Garbage In Electronic Data is Faster Garbage

How can medical document errors become easy to fix, everywhere the error lives, & fit in the workflow? Virginia Lorenzi and HL7's Patient Empowerment Workgroup.

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Episode Notes
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Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here
Contents with Time-Stamped Headings
to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript)

Proem.. 1

Introducing Virginia Lorenzi 03:31. 2

HL7's Patient Empowerment Workgroup 04:56. 2

An intelligent customer understands some of the technical 05:45. 2

Requests for corrections – a sign of engagement 07:12. 3

Fixing errors - from the fifties 08:01. 3

Patient satisfaction and errors 09:30. 4

Release more information, find more errors, feel worse 10:07. 4

Burden on clinicians, burden on patients 11:42. 4

What if you could push a button and start and track the correction process 12:12. 4

Connectathons – a meeting of the minds in a sandbox 13:17. 5

Making decisions about data standards 15:32. 5

Eureka, we have standards. Now, who’s going to use them? How easy can we make it? 18:41. 6

An error is not an error, is not an error 21:11. 7

Ink on paper 24:07. 7

HIPAA-federal rules about requirements to correct errors 26:38. 8

Misdiagnosis – Out damn spot! 28:54. 9

Impact of errors 32:07. 10

Motivation to fix errors 33:50. 10

Reflection 38:44  12

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Credits
Music by permission from Joey van Leeuwen, Drummer, Composer, Arranger

Cohelo as originally played by Mandrill, here played by Lechuga Fresca Latin Band, Danny van Leeuwen soloing on Baritone Sax

Web and Social Media Coach Kayla Nelson @lifeoflesion

The views and opinions presented in this podcast and publication are solely the responsibility of the author, Danny van Leeuwen, and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute®  (PCORI®), its Board of Governors or Methodology Committee.

Sponsored by Abridge
Inspired by and grateful to Liz Salmi, Tom Delbanco, Peter Elias, Grace Cordovana, Dave DeBronkart, Debi Willis, Laura Marcial, Bryn Rhodes

Links
How accurate is the medical record? A comparison of the physician’s note with a concealed audio recording in unannounced standardized patient encounters in the Journal of Informatics in Health and Biomedicine
the Patient Empowerment Workgroup

HIPAA, you have a right to get your record fixed

HIPAA rule says that if a record is amended or if a record amendment

the 21st Century Cures Act.

the Patient Requests for Corrections FHIR Implementation Guide

United States Core Data Set for Interoperability.
How to Correct Errors in Your Medical Records
Correcting Errors In the Electronic Medical Record
Impact of Electronic Health Record Systems on Information Integrity: Quality and Safety Implications
IHE Connectathon: A Unique Testing Opportunity
Late addition: Beat cancer? Your Medicare Advantage plan might still be billing for it.

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About the Show
Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very...