What's new
By:
USCHO Fan Forum

This is a sample guest message. Register a free account today to become a member! Once signed in, you'll be able to participate on this site by adding your own topics and posts, as well as connect with other members through your own private inbox!

  • The USCHO Fan Forum has migrated to a new plaform, xenForo. Most of the function of the forum should work in familiar ways. Please note that you can switch between light and dark modes by clicking on the gear icon in the upper right of the main menu bar. We are hoping that this new platform will prove to be faster and more reliable. Please feel free to explore its features.

Gear Grinding 9: I Need a Wine!

Status
Not open for further replies.
French Rage said:
Yeah, with admittedly complete 20/20 hindsight the best avenue would have been to privately tell your team's coach to tell the other coach to knock it off, though it sounds like maybe even with prompting your team's coach may not have.
Click to expand...
I jumped up when I did because I saw some of the other parents getting pretty upset and were about to tee off (the one girls mom was pretty livid). Since a lot of them are women, not white and/or both, I decided to say something first as a bit of a lightning rod knowing white male privilege would help mitigate consequences for me.

I do like my daughters coach, he is a good teacher of the game but he is not a confrontational person (and he’s gotten railroaded before).
 
Pickleball to me is similar to sandbags. It's fine if you're having playing while sipping cocktails with friends. Don't take it seriously or pretend it's an actual sport.
 
My freedumb loving neighbor in the cul-de-sac over from me is grinding my gears. He's been casually launching fireworks for the last two hours, and my dogs have been basket cases the whole time (despite being hopped up on Trazadone) because every time they calm a little, he launches another two or three noisemakers, then silence for five/ten minutes.
 
I set a hold with UPS for last week.
A delivery was attempted Wednesday, Thursday, and Friday
Got a final attempt notice
now I have to spend an hour driving around town to pick up the package.

what the fuck? Why wouldn't a delivery hold be honored?
 
dxmnkd316 said:
I set a hold with UPS for last week.
A delivery was attempted Wednesday, Thursday, and Friday
Got a final attempt notice
now I have to spend an hour driving around town to pick up the package.

what the ****? Why wouldn't a delivery hold be honored?
Click to expand...
Likely didn’t get placed in the system. If it had it would’ve popped up when it got scanned before being put on the truck. How exactly did you set the hold request?
 
Meanwhile, I have a package being sent to me via FedEx that was supposed to get here a week ago but has been sitting in Memphis for a week instead without any updates, and since I'm not the shipper they won't tell me jackshit about it.

Even better is that the shipper made typos in my address, so if and when it ever shakes loose from Memphis, it'll most likely get delivery-errored and I'll have a tiny window to redirect it to a pick up center before it gets sent back to the shipper. Because I can't fix the address myself, only the shipper can (understandable), nor can I have it redirected to a pickup center before they try to deliver it at least once (less understandable).
 
FedEx has gone from the world's best shipping and logistics company to one of the absolute worst.

I've had delivery exceptions because they have the damn box in Minneapolis by day 2 of a 5-7-day window and they'll let it sit in the warehouse until it's due.
 
dxmnkd316 said:
FedEx has gone from the world's best shipping and logistics company to one of the absolute worst.

I've had delivery exceptions because they have the damn box in Minneapolis by day 2 of a 5-7-day window and they'll let it sit in the warehouse until it's due.
Click to expand...

There was a time when hiring someone who had earned a FedEx Five Star Award was a pretty reliable indicator of exceptional competence, especially if you hired them away from FedEx. I'm not so sure it automatically adds credibility to a resume anymore.
 
Been awhile since I saw this thread!
Electronic Medical records/systems grind my gears. Well the whole medical system grinds my gears.

I just spent the morning trying to sign in for my physical and find out what to do about a specialist and my eye doc.

All 3 places changed EMRs/systems. All 3 of them lost a bunch of data and had messed up carryover. The last 2 had refused to let me make an appt and said they would text to set up appt when I was due. Nothing.

PCP system wanted a copy of my insurance card half way thru. No going around it. I had no way of scanning or uploading. I was so irritated I uploaded pics of an ID card. I wanted to upload something much worse! Then it wants me to sign docs and their system is messed up. I spend time doing this every year and every time almost all of what I did is not in chart.

Call the specialist- new system. They just 'lost me' oops! So I was in the system to find but not to be connected. I didn't even tell them about the new insurance. They can find out when I get there. Annnnd the person I used to work with has joined the Practice site I go to. Let's just say if the Hospital hadn't eaten up all the independent practices and made one conglomerate I would leave.

Call the Eye guy- new system- oops they stopped notifying people but never told anyone. They NEED my insurance card. It doesn't go thru on their system. Perfect storm- mr les uses an initial and his middle name. The system to confirm insurance company does not like initials but the card has initials. I am hyphenated. The system doesn't like that either. They decided to fix it when I am there.

I am not in the mood.
 
The downfall of any EHR is the data, and any time we move from one system to another - in any industry - data is lost. In healthcare, the data is "owned" by the operational groups/management and not by IT. We - IT folks - inform the operational folks of this constantly, and in the case of system migrations, what those same ops folks need to do. And they almost never dedicate sufficient resources to it.

Data migration is hard and important, so people simply don't do it. Especially when they can simply blame this nebulous "IT" thing to patients.


And you know what? It's still a thousand times better than paper.


edit: that said, it's super super frustrating when you're on the short end of the stick.
 
Last edited:
Swansong said:
The downfall of any EHR is the data, and any time we move from one system to another - in any industry - data is lost. In healthcare, the data is "owned" by the operational groups/management and not by IT. We - IT folks - inform the operational folks of this constantly, and in the case of system migrations, what those same ops folks need to do. And they almost never dedicate sufficient resources to it.

Data migration is hard and important, so people simply don't do it. Especially when they can simply blame this nebulous "IT" thing to patients.


And you know what? It's still a thousand times better than paper.
Click to expand...

As someone who is often asked to perform data migration from, or an integration to, an old ticketing platform as part of our implementations, we almost always advise clients against it and so does the vendor. Getting the data out of the old system and into a format consumable by the new platform is often a PITA. Field mapping between two different systems is always a massive PITA (I can only imagine how much of a nightmare this must be with EMR systems). Getting the client to allocate sufficient resources to clean & normalize the old data pretty much never happens, so when we're forced to do it, it becomes garbage in/garbage out. To do it properly and as seamlessly as possible requires so much time and energy, that the juice is almost never worth the squeeze.
 
In EHRs there's typically a manual scheduling conversion "party" so that every appointment is covered. It sounds like that didn't happen for les (nor did it happen for my partner's recently scheduled and... not scheduled dermatology appointment). It's frustrating to be sure.


edit: I'll note that I'm hearing through my EHR-world-grapevine that virtually none of the larger healthcare companies (and by that I don't mean locally large like Partners or BILH; I mean Mercy/Cleveland Clinic/United Healthcare, etc.) ever bother with conversion. They'll archive "legacy" data and make it sorta accessible to end users through the new EHR, but then will tell the clinical staff that it's on them to abstract everything manually, patient by patient.

But then, I'll also add that for-profit healthcare is anathema to providing actual quality care anyway...
 
Last edited:
Status
Not open for further replies.
Back
Top