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October 3rd, 2012


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03:16 pm
Our office now enters the 21st Century; as of yesterday, we are doing all notes on our patients in electronic form. The software is not easy to use, and it's been formatted by non-physicians in the way they THINK we need it, but it's not set up the way I practice. In addition, there are no docs, so I have to puzzle out how to configure it without having any idea which button will do what. Irritating.

(20 comments | Speak, or forever hold your peace)

Comments:


From:dewline
Date:October 3rd, 2012 03:43 pm (UTC)
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You might want to contact someone like Michael and Denise Okuda or Jayse Hansen in Hollywood to help you work up designs for how user interfaces in medicine ought to work...if you haven't already considered it. And I strongly suspect that you have.

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From:mycroftca
Date:October 3rd, 2012 09:15 pm (UTC)
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Have I ever!
From:dewline
Date:October 3rd, 2012 09:20 pm (UTC)
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I'm tempted to suggest the Okudas first. Mrs. Okuda was an RN before she got into graphic design alongside her husband, right?
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From:mycroftca
Date:October 3rd, 2012 09:26 pm (UTC)
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I don't know...

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From:sekl
Date:October 3rd, 2012 04:04 pm (UTC)
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Oh fun. So this had zero usability testing and was just implemented by fiat?
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From:mycroftca
Date:October 3rd, 2012 09:15 pm (UTC)
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Essentially. Mostly it was chosen without trying anything else because the office already used their billing software.
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From:jamiethered
Date:October 3rd, 2012 04:22 pm (UTC)
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No docs. Not even in electronic form? That's criminal.
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From:mycroftca
Date:October 3rd, 2012 09:18 pm (UTC)
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We were told that printed docs came to 5500 pages, but that they weren't going to give us any, and that we would be told later how to find the FAQ page, not that that would be any use...
From:dewline
Date:October 3rd, 2012 09:18 pm (UTC)
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"...weren't going to give us any..."?
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From:mycroftca
Date:October 3rd, 2012 09:25 pm (UTC)
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Any paper docs.
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From:robin_june
Date:October 3rd, 2012 11:08 pm (UTC)
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Have they at least given you searchable pdf manuals, loaded on the Point of Use computers and also side machines like possibly iPads, that can be brought to a misbehaving computer?

AT OSU, they implemented a system called IHIS last year. On my research lab machine that needs to see no patient data, it slowed it to the point of frozen, and so we had it removed. However from the point of view as a patient, it slowed my providers' machines, but allowed them to see medical tests from many years ago that I need to repeat. (Which is a Good Thing, since other tests that I've repeated without prior runs' results being visible have led to unnecessary panics.)
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From:mycroftca
Date:October 4th, 2012 06:33 am (UTC)
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Nope. Supposedly there's something online, but nobody's shown me where to find it.
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From:jamiethered
Date:October 4th, 2012 06:40 pm (UTC)
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Generating a pdf of 5500 pages of manual takes about 20 minutes all told. It might be a big file (or set of files), but it costs next to nothing to distribute. They need to tell you where it is or provide it if they haven't already. (Hell, if I thought you could get me the source files, I'd generate it for you, gratis.)
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From:mycroftca
Date:October 4th, 2012 09:26 pm (UTC)
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I'll beat the drums the next week I'm in the office; I'm swamped just now, and haven't the energy for a fight.
From:silme
Date:October 3rd, 2012 05:19 pm (UTC)
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I remember when my doctor's surgery (office) did that. It was very different from what they'd expected. They adapted, but they weren't happy.
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From:mycroftca
Date:October 3rd, 2012 09:24 pm (UTC)
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Amen.
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From:stacymckenna
Date:October 3rd, 2012 06:10 pm (UTC)
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The ex has yet to see a software upgrade in the hospitals where he works IMPROVE employee efficiency. Each system seems to be more cumbersome and less useful than the last. I don't know who's designing the damned things, but the administrations certainly aren't consulting with on-the-ground types before they purchase them...
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From:mycroftca
Date:October 3rd, 2012 09:24 pm (UTC)
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Washington, DC is defining what these programs are supposed to do, and so you can see why they all suck.
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From:stacymckenna
Date:October 4th, 2012 05:21 am (UTC)
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[insert preferred expletive here]
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From:mycroftca
Date:October 4th, 2012 06:33 am (UTC)
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[it's a long list]
Our office now enters the 21st Century; as of yesterday, we are doing… - This ain't no party, this ain't no disco... — LiveJournal

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