One Click At a Time: Technology Empowered Family Medicine Podcast

One Click At a Time: Technology Empowered Family Medicine Podcast

By Lalita Abhyankar, Kelly NievesBusinessMedicineHealth & FitnessTechnologyManagement
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One Click At a Time: Technology Empowered Family Medicine Podcast episodes

  • Matt Sakumoto, MD: Efficient Eddie, AI, and Scribes

    Kelly and Lalita welcome their very first guest! Matt Sakumoto is the Regional Chief Medical Informatics Officer at Sutter West Bay Medical Group in San Francisco, and health tech start-up consultant. He is a graduate of the UCSF Health Informatics Fellowship and an Internal Medicine Physician at a Virtual First Medical Practice at Sutter. In this episode Kelly, Lalita and Matt talk about using personas in clinical technology education, AI scribing, and Matt shares a Help Desk Ticket of the Week!

    Episodes on tips and tricks to advocate for yourself to designers and leaders:

    1. User Centered Design: https://technology-empowered-clinical-optimization-podcast.simplecast.com/episodes/user-centered-design-and-feedback-y-mg5qth

    2.How can I get involved in advocating for appropriate use of technology in medicine?: https://technology-empowered-clinical-optimization-podcast.simplecast.com/episodes/how-can-i-get-involved-in-advocating-for-appropriate-use-of-technology-in-medicine

    36 min
  • Health IT Policy Part 3: TEFCA and The Gauge Wars
    1. Assistant Secretary for Technology Policy. HTI-2 Proposed Rule Patient, Payer, Provider API Information Session https://www.youtube.com/watch?v=hn3Bn3_9l9M

    Public Comment for ONC rule: https://www.federalregister.gov/documents/2024/08/05/2024-14975/health-data-technology-and-interoperability-patient-engagement-information-sharing-and-public-health

    43 min
  • Kelly Goes to Epic UGM!
    In this episode, Kelly shares her experience and takeaways from Epic's UGM! We discuss Epic's influence on the software space including:
    - Generative and Predictive AI
    - Whether we should start tackling downtime issues
    - Cybersecurity
    - Epic's international, interconnected influence
    - Change Management
    - Keeping up with change
    ...and more!
    45 min
  • Health IT Policy Part 2: HITECH, MACRA, and Cures Act
    Alternate Title: Slime Mold Maps and Taco Seasoning
    In this excellent episode, Kelly and Lalita dive back into the discussion on Health IT legislation, this time starting with HITECH (Health Information Technology for Economic and Clinical Health Act) and moving through the 21st Century Cures Act. We discuss the role of Health IT regulation in developing the current landscape, and where we hope things go as we build out some of the aspirational goals of the Cures Act. Also, how do we swing the pendulum back towards the small practice?
    32 min
  • Health IT Policy Part 1: IOM Goals, HIPAA

    References:

    1. Institute of Medicine. Computer-Based Patient Record: An Essential Technology of Health Care. 1991. https://nap.nationalacademies.org/catalog/18459/computer-based-patient-record-an-essential-technology-for-health-care

    2. Ambinder, EP. A History of the Shift Toward Full Computerization of Medicine. J Oncol Prac. 2005 Jul; 1(2): 54–56. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2793587/

    3. George W Bush White House Archives. President Bush Strengthened America's Health Care System. https://georgewbush-whitehouse.archives.gov/infocus/bushrecord/factsheets/healthcare.html

    4. Mennemeyer ST, Menachemi N, Rahurkar S, Ford EW. Impact of the HITECH Act on physicians’ adoption of electronic health records. J Am Med Inform Assoc., Volume 23, Issue 2, March 2016, Pages 375–379, https://doi.org/10.1093/jamia/ocv103

    5. Simborg, DW. Promoting Electronic Health Record Adoption. Is It the Correct Focus? J Am Med Inform Assoc. 2008 Mar-Apr; 15(2): 127–129. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2274790/

    37 min
  • The Problem with the Problem List

    Mentioned in Today's Episode:

    1. 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

    2. 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

    3. Dr. Glaucomflecken. The Epic Problem List. YouTube. Jul 20 2024. https://www.youtube.com/watch?v=LDJvS8Iz4a8

    33 min
  • VBC Part 2: Metrics!
    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?
    39 min
  • Value Based Payment Makes Us Sad
    "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?
    39 min
  • Beyond the Pop-Ups: Clinical Decision Making
    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!
    35 min

About One Click At a Time: Technology Empowered Family Medicine Podcast

From the publisher's feed

Dr. Lalita Abhyankar and Dr. Kelly Nieves are family medicine physicians and technology advocates discussing the role that technology plays in supporting the delivery of primary care. Join us as we…