Gregory Schmidt

Healthcare remains one of the least digitized sectors of the economy. Article: https://www.gregoryschmidt.com/articles/healthcare-digitization-index

Between 1990 and 2007 healthcare was the second worst sector of the USA economy in productivity improvement. In fact it had become less productive with time.   Article: https:/www.gregoryschmidt.com/articles/healthcare-productivity-2014

Countries spend more on healthcare each year than their economy grows. Can this continue forever? Article: www.gregoryschmidt.com/articles/growth-healthcare-vs-gdp #HealthEcon

CBC News published an article on Nursing Day that provoked public outcry. It turns out that the details of the original article were incorrect. CBC proceeded to rewrite the article (a new headline, byline, and content) but the new article was published overtop of their existing article. 

The addition of single-sentence summaries can dramatically improve the information communicated when generating summaries of patient data. This example focuses on trying to display that two consultations occurred in the same day.   Article: https://www.gregoryschmidt.com/articles/single-sentence-summaries

When we fit the patient's narrative into a typical medical story arc, we risk making diagnostic errors. Article: https://www.gregoryschmidt.com/articles/risks-of-using-medical-story-arcs

Sometimes it is not clear which side of the box should be opened. Article: https://www.gregoryschmidt.com/articles/le-creusets-box

Do we even need letters in the code? Are number only codes preferred? Article: https://www.gregoryschmidt.com/articles/two-factor-design

Summarizing the patient's narrative into a medical note introduces error into the earliest steps of the diagnostic and record-keeping process. Article: https://www.gregoryschmidt.com/articles/the-patients-narrative-is-never-written-down

The original first-person patient narrative forms the foundation of clinical medicine, yet its original form rapidly becomes contaminated and evolve once the patient enters the medical system. Article: https://www.gregoryschmidt.com/articles/patient-first-person-narrative

Narrative language is everywhere in medicine. How does this influence how we think & document patient information? Article: https://www.gregoryschmidt.com/articles/narrative-language-in-medicine-intro Custom fields

Back-in angle parking combines the benefits of angle parking with those of bcak-in parking.   Article: https://www.gregoryschmidt.com/articles/reverse-angle-parking

In some countries most cars back-into parking spaces. In other countries, almost nobody does. Why is this?‍‍ Article: https://www.gregoryschmidt.com/articles/why-do-americans-not-back-into-parking-spaces

Help reduce backover injuries and fatalities with these ideas.  Full article: https://www.gregoryschmidt.com/articles/ways-to-avoid-fatalities-from-car-backovers

Each week in the USA, an estimated 280 people are injured and 4-5 people die as a result of backover injuries. Most of them children. Article: https://www.gregoryschmidt.com/articles/backover-deaths

Costco puts extra space between their parking stalls which ensures cars are always centered in the extra-wide parking stall. Full article: https://www.gregoryschmidt.com/articles/extra-wide-parking-stalls

2020 was quiet year for new posts on this website, but busy year for Gregory. Read at: www.gregoryschmidt.com/article/life-update-2020

It may make the most sense to encourage clinicians above a certain age, and those with comorbidities to focus as much as possible on telemedicine care to reduce their risk of mortality from coronavirus.

Summary of the step-by-step process taught by Kevin Starr to design for building lasting impact at scale. Original article: http://www.gregoryschmidt.ca/writing/lasting-impact-at-scale-kevin-starr

Do not teleport your users to different parts of the application. They must take a road to get there, and know which part of the app's 3D space they are in. Original article: http://www.gregoryschmidt.ca/writing/app-design-positional-space

Navigation options starting with mobile: On-page / Bottom tab / Top tab / Side navigation drawer Combining navigation patterns: acceptable & not Original article: http://www.gregoryschmidt.ca/writing/navigation-options-starting-with-mobile

The major user interface regions of the PATIENT FILE Original article: http://www.gregoryschmidt.ca/writing/patient-file-ux-regions

If you are designing on the web, Android, or iOS, a pixel is probably not what you think it means. Pixels, Points, and Display-indepdnent pixels Original Article: http://www.gregoryschmidt.ca/writing/when-is-a-pixel-not-a-pixel-pixels-points-dps

If 1080p is 2x as vertically dense as 720p, Why is 4K not 4x as vertically dense as 1080P? Original Article: http://www.gregoryschmidt.ca/writing/why-4k-is-misleading

Mobile phones and tablets advertise Height x Width x Depth ? This seems backwards. Original article: http://www.gregoryschmidt.ca/writing/why-are-phone-dimensions-backwards

Almost always write the HORIZONTAL dimension first, the VERTICAL second. Unless, you are a fine art dealer or mobile phone manufacturer. Original article: http://www.gregoryschmidt.ca/writing/writing-dimensions

The book for organizations and individual who measure their success not in terms of dollars and cents, but by their social impact. It challenges us to think big, start small, and relentlessly seek impact. http://www.gregoryschmidt.ca/writing/lean-impact-detailed-summary

Who are the doers at scale? Who is the payer at scale? Lessons from the book Lean Impact by Ann Mei Chang and work of Kevin Starr. Original article: http://www.gregoryschmidt.ca/writing/engines-of-growth-in-social-impact

How philanthropic & grant based funding differs from traditional startup venture capital. Rigid waterfall grants. Small linear steps. Unscalable solutions. Original article: http://www.gregoryschmidt.ca/writing/why-philanthropy-hampers-innovation

The entrepreneurship startup principles of Lean Startup, applied to social ventures as described in Lean Impact. How to build a social impact project that scales. Original Article: http://www.gregoryschmidt.ca/writing/lean-impact-lean-startup-brief-summary

The WORKFLOW section of the medical record completely transforms the EHR experience and clinical care. It is much more than just a form. Original Article: http://www.gregoryschmidt.ca/writing/the-patient-workflow-is-not-a-form #EHR #EMR

The Patient File contains the Patient Chart & Patient Workflows. The design of the Patient Chart is generalizable, the Patient Workflows highly use case specific. Original Article: http://www.gregoryschmidt.ca/writing/what-is-the-patient-file #EHR #EMR

Ranking of 6 different strategies to search for patients Original Article: http://www.gregoryschmidt.ca/writing/search-for-a-patient-in-the-ehr

In a clinical EHR, the first job of the HOME screen is to be bypassed quickly to get the PATIENT FILE open Original Article: http://www.gregoryschmidt.ca/writing/purpose-of-the-ehr-home-screen

The entire EHR can be reduced down to (1) HOME: patient identification & (2) PATIENT FILE: see info, enter info Original Article: http://www.gregoryschmidt.ca/writing/simple-ehr-workflow

The many tasks of an EHR can be simplified into three major tasks. A simple EHR can be built with only 2/3 of these tasks. Original Article: http://www.gregoryschmidt.ca/writing/3-essential-ehr-tasks

EHR performance speed is very important to the user experience; but their are two very different sources for the cause of slowdowns. Original Article: http://www.gregoryschmidt.ca/writing/ehr-speed-root-cause

Start with features that are immediately useful to the clinician logged into the EHR. Do not start by promoting delayed benefits for others. Original Article: http://www.gregoryschmidt.ca/writing/ehr-immediately-useful #EHR #EMR

What are the attributes clinicians look for in an electronic health record? Original Article: http://www.gregoryschmidt.ca/writing/ehr-atributes-for-clinicians #EHR #EMR

Can we build an electronic health record tool that clinicians eagerly want to use over their paper-based workflows? Original Article: http://www.gregoryschmidt.ca/writing/build-an-ehr-clinicians-want-to-use #EHR #EMR

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