How Computers are Ruining the Doctor's Office and Harming Doctor-Patient Relations

My name is Rick Payne, and I'm a software engineering consultant and I'm still negotiating my current contract with Leukemia since 2007. When I was first being treated for Leukemia, I was appalled by the paper records, lame software systems in place and dictation of records. Recently some of my doctors have implemented paperless systems, and the quality of care has declined. In this presentation, I will provide examples of the change in my personal care. I will share some of the discussions I've had with doctors about this topic. In the end, I hope to show that current software development methods and computers themselves are hurting patient care. There are some classic software development mistakes that I'm witnessing, and it needs to stop now because it is hurting patient care. I hope to inspire some of developers and entrepreneurs at ignite in order to provoke innovation.

Category:

Entertainment

Tags:

• ignite
• ignite cincinnati
• leukemia
• cancer
• marrow
• emr
• patient records
• electronic medical record

[qtuner]

@zapgun2358 I have no problem with having a conversation.

[zapgun2358]

Honestly you and I should sit down some time. Maybe with my medical director. I think what you have to say is important. Patients need a voice in how these systems are implemented.

[zapgun2358]

I didn't say anything about knowing the solutions. We hand loaded all the basic histories of each patient into the systems. Yes it took a long time and alot of people. It was worth it. Our doctors don't write in the free text fields because they realize that doing so just makes more work for them in the long run. Our patients were not asked. The have a generally favorable view because it has lead to faster return calls and action regarding their concerns.

[qtuner]

@zapgun2358 Then why did all my RN's approve of my presentation? You're right it will make it better, If fact I alluded to this. Right now, it is not making it better.

Since you know the solutions. How did you manage the data migration? How do you keep dr's from not putting details into the text box? How did manage the rollout? Did you ask patients opinions after the rollout? Do patients percieve it to better? Why are you're numbers better, is the db queery right or are you biased?

[zapgun2358]

Fact free is probably not a good phrase. Data free is probably better. One patient at one office with one system doth not a crisis make. Much less a significant difference. I'm an RN. I've been in healthcare since 1986. EMR is going to make care better; not worse. Pt outcome numbers don't lie.

[qtuner]

@zapgun2358 is your core competency software engineering or healthcare?

[zapgun2358]

As much as I like people sharing ideas. This talk is fact free. I work with EMR every day. It has improved our numbers and helped us communicate with patients better.