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  • Originally posted by Swansong View Post

    Which EHR are you using? I've heard those same complaints about eClinical Works and to a lesser extent Athena. Epic should be much more linear, although with the ACA there's about 587658752687586 as much data you need to document so the need to separate data types out into workflows was necessary (otherwise you'd end up with a gross and endless list of questions to fill out that would never seem to end). At least Epic has embraced the workflow concept.
    I am not sure what they are using now. I think Cerner. What ever it is I am my own chart because they literally have no idea what is in my chart. I watch them enter things but when I return or when I go to the next provider no info is being seen.
    Ex-I recently had a test. I had a virtual visit with my specialist. I asked if I had a referral for the visit. They said no- which they should have mentioned to me without me asking. They told me they requested 3 times with no result. I called the PCP for referral- it was in my chart there (same system) and they gave me the # in about 2 minutes. I tell them the specialist says they have contacted 3 times without result. I called Specialist back with the p/a # and mention they have no record of the requests (which is weird because they should have had one to be able to know what to refer me for). A month later the PCP office calls me to tell me the PCP wants to see me to discuss the results and do an exam because [fill in the blank]. I tell them I have already had this eval-ed. They OK'd the referral. They have to hunt in the chart to find this call and the referral. It takes them a bit to find the call. There is no record of the Specialist visit occurring. They imply that I am making this up to get out of a visit. I tell them to call the specialist.

    Paper chart- Request documented on the page. P/A # written right after that. Call written on page. Result of request documented on the same page. Nice linear timeline. No need to search multiple windows or miss something because you didn't think to look in what ever window it is in. I really want to see research on how many omission errors are made from not finding something that should have been seen

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    • Good morning to tLodge!
      Quinnipiac Bobcats
      2023 National Champions
      ECAC Regular Season Champions: 2012-13, 2014-15, 2015-16, 2018-19, 2020-21, 2021-22, 2022-23, 2023-24
      ECAC Tournament Champions: 2016
      East Regional: 2013 (Champions), 2014, 2016 (Champions), 2023 (Champions), 2024
      Northeast Regional:
      West Regional: 2015, 2021
      Midwest Regional: 2019, 2022
      Frozen Four: 2013, 2016, 2023 (Champions)

      Pass complete. Lipkin has a man in front! Shot... SCORE!!!

      Comment


      • Good Morning, MEUSA!


        Good Morning to the rest of tLodge!






        sigpic

        Let's Go 'Tute!

        Maxed out at 2,147,483,647 at 10:00 AM EDT 9/17/07.

        2012 Poser Of The Year

        Comment


        • Originally posted by leswp1 View Post

          I am not sure what they are using now. I think Cerner. What ever it is I am my own chart because they literally have no idea what is in my chart. I watch them enter things but when I return or when I go to the next provider no info is being seen.
          Ex-I recently had a test. I had a virtual visit with my specialist. I asked if I had a referral for the visit. They said no- which they should have mentioned to me without me asking. They told me they requested 3 times with no result. I called the PCP for referral- it was in my chart there (same system) and they gave me the # in about 2 minutes. I tell them the specialist says they have contacted 3 times without result. I called Specialist back with the p/a # and mention they have no record of the requests (which is weird because they should have had one to be able to know what to refer me for). A month later the PCP office calls me to tell me the PCP wants to see me to discuss the results and do an exam because [fill in the blank]. I tell them I have already had this eval-ed. They OK'd the referral. They have to hunt in the chart to find this call and the referral. It takes them a bit to find the call. There is no record of the Specialist visit occurring. They imply that I am making this up to get out of a visit. I tell them to call the specialist.

          Paper chart- Request documented on the page. P/A # written right after that. Call written on page. Result of request documented on the same page. Nice linear timeline. No need to search multiple windows or miss something because you didn't think to look in what ever window it is in. I really want to see research on how many omission errors are made from not finding something that should have been seen
          I've never used Cerner personally but I've never heard a single good thing about it from anyone: clinical, administrative or developer. It's a crap system and at least 10 years out of date. Even Meditech is trying to modernize but Cerner is not. Don't judge modern EHRs based on that one - most of them aren't so bad. Cerner is not at all representative of a well-built, modern system.
          I gotta little bit of smoke and a whole lotta wine...

          Comment


          • Originally posted by Swansong View Post

            I've never used Cerner personally but I've never heard a single good thing about it from anyone: clinical, administrative or developer. It's a crap system and at least 10 years out of date. Even Meditech is trying to modernize but Cerner is not. Don't judge modern EHRs based on that one - most of them aren't so bad. Cerner is not at all representative of a well-built, modern system.
            It is possible they switched- I think they may have. All I know is they get bubbkis right what I go in and I have zero confidence that anyone can manage my care using the chart. Makes me feel like I cannot let anyone manage my care because they know sh1t about what is going on.

            Good Afternoon Lodge!

            Comment


            • Well, like I said. EHR developers finally started hiring UI experts and suddenly they're a lot better (imagine that). Don't judge what a modern EHR is like based on ... crappy Cerner. Cerner is what hospitals that can't be bothered to spend the IT resources buy. And I'm not sure if it was ever really intended for the ambulatory world either, so using it for outpatient visits ... no bueno.
              I gotta little bit of smoke and a whole lotta wine...

              Comment


              • Think we’ve finally broken through during the inspection period on the house we’re going for. Sellers are being extremely inflexible, but the agents appear to be willing make sure this gets done. Our needs and wants look to be met. We’ll see what shows up in writing.
                Last edited by state of hockey; 12-08-2020, 10:03 PM.
                the state of hockey is good

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                • Originally posted by state of hockey View Post
                  Think we’ve finally broken through during the inspection period on the house we’re going for. Sellers are being extremely inflexible, but the agents appear to be willing make sure this gets done. Our needs she wants looks to be met. We’ll see what shows up in writing.
                  Nice!

                  HHT. We beat the Whore tonight. I am pleased.
                  Never really developed a taste for tequila. Kind of hard to understand how you make a drink out of something that sharp, inhospitable. Now, bourbon is easy to understand.
                  Tastes like a warm summer day. -Raylan Givens

                  Comment


                  • Good morning to tLodge!
                    Quinnipiac Bobcats
                    2023 National Champions
                    ECAC Regular Season Champions: 2012-13, 2014-15, 2015-16, 2018-19, 2020-21, 2021-22, 2022-23, 2023-24
                    ECAC Tournament Champions: 2016
                    East Regional: 2013 (Champions), 2014, 2016 (Champions), 2023 (Champions), 2024
                    Northeast Regional:
                    West Regional: 2015, 2021
                    Midwest Regional: 2019, 2022
                    Frozen Four: 2013, 2016, 2023 (Champions)

                    Pass complete. Lipkin has a man in front! Shot... SCORE!!!

                    Comment


                    • Good Morning, MEUSA!


                      Good Morning to the rest of tLodge!






                      sigpic

                      Let's Go 'Tute!

                      Maxed out at 2,147,483,647 at 10:00 AM EDT 9/17/07.

                      2012 Poser Of The Year

                      Comment


                      • Wow...this is still going all these years later.

                        Comment


                        • Originally posted by KC8NIY View Post
                          Wow...this is still going all these years later.
                          A shell of what it once was, but yeah.

                          HAPPY FRIGGIN' HOCKEY TABLE.
                          8-0, have not trailed a single second all year (and trailed less then 5 minutes total in our last 10 games), perfect on the PK this year (17-17, but don't quote me). I am a bit giddy.
                          Never really developed a taste for tequila. Kind of hard to understand how you make a drink out of something that sharp, inhospitable. Now, bourbon is easy to understand.
                          Tastes like a warm summer day. -Raylan Givens

                          Comment


                          • Originally posted by The Rube View Post
                            A shell of what it once was, but yeah.

                            HAPPY FRIGGIN' HOCKEY TABLE.
                            8-0, have not trailed a single second all year (and trailed less then 5 minutes total in our last 10 games), perfect on the PK this year (17-17, but don't quote me). I am a bit giddy.
                            What is hockey? We are still in rolling quarantine mode. One team comes back, the next goes out.

                            Hey KC!

                            Good Evening Lodge!

                            Comment


                            • Originally posted by leswp1 View Post

                              What is hockey? We are still in rolling quarantine mode. One team comes back, the next goes out.

                              Hey KC!

                              Good Evening Lodge!
                              It's a weird year, indeed. I'm just taking every blessing that is handed to me.
                              Never really developed a taste for tequila. Kind of hard to understand how you make a drink out of something that sharp, inhospitable. Now, bourbon is easy to understand.
                              Tastes like a warm summer day. -Raylan Givens

                              Comment


                              • Good morning to tLodge!
                                Quinnipiac Bobcats
                                2023 National Champions
                                ECAC Regular Season Champions: 2012-13, 2014-15, 2015-16, 2018-19, 2020-21, 2021-22, 2022-23, 2023-24
                                ECAC Tournament Champions: 2016
                                East Regional: 2013 (Champions), 2014, 2016 (Champions), 2023 (Champions), 2024
                                Northeast Regional:
                                West Regional: 2015, 2021
                                Midwest Regional: 2019, 2022
                                Frozen Four: 2013, 2016, 2023 (Champions)

                                Pass complete. Lipkin has a man in front! Shot... SCORE!!!

                                Comment

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