Some systems are designed to support natural flows; order intake, patient registration and support, loading and dispatching delivery trucks, etc. That class of systems are typically designed by entrepreneurs to optimize flows of people and information in which they have an interest. . They tend to be well thought out and designed, and users describe an easy and intuitive interface. Think FedEx package tracking and shopping on Amazon. Easy, simple, and] understandable. Interfaces that aren't easy, simple, and understandable consistently fail in the open market. Other systems are designed to extract value from flows of people and information. That class of systems are typically designed by MBAs and collect information eminating from those flows. They're an add on and not part of the natural flows. They tend to be focused on collecting data and exhibit no interest in optimizing flows. Users consistently express frustration at the interfaces, especially those that interrupt and hold up flows. Think most electronic health systems (EHRs and EMRs) and navigating crappy government websites. These systems often arrive after regulations require new data must be reported to the government. The people that design that class of systems don't care about users opinions that get in the way of collecting data.

Have you ever seen a hospital CEO move up the ladder to a better job in another sector of the economy? There’s a reason for that.

The legislators and beauracrats who put us in this position need to go first. The regulations favored the favored. Time to simplify health information exchange.

Cynthia Fisher emphasizes how important @USDOL’s PBM Fee Disclosure rule is to employers and workers nationwide: “Pulling back the curtain on all of this, smashing that black box, and seeing all of these fees is such a huge, transformative shift… It will allow us as CEOs, as board members, as CFOs to take back control of our spending that’s used for the workers’ health plan.”

Every child born Is an opportunity to optimize their childhood. Because they are members of our community.

The point lands cleanly either way. Centering patients and providers cuts through the noise of optional layers that don't earn their keep.

Some systems are designed to support natural flows; order intake, patient registration and support, loading and dispatching delivery trucks, etc. That class of systems are typically designed by entrepreneurs to optimize flows of people and information in which they have an interest. . They tend to be well thought out and designed, and users describe an easy and intuitive interface. Think FedEx package tracking and shopping on Amazon. Easy, simple, and] understandable. Interfaces that aren't easy, simple, and understandable consistently fail in the open market. Other systems are designed to extract value from flows of people and information. That class of systems are typically designed by MBAs and collect information eminating from those flows. They're an add on and not part of the natural flows. They tend to be focused on collecting data and exhibit no interest in optimizing flows. Users consistently express frustration at the interfaces, especially those that interrupt and hold up flows. Think most electronic health systems (EHRs and EMRs) and navigating crappy government websites. These systems often arrive after regulations require new data must be reported to the government. The people that design that class of systems don't care about users opinions that get in the way of collecting data.

For my final @doximity fellow article, #physicians have lost the ability to delegate clerical tasks in the #EHR era #Tech should work for physicians, not the other way around doximity.com/newsfeed/700d8f… #MedTwitter #HealthIT #PhysicianBurnout #radonc @DrDiGiorgio @DGlaucomflecken @CAPphysicians @CMAdocs @PACDoctors @ReasObBob @realdocspeaks @abe_verghese @ACPIMPhysicians

Follow the Leo Milas thread to see Grok's review of patent physician flows

The EHRbacklash continues!

Just saw a post about Disney parks and boats customers and how the attendence numbers are growing. They base revenue projections on average spend per visitor. Because they know the number. In healthcare delivery, many organizations view patients as billing opportunities. They know higher numbers are better. And, if they're non profit, there's no tax to pay!

The usual suspects benefited: Hospitals & IDNs EHR vendors Insurance companies ... and the legislators and regulators they bought. They all benefited. Patients and physicians, the principals at the point of care, not so much.

Healthcare delivery has been corrupted & basterdized. Som special interests care more about their profits than the public good Way more. It's time to name them and flush them out of the system!

The suits don't care. Your complaints are just bothering them. Pipe down!

Must one be a physician to opine?

The EHRbacklash continues.