Paul Epner

[Paul Epner @plepner]

Completed week of advocacy with @AJCGlobal in Delhi, Bangalore and Mumbai. Met with a number of senior level people including a wonderful hour with Dr. Jaishankar and additional meetings with US Ambassador Garcetti and Israeli Ambassador Reuven Azar. @sarahvanloon @TWIN_GLOBAL

[Dr. S. Jaishankar @DrSJaishankar]

Pleased to meet the American Jewish Committee delegation today.

Discussed our bilateral partnership and the developments in West Asia.

Deeply value @AJCGlobal’s long-standing support for 🇮🇳 🇺🇸 ties.

[Kobbi Shoshani 🇮🇱 @KobbiShoshani]

Always happy to meet the American Jewish Committee group in Mumbai and to find ways to coordinate between Jewish and Hindus diaspora in both countries. 🇮🇳🇺🇸🇮🇱

@arjunhardas @AJCGlobal

[AJC Central Europe @AJC_CE]

Dear Ambassador Brzezinski @USAmbPoland, thank you so much for your hospitality and the extraordinary efforts that you and your team undertake to combat antisemitism and support Jewish life in Poland.
@AJCGlobal remains committed to strengthening Polish – American relations and support dialogue between Poland and the Jewish community around the world.

[Paul Epner @plepner]

Thank you for the opportunity to remind everyone of the value brought by laboratory physicians and scientists and the untapped opportunity to do more.

[ARUP Laboratories @ARUPLabs]

In our special Lab Week episode of LabMind, we discuss with Paul Epner (@plepner,) CEO of @ImproveDx, how cross-disciplinary collaboration is fundamental to the critical impact of laboratory medicine, and the overall quality of medical care. #DxError https://t.co/3omEkwY5b5

[Paul Epner @plepner]

#COVIDー19 is the current problem that clearly illustrates the impact of delayed, inaccurate or miscommunicated diagnoses, the most common, most catastrophic and most costly patient safety issue in our system. Will we finally make the investment to improve diagnostic quality?

[Society to Improve Diagnosis in Medicine @ImproveDX]

SIDM's CEO @plepner in @thehill "When the history of #COVID19 is written, the opening chapter will be on diagnostic errors" https://t.co/GkSD4HHkIi

[SusanCarr @SusanCarr]

Thanks to all for a great discussion! #teledx

[Paul Epner @plepner]

And a special thanks to @jkvedar and @SchrandtSuz for their insights into this important topic. Thanks to everyone for contributing to tonight’s chat. If you want to support @improvedx in its work, donate at https://t.co/AhgjjxMNZx. #teledx

[Society to Improve Diagnosis in Medicine @ImproveDX]

That’s a wrap on tonight’s #teledx chat! Thanks to all participants for sharing your insights and resources! https://t.co/Mq2FZcclYi

[Paul Epner @plepner]

https://t.co/suBH0bXvUz Diagnostic Accuracy in Primary Care E-Visits: Evaluation of a Large Integrated Health Care Delivery System's Experience #teledx

[Paul Epner @plepner]

There are some publications. not ready with them at my fingertip. #teledx

[Paul Epner @plepner]

There are some publications. not ready with them at my fingertip. #teledx

[SusanCarr @SusanCarr]

Forgive me for introducing a different question… Has anyone collected data about diagnostic accuracy or errors in telemedicine? I suspect I know the answer #teledx

[Paul Epner @plepner]

What one feasible new option would maximize the value of telemed? #teledx

[Paul Epner @plepner]

Remember, we're still talking diagnosis, not treatment monitoring. #teledx

[Society to Improve Diagnosis in Medicine @ImproveDX]

Q4: What does follow-up look like with a virtual visit when you’ve made a new differential diagnosis? #teledx

[Paul Epner @plepner]

Last question for the evening. #teledx

[Society to Improve Diagnosis in Medicine @ImproveDX]

Q4: What does follow-up look like with a virtual visit when you’ve made a new differential diagnosis? #teledx

[Paul Epner @plepner]

@improvedx has produced competency framework for diagnosis. Does it cover telemedicine? It's at our website. #teledx

[IrmaRaste ✨ InfluenceThroughStorytelling™ @IrmaRaste]

That’s an important move @AAMCNews! As #telemedicine is now becoming #medicine, the #MedEd needs to adjust as well. #TeleMedEd @ShafiAhmed5 @jkvedar @evankirstel @eViRaHealth #teledx @ACHT_USA @DrDaveLevien

[Paul Epner @plepner]

Diagnosis always involves uncertainty. How do you decide when to convert?#teledx

[Priya Radhakrishnan she/her @DocPhx]

@kkcorbet We are still doing in person visits so if the #telehealth visit is not conclusive, we will convert it to an physical visit #teledx

[Paul Epner @plepner]

Good question. Do we need a separate training program on how to do #teledx? Documentation, eliciting information, describing symptoms in relatable terms?

[AnnDGaffey @AnnDGaffey]

@plepner #teledx what is the opportunity to streamline documentation so the right info is captured and available for ongoing care?

[Paul Epner @plepner]

How do you deal with patients struggling with the technology in terms of eliciting information?#teledx

[Society to Improve Diagnosis in Medicine @ImproveDX]

Q3: What strategies have worked for you to elicit information from patients to begin to make a virtual diagnosis? #teledx

[Paul Epner @plepner]

On to Q3 of 4.

[Society to Improve Diagnosis in Medicine @ImproveDX]

Q3: What strategies have worked for you to elicit information from patients to begin to make a virtual diagnosis? #teledx

[Paul Epner @plepner]

Interesting that remote medicine may facilitate relationship-building and engagement. #teledx

[Joseph Kvedar, MD @jkvedar]

@HMEpstein yes, ironically, when on video we don’t usually compete with entering info into the EHR so it may be better :) #teledx

[Paul Epner @plepner]

Joe, what have you and ATA found about relationship-building between MD and patient in telemed? #teledx

[Joseph Kvedar, MD @jkvedar]

@arwmd the key is choosing what to use #teledx for. This is a perfect use-case.

[Paul Epner @plepner]

In fact, because of greater access, it can be easier to build a longitudinal relationship #teledx

[SuzSchrandt @SchrandtSuz]

@KathyMcDonald Thank you Kathy! Helpful to think about #TeleDx as a process versus a single interaction!