Mentioned in Today's Episode: Grimes, William. Dr. Lawrence Weed, Pioneer in Recording Patient Data, Dies at 93. The New York Times. June 2017. https://www.nytimes.com/2017/06/21/science/obituary-lawrence-weed-dead-patient-information.html Newman David, MD, Dhanda Shan, MD. Taming the Problem List. Family Practice Management. May/June 2023. https://www.aafp.org/pubs/fpm/issues/2023/0500/problem-list.html Dr. Glaucomflecken. The Epic Problem List. YouTube. Jul 20 2024. https://www.youtube.com/wat...
Jul 31, 2024•33 min•Ep. 18
In this episode, Kelly and Lalita focus on the backbone of VBC: Metrics! As data nerds and yet, somehow luddites, they discuss current news (CrowdStrike debacles), HEDIS measures, and putting patients at the center of everything. They also pose a question to the listener: what should we actually be measuring (and how) to get a good sense of health and successful outcomes?
Jul 23, 2024•39 min•Ep. 17
"Value" based care is all the rage, but as two family docs interested in data and measurability, we're not so sure. VBC will likely increase the need for informaticists and good data queries, but are proxies dictated by payers really able to capture the value of primary care? Or is qualitative research a better way to measure the immeasurable?
Jul 16, 2024•38 min•Ep. 16
This week, Kelly and Lalita discuss implementing clinical decision support in an EHR, using the 5 rights of Clinical Decision Support to guide their conversation. They also have some good advice for anyone who is interesting informatics leadership!
Jul 09, 2024•35 min•Ep. 15
In this episode Kelly and Lalita imagine what a month long downtime might feel like (a la Ascension's hospital system) and have 7 major highlights for thoughtful (and actually helpful) downtime implementation.
Jun 25, 2024•28 min•Ep. 14
Family physicians often don't know how to communicate with designers and engineers in the user centered creative process. Giving good feedback is key, so how do we do it? What are some principles to utilize and how can we be more effective in developing our own tools?
Jun 18, 2024•38 min•Ep. 13
In this episode Kelly and Lalita discuss what makes a "good" patient portal experience? What elements are necessary? Focusing mostly on scheduling and messaging, Kelly and Lalita share stories highlighting the physical and technological constraints to practicing medicine and how standardization might mean losing the individual experience in order to achieve more individualized care.
Jun 11, 2024•39 min•Ep. 12
Asynchronous care in health tech is all the rage these days. Kelly and Lalita talk about use cases and also the biggest limitations to dreaming of successful implementation: reimbursement and human capital. Take a listen!
Jun 04, 2024•38 min•Ep. 11
Kelly and Lalita talk about the purpose of data collection in the exam room, how trust is imperative in data collection and share their philosophies on the importance of data safety, necessity and stewardship
May 28, 2024•38 min•Ep. 10
In this episode, Kelly and Lalita discuss how the EHR creates additional constraints on physical space design in the clinical setting and talk about various ways to use data and information while in the exam room.
May 21, 2024•52 min•Ep. 9
Whittaker, Zack. "As the Change Healthcare outage drags on, fears grow that patient data could spill online." TechCrunch., 9 March 2024. https://techcrunch.com/2024/03/09/change-healthcare-fears-data-breach-ransomware/ Whittaker, Zack. "UnitedHealth confirms ransomware gang behind Change Healthcare hack amid ongoing pharmacy outages." TechCrunch., 29 February 2024. https://techcrunch.com/2024/02/29/unitedhealth-change-healthcare-ransomware-alphv-blackcat-pharmacy-outages/ Pierce, Alisa. "CMS Ann...
Mar 12, 2024•36 min•Ep. 8
In this Episode, Kelly and Lalita discuss optimizing pre-visit planning through EHRs, why schedule simplicity matters for longevity of care and preventing provider burnout, what NOT to do, and how any conversation with health tech HAS to include data protection, privacy, and patient information safety discussions (a la Change Health).
Mar 05, 2024•39 min•Ep. 7
Kelly and Lalita get a little off topic from onboarding with too many car analogies. We talk about what people need to learn about EHRs, how to do shared documentation, and how artificial intelligence, narrative medicine, storytelling, and patient centeredness has impacted our own medical documentation. We also touch on EHR standardization (is it possible?) and we get into a conversation about pre-visit-planning including the use of point-of-care testing, patient entered surveys, and a unique he...
Feb 27, 2024•33 min•Ep. 6
Articles discussed in today's podcast: Glaser, J., Vaezy, S., Guptill, J., (2024). Why the Tech Industry Won’t Disrupt Health Care. https://hbr.org/2024/02/why-the-tech-industry-wont-disrupt-health-care Adelman, J. S., Applebaum, J. R., Schechter, C. B., Berger, M. A., Reissman, S. H., Thota, R., Racine, A. D., Vawdrey, D. K., Green, R. A., Salmasian, H., Schiff, G. D., Wright, A., Landman, A., Bates, D. W., Koppel, R., Galanter, W. L., Lambert, B. L., Paparella, S., & Southern, W. N. (2019)...
Feb 20, 2024•34 min•Ep. 5
Welcome back to a new season and a full rebrand of this technology empowered family medicine podcast. We're learning the ropes of podcasting while we build this plane and hope you'll join us on this journey.
Feb 13, 2024•28 min•Ep. 4
Kelly and Lalita talk about valuing family physician input on the nooks and crannies of the EHR within organizations, learning how to identify the problem to co-create solutions, and bringing our advocacy of technology to influence government regulation.
Jun 01, 2023•25 min•Ep. 3
In this episode Kelly an Lalita discuss what will make a great EHR in the future, why we need information sharing and good data in medicine, and the importance of measuring the unmeasurables of patient care. This conversation is inspired by the March 18th TECO MIG meeting. If you're an AAFP member, you can join us for our next meeting on April 22nd!
Apr 18, 2023•32 min•Ep. 2
Welcome to the TECO Podcast! In our first episode we meet Dr. Kelly Nieves and Dr. Lalita Abhyankar, who briefly discuss some of the interesting topics that will be highlighted throughout the AAFP TECO MIG meetings this year.
Feb 20, 2023•15 min•Ep. 1
