Gregory Schmidt

Who is the true customer in enterprise medical record software? Who do we build EHRs for? Let’s move more influence downstream to the patient, and those that care for them. Original Article: http://www.gregoryschmidt.ca/writing/ehrs-who-do-we-build-this-for #EHR #EMR

Three methods that work well together within the same cross-functional team. Original Article: http://www.gregoryschmidt.ca/writing/design-thinking-lean-startup-agile

How does one bring the buzzword of innovation, and principles from The Lean Startup into a large open-source community? Original Article: http://www.gregoryschmidt.ca/writing/org-model-for-innovation-within-open-source-community

A must read for anyone trying to do something new (within an existing organization, or a new venture).   Original Article: http://www.gregoryschmidt.ca/writing/lean-startup-book-summary

Are you slow and non-reusable? There are at least two routes to operating fast and very reusable. Original Article: http://www.gregoryschmidt.ca/writing/speed-vs-reusability #Startup

Healthcare in America is fragmented for patients, caregivers, providers, payers, and the public. Herein lies the opportunity. http://www.gregoryschmidt.ca/writing/healthcare-fragmentation

Level 1 to Level 2 is a shift to systems where a significant amount of care is provided by healthcare workers, using digital health tools, in integrated systems. http://www.gregoryschmidt.ca/writing/three-levels-of-health-system-technology

April 2, 2019 Design Call Discussion of proposed starting point for collaboration on new frontend application. "OpenMRS Flow - Concept Paper" Read Original Document: https://docs.google.com/document/d/11Z7ploIaZsMxGwlhqYavMH3WjlwwwoKD_nKvPnvH0lw/edit?usp=sharing Comment on Talk Thread: An amazing future for OpenMRS https://talk.openmrs.org/t/an-amazing-future-for-openmrs/22328 #OpenMRS #EHR #Design

How bad really is the state of many EHRs today? What design problems will EHRs face in the future? Design must achieve a purpose What is the purpose of an Electronic Health Record? http://gregoryschmidt.ca/writing/the-role-of-design-in-ehr #EHR #Design

How do we design an EHR platform that makes collaboration easy? Horizontal and vertical modularity is key. Images & text http://www.gregoryschmidt.ca/writing/openmrs-3-modularity-principles #EHR #Design #Modularity

Pretty much everything is highly modular. The world wouldn’t function without it. Modularity makes it possible to build quickly and cost effectively. http://www.gregoryschmidt.ca/writing/modular-design-first-principles-from-the-physical-world #Design #Modular #Modularity

It is embarrassing that healthcare does not assess its quality with the same rigour of other industries. Measure medical quality in real-time, in the real-world. http://www.gregoryschmidt.ca/writing/quality-in-medicine-upper-vs-lower-limits #EHR #Quality #Patientsafety

At the airport I saw a gun appear on the x-ray scanner. Van Halen refused to allow Brown M&Ms on stage. Real-time quality checks are a critical part of any industry. http://www.gregoryschmidt.ca/writing/guns-van-halen-mms-real-time-quality-checks #Lean #Quality #Patientsafety

Interoperability between clinical systems is long overdue, but it is not enough to drive the innovation we required in electronic health records. Ultimately, we require interoperability between the functional components within a clinical system. http://www.gregoryschmidt.ca/writing/interoperability-is-not-enough #EHR #Interoperability

EHR Order Entry, Part 5 - EHR Design from first principles: the connect between orders and action. Why connection of order and action help create systems, and avoids fragmentation. http://www.gregoryschmidt.ca/writing/order-entry-ux-first-principles-order-action #EHR #Design #Systems

EHR Order Entry, Part 4 - How does Knowledge & Orders connect? 1. Why orders exist - to turn knowledge into action 2. The different types of order tools to do this 3. The huge gap between order entry based on these first principles, and how it actually is done today http://www.gregoryschmidt.ca/writing/order-entry-ux-first-principles-knowledge-orders #EHR #Design #CPOE

EHR Order Entry, Part 3 - Order entry can be divided into two categories of tools. 1) Order Selection (Drug Selection) - many UX tools 2) Order Customization (Drug Customization) - a single UX tool Let’s look at this division in more details http://www.gregoryschmidt.ca/writing/order-entry-ux-order-selection-vs-customization #EHR #Design #CPOE

EHR Order Entry, Part 2 - Examples of order entry UX in medical records. Detailed order entry and order sentences Original Article http://www.gregoryschmidt.ca/writing/order-entry-ux-eg-order-entry-and-order-sentences #EHR #Design #CPOE

EHR Order Entry Part 1 - General requirements for a medication order entry system http://www.gregoryschmidt.ca/writing/order-entry-ux-general-requirements-meds #EHR #UX #CPOE

Looking for a list of all healthcare worker occupations divided into official categories? There are at least 50+ large groupings of healthcare workers, and an additional 300+ occupational examples based on these International Classification Standards. Download the spreadsheet list at http://www.gregoryschmidt.ca/writing/international-classification-of-health-workers #WHO #Healthcare #ISCO