Gregory Schmidt, MD
131 episodes - English - Latest episode: almost 3 years ago -Internal Medicine / Healthcare Systems / Design / EHR / Technology
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Episodes
Healthcare's low Digitization Index
May 24, 2021 15:17 - 5 minutes - 4.17 MBHealthcare remains one of the least digitized sectors of the economy. Article: https://www.gregoryschmidt.com/articles/healthcare-digitization-index
Healthcare productivity is the (second) worst
May 21, 2021 18:57 - 2 minutes - 2.47 MBBetween 1990 and 2007 healthcare was the second worst sector of the USA economy in productivity improvement. In fact it had become less productive with time. Article: https:/www.gregoryschmidt.com/articles/healthcare-productivity-2014
Growth in healthcare spending outpaces growth in GDP
May 17, 2021 15:13 - 6 minutes - 5.37 MBCountries spend more on healthcare each year than their economy grows. Can this continue forever? Article: www.gregoryschmidt.com/articles/growth-healthcare-vs-gdp #HealthEcon
CBC hides inflammatory article published on Nursing Day
May 17, 2021 15:09 - 7 minutes - 6.32 MBCBC News published an article on Nursing Day that provoked public outcry. It turns out that the details of the original article were incorrect. CBC proceeded to rewrite the article (a new headline, byline, and content) but the new article was published overtop of their existing article.
Single-sentence summaries improve EHR data display
May 04, 2021 19:38 - 9 minutes - 7.87 MBThe addition of single-sentence summaries can dramatically improve the information communicated when generating summaries of patient data. This example focuses on trying to display that two consultations occurred in the same day. Article: https://www.gregoryschmidt.com/articles/single-sentence-summaries
Risks of using medical story arcs
May 04, 2021 03:02 - 11 minutes - 9 MBWhen we fit the patient's narrative into a typical medical story arc, we risk making diagnostic errors. Article: https://www.gregoryschmidt.com/articles/risks-of-using-medical-story-arcs
Product Packaging UX: hard to open cardboard boxes
April 26, 2021 01:07 - 6 minutes - 6.42 MBSometimes it is not clear which side of the box should be opened. Article: https://www.gregoryschmidt.com/articles/le-creusets-box
5 Principles of Two-Factor Code Design
April 25, 2021 04:49 - 5 minutes - 4.43 MBDo we even need letters in the code? Are number only codes preferred? Article: https://www.gregoryschmidt.com/articles/two-factor-design
The patient's narrative is never written down
April 24, 2021 03:56 - 6 minutes - 5.59 MBSummarizing the patient's narrative into a medical note introduces error into the earliest steps of the diagnostic and record-keeping process. Article: https://www.gregoryschmidt.com/articles/the-patients-narrative-is-never-written-down
The patient's first-person narrative
April 19, 2021 03:55 - 5 minutes - 4.78 MBThe original first-person patient narrative forms the foundation of clinical medicine, yet its original form rapidly becomes contaminated and evolve once the patient enters the medical system. Article: https://www.gregoryschmidt.com/articles/patient-first-person-narrative
Series introduction: narrative language in medicine
April 19, 2021 03:54 - 2 minutes - 2.48 MBNarrative language is everywhere in medicine. How does this influence how we think & document patient information? Article: https://www.gregoryschmidt.com/articles/narrative-language-in-medicine-intro Custom fields
Back-in angle parking
April 12, 2021 04:25 - 3 minutes - 2.57 MBBack-in angle parking combines the benefits of angle parking with those of bcak-in parking. Article: https://www.gregoryschmidt.com/articles/reverse-angle-parking
Why do Americans not back into parking spaces?
April 01, 2021 04:03 - 8 minutes - 6.49 MBIn some countries most cars back-into parking spaces. In other countries, almost nobody does. Why is this? Article: https://www.gregoryschmidt.com/articles/why-do-americans-not-back-into-parking-spaces
Ways to avoid fatalities from car backovers
March 28, 2021 19:25 - 7 minutes - 6.15 MBHelp reduce backover injuries and fatalities with these ideas. Full article: https://www.gregoryschmidt.com/articles/ways-to-avoid-fatalities-from-car-backovers
Deaths from cars backing-over people
March 27, 2021 15:33 - 4 minutes - 3.81 MBEach week in the USA, an estimated 280 people are injured and 4-5 people die as a result of backover injuries. Most of them children. Article: https://www.gregoryschmidt.com/articles/backover-deaths
Costco's extra-wide parking stalls
March 26, 2021 19:54 - 1 minute - 2.45 MBCostco puts extra space between their parking stalls which ensures cars are always centered in the extra-wide parking stall. Full article: https://www.gregoryschmidt.com/articles/extra-wide-parking-stalls
Life Update: 2020
January 09, 2021 06:59 - 1 minute - 1.12 MB2020 was quiet year for new posts on this website, but busy year for Gregory. Read at: www.gregoryschmidt.com/article/life-update-2020
COVID-19: Should clinicians age 60+ only do tele-care?
March 12, 2020 04:46 - 12 minutes - 10.3 MBIt may make the most sense to encourage clinicians above a certain age, and those with comorbidities to focus as much as possible on telemedicine care to reduce their risk of mortality from coronavirus.
Lasting impact at scale, the work of Kevin Starr & Mulago
September 01, 2019 19:55 - 34 minutes - 27.7 MBSummary of the step-by-step process taught by Kevin Starr to design for building lasting impact at scale. Original article: http://www.gregoryschmidt.ca/writing/lasting-impact-at-scale-kevin-starr
App design: positional space
August 25, 2019 20:15 - 10 minutes - 8.21 MBDo not teleport your users to different parts of the application. They must take a road to get there, and know which part of the app's 3D space they are in. Original article: http://www.gregoryschmidt.ca/writing/app-design-positional-space
Navigation options starting with mobile
August 25, 2019 15:16 - 11 minutes - 8.98 MBNavigation options starting with mobile: On-page / Bottom tab / Top tab / Side navigation drawer Combining navigation patterns: acceptable & not Original article: http://www.gregoryschmidt.ca/writing/navigation-options-starting-with-mobile
PATIENT FILE: Major UX Regions
August 24, 2019 09:57 - 4 minutes - 3.55 MBThe major user interface regions of the PATIENT FILE Original article: http://www.gregoryschmidt.ca/writing/patient-file-ux-regions
When is a pixel not a pixel? px, pts, dps
August 21, 2019 10:43 - 7 minutes - 6.18 MBIf you are designing on the web, Android, or iOS, a pixel is probably not what you think it means. Pixels, Points, and Display-indepdnent pixels Original Article: http://www.gregoryschmidt.ca/writing/when-is-a-pixel-not-a-pixel-pixels-points-dps
Why 4K is misleading
August 21, 2019 10:21 - 4 minutes - 3.68 MBIf 1080p is 2x as vertically dense as 720p, Why is 4K not 4x as vertically dense as 1080P? Original Article: http://www.gregoryschmidt.ca/writing/why-4k-is-misleading
Why are phone dimensions backwards: Height x Width ?
August 21, 2019 10:01 - 4 minutes - 3.69 MBMobile phones and tablets advertise Height x Width x Depth ? This seems backwards. Original article: http://www.gregoryschmidt.ca/writing/why-are-phone-dimensions-backwards
UI/UX: Writing X vs Y dimensions
August 21, 2019 09:58 - 3 minutes - 2.56 MBAlmost always write the HORIZONTAL dimension first, the VERTICAL second. Unless, you are a fine art dealer or mobile phone manufacturer. Original article: http://www.gregoryschmidt.ca/writing/writing-dimensions
Lean Impact: how to innovate for radically greater social good (detailed summary)
August 16, 2019 18:49 - 21 minutes - 16.9 MBThe book for organizations and individual who measure their success not in terms of dollars and cents, but by their social impact. It challenges us to think big, start small, and relentlessly seek impact. http://www.gregoryschmidt.ca/writing/lean-impact-detailed-summary
Engines of Growth in Social Impact
August 16, 2019 18:06 - 5 minutes - 4.62 MBWho are the doers at scale? Who is the payer at scale? Lessons from the book Lean Impact by Ann Mei Chang and work of Kevin Starr. Original article: http://www.gregoryschmidt.ca/writing/engines-of-growth-in-social-impact
Why philanthropy & grants hampers innovation
August 16, 2019 18:03 - 12 minutes - 10.1 MBHow philanthropic & grant based funding differs from traditional startup venture capital. Rigid waterfall grants. Small linear steps. Unscalable solutions. Original article: http://www.gregoryschmidt.ca/writing/why-philanthropy-hampers-innovation
Lean Startup + Lean Impact: Combined Short Summary
August 16, 2019 17:57 - 8 minutes - 7.08 MBThe entrepreneurship startup principles of Lean Startup, applied to social ventures as described in Lean Impact. How to build a social impact project that scales. Original Article: http://www.gregoryschmidt.ca/writing/lean-impact-lean-startup-brief-summary
The Patient Workflow: it's not just a form.
August 13, 2019 15:31 - 9 minutes - 7.69 MBThe WORKFLOW section of the medical record completely transforms the EHR experience and clinical care. It is much more than just a form. Original Article: http://www.gregoryschmidt.ca/writing/the-patient-workflow-is-not-a-form #EHR #EMR
What is the Patient File? - EHR UX
August 13, 2019 12:48 - 6 minutes - 5.17 MBThe Patient File contains the Patient Chart & Patient Workflows. The design of the Patient Chart is generalizable, the Patient Workflows highly use case specific. Original Article: http://www.gregoryschmidt.ca/writing/what-is-the-patient-file #EHR #EMR
Ways to search for a patient in the EHR
August 13, 2019 10:19 - 15 minutes - 12.1 MBRanking of 6 different strategies to search for patients Original Article: http://www.gregoryschmidt.ca/writing/search-for-a-patient-in-the-ehr
Primary Purpose of the EHR HOME screen
July 25, 2019 04:33 - 2 minutes - 2.24 MBIn a clinical EHR, the first job of the HOME screen is to be bypassed quickly to get the PATIENT FILE open Original Article: http://www.gregoryschmidt.ca/writing/purpose-of-the-ehr-home-screen
Simple EHR workflow: only 2 screens
July 24, 2019 15:26 - 3 minutes - 3.01 MBThe entire EHR can be reduced down to (1) HOME: patient identification & (2) PATIENT FILE: see info, enter info Original Article: http://www.gregoryschmidt.ca/writing/simple-ehr-workflow
The 3 (+1) essential tasks of an EHR
July 24, 2019 13:03 - 5 minutes - 4.9 MBThe many tasks of an EHR can be simplified into three major tasks. A simple EHR can be built with only 2/3 of these tasks. Original Article: http://www.gregoryschmidt.ca/writing/3-essential-ehr-tasks
Slow electronic health records: two root problems
July 24, 2019 09:07 - 5 minutes - 4.79 MBEHR performance speed is very important to the user experience; but their are two very different sources for the cause of slowdowns. Original Article: http://www.gregoryschmidt.ca/writing/ehr-speed-root-cause
Make the EHR immediately useful for users
July 24, 2019 07:30 - 10 minutes - 8.32 MBStart with features that are immediately useful to the clinician logged into the EHR. Do not start by promoting delayed benefits for others. Original Article: http://www.gregoryschmidt.ca/writing/ehr-immediately-useful #EHR #EMR
What atributes do clinicians look for in an EHR?
July 24, 2019 03:42 - 3 minutes - 2.76 MBWhat are the attributes clinicians look for in an electronic health record? Original Article: http://www.gregoryschmidt.ca/writing/ehr-atributes-for-clinicians #EHR #EMR
Build an EHR clinicians want to use
July 23, 2019 13:27 - 5 minutes - 4.85 MBCan we build an electronic health record tool that clinicians eagerly want to use over their paper-based workflows? Original Article: http://www.gregoryschmidt.ca/writing/build-an-ehr-clinicians-want-to-use #EHR #EMR
Electronic Health Records: Who do we build this for?
July 23, 2019 10:41 - 7 minutes - 6.05 MBWho is the true customer in enterprise medical record software? Who do we build EHRs for? Let’s move more influence downstream to the patient, and those that care for them. Original Article: http://www.gregoryschmidt.ca/writing/ehrs-who-do-we-build-this-for #EHR #EMR
Pair Together: Design Thinking, Lean Startup, Agile
July 23, 2019 07:05 - 4 minutes - 3.46 MBThree methods that work well together within the same cross-functional team. Original Article: http://www.gregoryschmidt.ca/writing/design-thinking-lean-startup-agile
Proposed model for innovation within an open-source community
July 23, 2019 03:54 - 15 minutes - 12.7 MBHow does one bring the buzzword of innovation, and principles from The Lean Startup into a large open-source community? Original Article: http://www.gregoryschmidt.ca/writing/org-model-for-innovation-within-open-source-community
The Lean Startup: Key themes from the book by Eric Ries
July 21, 2019 06:38 - 25 minutes - 20.2 MBA must read for anyone trying to do something new (within an existing organization, or a new venture). Original Article: http://www.gregoryschmidt.ca/writing/lean-startup-book-summary
Speed vs Reusability
July 13, 2019 01:51 - 7 minutes - 6.38 MBAre you slow and non-reusable? There are at least two routes to operating fast and very reusable. Original Article: http://www.gregoryschmidt.ca/writing/speed-vs-reusability #Startup
Healthcare Fragmentation: Focus on the Patients, and the Data will Follow
June 07, 2019 06:04 - 7 minutes - 6.35 MBHealthcare in America is fragmented for patients, caregivers, providers, payers, and the public. Herein lies the opportunity. http://www.gregoryschmidt.ca/writing/healthcare-fragmentation
Three Levels of Health System Technology
June 06, 2019 01:09 - 7 minutes - 5.91 MBLevel 1 to Level 2 is a shift to systems where a significant amount of care is provided by healthcare workers, using digital health tools, in integrated systems. http://www.gregoryschmidt.ca/writing/three-levels-of-health-system-technology
OpenMRS Design Call April 2, 2019 | OpenMRS Flow, Concept Proposal
April 02, 2019 17:52 - 58 minutes - 47.2 MBApril 2, 2019 Design Call Discussion of proposed starting point for collaboration on new frontend application. "OpenMRS Flow - Concept Paper" Read Original Document: https://docs.google.com/document/d/11Z7ploIaZsMxGwlhqYavMH3WjlwwwoKD_nKvPnvH0lw/edit?usp=sharing Comment on Talk Thread: An amazing future for OpenMRS https://talk.openmrs.org/t/an-amazing-future-for-openmrs/22328 #OpenMRS #EHR #Design
Why design may improve or ruin your life | March 2019
March 30, 2019 13:46Why design may improve or ruin your life 1. What is design? - Design is how it works - Is design good or bad: what is its purpose? 2. Design Evolves - Design follows technology - Design follows product turnover 3. Design skills for engineers - Importance of demos - Trained gut response Recorded: Facebook Developer Circles: Eldoret, Kenya March 30, 2019 #Design
The Role of Design in Electronic Health Records: Past, Present, & Future
March 27, 2019 15:43 - 1 hour - 56.7 MBHow bad really is the state of many EHRs today? What design problems will EHRs face in the future? Design must achieve a purpose What is the purpose of an Electronic Health Record? http://gregoryschmidt.ca/writing/the-role-of-design-in-ehr #EHR #Design