tag:blogger.com,1999:blog-8434050931789572015.post7647969785623402546..comments2023-08-30T22:42:22.226-04:00Comments on DirkMD - CMIO Perspective: Could a new note, the Football, help improve healthcare?Dirk Stanley, MD, MPHhttp://www.blogger.com/profile/09568427937893548660noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-8434050931789572015.post-4559448541032559452015-12-03T14:58:11.711-05:002015-12-03T14:58:11.711-05:00Dr. Stanley - I really like the simple and concise...Dr. Stanley - I really like the simple and concise "football" note that you developed. Having to recreate and consult with Ambulatory specialists on their note templates, it would be nice if they would just make them straightforward and real like the "football". However, in my experience as an Ambulatory Analyst, the information that is important for a Cardiologist is vastly different from that of a Sleep Medicine Physician. Also, many of the specialist that I work with have me create doc flowsheets that are then represented in tables within the note. I do not believe there could be a note to co-join everyone's interests without it not simply being the whole patient chart being pushed/pulled. Peterhttps://www.blogger.com/profile/11972343306585316444noreply@blogger.comtag:blogger.com,1999:blog-8434050931789572015.post-20211607355824898042012-04-30T09:49:26.173-04:002012-04-30T09:49:26.173-04:00I agree with Keith in that our greatest challenge ...I agree with Keith in that our greatest challenge and opportunity is to continue the evolution of both standards of content and the symantic interoperability of the data (content). Another important point (personal opinion) I'd like to make is about the current discussions around "what" to include or push. Dirk is correct that the "right" data to push is in the eyes of the reciver in the context of the current medical event (context). Its my opinion that we should push as comprehensive a summary document as possible and encourage the receiving applications to digest and present the data as appripriate to its user in the context in which it is being used. Simply stated, more is better.Jackhttps://www.blogger.com/profile/16176345468496149262noreply@blogger.comtag:blogger.com,1999:blog-8434050931789572015.post-17607962183819709862012-04-25T12:54:12.027-04:002012-04-25T12:54:12.027-04:00Keith - I really like your recommendations. John L...Keith - I really like your recommendations. John Lynn also pointed out, "Why not just use CCD?" and I think you guys are right. But packaging it in a way that docs will want to use, and know how to use well, is the hard part that I'm more focused on. Unfortunately, in the absence of good clinical governance, it's really hard to develop clinical standards. Packaging, or "branding" the CCD in a way that was intuitive to docs could help drive adoption.<br /> I'm still flattered I have the two of you commenting on my blog. I thought most of my readers were docs, not real technical gurus such as you and John. <br /> Thanks for the input and comments!Dirk Stanley, MD, MPHhttps://www.blogger.com/profile/09568427937893548660noreply@blogger.comtag:blogger.com,1999:blog-8434050931789572015.post-10476398913779702432012-04-25T10:42:49.742-04:002012-04-25T10:42:49.742-04:00Dirk, this doesn't really work for me because ...Dirk, this doesn't really work for me because you are trying to replace rather than enhance existing clinical practice. I like what you are trying to accomplish, but I think there's <a href="http://motorcycleguy.blogspot.com/2012/04/footballs-star-wars-and-dr-doolittle.html" rel="nofollow">a better way</a> to go about it.Keith W. Boonehttps://www.blogger.com/profile/16883038460949909300noreply@blogger.comtag:blogger.com,1999:blog-8434050931789572015.post-29977131833700400672012-03-24T08:40:45.087-04:002012-03-24T08:40:45.087-04:00Great post, great idea. I look forward to learning...Great post, great idea. I look forward to learning about the feedback from the docs in Mass.AndreaKnowsEMRhttps://www.blogger.com/profile/14973675697651823743noreply@blogger.comtag:blogger.com,1999:blog-8434050931789572015.post-30988601455232990112012-03-23T16:29:28.369-04:002012-03-23T16:29:28.369-04:00Dirk,
I posted some questions in response to this ...Dirk,<br />I posted some questions in response to this post: http://www.emrandhipaa.com/emr-and-hipaa/2012/03/23/what-information-an-hie-should-pass/ I'd love to hear your thoughts on them.emr and hipaahttps://www.blogger.com/profile/00605163751017307036noreply@blogger.com