Aoi Senju
634 posts
Aoi Senju
@AoiSenju
Co-founder/CEO @ColabraHQ.
Hear me out. Small liberal art colleges are being put up for sale all the time in New England for shockingly low sums. This one is US$5.5 mil and all the campus buildings are included. If a bunch of people get together to buy one then I am in. I went to college in that part of the country and while winter is for the birds I’ve never lived anywhere more beautiful. “But it’s isolated and boring” was college boring? No. Fill it up with interesting people. Have offices and co-working spaces in the classrooms. Play into the brand and host lectures and conferences. “Why don’t you do it yourself” I don’t have the means or the organizational ability. I’m just going to meme the idea at regular intervals and hope the right people get inspired.
Breaking: OpenAI board in discussions with Sam Altman to return as CEO trib.al/DTxl5tC
How to be hyper-efficient in #Epic #EHR — from a physician #informaticist who loves to flyyy on shift🧵 1️⃣ Smartphrases are the #1 documentation efficiency. Use a standard naming convention so you can find it quickly. I use: .dc*** for discharge instructions (ie .dcviral, .dcchestpain) .proc*** for procedures that aren’t smart blocks (.proccpr, .proctriggerpoint, etc.) .hpi*** for standard history where I mark *** to cue the parts to fill out (.hpimvc, .hpitransfer, .hpistd) .mdm*** for risk calculators that aren’t in Scoring Tools (.mdmPerc, .mdmCanada, .mdmHasbled, etc.) 2️⃣ Macros: same concept as smartphrases, but used for smart blocks (the click-buttons in Notewriter for Exam, ROS, Procedures, etc.) 3️⃣ Ctrl-space bar opens up a search function where you can search the entire chart. I.e. I’ll search “creatinine” to see if careeverywhere (OSH) has a creatinine documented outside my system to compare a baseline, or search “cancer” if a patient says they had cancer and I can’t figure out what type 4️⃣Epic has a whole free training series called “Power User” geared at clinicians of small 1-hour asynchronous topics of how to maximize efficiency. Pick and choose what’s relevant to your context/specialty. Check it out! Training.Epic.com 5️⃣Talk to your local Epic builders (called application analysts) or your Epic trainers/educators. There are a TON of customizations the system can do. Automated-drop-in’s (called CER rules, but basically like IF a patient has a systolic BP>140, THEN drop in a phrase mentioning you acknowledge and address it by ***), customizing your trackboard/patient lists, building data elements behind drop-downs (smartlists) so you can report on it, and overall helping you decrease clicks! Epic is highly customizable, just need a clinical champion to work with analysts to understand where builds can help clinical workflow! There are many more “hacks”, these are just some of my favorite! (And, no conflicts with Epic, it’s just my favorite EHR out of Cerner, Meditech, Medhost, etc…) Interested? Think about #informatics as a field OR talk to your local friendly physician informaticist (often CMIO at a hospital system!) @AMIAinformatics @HIMSS #medtwitter
