Announcement

Collapse
No announcement yet.

The "I Can't Believe There's No Abortion Thread" Part Deux: Electric Boogaloo

Collapse
This topic is closed.
X
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • We still use paper charting. *shoulder shrug*

    Comment


    • Originally posted by Swansong View Post
      If you're genuinely advocating for a return to paper charts then I truly don't know what to tell you. Probably a story about buggy whips. You can't blame the system for additional required documentation that you were previously exempted from.

      Implementations are hard. Learning a new system is hard. Data migration is hard. That doesn't mean the system is bad or that the mission isn't worthwhile.


      Everyone's favorite system - in any industry - is the last one, no matter how much they complained about it when it was in use.
      Lack of coordination of care can also be exacerbated by lack of ehr as I’m sure you’re aware. That’s one of swedens biggest issues- not having access to the right records when needed

      Comment


      • Originally posted by Swansong View Post
        If you're genuinely advocating for a return to paper charts then I truly don't know what to tell you. Probably a story about buggy whips. You can't blame the system for additional required documentation that you were previously exempted from.

        Implementations are hard. Learning a new system is hard. Data migration is hard. That doesn't mean the system is bad or that the mission isn't worthwhile.


        Everyone's favorite system - in any industry - is the last one, no matter how much they complained about it when it was in use.
        Create a UI that mimics the paper forms, that UI would then transcribe their handwriting to values input into the DB.

        Some level of compromise would be needed for the layout of the form to allow for easy translation from pure free-form to freeish-form. This would make data collection quicker and help reduce transcription errors.
        "The party told you to reject the evidence of your eyes and ears. It was their final, most essential command." George Orwell, 1984

        "One does not simply walk into Mordor. Its Black Gates are guarded by more than just Orcs. There is evil there that does not sleep, and the Great Eye is ever watchful. It is a barren wasteland, riddled with fire and ash and dust, the very air you breathe is a poisonous fume." Boromir

        "Good news! We have a delivery." Professor Farnsworth

        Comment


        • Originally posted by psych View Post
          We still use paper charting. *shoulder shrug*
          How is this even legal at this point, in 2023? It definitely isn't in MA.
          I gotta little bit of smoke and a whole lotta wine...

          Comment


          • Originally posted by Deutsche Gopher Fan View Post

            Lack of coordination of care can also be exacerbated by lack of ehr as I’m sure you’re aware. That’s one of swedens biggest issues- not having access to the right records when needed
            Absolutely. Without getting into details, someone I know has COPD and is just in and out of NY-area hospitals and the family refuses to allow hospitals to share data. The result is ridiculously disjointed care.
            I gotta little bit of smoke and a whole lotta wine...

            Comment


            • Originally posted by St. Clown View Post
              Create a UI that mimics the paper forms, that UI would then transcribe their handwriting to values input into the DB.

              Some level of compromise would be needed for the layout of the form to allow for easy translation from pure free-form to freeish-form. This would make data collection quicker and help reduce transcription errors.
              Most of the documentation forms in Epic look vaguely like a piece of paper. the biggest issues are in the discrete data fields. You must choose a pre-defined option. Now, younger staff recognize shortcuts like "just type 'y' for 'yes'" and the like, but many will meticulously click the list, choose the option, and then to the next. Or they refuse to use note templates, or other efficiency boosters. Hell, we even have transcription available on the mobile app version.
              I gotta little bit of smoke and a whole lotta wine...

              Comment


              • Originally posted by Swansong View Post

                How is this even legal at this point, in 2023? It definitely isn't in MA.
                It isn’t. My company has decided it’s cheaper to pay the fines for not transitioning to electronic medical records than it is to pay for transitioning to electronic medical records. That said, they’re piloting electronic charting somewhere in the company, so I’m sure it’s just a matter of time before it’s rolled out everywhere.

                Comment


                • Originally posted by psych View Post

                  It isn’t. My company has decided it’s cheaper to pay the fines for not transitioning to electronic medical records than it is to pay for transitioning to electronic medical records. That said, they’re piloting electronic charting somewhere in the company, so I’m sure it’s just a matter of time before it’s rolled out everywhere.
                  Wow. Crazy.

                  In MA, you can't even prescribe via paper without indicating that the eRX system is temporarily down.


                  How does this impact Medicare payments? They require all sorts of things related to digital validation and attestation.
                  I gotta little bit of smoke and a whole lotta wine...

                  Comment


                  • Originally posted by dxmnkd316 View Post

                    SAP consultants are the blurst. Almost every rollout goes like this

                    1. Hire consultants
                    2. Plan for 2 years
                    3. First roll out is a disaster
                    4. Push back dates a year, get informed you're 50% over budget
                    5. Second rollout is a disaster
                    6. Fire every ****ing one of the consultants
                    7. Delay everything 2-3 more years, double or triple the budget.
                    8. Attempt to survive the next 5 years
                    9. Spend the next twenty years healing scars and PTSD from your employees who went through it and stayed with you
                    At my current company it went:

                    1. Hire consultants
                    2. Plan for 2 years
                    3. Realize it's too many different systems and too complicated so only do partial rollout
                    4. Push back dates a year, get informed you're 50% over budget
                    5. Second partial rollout
                    6. SAP doesn't communicate with your other systems that you didn't convert, creating a lot of duplicated work for everyone
                    7. Delay full roll out indefinitely
                    8. Sell division to a diferent company, now it's someone else's problem
                    Originally posted by West Texas Wolverine
                    wT, your wisdom is as boundless as the volume of your cheering.



                    Arenas visited:
                    7 B1G, 7 CCHA (all except St Thomas), 6 NCH (UNO, NoDak, DU, Miami, SCSU, WMU), 5 Hockey East (BU, BC, UNH, Lowell, Vermont), 5 ECAC (RPI, Union, Dartmouth, St. Lawrence, Clarkson), 2 AHA (Mercyhurst, RIT), 2 Alaskan

                    Comment


                    • Originally posted by wolverineTrumpet View Post
                      Sell division to a different company, now it's someone else's problem
                      "Prepare three envelopes..."
                      Cornell University
                      National Champion 1967, 1970
                      ECAC Champion 1967, 1968, 1969, 1970, 1973, 1980, 1986, 1996, 1997, 2003, 2005, 2010
                      Ivy League Champion 1966, 1967, 1968, 1969, 1970, 1971, 1972, 1973, 1977, 1978, 1983, 1984, 1985, 1996, 1997, 2002, 2003, 2004, 2005, 2012, 2014, 2018, 2019, 2020

                      Comment


                      • Originally posted by leswp1 View Post
                        Gee, does that mean they are going to provide healthcare, feed and house the pregnant women?
                        Obviously not. Sanctuary for the unborn. Pregnant women are already born, we don't care about them.

                        I'll have to tell my liberal parents that grew up in Sparta about the sanctuary for the unborn.
                        Originally posted by West Texas Wolverine
                        wT, your wisdom is as boundless as the volume of your cheering.



                        Arenas visited:
                        7 B1G, 7 CCHA (all except St Thomas), 6 NCH (UNO, NoDak, DU, Miami, SCSU, WMU), 5 Hockey East (BU, BC, UNH, Lowell, Vermont), 5 ECAC (RPI, Union, Dartmouth, St. Lawrence, Clarkson), 2 AHA (Mercyhurst, RIT), 2 Alaskan

                        Comment


                        • Originally posted by wolverineTrumpet View Post

                          Obviously not. Sanctuary for the unborn. Pregnant women are already born, we don't care about them.

                          I'll have to tell my liberal parents that grew up in Sparta about the sanctuary for the unborn.
                          When I first started reading this I caught a "w" in my peripheral, read the first sentence as completely serious and assumed it was whalers.

                          I then read the second sentence and confirmed the author is a different "w".

                          Sadly he would 100% write the first without a hint of jest.

                          Comment


                          • Originally posted by Swansong View Post

                            Wow. Crazy.

                            In MA, you can't even prescribe via paper without indicating that the eRX system is temporarily down.


                            How does this impact Medicare payments? They require all sorts of things related to digital validation and attestation.
                            ePrescriptions are the worst ****ing thing on earth. I hope the person who invented them got run over by a goddamn bus.

                            They've made my life, my doctor's life, and pharmacists lives a living hell
                            Code:
                            As of 9/21/10:         As of 9/13/10:
                            College Hockey 6       College Football 0
                            BTHC 4                 WCHA FC:  1
                            Originally posted by SanTropez
                            May your paint thinner run dry and the fleas of a thousand camels infest your dead deer.
                            Originally posted by bigblue_dl
                            I don't even know how to classify magic vagina smoke babies..
                            Originally posted by Kepler
                            When the giraffes start building radio telescopes they can join too.
                            He's probably going to be a superstar but that man has more baggage than North West

                            Comment


                            • Originally posted by wolverineTrumpet View Post

                              At my current company it went:

                              1. Hire consultants
                              2. Plan for 2 years
                              3. Realize it's too many different systems and too complicated so only do partial rollout
                              4. Push back dates a year, get informed you're 50% over budget
                              5. Second partial rollout
                              6. SAP doesn't communicate with your other systems that you didn't convert, creating a lot of duplicated work for everyone
                              7. Delay full roll out indefinitely
                              8. Sell division to a diferent company, now it's someone else's problem
                              God that sounds familiar. I think we're on indefinite hiatus as well.
                              Code:
                              As of 9/21/10:         As of 9/13/10:
                              College Hockey 6       College Football 0
                              BTHC 4                 WCHA FC:  1
                              Originally posted by SanTropez
                              May your paint thinner run dry and the fleas of a thousand camels infest your dead deer.
                              Originally posted by bigblue_dl
                              I don't even know how to classify magic vagina smoke babies..
                              Originally posted by Kepler
                              When the giraffes start building radio telescopes they can join too.
                              He's probably going to be a superstar but that man has more baggage than North West

                              Comment


                              • I am utterly baffled by that. It's the easiest thing in the world. Push a few buttons, go pick it up at the pharmacy (or they mail it to you). I used to maintain the Surescripts interface. It just... worked.
                                I gotta little bit of smoke and a whole lotta wine...

                                Comment

                                Working...
                                X