Thank you Carmella for asking your question.  But the three part answer I gave is a bit vague and wanted to expand on it a bit to better represent how critically important having a trusted employee manage the EHR is.  Also, I did not address the EHR generated alert or more specific alert issue. The … More Thank you Carmella Steinke for asking

We have been on a journey together, some for twenty one years, but the last three years but more specifically the last 10 months have been incredibly eye opening. I have moved from a zone of habit into an area of exploration, which has not come without some stress and consternation. However, on this verge … More A Happy Thanksgiving to all

I was nearly brought to tears twice this week.  I am not one that does this very often, but I got double walloped this week. Out of the blue, unexpected, two unrelated circumstances. I had been chatting with the office manager, and walked back to my desk, and a brown paper sack with a beautiful … More The Christmas cactus and two wine stoppers

For the last three days, my nurse has been training a float nurse.  It is extremely important to have a very competent and technologically fluent nurse available to fill in at a moments notice to minimize any disruption of care.  The advantage of one nurse managing the EHR, schedule, telephone, e-faxing, secure messaging, and scanner … More Insight of a nurse comparing small office workflow to a large multiple physician office

I am an internist very pleased with working in a small primary care office, doing what I love to do.   I am not trying to sell anything nor do I work for either Amazing Charts or Updox.  I do however, out of gratitude, often discuss the resultant positive effects of both the EHR and … More Very Grateful

“Thank you for sending my Hemoglobin A1C result in the portal, I love the portal.  I was convinced it was going to be elevated and had a whole other set of questions prepared.  But when I got my result, I was pleasantly surprised.” This comment by one of my patients reflects the simple but well … More A whole other set of questions

Ebb and flow, Behind the register greasing up the ones and fives, Washing windshields, oil checks, the pride of a paycheck, Waves of stark and moments of chaos, Fond memories of a time gone by.

After a long cold winter the ice begins to thaw, The first trickle staggers and stutters, But the crystal becomes fluent and flowing, And that which was held captive now unconfined.

When would you rather see your record for the first time? In a big packet of papers, the words cold, clinical, unbending, difficult to understand.  Distant.  Questions develop, inaccuracies noted, how does one correct?  Frustration, calls to the office, time passes. I am of the opinion it is best to see your record for the … More When you see your health record for the first time

Thank you Annette for the mention on your blog site this week.  I follow and read your tweets every day and find your curiosity and determined approach appealing. Your point of being a complex patient and having your list of concerns met during an office visit is challenging. I would like to address how I … More Thank you Annette McKinnon