Gregory Schmidt

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Internal Medicine / Healthcare Systems / Design / EHR / Technology

Gregory Schmidt MD


    • May 24, 2021 LATEST EPISODE
    • weekly NEW EPISODES
    • 13m AVG DURATION
    • 130 EPISODES


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    Latest episodes from Gregory Schmidt

    Healthcare's low Digitization Index

    Play Episode Listen Later May 24, 2021 5:01


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

    Healthcare productivity is the (second) worst

    Play Episode Listen Later May 21, 2021 2:51


    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

    Growth in healthcare spending outpaces growth in GDP

    Play Episode Listen Later May 17, 2021 6:43


    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 hides inflammatory article published on Nursing Day

    Play Episode Listen Later May 17, 2021 7:53


    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. 

    Single-sentence summaries improve EHR data display

    Play Episode Listen Later May 4, 2021 9:50


    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

    Risks of using medical story arcs

    Play Episode Listen Later May 4, 2021 11:02


    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

    Product Packaging UX: hard to open cardboard boxes

    Play Episode Listen Later Apr 26, 2021 6:56


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

    5 Principles of Two-Factor Code Design

    Play Episode Listen Later Apr 25, 2021 5:30


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

    The patient's narrative is never written down

    Play Episode Listen Later Apr 24, 2021 6:46


    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 patient's first-person narrative

    Play Episode Listen Later Apr 19, 2021 5:46


    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

    Series introduction: narrative language in medicine

    Play Episode Listen Later Apr 19, 2021 2:53


    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

    Play Episode Listen Later Apr 12, 2021 3:08


    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

    Why do Americans not back into parking spaces?

    Play Episode Listen Later Apr 1, 2021 8:04


    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

    Ways to avoid fatalities from car backovers

    Play Episode Listen Later Mar 28, 2021 7:17


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

    Deaths from cars backing-over people

    Play Episode Listen Later Mar 27, 2021 4:43


    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's extra-wide parking stalls

    Play Episode Listen Later Mar 26, 2021 1:41


    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

    Life Update: 2020

    Play Episode Listen Later Jan 9, 2021 1:19


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

    COVID-19: Should clinicians age 60+ only do tele-care?

    Play Episode Listen Later Mar 11, 2020 12:43


    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.

    Lasting impact at scale, the work of Kevin Starr & Mulago

    Play Episode Listen Later Sep 1, 2019 34:31


    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

    App design: positional space

    Play Episode Listen Later Aug 25, 2019 10:15


    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

    Play Episode Listen Later Aug 25, 2019 11:13


    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

    PATIENT FILE: Major UX Regions

    Play Episode Listen Later Aug 24, 2019 4:20


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

    When is a pixel not a pixel? px, pts, dps

    Play Episode Listen Later Aug 21, 2019 7:34


    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

    Why 4K is misleading

    Play Episode Listen Later Aug 21, 2019 4:32


    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

    Why are phone dimensions backwards: Height x Width ?

    Play Episode Listen Later Aug 21, 2019 4:31


    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

    UI/UX: Writing X vs Y dimensions

    Play Episode Listen Later Aug 21, 2019 3:07


    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

    Lean Impact: how to innovate for radically greater social good (detailed summary)

    Play Episode Listen Later Aug 16, 2019 21:00


    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

    Engines of Growth in Social Impact

    Play Episode Listen Later Aug 16, 2019 5:41


    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

    Why philanthropy & grants hampers innovation

    Play Episode Listen Later Aug 16, 2019 12:28


    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

    Lean Startup + Lean Impact: Combined Short Summary

    Play Episode Listen Later Aug 16, 2019 8:45


    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 Patient Workflow: it's not just a form.

    Play Episode Listen Later Aug 13, 2019 9:32


    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

    What is the Patient File? - EHR UX

    Play Episode Listen Later Aug 13, 2019 6:23


    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

    Ways to search for a patient in the EHR

    Play Episode Listen Later Aug 13, 2019 15:05


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

    Primary Purpose of the EHR HOME screen

    Play Episode Listen Later Jul 24, 2019 2:37


    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

    Simple EHR workflow: only 2 screens

    Play Episode Listen Later Jul 24, 2019 3:35


    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 3 (+1) essential tasks of an EHR

    Play Episode Listen Later Jul 24, 2019 5:56


    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

    Slow electronic health records: two root problems

    Play Episode Listen Later Jul 24, 2019 5:50


    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

    Make the EHR immediately useful for users

    Play Episode Listen Later Jul 24, 2019 10:15


    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 atributes do clinicians look for in an EHR?

    Play Episode Listen Later Jul 23, 2019 3:18


    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

    Build an EHR clinicians want to use

    Play Episode Listen Later Jul 23, 2019 5:56


    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

    Electronic Health Records: Who do we build this for?

    Play Episode Listen Later Jul 23, 2019 7:23


    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

    Pair Together: Design Thinking, Lean Startup, Agile

    Play Episode Listen Later Jul 23, 2019 4:20


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

    Proposed model for innovation within an open-source community

    Play Episode Listen Later Jul 22, 2019 15:49


    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

    The Lean Startup: Key themes from the book by Eric Ries

    Play Episode Listen Later Jul 21, 2019 25:01


    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

    Speed vs Reusability

    Play Episode Listen Later Jul 12, 2019 7:58


    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 Fragmentation: Focus on the Patients, and the Data will Follow

    Play Episode Listen Later Jun 7, 2019 7:46


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

    Three Levels of Health System Technology

    Play Episode Listen Later Jun 5, 2019 7:23


    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

    OpenMRS Design Call April 2, 2019 | OpenMRS Flow, Concept Proposal

    Play Episode Listen Later Apr 2, 2019 58:53


    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

    The Role of Design in Electronic Health Records: Past, Present, & Future

    Play Episode Listen Later Mar 27, 2019 70:47


    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

    OpenMRS 3 - Benefits of modularity in an open-source Electronic Health Record

    Play Episode Listen Later Feb 25, 2019 69:26


    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

    Modular Design - First principles from the physical world

    Play Episode Listen Later Feb 21, 2019 20:55


    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

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