[Openid-specs-heart] Looking for your real-world EHR Transmit user expereince

Adrian Gropper agropper at healthurl.com
Sun Dec 18 19:28:13 UTC 2016


Thanks, Jeffrey! Forwarding to the HEART list.

Any other Transmit experiences?

Please,

Adrian



On Sun, Dec 18, 2016 at 12:43 PM, Jeffrey Halbstein-Harris <
halbsteinharris at gmail.com> wrote:

> This is for fun on a Sunday morning.
>
> Use case patient transmits data between systems that could but do not
> choose to merge information.
>
> Actors
>
> Patient
> PCP
> Gastroenterologist
> Endocrinologist
> Chronic Pain Management Clinic
> Psychiatrist
>
> Epic Duke My Chart.   Primary care doc
> Epic UNC My Chart.     GI
> Epic Lucy.  Supposed linkage permission patient controlled
> Follow My Health Raleigh Endocrinology. Supposed upload
> Epic Care Everywhere.  Patient told all physicians have access but not
> told they had to participate in individual agreement with Epic
>
> All systems allow Patient able to download CCR in xml and PDF (xml files
> zipped include read me, metadata file and source file 3 files total)
> All allow password protect
>
> Use case: link systems:
> Can not do because Duke does not appear in list of organizations to link
> records with UNC. This is using the Lucy Application
>
> Use case transmit CCR from Epic to Epic
> Can not do feature does not appear to user.
>
> Use case upload CCR to Follow My Health.
> Feature exists but procedure fails.
>
> Use case: patient transmits disease state and clinical process and result
> (OBS) information using google Drive
>
> Patient places Info on G. Drive and shares with othe doctors (password
> protected and unique gmail subscriber ID to see contents): on occasion
> Medical assistant updates FMH record and Duke scans in .pdf version of CCR
> and patient generated .pdf labs.
>
> Note this is how process quality and clinical outcome measures are
> updated. For example. Patient receives alerts from Duke primary care
> physician that A1C, BP, Urine protein are overdue. Patient uses
> Endocrinologist  FMH portal or Lab Corp portal to download lab records and
> adds  home monitoring BP record to a .pdf file that is both stored on
> patient's Drive and sent via EMail to primary care doctor. A patient secure
> message is sent to primary care doctor via Epic My Chart and "hopefully "
> the information is updated by clerical staff so they get credit for Qualuty
> Measures" .
>
> In some cases patients have capacity to manually enter records but these
> are separate files and not merged with clinical record.
>
> If patient stays on top of who has data and receives a bio-request from
> his brain to download " standardized continuity of care information" after
> a photon-encoded clinic request via email signal is transmitted from
> patients retinas to the bio-CPU (patient's brain) AND bio- CPU stores
> information in patients bio-RAM AND a bio-process is triggered to retrieve
> said information and execute a series of processes interfaced to the
> patients motor cortex AND the patient's upper and lower motor neurons work
> AND the patient's motor end platelets and muscles work?
> The patient executes the transmission of vitally important information
> needed to inform team of comorbid conditions, clinical status and
> disjointed treatment plans and outcomes. These data are then used to
> fulfill merit based performance improvement measures required by Medicare
> for an additional 5-15 % increase in the primary care $48.00 office visit
> which occurs 4 x year and lasts 15 minutes per visit.
>
> The patient-provider team is thus bound through wonderful technology
> created by private- public partnership during the High- Tech ERA .
> Note: non of which has anything to do with Obamacare save the idea of Care
> Coordination.
>
> Jeffrey
>
>
>
>
>
>
> On Sun, Dec 18, 2016 at 11:17 Adrian Gropper <agropper at healthurl.com>
> wrote:
>
>> All,
>>
>> Were in the era of Meaningful Use View - Download - Transmit. I have
>> never met anyone who used Transmit in a real-world clinical setting but we
>> all know I'm special.
>>
>> Has anyone on either of these two patient-centered lists experienced
>> Transmit in the last year or two and can describe the user experience?
>>
>> Your input will be very useful as we figure out what HEART needs to do.
>>
>> Thank you,
>>
>> Adrian <http://patientprivacyrights.org/donate-2/>
>>
>>
>>
>>
>>
>>
>>
>>
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-- 

Adrian Gropper MD

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