PODCAST · science
Gregory Schmidt, MD
by Gregory Schmidt MD
Internal Medicine / Healthcare Systems / Design / EHR / Technology
Episodes
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Healthcare's low Digitization Index
Healthcare remains one of the least digitized sectors of the economy. Article: https://www.gregoryschmidt.com/articles/healthcare-digitization-index
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Healthcare productivity is the (second) worst
Between 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
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Growth in healthcare spending outpaces growth in GDP
Countries spend more on healthcare each year than their economy grows. Can this continue forever? Article: www.gregoryschmidt.com/articles/growth-healthcare-vs-gdp #HealthEcon
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CBC hides inflammatory article published on Nursing Day
CBC 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.
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Single-sentence summaries improve EHR data display
The 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:...
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Risks of using medical story arcs
When 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
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Product Packaging UX: hard to open cardboard boxes
Sometimes it is not clear which side of the box should be opened. Article: https://www.gregoryschmidt.com/articles/le-creusets-box
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5 Principles of Two-Factor Code Design
Do we even need letters in the code? Are number only codes preferred? Article: https://www.gregoryschmidt.com/articles/two-factor-design
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The patient's narrative is never written down
Summarizing 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
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The patient's first-person narrative
The 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
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Series introduction: narrative language in medicine
Narrative 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
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Back-in angle parking
Back-in angle parking combines the benefits of angle parking with those of bcak-in parking. Article: https://www.gregoryschmidt.com/articles/reverse-angle-parking
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Why do Americans not back into parking spaces?
In 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
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Ways to avoid fatalities from car backovers
Help reduce backover injuries and fatalities with these ideas. Full article: https://www.gregoryschmidt.com/articles/ways-to-avoid-fatalities-from-car-backovers
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Deaths from cars backing-over people
Each 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
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Costco's extra-wide parking stalls
Costco 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
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Life Update: 2020
2020 was quiet year for new posts on this website, but busy year for Gregory. Read at: www.gregoryschmidt.com/article/life-update-2020
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COVID-19: Should clinicians age 60+ only do tele-care?
It 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.
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Lasting impact at scale, the work of Kevin Starr & Mulago
Summary 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
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App design: positional space
Do 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
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Navigation options starting with mobile
Navigation 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
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PATIENT FILE: Major UX Regions
The major user interface regions of the PATIENT FILE Original article: http://www.gregoryschmidt.ca/writing/patient-file-ux-regions
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When is a pixel not a pixel? px, pts, dps
If 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
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Why 4K is misleading
If 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
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Why are phone dimensions backwards: Height x Width ?
Mobile phones and tablets advertise Height x Width x Depth ? This seems backwards. Original article: http://www.gregoryschmidt.ca/writing/why-are-phone-dimensions-backwards
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UI/UX: Writing X vs Y dimensions
Almost 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
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Lean Impact: how to innovate for radically greater social good (detailed summary)
The 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
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Engines of Growth in Social Impact
Who 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
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Why philanthropy & grants hampers innovation
How 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
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Lean Startup + Lean Impact: Combined Short Summary
The 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
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The Patient Workflow: it's not just a form.
The 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
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What is the Patient File? - EHR UX
The 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
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Ways to search for a patient in the EHR
Ranking of 6 different strategies to search for patients Original Article: http://www.gregoryschmidt.ca/writing/search-for-a-patient-in-the-ehr
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Primary Purpose of the EHR HOME screen
In 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
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Simple EHR workflow: only 2 screens
The 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
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The 3 (+1) essential tasks of an EHR
The 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
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Slow electronic health records: two root problems
EHR 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
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Make the EHR immediately useful for users
Start 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
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What atributes do clinicians look for in an EHR?
What are the attributes clinicians look for in an electronic health record? Original Article: http://www.gregoryschmidt.ca/writing/ehr-atributes-for-clinicians #EHR #EMR
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Build an EHR clinicians want to use
Can 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
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Electronic Health Records: Who do we build this for?
Who 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
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Pair Together: Design Thinking, Lean Startup, Agile
Three methods that work well together within the same cross-functional team. Original Article: http://www.gregoryschmidt.ca/writing/design-thinking-lean-startup-agile
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Proposed model for innovation within an open-source community
How 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
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The Lean Startup: Key themes from the book by Eric Ries
A 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
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Speed vs Reusability
Are 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
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Healthcare Fragmentation: Focus on the Patients, and the Data will Follow
Healthcare in America is fragmented for patients, caregivers, providers, payers, and the public. Herein lies the opportunity. http://www.gregoryschmidt.ca/writing/healthcare-fragmentation
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Three Levels of Health System Technology
Level 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
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OpenMRS Design Call April 2, 2019 | OpenMRS Flow, Concept Proposal
April 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...
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The Role of Design in Electronic Health Records: Past, Present, & Future
How 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
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OpenMRS 3 - Benefits of modularity in an open-source Electronic Health Record
How 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
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ABOUT THIS SHOW
Internal Medicine / Healthcare Systems / Design / EHR / Technology
HOSTED BY
Gregory Schmidt MD
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