Tag Archives: informatics

Remote Globe Puppy

The New York times just ran a story about how Mongolia uses a system for their mail where each address consists of three words. A clever British start-up company What3Words divided a map of the world into 57 trillion pieces, … Continue reading

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An ICD-9 Story

Medical billing and epidemiology relies on a classification of diseases maintained by the World Health Organization. On the first of October, 2015, we will transition from ICD-9 to ICD-10, a major change that increases the number of available diagnoses from … Continue reading

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Asinine Associations

As I previously wrote, when physicians place orders, they have to associate diagnoses. This is becoming even more painful as we move towards ICD-10, of which I’ll have more to say later. I’m sure this was an attempt by the … Continue reading

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Sesame Chicken

I often suggest my patients use smart phone apps to help them with their diet, in particular Lose It! or MyFitnessPal. Both progams have the ability to scan a bar code of a food item, which will then show the … Continue reading

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A High Tech Call Schedule

Typical of many physicians, I have to take turns being on call. This mostly involves taking calls in the evening, at night, and on weekends for my patients, or those in my call group. I belong in a group with … Continue reading

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Medicare Payment Formula Finally Changed – Win or Loss?

Congress passed a  law in 1977 linking Medicare payments for physician services to growth in the economy.  Because it failed to take into account inflation and other factors, Congress has had to act 17 times to prevents cuts to physician … Continue reading

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Epic SmartPhrases

If you do not use the electronic medical record Epic Hyperspace, this article is probably of no interest to you. I previously wrote that I have done a lot of customizations to Epic. In this post I’ll explain how I … Continue reading

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Pierce County Medical Society Website Launch

I’m proud to announce that today the Pierce County Medical Society (PCMS) went live with a newly redone website. I’ve been working on it for over a year. There is a lot to see on the site. I’ve created a … Continue reading

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Medication Small Print

When I give a cortisone injection, I have to document it in our electronic medical records. I’ve always included the dose, how administered (intramuscular), and the lot number. This week my company added the requirement that we include the NDC … Continue reading

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Dangers of a Transparent Medical Record

Over the years there has been a push to allow more patient access to their records. Patients in our system that have signed up for MyChart with our electronic medical record Epic, can see most of their test results shortly … Continue reading

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