Latest Healtheconomics Podcast Episodes
OpenMRS Design Call April 2, 2019 | OpenMRS Flow, Concept Proposal
Gregory Schmidt, MD - April 02, 2019 17:52 - 58 minutesApril 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...
The Role of Design in Electronic Health Records: Past, Present, & Future
Gregory Schmidt, MD - March 27, 2019 15:43 - 1 hourHow 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
OpenMRS 3 - Benefits of modularity in an open-source Electronic Health Record
Gregory Schmidt, MD - February 25, 2019 15:46 - 1 hourHow 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
Gregory Schmidt, MD - February 21, 2019 11:56 - 20 minutesPretty 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
Gregory Schmidt, MD - February 15, 2019 20:19 - 15 minutesIt 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
Gregory Schmidt, MD - February 14, 2019 20:43 - 5 minutesAt 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
Gregory Schmidt, MD - February 12, 2019 14:46 - 9 minutesInteroperability 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/interoperabili...
Order Entry UX - First principles: Order + Action
Gregory Schmidt, MD - February 12, 2019 09:11 - 20 minutesEHR 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
Gregory Schmidt, MD - February 10, 2019 11:39 - 23 minutesEHR 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/w...
Order Entry UX - Order Selection vs Order Customization
Gregory Schmidt, MD - February 09, 2019 09:16 - 6 minutesEHR 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-ord...
Order Entry UX - Examples of EHR Order Entry & Order Sentences
Gregory Schmidt, MD - February 05, 2019 08:23 - 21 minutesEHR 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
Gregory Schmidt, MD - February 04, 2019 20:22 - 7 minutesEHR 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
Gregory Schmidt, MD - February 03, 2019 17:59 - 9 minutesLooking 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.g...
Book Summary: Creative Selection - Inside Apple's Design Process During the Golden Age of Steve Jobs
Gregory Schmidt, MD - February 02, 2019 13:21 - 32 minutesKen 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 them...
EHR Design - OpenMRS Lightning Talk (Dec 2018)
Gregory Schmidt, MD - January 23, 2019 19:37 - 5 minutes5 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/writin...
How to brainstorm in a very large group - How Might We
Gregory Schmidt, MD - January 19, 2019 08:14 - 39 minutesA 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
Gregory Schmidt, MD - January 15, 2019 18:46 - 19 minutesSummary 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
Gregory Schmidt, MD - December 03, 2018 17:13 - 48 minutesSlides/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 Gener...
Workflows - 3 Levels of Complexity
Gregory Schmidt, MD - December 03, 2018 15:27 - 16 minutesEHR 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
Gregory Schmidt, MD - November 28, 2018 21:23 - 25 minutesIs 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
Gregory Schmidt, MD - November 28, 2018 20:50 - 21 minutesArticle: 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 ...
Manage auto-populated #EHR data separately
Gregory Schmidt, MD - November 24, 2018 19:17 - 18 minutes‘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 iss...
5 ways to improve 'required fields' in #EHRs
Gregory Schmidt, MD - November 22, 2018 19:48 - 29 minutesRequired 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 ...
Vertically stack EHR monitors
Gregory Schmidt, MD - November 20, 2018 21:24 - 1 minuteNo desk space? Stack them vertically http://www.gregoryschmidt.ca/writing/vertically-stack-monitors
Sports heart rate monitor avoids catastrophe
Gregory Schmidt, MD - November 19, 2018 19:26 - 4 minutesEntrance 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
Gregory Schmidt, MD - November 19, 2018 07:21 - 17 minutesIs 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)
Gregory Schmidt, MD - November 18, 2018 01:20 - 28 minutes#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...
Medical clinic floor exit arrows
Gregory Schmidt, MD - November 18, 2018 00:13 - 2 minutesThese 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
Gregory Schmidt, MD - November 17, 2018 08:34 - 29 minutesAn 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
Gregory Schmidt, MD - November 14, 2018 21:25 - 16 minutes“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
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