Poll: Rep Retirement Lodge 204: Covid 19

[Ralph Baer]

USCHO wanted me to change my password. A lot of trouble to get it to work!

 

[Scarlet]

I had to change my password, too. That 180 days goes by quick!

Well my Opposite Girl powers worked. I drove my garage to the MBtA garage and walked back home in a driving rainstorm. I brought my snow shovel up from storage l and woke up to sunshine and no snow. Which I prefer because I know if I didn’t do that, I would’ve woken up to much snow and an iced over car. les...did you lose power? My brother did and I know you live in that general area.

 

[leswp1]

I had to change my password, too. That 180 days goes by quick!

Well my Opposite Girl powers worked. I drove my garage to the MBtA garage and walked back home in a driving rainstorm. I brought my snow shovel up from storage l and woke up to sunshine and no snow. Which I prefer because I know if I didn’t do that, I would’ve woken up to much snow and an iced over car. les...did you lose power? My brother did and I know you live in that general area.

We had howling winds but never lost power. The trees were bending tho.

Good Afternoon Lodge!

 

[St. Clown]

While they probably shouldn’t even be playing...HHT for my 3-0-0 Huskies. This Pod Play in Omaha just might be the ticket.

 

[MarkEagleUSA]

Good morning to tLodge!

 

[Ralph Baer]

Good Morning, MEUSA!


Good Morning to the rest of tLodge!

 

[wolverineTrumpet]

Training hundreds of providers - now, while half of them are doing this from home - on how to navigate the even-more-complex alchemy that is medical billing is positively asinine to me. I put off much of the work hoping that it would be delayed but here we are 28 days from the changes and it hasn't been delayed (and apparently, absolutely won't be).

It's ridiculous.

This sounds familiar to what my company is doing. Only, we're not healthcare. Had an ERP system upgrade 2 weeks ago. New version is slower and all the automated reports people had before are gone. New version also doesn't work with our old shipping software, so had to implement new shipping software, which takes a bunch more steps and slows us down when we're already behind.

Super fun.

 

[Swansong]

Good Evening, Lodge!

We did go to my parent's house for Thanksgiving and taking every precaution. My dad was not happy to stay out of the bars for 2 weeks, but he knew if my mom did not see her grandson, she would kill him. All of us took Covid tests before and after. All came back negative. Seeing Baby wore Black with Grandma was worth it. Especially when she was able to get him to sleep. Grandma snuggles for the win. It was funny watching my parents fight over who gets to hold the baby.

It is positively bonkers to me that bars are open anywhere right now.

 

[Swansong]

So my toilet leaked yesterday - it had been a bit wobbly and I was going to grab a new seal and get my dad in to help replace it next weekend. But instead, it decided to give out yesterday. Gross.

Unfortunately, the flange beneath the seal is also junk - and permanently affixed to the drain pipe. So either it needs a real plumber to carve it out and replace it or I need to add an adapter. I managed to get the new seal added and it isn't leaking, so next weekend my dad will come and we'll try to permanently fix it.

THEN, the fill valve does what they do when they're disconnected and lost its seal. So I had to go back out to get one of those.

 

[St. Clown]

Yeah, I've found that once the toilet is disconnected and emptied, it's best to replace all of its seals and valves at once. Doing less than that usually adds work down the road. PITA.

And I've never heard of a flange being permanently affixed to a drain pipe. Then again, I've only worked on five different toilets in total.

 

[wolverineTrumpet]

My cousin had a zoom birthday party for her baby girl. We attended and were on mute almost the whole time. I click off of mute to see if I could get wT baby to say "bye bye", and that is when NaSK walks in to the room and says "who farted in here?" (for the record, it was the dog that farted). Before I can explain/apologize or get wT baby to say "bye bye", the zoom ends.

 

[state of hockey]

My cousin had a zoom birthday party for her baby girl. We attended and were on mute almost the whole time. I click off of mute to see if I could get wT baby to say "bye bye", and that is when NaSK walks in to the room and says "who farted in here?" (for the record, it was the dog that farted). Before I can explain/apologize or get wT baby to say "bye bye", the zoom ends.

We were on one of those for our friends kid. We also sat there on mute. Only talking was their parents complaining about how they can’t see or hear anything. Pretty entertaining, actually.

 

[leswp1]

This sounds familiar to what my company is doing. Only, we're not healthcare. Had an ERP system upgrade 2 weeks ago. New version is slower and all the automated reports people had before are gone. New version also doesn't work with our old shipping software, so had to implement new shipping software, which takes a bunch more steps and slows us down when we're already behind.

Super fun.

I can't quite get why this is acceptable- in healthcare, in business. Even the social media is doing a bunch of revisions that decrease efficiency. (Pretty much stopped using FB after the apps to correct the abomination failed out). You would think when things become less efficient that would be something the leadership would find intolerable.

At first they tried to tell us it was a time saver and saved errors. Then they admitted it takes about 4 times as long to document. I still haven't seen a study (I haven't looked in awhile) but anecdotally I can say not one of my 3 providers in the past 3 months has any idea what is going on with me unless I tell them. The documentation is so fragmented and not linear that pretty much everything about my care is easily missed. There are multiple places to enter things and none of them autoload if another window is filled. I am not complicated. I cannot imagine what is happening for the patients who aren't well versed or not motivated.

 

[Swansong]

I can't quite get why this is acceptable- in healthcare, in business. Even the social media is doing a bunch of revisions that decrease efficiency. (Pretty much stopped using FB after the apps to correct the abomination failed out). You would think when things become less efficient that would be something the leadership would find intolerable.

At first they tried to tell us it was a time saver and saved errors. Then they admitted it takes about 4 times as long to document. I still haven't seen a study (I haven't looked in awhile) but anecdotally I can say not one of my 3 providers in the past 3 months has any idea what is going on with me unless I tell them. The documentation is so fragmented and not linear that pretty much everything about my care is easily missed. There are multiple places to enter things and none of them autoload if another window is filled. I am not complicated. I cannot imagine what is happening for the patients who aren't well versed or not motivated.

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.

 

[The Rube]

It is positively bonkers to me that bars are open anywhere right now.

Just before the MN shutdown, the (sports) bars/breweries I went to had either NO rail service, or they had 2 stools, then a plexiglass divider, then 2 more stools, etc. Obv masks were required if you were not in your seat, etc etc.

 

[leswp1]

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

 

[MarkEagleUSA]

Good morning to tLodge!

 

[Ralph Baer]

Good Morning, MEUSA!


Good Morning to the rest of tLodge!

 

[Swansong]

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.

 

[leswp1]

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!