Patient burnout is an undocumented public health crisis. ๐จ
2) #PatientAdministrativeBurden (PAB), or the work that individuals need to do to get the care they need, is of epic proportions, especially in the context of chronic illness, multiple co-morbidities, life-altering, and life-limiting conditions. ๐
3) Patients are buried in:
๐ piles of paperwork
๐ fragmented, manual, poorly coordinated workflows
๐ massive losses of time in waiting and navigating uncharted, unsupported care journeys
๐suffering
4) Traditionally underserved, marginalized communities and immigrant populations suffer silently in survival mode, facing too many barriers to accessing the care they need. ๐
5) Status quo response: wave a shaming finger at patients, summarize the state-of-affairs w/labels
๐ non-compliant
๐ non-adherent
๐ lazy
๐ stupid
๐ illiterate
๐ hysterical
๐ drug-seeking
๐ frequent flyer
๐ difficult
๐ demanding
๐ googling
๐ poor historian
๐ unengaged
6) We push patient behavior change as the holy grail of patient engagement, solidifying the patient is the one to blame.
Too many stakeholders are missing the point of the #InformationBlockingRules and patient's having access to THEIR health information.
For the record:
๐It's not only about access for access sake. It's not just about seeing a result. ๐
2) ๐It's about access for ACTION's sake. ๐
3) Ability to strategically operationalize when you have
โ chronic illness
โ life-altering, life-limiting condition
โ #RareDisease
โ #disability
makes all the difference in
๐outcomes
๐#PatientSafety
๐care coordination
๐costs
๐access to community supports
๐access to research
๐งตImagine your loved one is being treated for advanced, aggressive cancer and they are hospitalized for poorly managed treatment-related side effects.
While in the hospital, they test positive for #COVID19, further deteriorate, & are placed on a ventilator.
2) You can not visit your loved one bc they are in the #COVID19 critical care unit.
You are getting phone call updates but the information is fragmented. You know the care team is doing the best they can & appreciate the care your loved one is receiving.
3) A week goes by, you receive a phone call that your loved one is dying. You receive permission to come say goodbye.
You leave the hospital in a daze, shocked, overwhelmed with grief by the downward spiral of events. A mindboggling tragedy.
1) Over the last 2 weeks, I've been jotting down words & statements from various conversations & interview questions I have been asked.
These words stick out like a sore thumb. What are these words, you ask?
2) Too helpless
Too timid
Not smart enough
Incapable
Too oblivious
Indifferent
Uneducated
Could care less
Too anxious
Too lost
Not committed enough
Wrong priorities
Lazy
Canโt handle it
Too weak
Too vulnerable
Difficult
Ignorant
Apathetic
Complicated
Rude
Too hysterical
Selfish
(Thread) Reflecting today after an incredible few days in Washington DC at #HDpalooza & #NHPC20 which gave attendees the best of both health data & health policy innovation worlds.
๐Patients have a RIGHT to their health data & the boundaries of access, control, #privacy, & choice have never been questioned, contemplated, & examined more or pushed farther than ever before.
@S4PM 1) A patient with multiple comorbidities has been in & out of the hospital w/what now has been diagnosed as advanced congestive heart failure. At about 5 pm yesterday (Fri), patient & family were told to seek a 2nd opinion asap. Told patient being discharged today. #UnblockHealth
@S4PM 2) The urgent 2nd opinion is to see if the patient is a candidate for a particular procedure. If not, #hospice. Appt canโt be scheduled until ALL records & images on CD are received & reviewed by the 2nd opinion drโs office (at another hospital, in another state.) #UnblockHealth
1) So you get a copy of your medical records & dive in, reading line by line, trying to make sense of your new lung #cancer diagnosis.
โWait a second, this doesnโt sound right. This is a mistake. I donโt have a history of a heart condition & I donโt smoke cigarettes. #PtExp
2) You call your oncologistโs office to report the mistakes you found & ask to have it updated. You are told to write down the correction & fax it to the office. You do exactly that. #PtExp#addendum#EHR
3) At your next follow up appt a month later, you ask the dr if your record was updated & the correction was made.