Healthcare's low Digitization Index
5 min
Healthcare remains one of the least digitized sectors of the economy. Article: https://www.gregoryschmidt.com/articles/healthcare-digitization-index
About the show
Internal Medicine / Healthcare Systems / Design / EHR / Technology
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Healthcare productivity is the (second) worst
2 min
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
Growth in healthcare spending outpaces growth in GDP
6 min
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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Healthcare's low Digitization Index
5 min
Healthcare remains one of the least digitized sectors of the economy. Article: https://www.gregoryschmidt.com/articles/healthcare-digitization-index
Healthcare productivity is the (second) worst
2 min
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
Growth in healthcare spending outpaces growth in GDP
6 min
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
CBC hides inflammatory article published on Nursing Day
7 min
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.
Single-sentence summaries improve EHR data display
9 min
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: https://www.gregoryschmidt.com/articles/single-sentence-summaries
Risks of using medical story arcs
11 min
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
Product Packaging UX: hard to open cardboard boxes
6 min
Sometimes it is not clear which side of the box should be opened. Article: https://www.gregoryschmidt.com/articles/le-creusets-box
5 Principles of Two-Factor Code Design
5 min
Do we even need letters in the code? Are number only codes preferred? Article: https://www.gregoryschmidt.com/articles/two-factor-design
The patient's narrative is never written down
6 min
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
The patient's first-person narrative
5 min
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
Series introduction: narrative language in medicine
2 min
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
Back-in angle parking
3 min
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
Why do Americans not back into parking spaces?
8 min
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
Ways to avoid fatalities from car backovers
7 min
Help reduce backover injuries and fatalities with these ideas. Full article: https://www.gregoryschmidt.com/articles/ways-to-avoid-fatalities-from-car-backovers
Deaths from cars backing-over people
4 min
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
Costco's extra-wide parking stalls
1 min
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
Life Update: 2020
1 min
2020 was quiet year for new posts on this website, but busy year for Gregory. Read at: www.gregoryschmidt.com/article/life-update-2020
COVID-19: Should clinicians age 60+ only do tele-care?
12 min
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.
Lasting impact at scale, the work of Kevin Starr & Mulago
34 min
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
App design: positional space
10 min
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
Navigation options starting with mobile
11 min
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
PATIENT FILE: Major UX Regions
4 min
The major user interface regions of the PATIENT FILE Original article: http://www.gregoryschmidt.ca/writing/patient-file-ux-regions
When is a pixel not a pixel? px, pts, dps
7 min
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
Why 4K is misleading
4 min
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
Why are phone dimensions backwards: Height x Width ?
4 min
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
UI/UX: Writing X vs Y dimensions
3 min
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
Lean Impact: how to innovate for radically greater social good (detailed summary)
21 min
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
Engines of Growth in Social Impact
5 min
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
Why philanthropy & grants hampers innovation
12 min
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
Lean Startup + Lean Impact: Combined Short Summary
8 min
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
The Patient Workflow: it's not just a form.
9 min
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
What is the Patient File? - EHR UX
6 min
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
Ways to search for a patient in the EHR
15 min
Ranking of 6 different strategies to search for patients Original Article: http://www.gregoryschmidt.ca/writing/search-for-a-patient-in-the-ehr
Primary Purpose of the EHR HOME screen
2 min
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
Simple EHR workflow: only 2 screens
3 min
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
The 3 (+1) essential tasks of an EHR
5 min
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
Slow electronic health records: two root problems
5 min
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
Make the EHR immediately useful for users
10 min
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
What atributes do clinicians look for in an EHR?
3 min
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
Build an EHR clinicians want to use
5 min
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
Electronic Health Records: Who do we build this for?
7 min
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
Pair Together: Design Thinking, Lean Startup, Agile
4 min
Three methods that work well together within the same cross-functional team. Original Article: http://www.gregoryschmidt.ca/writing/design-thinking-lean-startup-agile
Proposed model for innovation within an open-source community
15 min
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
The Lean Startup: Key themes from the book by Eric Ries
25 min
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
Speed vs Reusability
7 min
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
Healthcare Fragmentation: Focus on the Patients, and the Data will Follow
7 min
Healthcare in America is fragmented for patients, caregivers, providers, payers, and the public. Herein lies the opportunity. http://www.gregoryschmidt.ca/writing/healthcare-fragmentation
Three Levels of Health System Technology
7 min
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
OpenMRS Design Call April 2, 2019 | OpenMRS Flow, Concept Proposal
58 min
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 future for OpenMRS https://talk.openmrs.org/t/an-amazing-future-for-openmrs/22328 #OpenMRS #EHR #Design
The Role of Design in Electronic Health Records: Past, Present, & Future
1 hr 10 min
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
OpenMRS 3 - Benefits of modularity in an open-source Electronic Health Record
1 hr 9 min
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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