the reasons why, the measure of whether alerts were useful to end-users, etc A few thoughts: When we developed and deployed an automated referral system for specialty care in the past, ... http://apractis.com/blog/2008/04/11/drug-alerts-and-reminders/ A colleague looking into workflow tools asked today about whether the UpDox workspace message center supported unique patient logins for web messaging our outbound encryption, etc. The question is a broader one and reflects confusion about privacy, security, etc There are many tools that can launch a message center to send ... http://apractis.com/blog/2008/03/29/email-between-patients-and-clinicians/ I believe that one of the most important utilities a healthcare or other consultative professional can leverage would be something that lets you direct people to ONE place to find out where you are, how you want to be reached, how reliable it is to reach you, what to do ... http://apractis.com/blog/2008/03/26/how-i-manage-the-ways-others-can-find-me-when-needed/ Many hospitals and other healthcare organizations who have internal networks, web portals, and particularly electronic patient records that need to be made more accessible remotely are looking at additional “security” options such as Key Fobs (where a number linked to the user changes every 3 ... http://apractis.com/blog/2008/03/25/using-key-fobs-or-other-physical-authentication-devices/ It is so typical that in a broken industry the entrance of large internet/software companies into an arena creates such buzz and confusion. If one reads the opinions of people from different perspectives this is either a threat to PHR companies, a boon to PHR companies, a threat to the ... http://apractis.com/blog/2008/03/01/the-entry-of-google-and-microsoft-into-personal-health-records/ Dont pull the plug on sanity During a visit to the mental asylum, a visitor asked the Director how do you determine whether or not a patient should be institutionalized. 'Well,' said the Director, 'we fill up a bathtub, then we offer a teaspoon, a teacup and a bucket to the patient and ... http://apractis.com/blog/2008/02/29/bathtub-joke/ How about we coin a new term called Personal Information Accountability? (PIA) As more of all generations move away from sequestered and constrained information definitions, tools, containers and "others'" rules, and into more open modalities of posting, sharing, sending and even modifying....the individual now has an expansive relationship to information. When ... http://apractis.com/blog/2008/02/23/a-new-generation-of-personal-information-accountability/ The healthcare industry keeps talking as though the average consumer even views their own information in a manner that results in a thing called a Personal Health Record. That is an artifice of an industry that also thinks that the doctors want an electronic medical record-as opposed to having more ... http://apractis.com/blog/2008/02/22/what-is-the-real-culture-change-for-personal-health-records/ I think one of the most important things for physicians to realize is that they can take total control over how they manage their own communications and information. This is a our mission at UpDox, which I have co-founded. We also have a relative shortage of physicians and other healthcare ... http://apractis.com/blog/2008/02/21/taking-control/