David Rich

Pediatrician, informaticist, improving healthcare with electronic records and technology, one day at a time.

[David Rich @emrdoc]

@williamhersh Great article! I was just looking at a vendor solution for AI enhanced search. Clinicians want to go first to an authoritative source and then ask more complex questions about management. When trying the AI search first, it underperformed and took more time and processing power.

[David Rich @emrdoc]

#UGM23 Epic may need a downtime solution for their guest wireless network. Paper? Ironic.

[David Rich @emrdoc]

There is no disincentive to writing longer notes, especially if it can be done more quickly with sophisticated charting tools. And there are so many entities asking providers to put more in their notes, not less. Anyone want to revert to the 1-5 line notes from the 80s?

[David Rich @emrdoc]

Two Years After Coding Changes Sought to Decrease Documentation, Notes Remain ‘Bloated’ https://t.co/eeSJquQrcu

[David Rich @emrdoc]

So true. Add to that vendor thresholds for response (48 hour message handling) that don’t acknowledge most providers and staff try to disconnect from the EMR on weekends and holidays. While great for patient access, this will cost us all more to manage effectively.

[AMIA @AMIAinformatics]

After building the #EHR and patient portals, @Bob_Wachter says healthcare workers didn’t anticipate that they “enabled and promoted 24/7 access.” #CIC23

[David Rich @emrdoc]

@CraigJoseph @Bob_Wachter @AMIAinformatics As usual, @Bob_Wachter sums it up quite accurately. Thank you to all the EMR vendors for gifting us with this functionality.

[Craig Joseph, MD @CraigJoseph]

Wait a second. Non-informatics docs like @Bob_Wachter are working on #inbox overload? Good to know. @AMIAinformatics #CIC23

[David Rich @emrdoc]

Thank you @AllisonMassari for sharing your story and inspiring healthcare workers at the @3MHealthCare Client Experience Summit. “Kindness doesn’t have to take extra time.” “Compassion heals in places medicine cannot touch.”

[David Rich @emrdoc]

@marxtango Be patient. Listen well. Respect others.

[David Rich @emrdoc]

@CraigJoseph There is some irony in the fact that the referenced New York Times article about charging for messages is behind a paywall, creating a barrier to access. 😀

[David Rich @emrdoc]

@HamlinIsland 🙏🏻

[David Rich @emrdoc]

@CraigJoseph I wouldn’t give up completely on a targeted review of systems as that is part of a thoughtful clinical assessment. Imagine if we only had to document based on clinical relevance though and not to appease so many other parties?

[David Rich @emrdoc]

Dane Jackson. Buffalo Bills. 🙏🏻.

[David Rich @emrdoc]

Add #minnesotastatefair to the list of venues with incidents last night. Come on people. #canfieldfair

[David Rich @emrdoc]

@CanfieldFair shots fired, too close for comfort. @Verizon cellular service non-existent for the second year in a row there. Glad I had my loved ones close. Stay safe out there!

[David Rich @emrdoc]

@LerfaldNate @ARSarwari @wvudeptofmed @ImWvu @WVUMedSchool @WVUMedicine Thank you @ARSarwari for your service!

[Craig Joseph, MD @CraigJoseph]

Look at the slopes on these graphs, kids! Our docs are drowning in patient messages. And we all understand why. #AMDIS22 @RussCucina @UCSFHospitals

[David Rich @emrdoc]

@TomCruise Great sequel! Thank you.

[David Rich @emrdoc]

Not so ironic to watch this movie on Netflix. The Last Blockbuster https://t.co/ZZk9ASMX7V

[David Rich @emrdoc]

Adhoc session at #XGM22 to discuss new results review functionality from Epic. Realtime collaboration with clients and Epic. #usability #performance