Comments on: The Data Model That Nearly Killed Me http://www.syleum.com/2009/03/17/healthcare-data-model/ Notes on data analysis and effective communication Sun, 31 Jan 2010 12:42:06 +0000 http://wordpress.org/?v=2.8.5 hourly 1 By: voicechat http://www.syleum.com/2009/03/17/healthcare-data-model/comment-page-2/#comment-4336 voicechat Sun, 31 Jan 2010 12:42:06 +0000 http://www.syleum.com/?p=52#comment-4336 Dear Mr. Bugajski, In case you’re still reading these comments, first I add my thanks. Second, did you ever find out why nobody bothered to read the notes from your allergist? Third, is the hospital taking any action to analyze why your course of care was so dangerous and nearly fatal? Many thanks again, RDGelzer, MD, MPH, CHCC Advocates for Documentation Integrity and Compliance Dear Mr. Bugajski,

In case you’re still reading these comments, first I add my thanks. Second, did you ever find out why nobody bothered to read the notes from your allergist? Third, is the hospital taking any action to analyze why your course of care was so dangerous and nearly fatal?

Many thanks again,

RDGelzer, MD, MPH, CHCC
Advocates for Documentation Integrity and Compliance

]]> By: Myth 32. Information technology will improve efficiency and safety. « AAPS News of the Day http://www.syleum.com/2009/03/17/healthcare-data-model/comment-page-2/#comment-4335 Myth 32. Information technology will improve efficiency and safety. « AAPS News of the Day Fri, 08 Jan 2010 02:08:15 +0000 http://www.syleum.com/?p=52#comment-4335 [...] “The national health information network envisioned by President Barack Obama is a pipedream,” he writes (Joe Bugajski, “The Data Model That Nearly Killed Me,” Syleum.com 3/17/09). [...] [...] “The national health information network envisioned by President Barack Obama is a pipedream,” he writes (Joe Bugajski, “The Data Model That Nearly Killed Me,” Syleum.com 3/17/09). [...]

]]> By: Fred Trotter » A geek in the ER http://www.syleum.com/2009/03/17/healthcare-data-model/comment-page-2/#comment-4305 Fred Trotter » A geek in the ER Fri, 14 Aug 2009 17:54:31 +0000 http://www.syleum.com/?p=52#comment-4305 [...] Recently someone turned me on to a post by data expert Joe Bugajski entitled the Data Model that Nearly Killed Me. [...] [...] Recently someone turned me on to a post by data expert Joe Bugajski entitled the Data Model that Nearly Killed Me. [...]

]]> By: Alexandru Bolboaca-Diaconu (alexboly) 's status on Thursday, 13-Aug-09 07:36:09 UTC - Identi.ca http://www.syleum.com/2009/03/17/healthcare-data-model/comment-page-2/#comment-4304 Alexandru Bolboaca-Diaconu (alexboly) 's status on Thursday, 13-Aug-09 07:36:09 UTC - Identi.ca Thu, 13 Aug 2009 07:36:14 +0000 http://www.syleum.com/?p=52#comment-4304 [...] The data model than nearly killed Joe Bugajski http://www.syleum.com/2009/03/17/healthcare-data-model/ [...] [...] The data model than nearly killed Joe Bugajski http://www.syleum.com/2009/03/17/healthcare-data-model/ [...]

]]> By: A concerned person http://www.syleum.com/2009/03/17/healthcare-data-model/comment-page-2/#comment-4303 A concerned person Thu, 09 Jul 2009 00:15:18 +0000 http://www.syleum.com/?p=52#comment-4303 Thank you very much for the description of your case. I never trusted the healthcare system as is. I had my own bad experiences, but yours make mine look like a mild headache. And also all those doctors that stopped by just to ask questions didn't do a peep but had a nice hour tagged to your bill. As it is today the system stimulates this type of hidden mugging. Thank you very much for the description of your case. I never trusted the healthcare system as is. I had my own bad experiences, but yours make mine look like a mild headache. And also all those doctors that stopped by just to ask questions didn’t do a peep but had a nice hour tagged to your bill. As it is today the system stimulates this type of hidden mugging.

]]> By: MitchellD http://www.syleum.com/2009/03/17/healthcare-data-model/comment-page-2/#comment-4301 MitchellD Fri, 05 Jun 2009 12:57:22 +0000 http://www.syleum.com/?p=52#comment-4301 While I agree that every system is not perfect, it is still the responsibility of the clinician to rely on their skills to treat patients. People forget - the computer doesn't treat your patient, you do! The computer system can't be blamed for all of the different physicians asking the same questions over and over again. They're being careful. People will always be responsible for what is placed in the computer (for the most part). Nurses, doctors, etc., need to be careful with what is entered in the system. I think the challenge is learning how to balance patient care (at all levels) with the technology. While I agree that every system is not perfect, it is still the responsibility of the clinician to rely on their skills to treat patients. People forget – the computer doesn’t treat your patient, you do! The computer system can’t be blamed for all of the different physicians asking the same questions over and over again. They’re being careful. People will always be responsible for what is placed in the computer (for the most part). Nurses, doctors, etc., need to be careful with what is entered in the system. I think the challenge is learning how to balance patient care (at all levels) with the technology.

]]> By: Atul Salgaonkar http://www.syleum.com/2009/03/17/healthcare-data-model/comment-page-2/#comment-4300 Atul Salgaonkar Fri, 29 May 2009 23:53:01 +0000 http://www.syleum.com/?p=52#comment-4300 I agree with many here that the root cause is related to the work-flow controls of a fragmented treatment. The same experience repeats everywhere despite paper records. It also seems to me that organizations like CCHIT (www.cchit.org) that certify performance of software systems in healthcare can influence some aspects of product performance: for instance, false alarms with oximeters.Perhaps some post-certification monitoring is required? I agree with many here that the root cause is related to the work-flow controls of a fragmented treatment. The same experience repeats everywhere despite paper records.

It also seems to me that organizations like CCHIT (www.cchit.org) that certify performance of software systems in healthcare can influence some aspects of product performance: for instance, false alarms with oximeters.Perhaps some post-certification monitoring is required?

]]> By: Idea #100 for May 29th, 2009: What is EMR or The Heart of the Matter? Part 1 « Fixing Healthcare in 365 Days http://www.syleum.com/2009/03/17/healthcare-data-model/comment-page-2/#comment-4299 Idea #100 for May 29th, 2009: What is EMR or The Heart of the Matter? Part 1 « Fixing Healthcare in 365 Days Fri, 29 May 2009 14:03:49 +0000 http://www.syleum.com/?p=52#comment-4299 [...] I think it’s hard to call  what they have truly an EMR. This reminds me of the story told in “The Data Model That Almost Killed Me” . Delayed entry in many cases, particularly in a hospital environment with the expectation of a [...] [...] I think it’s hard to call  what they have truly an EMR. This reminds me of the story told in “The Data Model That Almost Killed Me” . Delayed entry in many cases, particularly in a hospital environment with the expectation of a [...]

]]> By: Bill http://www.syleum.com/2009/03/17/healthcare-data-model/comment-page-2/#comment-4296 Bill Mon, 18 May 2009 23:58:33 +0000 http://www.syleum.com/?p=52#comment-4296 I am 59 years old. When I was 10 I suffered severe abdominal pain at 3:30 am. Our family physician,Dr Rogers drove to our house with his Irish setter. He diagnosed me with acute apendicitis. My parents followed the dr in our car to the hospital. Within 15 minutes after arriving at the hospital at about 5:00 am the dr had secured an operating room and an assistant. I was operated on, spent the rest of the day in recovery, admitted to a hospital room, attended by dr Rogers and discharged three days later. Total bill $440 paid by cash by my father(according to my father). Dr Rogers diagnosed, administrated, performed the surgery, did all follow up, discharge and collected the fees. I to this day recall his kind and measured words of assurance. Worked pretty well. Could work well again. I am 59 years old. When I was 10 I suffered severe abdominal pain at 3:30 am. Our family physician,Dr
Rogers drove to our house with his Irish setter. He diagnosed me with acute apendicitis. My parents followed the dr in our car to the hospital. Within 15 minutes after arriving at the hospital at about 5:00 am the dr had secured an operating room and an assistant. I was operated on, spent the rest of the day in recovery, admitted to a hospital room, attended by dr Rogers and discharged three days later. Total bill $440 paid by cash by my father(according to my father). Dr Rogers diagnosed, administrated, performed the surgery, did all follow up, discharge and collected the fees.
I to this day recall his kind and measured words of assurance.
Worked pretty well. Could work well again.

]]> By: UCL CHIME » Blog Archive » Watching the Americans http://www.syleum.com/2009/03/17/healthcare-data-model/comment-page-2/#comment-4292 UCL CHIME » Blog Archive » Watching the Americans Fri, 08 May 2009 13:56:04 +0000 http://www.syleum.com/?p=52#comment-4292 [...] responses, including warnings on the Op-Ed pages of the New York Times and, most notably, this incredibly striking posting, a unique combination of dramatic personal testimony and informed professional analysis. A number [...] [...] responses, including warnings on the Op-Ed pages of the New York Times and, most notably, this incredibly striking posting, a unique combination of dramatic personal testimony and informed professional analysis. A number [...]

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