A NEJM perspective piece says that today’s care delivery policies and technologies sacrifice the “solution shop” work of doctors (solving patient problems and building patient trust) for “production line” work (approving prescription refills, entering orders, completing preventive screenings).
It notes that most of the patient visit can be consumed by clinicians completing EHR checkboxes, entering orders, manually completing prior authorization requests, and managing inbox messages.
It also observes that since it’s easier to measure the production line work in the EHR, quality metrics represent those tasks disproportionately.
The article also says that healthcare financial resources have moved away from direct patient care to tech companies, data aggregators, drug and insurance companies, and performance measurement subcontractors, as insurers and pharmacies automated their practices to meet more complex billing requirements while leaving doctors with more production line work.
The authors conclude that the solution and production work streams be designed to match worker skills, supported by policies and workflow.
The physician who sent the article my way says that the “workflow versus thoughtflow” challenge requires a major reengineering of physician processes to allow either (a) lower-level staff to do them where appropriate; or (b) the physician to perform them while still addressing higher-level thinking tasks.
July 12 (Tuesday) 1 ET. “Digital Data Stewardship for Trusted, High-Quality Data Exchange.” Sponsor: Clinical Architecture. Presenter: Carol Graham, MS, RN, product manager, Clinical Architecture. Organizations face challenges in ensuring that the patient data they received and send is consistent, accurate, and usable. Use cases include receiving multi-source data across health information networks with variation in formats and content; merging and de-duplicating provider, payer, and research data; uplifting legacy data for current use cases and formats; and normalizing and formatting data for public health surveillance, quality measure reporting, and providing directly to the patient. This webinar will cover Pivot, a comprehensive Digital Data Steward solution that orchestrates format harmonization, content (vocabulary) normalization, de-duplication, and data quality validation into a single solution.
Previous webinars are on our YouTube channel. Contact Lorre to present your own.
Acquisitions, Funding, Business, and Stock
Patient engagement and release-of-information technology vendor HealthMark Group acquires Acton Corporation, its third ROI acquisition in 15 months.
- In England, East Suffolk and North Essex and West Suffolk trusts choose Sectra for digital pathology.
- NHS Scotland names Citadel Health as supplier of its Laboratory Information Management System framework.
Kyruus hires Paul Merrild MBA (Sound Physicians) to the newly created position of president.
CloudWave promotes Mike Donahue to VP of client services.
Former Kareo CEO Dan Rodrigues takes the CEO role at Tebra, the company he co-founded when Kareo merged with PatientPop last year.
Privacy and Security
Baton Rouge General is forced to chart on paper due to a Tuesday cyberattack.
Funniest news of the week: the federal government fines accounting firm Ernst & Young $100 million for failing to act on reports that many of its employees were cheating on their CPA exams. The best part – the section they were cheating on was ethics. Those involved say they were short on after-work study time or had already failed the exam multiple times.
- California State University, Dominguez Hills becomes the seventh higher education institution to join Optimum Healthcare IT’s CareerPath program, which offers students who are interested in a healthcare IT career a two-phase training program that includes a digital health certification program that was co-developed with CHIME followed by application-specific technical tracks.
- Visage Imaging joins the Amazon Web Services Partner Network as an Advanced Technology Partner.
- Premier honors The Breakaway, an Indiana recovery home for women battling addiction, with its Monroe E. Trout Premier Cares Award and a $100,000 prize.
- West Monroe publishes a new report, “Understanding Major Trends in Healthcare M&A and Investment.”
- The HIT Like a Girl Podcast features EVisit Chief Strategy Officer Juli Stover.
- FDB hires Jaelyn Ibarra as a research associate.
- GHX congratulates customer Spectrum Health on earning the 2022 Top Supply Chain Projects Award from Supply & Demand Chain Executive.
Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.