Wouldn't it be cool if ... ? Wouldn't it be better if ... ? Wouldn't it be much easier when we see patients if ... ? How come we can't ... ? It seems like every day, someone in our practice comes up with an idea for a way to do something better:

  • From our front desk staff who check patients in, and have to deal with a multitude of electronic systems for registration, ...

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Physicians do not have a lot of power these days. But if you know when, where and how to look, we can, on occasion, score some victories. Case in point: hospital bylaws that every physician is required to acknowledge and sign before being granted privileges. It is always a good idea to carefully read before signing anything, and I did the just that before signing my hospital's bylaws. I asked a ...

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Blockchain technology has the potential to dramatically transform health care delivery by facilitating data exchange between providers and electronic health record (EHR) systems. A decentralized and transparent platform, blockchain technology provides an authenticated platform that applies a consensus-driven approach to facilitate the interaction of multiple entities through a shared ledger. For the health care sphere, blockchain is simply the sharing of medical information through EHRs across numerous hospital systems that ...

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Physician burnout is increasing at an alarming rate. According to a January 2017 AMA Wire report, physician burnout rate has increased from 2013 to 2017 across every specialty in medicine. Greater than 50 percent of primary care providers are burned out. Therefore, every patient at the entry point of medical care is, more likely than not, going to be treated by a burned out physician. The question is why are ...

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I was a foreign medical graduate who in addition to some clinical practice, had begun a career first in managed care as a utilization management coordinator and then as a clinical researcher after finishing medical school and then pursuing a public health degree. A few years ago, life took some unexpected turns, and I found myself in a rather new field of health care known as clinical documentation improvement (CDI). I ...

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Physicians have a love-hate relationship with the electronic health record (EHR). On the one hand, doctors know they can't provide the best possible medical care without them. And on the other, today's EHR systems are cumbersome, clunky and slow physicians down. Indeed, there's much to love and much to hate about today's EHRs, alongside a variety of ways to address the problems they create. One solution may lie in blockchain, the technology currently ...

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Eons ago, there was a television show where a non-human character would yell out, "Warning, warning," when he sensed imminent danger. The series was called Lost in Space where we were entertained by a set of quirky characters on a cheesy set. We loved that stuff. It’s hard to imagine today’s millennials and younger folks being transfixed, as we were, with the deep television dramas of our day. Who could ...

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I can’t help myself from telling patients how things really work in health care. But I feel they have a right to know. When I see new patients their jaw usually drops when I sit down with them next to the computer with a stack of papers held together with a rubber band or a gigantic clamp and with yellow sticky notes protruding here and there with words like LAB, ER, ...

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It is all too common for a section in a progress note to look something like this:

# Aspiration pneumonia:
  1. Continue vancomycin 1 g bid
  2. Continue Zosyn 3.325 g q6h
  3. Follow-up blood cultures
  4. Follow-up sputum cultures
  5. MRSA nares screen negative
  6. Blood cultures negative
  7. Discontinue vancomycin
Yesterday, a version of this note (lines 1 to 5 to be precise) had my name on it. Today, it is signed by someone else. Read it ...

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At the start of the transition to electronic health records (EHRs), I was totally on board as one would expect of a millennial doctor. I, along with my fellow millennials, grew up alongside the internet. We can type with our eyes closed, navigate pop-ups in a jiffy and intuitively know how to manipulate electronic charts to serve our purposes. But, I did find myself in a unique position in the millennial ...

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