One Click At a Time: Technology Empowered Family Medicine Podcast

Dr. Katherine Davis is a family physician and educator with a background in health informatics. Dr. Davis was instrumental as residency faculty at Summa Health in Akron, Ohio and most recently took that experience to apply her expertise at scale at MDCalc. Kelly and Lalita chat with Katie about her experiences and how important it is for family medicine physicians to have a seat at the table in he...

Kelly and Lalita talk about data privacy and its impacts on patient/physician safety, and how regulating an implied right to privacy is important to prevent indiscriminate data sharing...while still being excited about interoperability! It's a mixed bag conversation!

Kelly and Lalita talk to Shawn Martin, CEO of the AAFP on a new collaboration with Rock Health, a digital health investment and consulting group. They talk about the intention and the vision behind the collaboration and about how family physicians can get a seat at the table. They also discuss how this collaboration can help family physicians better understand our current technological environment...

In this episode, Kelly and Lalita chat with a good friend of the podcast, Dr. Kalie Dove-Maguire. Kalie is an Emergency Medicine physician who is now the Chief Product Officer at Evidently, an AI-enabled chart review tool. Previously, Kalie was the Senior Director of Product at Carbon Health, where she oversaw the EHR and the rollout of AI-enabled ambient documentation. Kalie, Lalita, and Kelly ch...

In this episode Kelly interviews Lalita on her experience attending the Rock Health Summit in San Francisco, California. The Rock Health Summit "is a digital health conference that brings together diverse minds from technology, medicine, public health, and beyond for a day of inspired conversation and connection." Lalita shares the overall gist and gets into the specifics of some of the themes and...

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 pe...

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

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!

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 th...

References: 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 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/ G...

Mentioned in Today's Episode: 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 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-li...

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?

"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?

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!

In this episode Kelly and Lalita imagine what a month long downtime might feel like (a la Ascension's hospital system) and have 7 major highlights for thoughtful (and actually helpful) downtime implementation.

Family physicians often don't know how to communicate with designers and engineers in the user centered creative process. Giving good feedback is key, so how do we do it? What are some principles to utilize and how can we be more effective in developing our own tools?

In this episode Kelly and Lalita discuss what makes a "good" patient portal experience? What elements are necessary? Focusing mostly on scheduling and messaging, Kelly and Lalita share stories highlighting the physical and technological constraints to practicing medicine and how standardization might mean losing the individual experience in order to achieve more individualized care.

Asynchronous care in health tech is all the rage these days. Kelly and Lalita talk about use cases and also the biggest limitations to dreaming of successful implementation: reimbursement and human capital. Take a listen!

Kelly and Lalita talk about the purpose of data collection in the exam room, how trust is imperative in data collection and share their philosophies on the importance of data safety, necessity and stewardship

In this episode, Kelly and Lalita discuss how the EHR creates additional constraints on physical space design in the clinical setting and talk about various ways to use data and information while in the exam room.

Whittaker, Zack. "As the Change Healthcare outage drags on, fears grow that patient data could spill online." TechCrunch., 9 March 2024. https://techcrunch.com/2024/03/09/change-healthcare-fears-data-breach-ransomware/ Whittaker, Zack. "UnitedHealth confirms ransomware gang behind Change Healthcare hack amid ongoing pharmacy outages." TechCrunch., 29 February 2024.   https://techcrunch.com/2024/02...

In this Episode, Kelly and Lalita discuss optimizing pre-visit planning through EHRs, why schedule simplicity matters for longevity of care and preventing provider burnout, what NOT to do, and how any conversation with health tech HAS to include data protection, privacy, and patient information safety discussions (a la Change Health).

Kelly and Lalita get a little off topic from onboarding with too many car analogies. We talk about what people need to learn about EHRs, how to do shared documentation, and how artificial intelligence, narrative medicine, storytelling, and patient centeredness has impacted our own medical documentation. We also touch on EHR standardization (is it possible?) and we get into a conversation about pre...

Articles discussed in today's podcast:  Glaser, J.,  Vaezy, S., Guptill, J., (2024). Why the Tech Industry Won’t Disrupt Health Care. https://hbr.org/2024/02/why-the-tech-industry-wont-disrupt-health-care Adelman, J. S., Applebaum, J. R., Schechter, C. B., Berger, M. A., Reissman, S. H., Thota, R., Racine, A. D., Vawdrey, D. K., Green, R. A., Salmasian, H., Schiff, G. D., Wright, A., Landman, A.,...

Welcome back to a new season and a full rebrand of this technology empowered family medicine podcast. We're learning the ropes of podcasting while we build this plane and hope you'll join us on this journey.