Tuesday, 19 February 2013

Are the health IT hyper-enthusiasts inept, or merely insane?

Are the health IT hyper-enthusiasts inept, or merely insane? - Hi, friend befluster.me, in this article entitled Are the health IT hyper-enthusiasts inept, or merely insane?, we have prepared this article well and concise to be easy to understand for you to read and can be taken inside information. hopefully the contents of the post Article healthcare IT difficulties, that we write this you can understand and useful. okay, happy reading.

From a psychiatrist, partially in response to the article about me in Kaiser Health News, on the travails of health IT.

They write:

... In psychiatry we screen for certain medication side effects using a tool called "DISCUS."  [Dyskinesia Identification System Condensed User Scale - ed.] In a paper and pen world, we (1) reviewed a single page; (2) circled a score; (3) signed and (4) dated.

In [redacted] EHR, we need to do the following to complete one DISCUS…
DISCUS Completion in [redacted] EHR:
  • 1.  Log in;
  • 2.  Acknowledge to do items by choosing “ok”;
  • 3.  Go to “my to do list.”
  • 4.  Double click specific date of to do items to complete (this reveals the specific to do items)
  • 5.  Right click specific patient’s name
  • 6.  Choose “enter option”
  • 7.  Review all 3 pages under “assessment” tab (click through each page)
  • 8.  Then choose “evaluation” tab
  • 9.  Review “evaluation” (keeping in mind the total score from last page of “assessment”)
  • 10.  Choose your “conclusion” in item 5
  • 11.  Add “comments” as indicated (item 6)
  • 12.  Under “name/ID number” type in the first characters of your last name (or your ID number)
  • 13.  Select your name
  • 14.  Go to the bottom under “select physician to notify” and UNcheck your name
  • 15.  Click “yes” under “is evaluation section complete and ready to be locked?”
  • 16.  Confirm above choice by choosing “ok”
  • 17.  Press “submit” button across the top
  • 18.  Now go back to “my to do list” and you’ll see that the item you just processed above is still there -- double click the same to do item that you just finalized (and processed in item 5 above)
  • 19.  Then check “reviewed”
  • 20.  Then press “submit”
  • 21.  Then press “refresh” and the item will be completed (refresh does not need to be done after each DISCUS)
  • 22.  For processing of additional DISCUS for a given “sign on," go back to step 3, 4 or 5 (as needed), and repeat.

And this is just the easy stuff.

I'm not a psychiatrist, but I can opine with confidence that anyone who expects human-computer interaction such as this to "revolutionize medicine" is insane.

Perhaps this helps explain city-wide debacles such as this in San Francisco.

-- SS

Thank You and Good article Are the health IT hyper-enthusiasts inept, or merely insane? this time, hopefully can benefit for you all. see you in other article postings.

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