A Picture is Worth a Thousand Words

A Picture is Worth a Thousand Words

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These days I’m spending a lot of time getting in depth with many tech companies. From time to time I’ll be asking those innovators to tell their story on THCB, and suggest what problems they are solving. First up is Meghan Conroy from CaptureproofMatthew Holt

Today’s doctors are communicating with their patients less than ever before, even as their days grow longer and busier. Physicians are pressured to see more patients in shorter encounters, while at the same time shouldering more of the administrative and documentation tasks associated with electronic medical records (EMR). The result is physicians who are spending more time looking at patients’ EMRs than looking at – or interacting with – the patients themselves.

Research bears this out. A recent RAND study shows that providers are frustrated by the high volume of clerical work, and the implementation of poorly designed technology, that hamper their efforts to deliver effective, efficient care. Primary care physicians spend nearly two hours on EMR tasks for every hour of direct patient care, with an average of six hours – more than half their workday – interacting with the EMR during and after clinic hours. The same study found that U.S. physicians’ clinical notes are, on average, four times as long as those in other countries.

No wonder the country is facing an epidemic of physician burnout. Doctors have become high paid data entry workers rather than caregivers. They are tethered to their screens, filling out countless forms and responding to multiple messages, eating into their face-to-face time with patients. With more patients to see, they have less time to prep for each encounter, leading to sub-optimal patient experiences and poorer outcomes.

Ironically, while technology helped create this problem, it also could provide the solution. Today, there are new tools that can help providers make patient visits more efficient, enhancing the quality of care. These tools range from Augmedix’s tech-enabled virtual scribes, intelligent personal assistants like Amazon’s Alexa which could transcribe doctors notes during appointments, and blockchain which could decentralize data and put it into patients’ hands.

The most compelling use of these new technologies liberates clinicians from the tedious and time-consuming work of inputting words into EMRs. My company CaptureProof converts people’s mobile phones into a secure, easy-to-use connected health tool for documenting and communicating vital patient information visually. These replace extensive note-taking in the EMR. Literally a picture is worth more than a thousand words and it only takes 13 milliseconds to scan versus 7.7 minutes to read and 3h20min to write.

The advent of these technologies means that the time has come to replace the standard of written medical records with visual reports. By empowering providers with faster, more accurate and meaningful visual data, these technologies can liberate them from the tyranny of inputting and reading thousands of words each day in EMRs, and allow them get back to doing what they are meant to do – providing quality care to patients. By contextualizing data over time visually, patients and providers can track health and healing.  Objectively comparing data will allow for more informed decisions and ultimately, improved care and a better patient experience.

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3 Comments on "A Picture is Worth a Thousand Words"


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kiranmondal123
May 29, 2018

The advent of these technologies means that the time has come to replace the standard of written medical records with visual reports. By empowering providers with faster, more accurate and meaningful visual data, these technologies can liberate them from the tyranny of inputtin to more details follow my link-

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William Palmer MD
May 30, 2018

But do we really know the best way to keep medical records (for the uses to which they are put)?

We could have all kinds of answers here. Eg the various specialties might need dfferent types of record keeping. Different stakeholders probably need different styles of records. On and on…Maybe the patient’s transcribed voice would be good sometimes.

We should study this with an open mind and back off on dogmatism.

Member
William Palmer MD
May 24, 2018

We don’t have to argue here…we need to just test the efficiency of information transfer from scientific study: Test it using EMRs, from icons or avatars or some variety of pictorial records (CaptureProof’s method?) and from the doctor’s own hand-written notes in the chart.

We could try audio notes alone, too, or the machine transcription thereof. There may be other possibilities.

If we were designing the instrument layout of the cockpit of a F-35 jet fighter, we would approach this information documentation and efficient retrieval in a scientific way. We are all guessing here.

We can’t afford anymore to continue to follow blah blah political opinion makers in our system without acquiring hard evidence. It seems the instigators of the EMR want to be unaccountable.

Of course, the purpose of the medical record has to be finally decided too. It seems as if it is for billing and for studying population health. Then, for heaven’s sakes, admit this and proceed with work for a useful doctors/nurses medical record tool.

We are wasting years and millions of man hours on this billing tool distraction.