Interoperability, encouraging signs from the white house

At HIMMS, Jared Kuschner mentioned interoperability as a means to save lives. In addition, he posed customer (patient) ownership of healthcare data as a key principle of the Administration's strategy.    

Perhaps this will be the focus of any changes to the VA EHR upgrade. I wonder if industry contacts, such as apple, have the presidents ear? No matter the reason, we should be encouraged.  


#BMIweekendReads - Emphasis Framing


A new Weekend Reads is hot off the press: Quality and Efficiency of the Clinical Decision‐Making Process: Information Overload and Emphasis Framing. Laker et. al.  look to address information overload through emphasis framing--highlighting some aspect of the information being exchanged. They report a laboratory study where a detail in the patient’s record was highlighted by bolding a line of text. Their results show that the highlighting significantly improved the quality of clinical evaluation. Interestingly, it also increased time to task completion. The authors speculated this was due to the highlighted detail leading to System 2 thinking because the correct plan of action for the simulated patient case is a divergence the usual plan of action.

The AWARE team at Mayo has their sights set on an interface for electronic chart review


The AWARE team is responsible for a number of different clinic decision support systems and dashboards that aid in patient care and are commercially available (Ambient Clinical Analytics). Last year they published two papers centered around electronic chart review in the ICU; one survey and one time motion study.  This suggests the team is gearing up for their newest, cognitive load reducing product. 

CHALLENGE: diet, weight, energy, exercise, and disease

Are your ready for a challenge? 

Challenges are a special type of post. The goal of a challenge is to crowdsource improvements to a proposed mechanism, Your input is critical because you might have the best opinion.   

The below diagram shows that diet influences weight, influences your energy, influences your exercise, influences your disease risk. Exercise also feedback influences your diet. 

What is missing? Is that arrow pointing the wrong direction?

Provide your input through a tweet reply below. 


Welcome to Friday Rounds

Come on in, it is my pleasure to meet you.

This is the originating post of our new experiment in blogging. For your convenience, new posts will occur on Friday's because that will make it easier for your weekly routine to include Friday Rounds. 

Comments will not follow standard blog format, instead we are trying something new. This new approach has potential to improve your reach and gain you followers. New posts will be tweeted from @andrewsjourney. The tweet will then be embedded at the bottom of the blog post.  You will comment reply directly to the tweet. It is fun, go ahead and try it. 


Introducing Friday Rounds: the original blog

— Andrew King (@andrewsjourney) February 2, 2018