Author, speaker, consultant (Ex IBM), VP @MosaicaPartners. Researching next book on health information.
Florida
Joined March 2012
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Some systems are designed to support natural flows; order intake, patient registration and support, loading and dispatching delivery trucks, etc.
That class of systems are typically designed by entrepreneurs to optimize flows of people and information in which they have an interest. .
They tend to be well thought out and designed, and users describe an easy and intuitive interface.
Think FedEx package tracking and shopping on Amazon. Easy, simple, and] understandable.
Interfaces that aren't easy, simple, and understandable consistently fail in the open market.
Other systems are designed to extract value from flows of people and information.
That class of systems are typically designed by MBAs and collect information eminating from those flows.
They're an add on and not part of the natural flows.
They tend to be focused on collecting data and exhibit no interest in optimizing flows.
Users consistently express frustration at the interfaces, especially those that interrupt and hold up flows.
Think most electronic health systems (EHRs and EMRs) and navigating crappy government websites.
These systems often arrive after regulations require new data must be reported to the government.
The people that design that class of systems don't care about users opinions that get in the way of collecting data.
Every child born
Is an opportunity to optimize
their childhood.
Because they are members of our community.
Bob Brown retweeted
Some systems are designed to support natural flows; order intake, patient registration and support, loading and dispatching delivery trucks, etc.
That class of systems are typically designed by entrepreneurs to optimize flows of people and information in which they have an interest. .
They tend to be well thought out and designed, and users describe an easy and intuitive interface.
Think FedEx package tracking and shopping on Amazon. Easy, simple, and] understandable.
Interfaces that aren't easy, simple, and understandable consistently fail in the open market.
Other systems are designed to extract value from flows of people and information.
That class of systems are typically designed by MBAs and collect information eminating from those flows.
They're an add on and not part of the natural flows.
They tend to be focused on collecting data and exhibit no interest in optimizing flows.
Users consistently express frustration at the interfaces, especially those that interrupt and hold up flows.
Think most electronic health systems (EHRs and EMRs) and navigating crappy government websites.
These systems often arrive after regulations require new data must be reported to the government.
The people that design that class of systems don't care about users opinions that get in the way of collecting data.
Bob Brown retweeted
For my final @doximity fellow article, #physicians have lost the ability to delegate clerical tasks in the #EHR era
#Tech should work for physicians, not the other way around
doximity.com/newsfeed/700d8f…
#MedTwitter #HealthIT #PhysicianBurnout #radonc @DrDiGiorgio @DGlaucomflecken @CAPphysicians @CMAdocs @PACDoctors @ReasObBob @realdocspeaks @abe_verghese @ACPIMPhysicians
Follow the Leo Milas thread to see Grok's review of patent physician flows
Bob Brown retweeted
The EHRbacklash continues!
@RobertKennedyJr @DrOz In the distant past, physicians kept our medical records, and it worked.
This practice began in biblical times and ended under Obama in 2009 with the HITECH Act, the EHR mandate, and the implementation of Obamacare.
Now EHR vendors own our medical records; healthcare conglomerates pursued vertical integration for $6 trillion, and the patients who pay for it are served very poorly.
This experiment must end now. As President Trump promised, patients should own their medical records, and the EHR industry should be gradually eliminated.
I know the challenge, but this has to be initiated and made known to the public before we end up with "Medicare for all"
The EHRbacklash continues!
@RobertKennedyJr @DrOz In the distant past, physicians kept our medical records, and it worked.
This practice began in biblical times and ended under Obama in 2009 with the HITECH Act, the EHR mandate, and the implementation of Obamacare.
Now EHR vendors own our medical records; healthcare conglomerates pursued vertical integration for $6 trillion, and the patients who pay for it are served very poorly.
This experiment must end now. As President Trump promised, patients should own their medical records, and the EHR industry should be gradually eliminated.
I know the challenge, but this has to be initiated and made known to the public before we end up with "Medicare for all"
Bob Brown retweeted
Just saw a post about Disney parks and boats customers and how the attendence numbers are growing.
They base revenue projections on average spend per visitor. Because they know the number.
In healthcare delivery, many organizations view patients as billing opportunities.
They know higher numbers are better.
And, if they're non profit, there's no tax to pay!
Just saw a post about Disney parks and boats customers and how the attendence numbers are growing.
They base revenue projections on average spend per visitor. Because they know the number.
In healthcare delivery, many organizations view patients as billing opportunities.
They know higher numbers are better.
And, if they're non profit, there's no tax to pay!
Bob Brown retweeted
The suits don't care.
Your complaints are just bothering them.
Pipe down!
Colleague's health system implemented a daily lock-out from the electronic medical record if he didn't answer all his inbox tasks.
But they send him tasks for patients that aren't his.
So he has hundreds of tasks inappropriately routed to his inbox.
And now must request "emergency access" to the EMR to do basic patient care.
EVERY. SINGLE. DAY.
Because they can't figure out how to appropriately route inbox tasks.
The suits don't care.
Your complaints are just bothering them.
Pipe down!
Colleague's health system implemented a daily lock-out from the electronic medical record if he didn't answer all his inbox tasks.
But they send him tasks for patients that aren't his.
So he has hundreds of tasks inappropriately routed to his inbox.
And now must request "emergency access" to the EMR to do basic patient care.
EVERY. SINGLE. DAY.
Because they can't figure out how to appropriately route inbox tasks.
