Gregory Schmidt, MD
131 episodes - English - Latest episode: almost 3 years ago -Internal Medicine / Healthcare Systems / Design / EHR / Technology
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Episodes
OpenMRS 3 - Benefits of modularity in an open-source Electronic Health Record
February 25, 2019 15:46 - 1 hour - 55.6 MBHow do we design an EHR platform that makes collaboration easy? Horizontal and vertical modularity is key. Images & text http://www.gregoryschmidt.ca/writing/openmrs-3-modularity-principles #EHR #Design #Modularity
Modular Design - First principles from the physical world
February 21, 2019 11:56 - 20 minutes - 16.8 MBPretty much everything is highly modular. The world wouldn’t function without it. Modularity makes it possible to build quickly and cost effectively. http://www.gregoryschmidt.ca/writing/modular-design-first-principles-from-the-physical-world #Design #Modular #Modularity
Quality in Medicine: Upper vs Lower Limits
February 15, 2019 20:19 - 15 minutes - 12.9 MBIt is embarrassing that healthcare does not assess its quality with the same rigour of other industries. Measure medical quality in real-time, in the real-world. http://www.gregoryschmidt.ca/writing/quality-in-medicine-upper-vs-lower-limits #EHR #Quality #Patientsafety
Guns, Van Halen, and M&Ms - Real-Time Quality Checks
February 14, 2019 20:43 - 5 minutes - 4.07 MBAt the airport I saw a gun appear on the x-ray scanner. Van Halen refused to allow Brown M&Ms on stage. Real-time quality checks are a critical part of any industry. http://www.gregoryschmidt.ca/writing/guns-van-halen-mms-real-time-quality-checks #Lean #Quality #Patientsafety
Interoperability is not enough
February 12, 2019 14:46 - 9 minutes - 8.48 MBInteroperability between clinical systems is long overdue, but it is not enough to drive the innovation we required in electronic health records. Ultimately, we require interoperability between the functional components within a clinical system. http://www.gregoryschmidt.ca/writing/interoperability-is-not-enough #EHR #Interoperability
Order Entry UX - First principles: Order + Action
February 12, 2019 09:11 - 20 minutes - 16.7 MBEHR Order Entry, Part 5 - EHR Design from first principles: the connect between orders and action. Why connection of order and action help create systems, and avoids fragmentation. http://www.gregoryschmidt.ca/writing/order-entry-ux-first-principles-order-action #EHR #Design #Systems
Order Entry UX - First principles: Knowledge + Order
February 10, 2019 11:39 - 23 minutes - 18.8 MBEHR Order Entry, Part 4 - How does Knowledge & Orders connect? 1. Why orders exist - to turn knowledge into action 2. The different types of order tools to do this 3. The huge gap between order entry based on these first principles, and how it actually is done today http://www.gregoryschmidt.ca/writing/order-entry-ux-first-principles-knowledge-orders #EHR #Design #CPOE
Order Entry UX - Order Selection vs Order Customization
February 09, 2019 09:16 - 6 minutes - 5.09 MBEHR Order Entry, Part 3 - Order entry can be divided into two categories of tools. 1) Order Selection (Drug Selection) - many UX tools 2) Order Customization (Drug Customization) - a single UX tool Let’s look at this division in more details http://www.gregoryschmidt.ca/writing/order-entry-ux-order-selection-vs-customization #EHR #Design #CPOE
Order Entry UX - Examples of EHR Order Entry & Order Sentences
February 05, 2019 08:23 - 21 minutes - 17.5 MBEHR Order Entry, Part 2 - Examples of order entry UX in medical records. Detailed order entry and order sentences Original Article http://www.gregoryschmidt.ca/writing/order-entry-ux-eg-order-entry-and-order-sentences #EHR #Design #CPOE
Order Entry UX - General Requirements, for Medications
February 04, 2019 20:22 - 7 minutes - 6.2 MBEHR Order Entry Part 1 - General requirements for a medication order entry system http://www.gregoryschmidt.ca/writing/order-entry-ux-general-requirements-meds #EHR #UX #CPOE
International Classification of Health Workers - Definitive Guide
February 03, 2019 17:59 - 9 minutes - 7.72 MBLooking for a list of all healthcare worker occupations divided into official categories? There are at least 50+ large groupings of healthcare workers, and an additional 300+ occupational examples based on these International Classification Standards. Download the spreadsheet list at http://www.gregoryschmidt.ca/writing/international-classification-of-health-workers #WHO #Healthcare #ISCO
Book Summary: Creative Selection - Inside Apple's Design Process During the Golden Age of Steve Jobs
February 02, 2019 13:21 - 32 minutes - 25.8 MBKen Kocienda gives an inside look into Apple’s software development process during his 15 years at Apple. He was there during the release of Safari, iPhone, and iPad. The book is a must read for anyone who develops products or is interested in Apple. This post highlights some of my favourite themes from the book. http://www.gregoryschmidt.ca/writing/book-highlights-creative-selection #Apple #Design
EHR Design - OpenMRS Lightning Talk (Dec 2018)
January 23, 2019 19:37 - 5 minutes - 4.2 MB5 minute lightning course on EHR User Interface Design. Covers first principles, foundational components, and the future of electronic health records. This was presented as part of the Lightning Talks session at the OpenMRS Conference in Nairobi, December 2018. http://www.gregoryschmidt.ca/writing/ehr-design-omrs18-lightning-talk #EHR #UX #OpenMRS
How to brainstorm in a very large group - How Might We
January 19, 2019 08:14 - 39 minutes - 31.4 MBA way to brainstorm, team build, and strategic plan in a very large group Original Article: http://www.gregoryschmidt.ca/writing/brainstorm-how-might-we
OpenMRS 2018 Conference Brainstorm Session
January 15, 2019 18:46 - 19 minutes - 15.2 MBSummary of 1551 ideas generated in one hour at the OpenMRS 2018 Conference. Original post with full details at - http://www.gregoryschmidt.ca/writing/openmrs-2018-conference-brainstorm-session #OpenMRS #OMRS18
Concept Electronic Health Record - April 2016
December 03, 2018 17:13 - 48 minutes - 38.5 MBSlides/text at http://www.gregoryschmidt.ca/writing/concept-electronic-health-record-april-2016 Cool EHR user interface mockups - The Concept Electronic Health Record - April 2016 ----- The Concept Electronic Health Record (C.E.H.R.), was a project from a research block in second year General Internal Medicine residency. The project was presented April 2016 at the University of Manitoba Resident Research Day. It won the Residents' Choice Award for Best Podium Presentation. At that time,...
Workflows - 3 Levels of Complexity
December 03, 2018 15:27 - 16 minutes - 13.1 MBEHR workflows should be assigned in real-time, based on the patient’s issues and resources available. Article: http://www.gregoryschmidt.ca/writing/workflows-3-levels #EHR #EMR #UX
Is this true? Confirming validity of Past Medical History data
November 28, 2018 21:23 - 25 minutes - 20.1 MBIs this true? Confirming validity of Past Medical History data The truth of medical data rests on the ability to validate it against primary source material http://www.gregoryschmidt.ca/writing/confirming-validity-of-past-medical-history #EHR #EMR #UX #UI
Is this true? Problems with the Past Medical History
November 28, 2018 20:50 - 21 minutes - 17.4 MBArticle: http://www.gregoryschmidt.ca/writing/problems-with-past-medical-history-data ---- Summary: “Do not believe anything you read in the patient’s chart - it is full of lies”. This was the first lesson taught to new medical students by our hospital’s most esteemed diagnostician. I have found this assessment generally to be true - both for paper and electronic medical records. However, in theory, we should be able to remedy this problem with electronic medical records. This post is...
Manage auto-populated #EHR data separately
November 24, 2018 19:17 - 18 minutes - 14.6 MB‘Auto-populated data’ should be stored different from ‘Original data’ in electronic health records http://www.gregoryschmidt.ca/writing/auto-populate-ehr-data-vs1 ----- Summary The auto-population of data fields is a key benefit of electronic medical records over paper. However, there are two issues that need to be addressed in order to minimize error and reduce the chance that garbage data is created. First, a system is needed where users have an opportunity to confirm if the auto-populated ...
5 ways to improve 'required fields' in #EHRs
November 22, 2018 19:48 - 29 minutes - 23.8 MBRequired fields can be the portal for garbage data to enter electronic medical records. Here are some ways to prevent that. http://www.gregoryschmidt.ca/writing/required-data-fields SUMMARY 1. Why is this field required? 2. Workarounds on paper required fields 3. A rational approach to: required fields 3.1 Establish a high criteria to make a field required 3.2 Anticipated Expiration Date 3.3a Allows users to skip completing a required field 3.3b Create an internal audit system to track usage ...
Vertically stack EHR monitors
November 20, 2018 21:24 - 1 minute - 1.57 MBNo desk space? Stack them vertically http://www.gregoryschmidt.ca/writing/vertically-stack-monitors
Sports heart rate monitor avoids catastrophe
November 19, 2018 19:26 - 4 minutes - 3.35 MBEntrance complaint: "patient says his sports heart rate monitor is acting up” Article: http://www.gregoryschmidt.ca/writing/sports-heart-rate-monitor
Remembrance Day: The Forgetful Generation
November 19, 2018 07:21 - 17 minutes - 14.4 MBIs our peacetime today attributable in part to the collective memory of the horror of the past? Original Article: http://www.gregoryschmidt.ca/writing/remembrance-day-the-forgetful-generation
Navjunk - horrible hospital navigation (+ a solution)
November 18, 2018 01:20 - 28 minutes - 23.1 MB#Navjunk = is excessive ornamentation of navigation systems that distracts from actually helping people find directions #navjunk is Edward Tufte's #chartjunk, applied to direction systems. #UX Post ends with example of an excellent hospital patient navigation system "The Route Navigation" at Radbound UMC Article: http://www.gregoryschmidt.ca/writing/navjunk-vs1
Medical clinic floor exit arrows
November 18, 2018 00:13 - 2 minutes - 2.27 MBThese floor arrows help patient’s escape from the medical clinic. Original Article: http://www.gregoryschmidt.ca/writing/medical-clinic-floor-exit-arrows
The Offline Medical Record Problem
November 17, 2018 08:34 - 29 minutes - 23.9 MBAn offline medical record is a lot more complicated than it first appears. Original Article: http://www.gregoryschmidt.ca/writing/the-offline-medical-record-problem [email protected]
Medical Revolution 50 years early | Dr Larry Weed's Original 1971 Lecture
November 14, 2018 21:25 - 16 minutes - 13.3 MB“And now when the computer people move in… and the non-medical people move in, they can hardly believe what they see. And there is a crisis of major proportions.” Original Article: http://www.gregoryschmidt.ca/writing/dr-larry-weeds-1971-lecture
Exponential Medicine 2018 - Top 50 Interesting Ideas
November 10, 2018 20:10 - 15 minutes - 12.5 MBThe Top 50 Most Interesting Ideas of Exponential Medicine 2018. Original Article: http://www.gregoryschmidt.ca/writing/exponential-medicine-2018-top-50-ideas
Exponential Medicine 2018, Day 4 - Cool Stuff Summary
November 09, 2018 06:25 - 17 minutes - 13.9 MBSummary slide / text available at: http://www.gregoryschmidt.ca/writing/exponential-medicine-day-4-2018 Exponential Medicine, Day 4 - Cool Stuff Summary (Nov 7 2018) A collection of the most interesting ideas and slides of the day. ----- Sessions / Speakers Exponential Medicine, Day 4 - Cool Stuff Summary (Nov 7 2018) NOV 7 Exponential Medicine, Day 4 - Cool Stuff Summary (Nov 7 2018) FUTURE TECHNOLOGY A few notes from the last day of Exponential Medicine 2018 - Day 4. I was able to watch via...
Exponential Medicine 2018, Day 3 - Cool Stuff Summary
November 08, 2018 16:50 - 1 hour - 65.2 MBSummary slide / text available at: http://www.gregoryschmidt.ca/writing/exponential-medicine-day-3-2018 Exponential Medicine, Day 3 - Cool Stuff Summary (Nov 6 2018) A collection of the most interesting ideas and slides of the day. ----- Sessions / Speakers Day Three Tuesday, November 6th Session 15: Exponential Organizations Salim Ismail Author, Exponential Organizations, Chairman, ExO Works, Board Member, XPRIZE, Global Ambassador, Singularity University Session 16: NeuroMedicine at the Fro...
Exponential Medicine, Day 2 - Cool Stuff Summary (Nov 5 2018)
November 07, 2018 12:06 - 1 hour - 77.2 MBSummary slide / text available at: http://www.gregoryschmidt.ca/writing/exponential-medicine-day-2-2018 Exponential Medicine, Day 2 - Cool Stuff Summary (Nov 5 2018) ------------- Sessions / Speakers Session 6: On the Frontier of Biotech 6.1 Moira Gunn PhD Host, NPR's Biotech Nation and Technation Health 6.2 Andrew Hessel CEO, Humane Genomics and Nanotechnology/Biotechnology Faculty, Singularity University 6.3 Jamie Metzl JD PhD Author of Hacking Darwin: Genetic Engineering and the Future of ...
Exponential Medicine, Day 1 - Cool Stuff Summary (Nov 4 2018)
November 06, 2018 00:33 - 1 hour - 55.1 MBSummary of the cool ideas and slides from Exponential Medicine Day 1 Presentations, November 4, 2018. Original Article: http://www.gregoryschmidt.ca/writing/exponential-medicine-day-1-2018
Apple Event October 30, 2018 - Major Themes
November 05, 2018 22:40 - 14 minutes - 11.4 MBGood presentation, good upgrades to produce line. Original Article: http://www.gregoryschmidt.ca/writing/apple-event-october-30-2018-major-themes
ATM should standardize cash-spooling sound
October 31, 2018 20:12 - 4 minutes - 3.74 MBYou can tell how much money was removed from the ATM based on the length of the cash-spooling sound. Original Article: http://www.gregoryschmidt.ca/writing/atm-cash-spooling-sound
HHDS.21 - Facility Planning and Design
October 31, 2018 19:46 - 4 minutes - 4.07 MBA quick chapter about hospital facility planning and design Original Article: http://www.gregoryschmidt.ca/writing/hhds21-facility-planning-and-design
HHDS.20 - The Shaping of Inventory Systems in Health Services
October 27, 2018 15:22 - 6 minutes - 5.19 MBA high level overview of some consideration in designing inventory systems. Original Article: http://www.gregoryschmidt.ca/writing/hhds20-the-shaping-of-inventory-systems-in-health-services
Horrible UX: Selecting Time Zone in Google & Apple Calendar
October 26, 2018 22:11 - 21 minutes - 17.4 MBSelecting a time zone in Google and Apple calendar is terrible. Original Article: http://www.gregoryschmidt.ca/writing/timezone-ux-problems
Calendar reminder for early appointments
October 25, 2018 17:12 - 2 minutes - 2.17 MBSummary: A helpful reminder the day before, to inform you that the first appointment is earlier than normal. Original Article: http://www.gregoryschmidt.ca/writing/calendar-reminder-for-early-appointments
Audible: Include Table of Contents, Headings, Index
October 23, 2018 19:09 - 2 minutes - 2 MBInclude a copy of the book’s skeleton outline with each Audible purchase Original Article: http://www.gregoryschmidt.ca/writing/audible-include-table-of-contents-headings-index
HHDS.19 - Analyzing Decisions Using Datasets with Multiple Attributes: A Machine Learning Approach
October 23, 2018 18:22 - 3 minutes - 2.86 MBThis chapter is too old. Don’t read it. Original Article: http://www.gregoryschmidt.ca/writing/hhds19-analyzing-decisions-using-datasets-with-multiple-attributes-a-machine-learning-approach
AMRS @ Oncology Conference - Oct 2018
October 21, 2018 11:22 - 19 minutes - 15.6 MBAMPATH Medical Record System (AMRS) Quick Overview How the AMPATH electronic health record helps patients, clinicians, clinics & counties, and researchers & industry. Prepared for Oncology/Hematology Conference 11 October 2018. Eldoret, Kenya Text / Slides: www.gregoryschmidt.ca/writing/amrs-at-oncology-conference-oct-2018
HHDS.18 - Statistical Analysis and Modeling
October 21, 2018 09:06 - 2 minutes - 2.01 MBAnother very brief chapter summary. Original Article: http://www.gregoryschmidt.ca/writing/hhds18-statistical-analysis-and-modeling
HHDS.17 - Markov Decision Processes and Its Applications in Healthcare
October 19, 2018 19:06 - 3 minutes - 2.97 MBA Markov Devision Process may help a situation of uncertainty that involves sequential decision making. Original Article: http://www.gregoryschmidt.ca/writing/hhds17-markov-decision-processes-in-healthcare
HHDS.16 - Queueing Theory and Modeling
October 17, 2018 05:55 - 16 minutes - 13.4 MBBed capacity cannot be assessed base on occupancy levels. As occupancy levels (utilization) increases, the queue grows exponentially. Original Article: http://www.gregoryschmidt.ca/writing/hhds16-queueing-theory-and-modeling
HHSD.15 - An Introduction to Optimization Models and Applications in Healthcare Delivery Systems
October 16, 2018 19:31 - 1 minute - 1.26 MBI left out the math, makes this chapter very short. Original Article: http://www.gregoryschmidt.ca/writing/hhsd15-an-introduction-to-optimization-models-and-applications-in-healthcare-delivery-systems
The Silicon Valley Ponzi Scheme, expose by Chamath Palihapitiya
October 14, 2018 09:27 - 4 minutes - 4.01 MB“I will not be part of this charade anymore” - Chamath Palihapitiya Original Article: http://www.gregoryschmidt.ca/writing/the-silicon-valley-ponzi-scheme
HHDS.14 - Computer Simulation in Healthcare
October 06, 2018 20:26 - 6 minutes - 5.62 MBComputer simulation in healthcare needs to combine model developers with subject matter experts for best results. Original Article: http://www.gregoryschmidt.ca/writing/hhds14-computer-simulation-in-healthcare
EHR foundational design principles & EHR re-design mockup
October 06, 2018 20:21 - 1 minute - 1.18 MBThis week I gave this presentation on deriving an EHR user interface design from first principles. It is based on my research so far, and leads to an EHR re-design mockup. The presentation is available at https://www.youtube.com/watch?v=gw0ClxQ-3Nk 70min. Looks best at 1080p :) The lecture has 4 parts - Introduction & EHR Requirements 0:00 - Part 1: Multi-Screen & Multi-Tasking EHR UI from first principles 7:36 - Part 2: A single user interface to group clinical data 6+ ways 23:37 - Part 3: E...
HHDS.13 - Toward More Effective Implementation of Evidence-Based Practice
September 25, 2018 20:32 - 5 minutes - 4.54 MBSome high level ideas how to spread evidence-based practices. Original Article: http://www.gregoryschmidt.ca/writing/hhds13-toward-more-effective-implementation-of-evidence-based-practice