|
Post by Deleted on Jan 31, 2018 14:00:36 GMT -6
Very good points in this post and your next post. Like why does the most popular medical record system in the nation suck so badly at doing what we need it to do to adequately coordinate care? Which one is that? Epic (Sorry if anyone works there 🤷🏻♀️)
|
|
mb3
Sapphire
Posts: 4,532 Likes: 21,021
|
Post by mb3 on Jan 31, 2018 14:10:14 GMT -6
Epic (Sorry if anyone works there 🤷🏻♀️) Haha I wondered. I don’t work there but I use it at work (former SuperUser) and have debated several times applying for one of the trainer positions at work. I don’t have a lot of gripes with it from the clinical side. What do you dislike about it? Added: I’m not looking for a debate on epic or anything, just genuine curiosity. With my dad being in the hospital a few months ago I definitely got to seen some capabilities I’d like to see added to the system we use.
|
|
|
Post by coconutbacon on Jan 31, 2018 14:14:06 GMT -6
Yeah. One of the subheadings says it all for me. "Classic disruption rarely applies in healthcare." I don't think this is an issue for which Jeff Bezos and friends can swoop in and rescue us all.
|
|
mb3
Sapphire
Posts: 4,532 Likes: 21,021
|
Post by mb3 on Jan 31, 2018 14:16:48 GMT -6
Yeah. One of the subheadings says it all for me. "Classic disruption rarely applies in healthcare." I don't think this is an issue for which Jeff Bezos and friends can swoop in and rescue us all. I have admittedly read almost nothing about this. Mainly I saw the headline, rolled my eyes and said “yeah right”. I just...don’t see it being a widespread solution. And if it’s being done by that group IMO they’re only doing it to try to make money for themselves vs some desire to save money for the average American.
|
|
|
Post by cakewench on Jan 31, 2018 14:24:22 GMT -6
Alex Jones and Info Wars are suggesting the train crash was deliberate and/or has something to do with the Nunes memo...
This wanting to vomit feeling isn’t going away...
|
|
|
Post by Deleted on Jan 31, 2018 14:25:10 GMT -6
Epic (Sorry if anyone works there 🤷🏻♀️) Haha I wondered. I don’t work there but I use it at work (former SuperUser) and have debated several times applying for one of the trainer positions at work. I don’t have a lot of gripes with it from the clinical side. What do you dislike about it? Added: I’m not looking for a debate on epic or anything, just genuine curiosity. With my dad being in the hospital a few months ago I definitely got to seen some capabilities I’d like to see added to the system we use. I mean, I was mostly being tongue-in-cheek, but I just abhor how they have such a monopoly, and got so much business from hospitals being incentivized to move to an EMR through the ACA, but yet hey act like they are doing us a favor when we need help. Lol. Overall, I think they are the leader because they have a pretty good product, but I still grumble, grumble. I don’t have experience on the clinical side with them. I’m in before and after care areas - scheduling, referrals, orders, billing, colllecting, reporting. Most of my gripes are with technical limitations on some of their modules and their long development cycle to make adjustments. They also like to talk a big game about what their system can do and then when you are in the middle of implementation surprise with all the limitations. #projectmanagerproblems
|
|
|
Post by Deleted on Jan 31, 2018 14:36:31 GMT -6
Alex Jones and Info Wars are suggesting the train crash was deliberate and/or has something to do with the Nunes memo... This wanting to vomit feeling isn’t going away... I wish a house would fall on Alex Jones
|
|
mb3
Sapphire
Posts: 4,532 Likes: 21,021
|
Post by mb3 on Jan 31, 2018 14:36:41 GMT -6
Haha I wondered. I don’t work there but I use it at work (former SuperUser) and have debated several times applying for one of the trainer positions at work. I don’t have a lot of gripes with it from the clinical side. What do you dislike about it? Added: I’m not looking for a debate on epic or anything, just genuine curiosity. With my dad being in the hospital a few months ago I definitely got to seen some capabilities I’d like to see added to the system we use. I mean, I was mostly being tongue-in-cheek, but I just abhor how they have such a monopoly, and got so much business from hospitals being incentivized to move to an EMR through the ACA, but yet hey act like they are doing us a favor when we need help. Lol. Overall, I think they are the leader because they have a pretty good product, but I still grumble, grumble. I don’t have experience on the clinical side with them. I’m in before and after care areas - scheduling, referrals, orders, billing, colllecting, reporting. Most of my gripes are with technical limitations on some of their modules and their long development cycle to make adjustments. They also like to talk a big game about what their system can do and then when you are in the middle of implementation surprise with all the limitations. #projectmanagerproblems No that all makes sense. I’m a big fan of EMRs in general but being on the inpatient clinical side I suspect we get the greatest attention and probably the quickest fixes (plus the things we request aren’t always super challenging) so I’m not going to see as many of the limitations. Just last month we had a big issue being able to discharge patients. It turned out to be caused by something straightforward (and mostly human error) but it was a tremendous pain to fix. One other side note on it that makes me nuts: they only allow you to have 7 sites of pain. You can’t reuse sites. I work in a longer term care area and it’s definitely possible to have more than 7 pain sites during a stay. The people at EPIC acted like I had 2 heads when I brought this up, it was so impossible for them to comprehend.
|
|
|
Post by Deleted on Jan 31, 2018 14:41:24 GMT -6
I mean, I was mostly being tongue-in-cheek, but I just abhor how they have such a monopoly, and got so much business from hospitals being incentivized to move to an EMR through the ACA, but yet hey act like they are doing us a favor when we need help. Lol. Overall, I think they are the leader because they have a pretty good product, but I still grumble, grumble. I don’t have experience on the clinical side with them. I’m in before and after care areas - scheduling, referrals, orders, billing, colllecting, reporting. Most of my gripes are with technical limitations on some of their modules and their long development cycle to make adjustments. They also like to talk a big game about what their system can do and then when you are in the middle of implementation surprise with all the limitations. #projectmanagerproblems No that all makes sense. I’m a big fan of EMRs in general but being on the inpatient clinical side I suspect we get the greatest attention and probably the quickest fixes (plus the things we request aren’t always super challenging) so I’m not going to see as many of the limitations. Just last month we had a big issue being able to discharge patients. It turned out to be caused by something straightforward (and mostly human error) but it was a tremendous pain to fix. One other side note on it that makes me nuts: they only allow you to have 7 sites of pain. You can’t reuse sites. I work in a longer term care area and it’s definitely possible to have more than 7 pain sites during a stay. The people at EPIC acted like I had 2 heads when I brought this up, it was so impossible for them to comprehend. Omg. They do that to us too and make us feel like we are the only ones with our problems. And we are like “what in the world? This is common, no?”
|
|
Minerva
Ruby
Posts: 15,383 Likes: 67,036
|
Post by Minerva on Jan 31, 2018 14:42:58 GMT -6
No advanced notice. 😕 The school sent an email after-the-fact yesterday afternoon. I was able to convince him that nothing bad was going to happen, but I can see that we will be having more of these conversations over the next few days (and years). Oh man. Thats AWFUL. If you get to an IEP point, write that in there. Cs school sends home a notice about a week before schoolwide now and its so helpful. They also talk to the kids prior, so they know its going to happen on the day but not the time. Which differs from when my oldest was in school. I'm sorry and I hope he can process it quickly. These are really great ideas. He does have an IEP - I’ll talk to his teacher about implementing this in the future. We’re revisiting the IEP this April anyway when we meet about kindie.
|
|
jkjacq
Ruby
Posts: 21,785 Likes: 94,686
|
Post by jkjacq on Jan 31, 2018 14:44:45 GMT -6
Alex Jones and Info Wars are suggesting the train crash was deliberate and/or has something to do with the Nunes memo... snip This wanting to vomit feeling isn’t going away... Oh FFS, maybe its because we haven't upgraded tracks/crossings in decades. Maybe because people dont pay attention and think you can outrace a train. Stop with the bs Alex.
|
|
|
Post by enchanted on Jan 31, 2018 14:45:19 GMT -6
cakewench They are fucking insane. All of them.
|
|
elle
Ruby
Posts: 19,377 Likes: 126,463
|
Post by elle on Jan 31, 2018 14:46:02 GMT -6
FBI is fighting back re: the memo. And Nunes responds.
|
|
|
Post by shadesofgold on Jan 31, 2018 14:52:12 GMT -6
I mean, I was mostly being tongue-in-cheek, but I just abhor how they have such a monopoly, and got so much business from hospitals being incentivized to move to an EMR through the ACA, but yet hey act like they are doing us a favor when we need help. Lol. Overall, I think they are the leader because they have a pretty good product, but I still grumble, grumble. I don’t have experience on the clinical side with them. I’m in before and after care areas - scheduling, referrals, orders, billing, colllecting, reporting. Most of my gripes are with technical limitations on some of their modules and their long development cycle to make adjustments. They also like to talk a big game about what their system can do and then when you are in the middle of implementation surprise with all the limitations. #projectmanagerproblems No that all makes sense. I’m a big fan of EMRs in general but being on the inpatient clinical side I suspect we get the greatest attention and probably the quickest fixes (plus the things we request aren’t always super challenging) so I’m not going to see as many of the limitations. Just last month we had a big issue being able to discharge patients. It turned out to be caused by something straightforward (and mostly human error) but it was a tremendous pain to fix. One other side note on it that makes me nuts: they only allow you to have 7 sites of pain. You can’t reuse sites. I work in a longer term care area and it’s definitely possible to have more than 7 pain sites during a stay. The people at EPIC acted like I had 2 heads when I brought this up, it was so impossible for them to comprehend. I'm working at the community/systems level, so all I want from EMRs is for them to be able to FUCKING TALK TO EACH OTHER. There should be more ability to look up a patient from practice to practice. We need a universal health record that is attached to a PERSON not just a clinic site. For example, our city has shown that pediatric Medicaid patients have high utilization going to well visits, but they have really low rates of getting their blood lead screenings in the recommended intervals. Because they may switch providers within that 2-year span, many providers complain that patients don't know if they got the screening already, and therefore they end up either duplicating the test or just not providing it. Instead of just solving a bajillion problems with a universal health record, providers have to spend more time tracking down records by phone or paying for new prompts to be added to their systems and it's RIDICULOUS. Solve that problem, Jeff.
|
|
|
Post by Uncaripswife on Jan 31, 2018 14:53:02 GMT -6
Alex Jones and Info Wars are suggesting the train crash was deliberate and/or has something to do with the Nunes memo... This wanting to vomit feeling isn’t going away... Oh. I didn't realize dump trucks could register a party affiliation. #dumptrucks4dems ::eyeroll::
|
|
|
Post by enchanted on Jan 31, 2018 14:54:22 GMT -6
Fuck Nunes.
|
|
jkjacq
Ruby
Posts: 21,785 Likes: 94,686
|
Post by jkjacq on Jan 31, 2018 14:59:34 GMT -6
No that all makes sense. I’m a big fan of EMRs in general but being on the inpatient clinical side I suspect we get the greatest attention and probably the quickest fixes (plus the things we request aren’t always super challenging) so I’m not going to see as many of the limitations. Just last month we had a big issue being able to discharge patients. It turned out to be caused by something straightforward (and mostly human error) but it was a tremendous pain to fix. One other side note on it that makes me nuts: they only allow you to have 7 sites of pain. You can’t reuse sites. I work in a longer term care area and it’s definitely possible to have more than 7 pain sites during a stay. The people at EPIC acted like I had 2 heads when I brought this up, it was so impossible for them to comprehend. Omg. They do that to us too and make us feel like we are the only ones with our problems. And we are like “what in the world? This is common, no?” I'm laughing because this is like listening to my bff talk to herself. Shes a nurse and occasionally i get to hear rants about Epic.
|
|
|
Post by Deleted on Jan 31, 2018 15:05:35 GMT -6
Fucking A Right FBI - that was a smart move on their end.
|
|
|
Post by Deleted on Jan 31, 2018 15:05:57 GMT -6
I need another indictment Mom?
LOL - she said this exact same thing today.
|
|
Minerva
Ruby
Posts: 15,383 Likes: 67,036
|
Post by Minerva on Jan 31, 2018 15:12:37 GMT -6
|
|
|
Post by Deleted on Jan 31, 2018 15:56:44 GMT -6
I have been having persistent eye twitches in both eyes all day today. ETA: I blame Trump, Nunes, et al. Same. I blame all the sugar I ingested during the SOTU mixing with the general rage.
|
|
|
Post by Deleted on Jan 31, 2018 16:01:53 GMT -6
|
|
stringy
Opal
Posts: 8,307 Likes: 22,162
|
Post by stringy on Jan 31, 2018 16:51:13 GMT -6
I'm very behind but I finished Slow Burn today and it gave me a teeny tiny bit of hope.
|
|
crunch
Sapphire
Posts: 3,485 Likes: 18,228
|
Post by crunch on Jan 31, 2018 16:52:41 GMT -6
omfg I just had a chain migration (against) commercial come on the TV.
|
|
|
Post by Deleted on Jan 31, 2018 16:55:48 GMT -6
omfg I just had a chain migration (against) commercial come on the TV. 😠
|
|
crunch
Sapphire
Posts: 3,485 Likes: 18,228
|
Post by crunch on Jan 31, 2018 16:57:28 GMT -6
omfg I just had a chain migration (against) commercial come on the TV. 😠 I take comfort in the fact that I'm in washington dc and no one is going to change their vote based on that commercial and it was a waste of someones money. (It was paid for by usanumbers. I don't know what that is)
|
|
dc2london
Admin
Press Secretary
Posts: 62,687 Likes: 429,527
|
Post by dc2london on Jan 31, 2018 17:04:40 GMT -6
Oh God no. I'm seeing speculation that Gowdy is retiring from the House to become AG after Trump forces Sessions out.
|
|
mb3
Sapphire
Posts: 4,532 Likes: 21,021
|
Post by mb3 on Jan 31, 2018 17:38:23 GMT -6
Oh God no. I'm seeing speculation that Gowdy is retiring from the House to become AG after Trump forces Sessions out. And Gowdy did say he’s returning to the justice system.
|
|
|
Post by coconutbacon on Jan 31, 2018 17:43:13 GMT -6
Oh God no. I'm seeing speculation that Gowdy is retiring from the House to become AG after Trump forces Sessions out.
|
|
jkjacq
Ruby
Posts: 21,785 Likes: 94,686
|
Post by jkjacq on Jan 31, 2018 17:54:41 GMT -6
Oh God no. I'm seeing speculation that Gowdy is retiring from the House to become AG after Trump forces Sessions out. nooooooooooooooooooooooooooooooooooooooooo
|
|