#MEQAPI Transcript
Healthcare social media transcript of the #MEQAPI hashtag.
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See #MEQAPI Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | MEQAPI @meqapi #MEQAPI is live! We are talking about things that are surprising, frustrating, confusing Please say hi and introduce yourself and what topic you are covering in today's workshop https://t.co/ZMbFuKqUrI |
 | Matthew Loxton is also on Mastodon @mloxton RT @meqapi: #MEQAPI is live! We are talking about things that are surprising, frustrating, confusing Please say hi and introduce yourself and what topic you are covering in today's workshop https://t.co/ZMbFuKqUrI |
| MEQAPI @meqapi #MEQAPI T1: Policy: What laws, policies, rules, regulations, etc. cause your issue, what are potential solutions to your issue? https://t.co/u5S2a69irR |
| Matthew Loxton is also on Mastodon @mloxton Matthew the Healthcare Improvement Gnome. My biggest frustration is filling in the same information on forms, on subsequent visits #meqapi |
| MEQAPI @meqapi @bbhomebody @Cpnervecenter @lisadbudzinski Hi Becky! Glad you could make it to #MEQAPI today |
| MEQAPI @meqapi #MEQAPI |
| MEQAPI @meqapi @DrLindaMD Hi Linda, thanks for squeezing #MEQAPI into your busy clinical schedule! |
 | Maria Antonieta Diaz- Fernandez @MdAntonieta @meqapi Antonieta Healthcare in 🇲🇽 My biggest frustration is have a boss without management in health system ...#meqapi #meqapi |
| Matthew Loxton is also on Mastodon @mloxton T1: There is no federal or state requirment to repeatedly collect the same manual information. It is a facility/practice policy. They could change the policy to collect electronically via the portal or shared PHR info. I could help fix by talking to them about it #MEQAPI |
| MEQAPI @meqapi @MdAntonieta Hi Maria! Thanks for joining #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @MdAntonieta @meqapi Must be irritating :) How does this impact you or your work? Does it result in budget or staffing issues, does it affect patient care? #meqapi |
| MEQAPI @meqapi #MEQAPI T2: Equipment: What equipment and device factors cause your issue, what are potential solutions to your issue? https://t.co/dGSrK8U6PY |
 | Linda Girgis MD @DrLindaMD T1. We take patients no matter what time they come. I hate to turn anyone away, esp someone who is sick. I admit that I'm probably the cause of this policy problem. Don't know a good solution, except to make those come late wait until after the ones who are there on time. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @bbhomebody So you have a personal policy to pace your workload according to your health status on that day? #meqapi |
| Linda Girgis MD @DrLindaMD T2. I blame it on #NJ traffic. #meqapi |
 | Art Fougner (vaXXXXXXXed) @sonodoc99 Count me in that same boat #meqapi |
 | John Oeffinger @johnoeffinger75 RT @DrLindaMD: T1. We take patients no matter what time they come. I hate to turn anyone away, esp someone who is sick. I admit that I'm probably the cause of this policy problem. Don't know a good solution, except to make those come late wait until after the ones who are there on time. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @DrLindaMD So you created the policy (a noble one) that causes you to have bottlenecks if any patient is a late start. Would an hour or two or three warning help? If they warn you ahead of time for a no-show or a late-show, or come in unexpectedly? #meqapi |
| Linda Girgis MD @DrLindaMD @mloxton Yes, if they called ahead, any time really, we could try to tweak the schedule. #meqapi |
| Linda Girgis MD @DrLindaMD @bbhomebody That might be scary! #meqapi |
| MEQAPI @meqapi #MEQAPI T3: Measurement: What quality, safety, and performance metrics cause your issue, what are potential solutions to your issue? https://t.co/iJE9cZAfgD |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @mloxton @meqapi Its really difficult because my boss don’t know the why ... how... when to do process ... affect the patients and the health team also ... #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T2: Lack of electronic appointment and record details on the patient portal, and lack of integration with the EHR is causing it. Ideally updating my record in my PHR pushes updates to all my HCP's When I am there, let me see it on my phone or give me a tablet #meqapi |
| Maria Antonieta Diaz- Fernandez @MdAntonieta RT @mloxton: @MdAntonieta @meqapi Must be irritating :) How does this impact you or your work? Does it result in budget or staffing issues, does it affect patient care? #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @bbhomebody So a tech help might be voice control on the PC? Are they effective for you? (I find them amazingly useless) #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @DrLindaMD Is there a potential tech fix, like a mobile access or link to your portal, or even a text system that they could send a "gonna be X min late", possibly rescheduling on the fly? #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @MdAntonieta @meqapi so maybe your next step is to look to measurement - in what measurable way is your boss causing issues with safety, timeliness, effectiveness, efficiency, equitability, patient-centeredness, or patient access? that might help identify movable causes? #meqapi |
| Linda Girgis MD @DrLindaMD @mloxton They can send messages through the patient portal, but they rarely do. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @bbhomebody perhaps to have specific plans for different levels of incapacity that can be triggered without having to do much manual effort? Canned texts that can be sent out, cancellations, etc? #meqapi |
| MEQAPI @meqapi #MEQAPI T4: Environment: What environmental factors cause your issue, what are potential solutions to your issue? https://t.co/7G3hUWCTJ2 |
| Linda Girgis MD @DrLindaMD @drdashinsky @mloxton Exactly! Agree with all your points. I too try to let patients know if I am running behind. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @bbhomebody That might help, and also give you a measure of just how productive you can be under various scenarios. It's often hard to remember or predict. I know a migraine will typically take out my reading for 1 hr, my thinking for 30 min, and my appetite for 4hr #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @DrLindaMD Ah so that's something to dig into. Can one of your team ask them why? Is it not possible once they leave the house Did they not think of doing so Is there no functionality in the portal etc Do you have a nurse who could ask? #MEQAPI |
| Linda Girgis MD @DrLindaMD Yes. Actually, it might be something the front desk receptionist could ask and that might be a fix. Trying to get the patients to use the patient portal more. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @bbhomebody The android speech to text isn't bad, and it seems to learn fairly quickly, but does require teaching I don't use it because my voice fluctuates too much #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @bbhomebody Wow, yes! Good planning! #meqapi |
| MEQAPI @meqapi #MEQAPI T5: People: How do the people in healthcare – the staff, cleaners, technicians, clinicians, researchers, public, media, friends, family, etc cause your issue, what are potential solutions to your issue? https://t.co/TEKSN1Kwxl |
| MEQAPI @meqapi @DrLindaMD Perhaps on the policy side, you might implement follow-up anytime a patient was a no show or late show to find out why, and under what conditions they might be able to warn you. Have reception follow up, ask why 5x, do a fishbone, and see what causes you can mediate #meqapi |
| Linda Girgis MD @DrLindaMD @bbhomebody @mloxton I know some doctors charge for no-shows but never heard about late fees. #meqapi |
| Linda Girgis MD @DrLindaMD @meqapi I think this is a good idea. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @bbhomebody @DrLindaMD On the people side, that usually has totally the opposite effect. If they pay $ for lateness, they will see it as a transaction rather than embarrassment. In many experiments it usually leads to MORE lateness Humans! #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @DrLindaMD @meqapi Same tools that we use for Lean Six Sigma can be used - Fishbone to help the patients point to what causes their lateness and what might mediate it - Ask why until you leave the building - 5S, can a cleanup help? etc #MEQAPI |
| MEQAPI @meqapi #MEQAPI T6: Materials: What “medical stuff” that patients need cause your issue, what are potential solutions to your issue? https://t.co/Tf9ZHFP9Bj |
| Matthew Loxton is also on Mastodon @mloxton T6: For my issue, dump the damn clipboard. Give me the data in electronic format - that will cut half the mistakes and make the staff more efficient! #meqapi |
| MEQAPI @meqapi @bbhomebody @mloxton @DrLindaMD Yup! And guess who has two thumbs and has never been late to the doctor but has usually waited? #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @bbhomebody Has it's limits, but a great way to channel thought and help to think of more places a cause or cure can come from Helps prevent that "oh heck, never thought about that" syndrome ;) #meqapi |
| MEQAPI @meqapi #MEQAPI CT: What should we be doing differently - what will YOU do differently? https://t.co/f1OW49CQCe |
| Matthew Loxton is also on Mastodon @mloxton @DrLindaMD @meqapi oh ...if you do, remember to take measurements before and after. Too easy to dive in and "do stuff" and then not know if it helped or not #meqapi |
| MEQAPI @meqapi ... and that's a wrap! Thanks for joining #MEQAPI today! Please join us October 25 at 9pm EST for the next #PWChat on #ICU safety, with @KellyCawcuttMD https://t.co/0AZa0giEQX |
| Matthew Loxton is also on Mastodon @mloxton CT Thinking we should do THIS chat more often. Did any of you find it useful? Would you want to do it again? #MEQAPI #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @bbhomebody Absolute pleasure! #meqapi |
#MEQAPI content from Twitter.