One Click At a Time: Technology Empowered Family Medicine Podcast

Steven Lin, MD: Family Physician and AI Implementator

lalita.abhyankar@gmail.com (Steven Lin, Lalita Abhyankar, Kelly Nieves) — Tue, 16 Sep 2025 07:00:00 +0000

Dr. Steven Lin is a practicing family physician, Chief of General Primary Care at Stanford University School of Medicine, the President of the Society of Teachers of Family Medicine, and the Founding Director of the Stanford Healthcare AI Applied Research Team (HEA3RT). In this delightful episode, Steve shares his origin story including how he came to North America and how his childhood experiences primed him for a career as an educator and community oriented family physician. Steve also shares how he got into artificial intelligence by successfully partnering with Google, and the work that he's doing with HEAR3T to actually implement AI in both inpatient and outpatient settings (spoiler alert: they're doing some pretty remarkable things!) Ultimately, he shares how family medicine is in the perfect position to have a strategic role in AI, that might just lead to an exciting new chapter for our specialty.

Karim Hanna, MD: AI, Residency Training, Love and Service

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Wed, 10 Sep 2025 03:40:00 +0000

In their quest to learn more about AI in family medicine education, Kelly and Lalita interview Dr. Karim Hanna, an associate professor and the program director of the University of South Florida Family Medicine Residency. A clinical informaticist, Karim also writes a regular substack on AI at https://www.karimhannamd.com/. In this thoughtful, philosophical conversation, the three discuss how clear content can help engage a new generation of family doctors in a fragmented system, as well as the role of the family physician in the age of AI, and how to make sure that we love and serve patients. Kelly ends this episode with some incredibly poetic thoughts of her own. An episode that gave us all goosebumps and hope, it's a must listen!

Anoop Raman, MD MBA: A Small Island of Aligned Incentives

lalita.abhyankar@gmail.com (Anoop Raman, Lalita Abhyankar, Kelly Nieves) — Tue, 2 Sep 2025 18:45:00 +0000

In this episode, Lalita and Kelly have an expansive conversation with Dr. Anoop Raman, a family physician and the Chief Clinical Officer at AbsoluteCare, a value based care company that serves high-risk, complex patients. Anoop shares his journey from warehouse manager to working for Partners In Health in Rwanda to teaching global health at the Columbia School of Public Health, and finally to joining AbsoluteCare as CCO. He shares the concept of the "ambulatory ICU," how to find the right fit for the work, and the struggles of clinician retention post-pandemic. An interdisciplinary physician, problem-solver and educator, you won't want to miss this episode!

Kelly's UGM Hot Takes!

lalita.abhyankar@gmail.com (Max the Dog, Lalita Abhyankar, Kelly Nieves) — Tue, 26 Aug 2025 07:00:00 +0000

Kelly just got back from Epic UGM and we wanted to get the freshest of the fresh takes! In this episode, Kelly spills her experience and her thoughts, especially now that Epic has shared everything from ambient documentation to their plans for agentic AI. Kelly talks upleveling family medicine's tech discernment skills, dedicating our speciality to innovation, and getting excited for what data stewardship can look like. Max the Dog makes quite the excitable cameo!

Winston Liaw, MD: Teaching Family Physicians with AI

lalita.abhyankar@gmail.com (Winston Liaw, Lalita Abhyankar, Kelly Nieves) — Tue, 19 Aug 2025 07:00:00 +0000

Dr. Winston Liaw is a family physician and the chair of the Health Systems and Population Health Sciences department at the Tilman J. Fertitta Family College of Medicine at the University of Houston. Winston was the former director of the American Academy of Family Physician's Policy Institute: The Robert Graham Center. In this episode, Kelly, Lalita and Winston weave through his past policy research, how primary care fits into health systems and how we can effectively utilize AI to teach medical students and residents. Key takeaway: Maybe it's not as scary as we think, but we'll definitely have to adapt to a new technology healthscape. Check out the Society of Family Medicine's Artificial Intelligence and Machine Learning for Primary Care Curriculum (AiM-PC) modules: https://stfm.org/teachingresources/curriculum/aim-pc/aiml_curriculum/. If you're interested in joining Dr. Liaw's pilot, please email him at wliaw@central.uh.edu.

Kameron Matthews MD, JD: Possibility Beyond Tradition

lalita.abhyankar@gmail.com (Kameron Matthews, Kelly Nieves, Lalita Abhyankar) — Tue, 12 Aug 2025 07:00:00 +0000

Dr. Kameron Matthews is a family physician and Chief Health Officer for Cityblock Health, an innovative value-based care provider that leans on technology to integrate care. In this episode, Kelly and Lalita explore Kameron's journey through medical school and law school, her leadership at the Veteran's Health Administration, and what bringing innovation beyond tradition looks like. A key lesson: just because we've always done something in a certain way doesn't mean that we have to keep doing it that way if it's not working!

AAFPxRock Health: The Starfield Summit

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Tue, 27 May 2025 07:00:00 +0000

In early May, Lalita and Kelly attended the Starfield Summit, a collaboration between the American Academy of Family Physicians and Rock Health, in Kansas City, MO! In this episode, they reflect on the conversation at the summit and their key takeaways on the principles that can guide AI development to support primary care with ground truths, including the 4 Cs of Primary Care (Comprehensiveness, First Contact, Coordination, and Continuity) which were inspired by research from the summit's namesake, Dr. Barbara Starfield. AI is a value-system encoded into our workflows, so how do we encode the vision of health care we wish to see? Join Lalita and Kelly to hear their takes on the intimate conversation with representatives from digital health, industry, legal, regulatory, insurance, and of course LOTS of primary care physicians. 1. Starfield Summit: www.starfieldsummit.com 2. Artificial Intelligence and Machine Learning for Primary Care Curriculum (AiM-PC). Society for Teachers of Family Medicine (STFM) https://stfm.org/teachingresources/curriculum/aim-pc/aiml_curriculum/ 00:00 Introduction and Hosts 00:22 Casual Chat and Catching Up 01:04 Starfield Summit Experience 01:46 Round Table Discussions and Key Takeaways 04:02 Primary Care and AI Integration 04:38 Barbara Starfield's Legacy 06:38 Rock Health and AAFP Collaboration 07:36 AI in Primary Care: Survey Insights 10:45 Innovating for the Right Reasons 14:13 Challenges and Considerations in AI Implementation 18:25 Regulatory Concerns and Future Directions 20:07 Personal Reflections and Fulfillment 20:44 The Great Horse Manure Crisis of 1894 21:33 Healthcare Analogies and Challenges 22:05 Leveraging Family Medicine for Research 22:53 Adopting AI in Personal Practice 23:29 Clinical Decision Making with AI 24:55 AI in Knowledge Management 26:51 Ethical Considerations in AI 29:57 Future of AI in Medical Education 34:15 Concluding Thoughts and Future Topics

Reducing Administrative Burden for Family Physicians

lalita.abhyankar@gmail.com (Kelly Nieves, Lalita Abhyankar) — Tue, 13 May 2025 07:00:00 +0000

In April, Kelly gave a talk called "Reducing Administrative Burden for Family Physicians" to the Texas Academy of Family Physicians at their Lectureship CME series. In this episode, she shares her talk with you, our One Click At A Time listeners! Using the AAFP mnemonic "The Triple Ts: Techniques, Technologies, and Transformations," she breaks down how to organize ourselves and where we can focus our attention when targeting administrative burden, whether it is through human centered design practices, stakeholder buy in for technologies, or advocacy efforts. Definitely take a listen!

Is Family Medicine Innovation?

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Tue, 6 May 2025 07:00:00 +0000

Innovation is a word that is liberally used in technology spaces. Within family medicine circles, we believe that innovation is baked in to our self-perception. Bridging that gap is like leading a diplomatic mission. In a payment landscape where family medicine is the "upstream" problem to the "downstream solution," what is the innovative role of family medicine? In this episode, Kelly and Lalita break down the innovative origins of family medicine, and dissect the role that uncertainty and full-spectrum training have played in building creativity and systems thinking within family medicine. 1. Uncertainty in Medicine: Through Thick and Thin. The Nocturnists Podcast. Apr 17, 2025. https://thenocturnists.org/podcast/through-thick-and-thin

Repost: Breaking down the attack on Change Healthcare

lalita.abhyankar@gmail.com (Kelly Nieves, Lalita Abhyankar) — Tue, 22 Apr 2025 07:00:00 +0000

Repost: Kalie Dove-Maguire, MD: Choosing Coding Over Sourdough

lalita.abhyankar@gmail.com (Kalie Dove-Maguire, Lalita Abhyankar, Kelly Nieves) — Tue, 15 Apr 2025 07:00:00 +0000

We're taking a break for the month of April, but we still want you to meet some of our incredible friends and colleagues! In September of 2024, we chatted with Chief Product Officer extrodinaire, Kalie Dove-Maguire. Take a listen! In this episode, Kelly and Lalita chat with a good friend of the podcast, Dr. Kalie Dove-Maguire. Kalie is an Emergency Medicine physician who is now the Chief Product Officer at Evidently, an AI-enabled chart review tool. Previously, Kalie was the Senior Director of Product at Carbon Health, where she oversaw the EHR and the rollout of AI-enabled ambient documentation. Kalie, Lalita, and Kelly chat about career journeys, innovations in the future of health tech, and ground their conversations in the practical data and human connection.

Repost: Value Based Payment Makes Us Sad

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 8 Apr 2025 07:00:00 +0000

We're taking a break for the month of April, so we thought we would repost some of our spicier takes! This episode was originally published July 16, 2024. "Value" based care is all the rage, but as two family docs interested in data and measurability, we're not so sure. VBC will likely increase the need for informaticists and good data queries, but are proxies dictated by payers really able to capture the value of primary care? Or is qualitative research a better way to measure the immeasurable?

Marisha Burden, MD: The Physician-Researcher Who Does

lalita.abhyankar@gmail.com (Marisha Burden, Kelly Nieves, Lalita Abhyankar) — Tue, 1 Apr 2025 07:00:00 +0000

In this week's episode, Kelly and Lalita speak with Dr. Marisha Burden, the division head of Hospital Medicine and a professor of medicine at the University of Colorado School of Medicine and the co-creator of the mobile platform, Gritty Work. She's an avid researcher, publisher, and thought leader on evidence-based work design and building thriving teams. With a remarkable broad research base and the curiosity to creatively address research questions on optimal teams, workplace improvements for healthcare workers, and most recently, administrative harm, Dr. Burden's mixed-methods research has the potential to impact health care design in more meaningful and financially sustainable ways. An impressive conversation, this is definitely one to check out! Show Notes: 1. Burden M, Astik G, Auerbach A, et al. Identifying and Measuring Administrative Harms Experienced by Hospitalists and Administrative Leaders. JAMA Intern Med. 2024;184(9):1014–1023. DOI:10.1001/jamainternmed.2024.1890 2. Burden M, Dyrbye L. Evidence-Based Work Design — Bridging the Divide. NEJM. 2025;392:1044-1046. DOI: 10.1056/NEJMp2412389

Esther Johnston, MD: Global Health and Technology

lalita.abhyankar@gmail.com (Esther Johnston, Kelly Nieves, Lalita Abhyankar) — Tue, 25 Mar 2025 07:00:00 +0000

Alternate title: Assessment BEFORE Plan In this episode, Lalita and Kelly speak with Esther Johnston, MD, family physician and an Assistant Professor at the University of Minnesota North Memorial Family Medicine Residency Program. She currently serves as the Director of the Global Engagement Network for Primary Health Care (GEN-PHC), a polycentric collaborative of primary care academicians that aims to facilitate the development of educational pathways, data, policies, and programs needed to support robust, fit-for-purpose primary health care systems through partnership and collaboration. The conversation ranges from decolonizing global health in a post-pandemic world to telehealth, broadband, and building family medicine globally, this episode explores just how similar the challenges of implementing interventions (technology or otherwise) are at home and abroad. Links to publications mentioned in this episode: 1. King NB, Koski A. Defining global health as public health somewhereelse. BMJ Global Health 2020;5:e002172. https://gh.bmj.com/content/5/1/e002172 2. Burke G, Schellmann H. Researchers say an AI-powered transcription tool used in hospitals invents things no one ever said. AP. Oct 26, 2024. https://apnews.com/article/ai-artificial-intelligence-health-business-90020cdf5fa16c79ca2e5b6c4c9bbb14 3. Website: Global Engagement Network for Primary Health Care (GEN-PHC) https://globalhealthcenter.umn.edu/genphc

Alex Butler, MD: Fun is the Key

lalita.abhyankar@gmail.com (Alex Butler, Lalita Abhyankar, Kelly Nieves) — Tue, 18 Mar 2025 20:40:00 +0000

Kelly and Lalita chat with Alex Butler, MD a pediatric chief resident at Boston Children’s Hospital and Boston Medical Center, and the co-founder and Chief Product Officer of River Records, an AI-powered documentation and data summarization platform. Alex received a medical degree and a Masters in Clinical Informatics from Columbia University. In this episode, the three discuss the phenomenon of a "noteless EHR," the interface goals of River Records, the influence of Dr. Lawrence Weed on clinical documentation, and how Alex has applied his interest in technology to streamlining processes as Chief Resident. A great episode for early career physicians, our show notes also include great supplementary information for our listeners! 1. 2021 Noteless EHR Paper - https://formative.jmir.org/2021/11/e23789 2. Larry Weed's 1971 Internal Medicine Grand Rounds https://www.youtube.com/watch?v=qMsPXSMTpFI 3. Digital Health Competencies - https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2829788 4. Pediatric ACGME Guidelines - https://www.acgme.org/globalassets/pfassets/programrequirements/2025-prs/320_pediatrics_2025_tcc.pdf

Col. Brian Cahill: Informatics Leadership Through the Culture of Nursing

lalita.abhyankar@gmail.com (Brian Cahill, Kelly Nieves, Lalita Abhyankar) — Tue, 11 Mar 2025 07:00:00 +0000

In this episode, Lalita and Kelly speak with Col. Brian Cahill, Chief of Soldier Primary Care and soon-to-be Chief Nursing Officer at Carl R. Darnall Army Medical Center in Fort Cavazos, Texas. As a colonel in the army with a 20-year career in clinical and administrative leadership roles, Brian discusses his journey from bedside nursing to completing a Masters degree in Clinical Informatics at Duke University to implementing MHS Genesis as CMIO at the Army Medical Center. He delves into the challenge of integrating new technologies in healthcare settings, the importance of a strong clinical background, and the role of team-based approaches in reducing risks and improving care. Additionally, Brian touches on some noteworthy help desk tickets, showcasing real-world issues and solutions. Join the conversation to learn how innovative approaches in technology are shaping the future of primary care, emphasizing patient safety and effective healthcare delivery.

Origin Stories

lalita.abhyankar@gmail.com (Kelly Nieves, Lalita Abhyankar) — Tue, 4 Mar 2025 08:00:00 +0000

Kelly and Lalita share their own backgrounds and how they got interested technology innovation. They also share the origin story of the podcast! Other hot takes on this week's episode include: - Do we actually want to work at the top of our license? - Sometimes fun solutions are better than efficient ones - Big picture thinking to change systems and identifying stakeholders

Sara Pastoor, MD: Leading the Pack

lalita.abhyankar@gmail.com (Sara Pastoor, Lalita Abhyankar, Kelly Nieves) — Tue, 25 Feb 2025 08:00:00 +0000

In this week's episode, Lalita and Kelly speak with Dr. Sara Pastoor, a DPC family physician at People-Centered Health and the Head of Primary Care Advancement at Elation Health. Sara shares her origin story of her instrumental role in shifting the military from AHLTA (the armed services EHR) to safer interfaces, all the way to Elation Health which emphasizes the importance of co-development between family physicians and design/engineering teams. She also shares some incredible leadership advice including: - learning how to flex the muscle of "no" - having strong clinical skills to have an influential seat at the table - and how to engage with stakeholders who may not be on the same page as family medicine

Jordan Chanler-Berat, MD: Radical POCUS

Tue, 18 Feb 2025 08:00:00 +0000

Jordan Chanler-Berat, MD is an Emergency Medicine physician and the founder/CEO of POCUS Preceptor, a company that supports clinical learners to learn point-of-care ultrasound later in their careers. In addition to practicing at Baystate Health, Berkshire Health Systems, and Holyoke Medical Center and teaching at ultrasound at UMass Chan Medical School, Dr. Chanler-Berat spends time as a clinical advisor for Circucare, a novel wearable cardiac ultrasound biotechnology company. In this episode, Jordan, Kelly and Lalita talk about all things POCUS: including how to get training, use cases in primary care, the value of using the tools, an artificial intelligence augmented future for imaging, and how POCUS can democratize medicine.

Sarah Nosal, MD: Ask, Lead, Simplify

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Tue, 11 Feb 2025 08:00:00 +0000

Dr. Sarah Nosal, MD is the president-elect of the American Academy of Family Physicians and a practicing family physician in the Bronx. In this episode, Sarah shares her journey with Lalita and Kelly from her days programming a turtle in kindergarten to becoming the Vice President for Innovation & Optimization and Chief Medical Information Officer at The Institute for Family Health, a federally qualified health center in New York. Lalita, Kelly and Sarah talk about the importance of asking for what you want, designing "user error" to still be the correct outcome, and the importance of having excellent clinical skills to have credibility in making non-clinical decisions.

Travis Bias, DO: The Family Medicine Business Ambassador

lalita.abhyankar@gmail.com (Travis Bias, Lalita Abhyankar, Kelly Nieves) — Tue, 4 Feb 2025 16:00:00 +0000

Travis Bias, DO, MPH, FAAFP, is a Family Medicine physician and Deputy Chief Medical Officer of Health Information Systems at Solventum, the healthcare business spin-off of 3M. Travis has had a varied career, including full time clinical medicine, peace corps work as a medical educator, and multiple roles within 3M. Kelly, Lalita and Travis talk about his experiences being the only family physician in a corporate setting, what the day to day entails, and how family physicians are perfectly situated for inter/multidisciplinary work in these environments. Other topics covered include: - balancing family life, a non-clinical corporate job, and maintaining a connection to clinical medicine - AI charting: challenges and successes - getting board certified in informatics in 2025 (if you want to) And more!

Elliott Wortham: Considering the Unconsidered

lalita.abhyankar@gmail.com (Elliott Wortham, Kelly Nieves, Lalita Abhyankar) — Tue, 28 Jan 2025 08:00:00 +0000

We're back for 2025! In this episode, Lalita and Kelly speak with Elliott Wortham, a design and strategy consultant and the Director of Cove Studio in San Francisco, CA. Elliott helps us understand design principles for the family physician and how a fresh perspective is imperative to problem solving. Ultimately, each one of us can consider the unconsidered in our clinical environments to make it a better experience all around.

Reflections

lalita.abhyankar@gmail.com (Kelly Nieves, Lalita Abhyankar) — Tue, 17 Dec 2024 08:00:00 +0000

Thank you to all of our listeners for tuning in each week! In this episode, Kelly and Lalita reflect on an incredible year of doing 28 podcast episodes, and how these conversations have changed their perspective on technology in primary care, while impacting how they practice medicine on the ground. Kelly and Lalita highlight some of their favorite podcast moments and set intentions for the new year.

Patricia Kelly Marsh, MD: BELIEVE!

Tue, 10 Dec 2024 08:00:00 +0000

In the second to last episode of the season, Kelly and Lalita have a wonderful conversation with family physician, entrepreneur, and CEO of AskMeYourMD, Dr. Patricia Kelly Marsh. In this episode, Patricia shares with us how she is breaking the mold when it comes to telemedicine and payment models, and how the thing driving her through thick and thin is strong sense of confidence, faith, and believing in yourself at all costs. An inspiring and truly entertaining episode!

Robert Oh, MD: CGM Pioneer

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Tue, 3 Dec 2024 08:00:00 +0000

Dr. Robert Oh's career has spanned military service, residency education, and he now serves as the Chief Wellness Officer for the Veterans Affairs Health Care System in Palo Alto. An enthusiast for cutting edge medical innovations, Rob has used continuous glucose monitors since 2019 and advocates for their use in family medicine practices. In this episode, Kelly, Lalita and Rob discuss medical research, the challenges of applying statistics-based evidence based medicine to individual patients, and that the future of primary care will be patient-led. ** Opinions expressed are solely those of our own and do not express the views or opinions of our current or former employers, including the Department of Defense, Defense Health Agency, or Department of Veteran's Affairs.**

Katherine Davis, MD: Educating at Scale

lalita.abhyankar@gmail.com (Katherine Davis, Lalita Abhyankar, Kelly Nieves) — Tue, 26 Nov 2024 15:30:00 +0000

Dr. Katherine Davis is a family physician and educator with a background in health informatics. Dr. Davis was instrumental as residency faculty at Summa Health in Akron, Ohio and most recently took that experience to apply her expertise at scale at MDCalc. Kelly and Lalita chat with Katie about her experiences and how important it is for family medicine physicians to have a seat at the table in health technology.

Data Sharing, Abortion Access, and the Right to Privacy

lalita.abhyankar@gmail.com (Kelly Nieves, Lalita Abhyankar) — Tue, 19 Nov 2024 08:00:00 +0000

Kelly and Lalita talk about data privacy and its impacts on patient/physician safety, and how regulating an implied right to privacy is important to prevent indiscriminate data sharing...while still being excited about interoperability! It's a mixed bag conversation!

Shawn Martin: AAFP x Rock Health

lalita.abhyankar@gmail.com (Shawn Martin, Lalita Abhyankar, Kelly Nieves) — Wed, 9 Oct 2024 07:00:00 +0000

Kelly and Lalita talk to Shawn Martin, CEO of the AAFP on a new collaboration with Rock Health, a digital health investment and consulting group. They talk about the intention and the vision behind the collaboration and about how family physicians can get a seat at the table. They also discuss how this collaboration can help family physicians better understand our current technological environment, support family medicine education, improve operational and clinical workflows, and help disruptors build better digital health tools for our diverse and unique family medicine practices. Be sure to fill out the AAFP x Rock Health survey at www.aafp.org/ai to help support this initiative!

Kalie Dove-Maguire, MD: Choosing Coding Over Sourdough

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Tue, 24 Sep 2024 05:32:44 +0000

In this episode, Kelly and Lalita chat with a good friend of the podcast, Dr. Kalie Dove-Maguire. Kalie is an Emergency Medicine physician who is now the Chief Product Officer at Evidently, an AI-enabled chart review tool. Previously, Kalie was the Senior Director of Product at Carbon Health, where she oversaw the EHR and the rollout of AI-enabled ambient documentation. Kalie, Lalita, and Kelly chat about career journeys, innovations in the future of health tech, and ground their conversations in the practical data and human connection.

Lalita Goes to Rock Health Summit!

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 17 Sep 2024 07:00:00 +0000

In this episode Kelly interviews Lalita on her experience attending the Rock Health Summit in San Francisco, California. The Rock Health Summit "is a digital health conference that brings together diverse minds from technology, medicine, public health, and beyond for a day of inspired conversation and connection." Lalita shares the overall gist and gets into the specifics of some of the themes and products that she saw during the event. If you're interested in reviewing all of the speakers, you can check out the 2024 speakers here: https://www.rockhealthsummit.com/speakers2024

Matt Sakumoto, MD: Efficient Eddie, AI, and Scribes

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Tue, 10 Sep 2024 07:00:00 +0000

Kelly and Lalita welcome their very first guest! Matt Sakumoto is the Regional Chief Medical Informatics Officer at Sutter West Bay Medical Group in San Francisco, and health tech start-up consultant. He is a graduate of the UCSF Health Informatics Fellowship and an Internal Medicine Physician at a Virtual First Medical Practice at Sutter. In this episode Kelly, Lalita and Matt talk about using personas in clinical technology education, AI scribing, and Matt shares a Help Desk Ticket of the Week!

Episodes on tips and tricks to advocate for yourself to designers and leaders:

User Centered Design: https://technology-empowered-clinical-optimization-podcast.simplecast.com/episodes/user-centered-design-and-feedback-y-mg5qth

2.How can I get involved in advocating for appropriate use of technology in medicine?: https://technology-empowered-clinical-optimization-podcast.simplecast.com/episodes/how-can-i-get-involved-in-advocating-for-appropriate-use-of-technology-in-medicine

Health IT Policy Part 3: TEFCA and The Gauge Wars

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 3 Sep 2024 07:00:00 +0000

Assistant Secretary for Technology Policy. HTI-2 Proposed Rule Patient, Payer, Provider API Information Session https://www.youtube.com/watch?v=hn3Bn3_9l9M

Public Comment for ONC rule: https://www.federalregister.gov/documents/2024/08/05/2024-14975/health-data-technology-and-interoperability-patient-engagement-information-sharing-and-public-health

Kelly Goes to Epic UGM!

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 27 Aug 2024 18:40:00 +0000

In this episode, Kelly shares her experience and takeaways from Epic's UGM! We discuss Epic's influence on the software space including: - Generative and Predictive AI - Whether we should start tackling downtime issues - Cybersecurity - Epic's international, interconnected influence - Change Management - Keeping up with change ...and more!

Health IT Policy Part 2: HITECH, MACRA, and Cures Act

lalita.abhyankar@gmail.com (Kelly Nieves, Lalita Abhyankar) — Tue, 13 Aug 2024 07:00:00 +0000

Alternate Title: Slime Mold Maps and Taco Seasoning In this excellent episode, Kelly and Lalita dive back into the discussion on Health IT legislation, this time starting with HITECH (Health Information Technology for Economic and Clinical Health Act) and moving through the 21st Century Cures Act. We discuss the role of Health IT regulation in developing the current landscape, and where we hope things go as we build out some of the aspirational goals of the Cures Act. Also, how do we swing the pendulum back towards the small practice?

Health IT Policy Part 1: IOM Goals, HIPAA

lalita.abhyankar@gmail.com (Kelly Nieves, Lalita Abhyankar) — Tue, 6 Aug 2024 19:00:00 +0000

References:

Institute of Medicine. Computer-Based Patient Record: An Essential Technology of Health Care. 1991. https://nap.nationalacademies.org/catalog/18459/computer-based-patient-record-an-essential-technology-for-health-care
Ambinder, EP. A History of the Shift Toward Full Computerization of Medicine. J Oncol Prac. 2005 Jul; 1(2): 54–56. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2793587/
George W Bush White House Archives. President Bush Strengthened America's Health Care System. https://georgewbush-whitehouse.archives.gov/infocus/bushrecord/factsheets/healthcare.html
Mennemeyer ST, Menachemi N, Rahurkar S, Ford EW. Impact of the HITECH Act on physicians’ adoption of electronic health records. J Am Med Inform Assoc., Volume 23, Issue 2, March 2016, Pages 375–379, https://doi.org/10.1093/jamia/ocv103
Simborg, DW. Promoting Electronic Health Record Adoption. Is It the Correct Focus? J Am Med Inform Assoc. 2008 Mar-Apr; 15(2): 127–129. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2274790/

The Problem with the Problem List

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Wed, 31 Jul 2024 07:00:00 +0000

Mentioned in Today's Episode:

Grimes, William. Dr. Lawrence Weed, Pioneer in Recording Patient Data, Dies at 93. The New York Times. June 2017. https://www.nytimes.com/2017/06/21/science/obituary-lawrence-weed-dead-patient-information.html
Newman David, MD, Dhanda Shan, MD. Taming the Problem List. Family Practice Management. May/June 2023.
https://www.aafp.org/pubs/fpm/issues/2023/0500/problem-list.html
Dr. Glaucomflecken. The Epic Problem List. YouTube. Jul 20 2024. https://www.youtube.com/watch?v=LDJvS8Iz4a8

VBC Part 2: Metrics!

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 23 Jul 2024 18:00:00 +0000

In this episode, Kelly and Lalita focus on the backbone of VBC: Metrics! As data nerds and yet, somehow luddites, they discuss current news (CrowdStrike debacles), HEDIS measures, and putting patients at the center of everything. They also pose a question to the listener: what should we actually be measuring (and how) to get a good sense of health and successful outcomes?

Value Based Payment Makes Us Sad

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 16 Jul 2024 07:00:00 +0000

"Value" based care is all the rage, but as two family docs interested in data and measurability, we're not so sure. VBC will likely increase the need for informaticists and good data queries, but are proxies dictated by payers really able to capture the value of primary care? Or is qualitative research a better way to measure the immeasurable?

Beyond the Pop-Ups: Clinical Decision Making

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 9 Jul 2024 07:00:00 +0000

This week, Kelly and Lalita discuss implementing clinical decision support in an EHR, using the 5 rights of Clinical Decision Support to guide their conversation. They also have some good advice for anyone who is interesting informatics leadership!

Ascension Breach aka Downtime is an Emergency!

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 25 Jun 2024 07:00:00 +0000

In this episode Kelly and Lalita imagine what a month long downtime might feel like (a la Ascension's hospital system) and have 7 major highlights for thoughtful (and actually helpful) downtime implementation.

User Centered Design and Feedback

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 18 Jun 2024 18:00:00 +0000

Family physicians often don't know how to communicate with designers and engineers in the user centered creative process. Giving good feedback is key, so how do we do it? What are some principles to utilize and how can we be more effective in developing our own tools?

The Patient Portal, The Patient App

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 11 Jun 2024 22:00:00 +0000

In this episode Kelly and Lalita discuss what makes a "good" patient portal experience? What elements are necessary? Focusing mostly on scheduling and messaging, Kelly and Lalita share stories highlighting the physical and technological constraints to practicing medicine and how standardization might mean losing the individual experience in order to achieve more individualized care.

Do We Dare Dream of Asynchronous Care?

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 4 Jun 2024 07:00:00 +0000

Asynchronous care in health tech is all the rage these days. Kelly and Lalita talk about use cases and also the biggest limitations to dreaming of successful implementation: reimbursement and human capital. Take a listen!

Data Stewardship: Trust and Purpose

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Tue, 28 May 2024 07:00:00 +0000

Kelly and Lalita talk about the purpose of data collection in the exam room, how trust is imperative in data collection and share their philosophies on the importance of data safety, necessity and stewardship

The Exam Room and the EHR

lalita.abhyankar@gmail.com (Kelly Nieves, Lalita Abhyankar) — Tue, 21 May 2024 07:00:00 +0000

In this episode, Kelly and Lalita discuss how the EHR creates additional constraints on physical space design in the clinical setting and talk about various ways to use data and information while in the exam room.

Breaking down the attack on Change Healthcare

lalita.abhyankar@gmail.com (Kelly Nieves, Lalita Abhyankar) — Tue, 12 Mar 2024 07:00:00 +0000

Whittaker, Zack. "As the Change Healthcare outage drags on, fears grow that patient data could spill online." TechCrunch., 9 March 2024. https://techcrunch.com/2024/03/09/change-healthcare-fears-data-breach-ransomware/
Whittaker, Zack. "UnitedHealth confirms ransomware gang behind Change Healthcare hack amid ongoing pharmacy outages." TechCrunch., 29 February 2024. https://techcrunch.com/2024/02/29/unitedhealth-change-healthcare-ransomware-alphv-blackcat-pharmacy-outages/
Pierce, Alisa. "CMS Announces Flexibilities Following Cyberattack." Texas Medical Association. 8 March 2024. https://www.texmed.org/Template.aspx?id=63784.
Whittaker, Zack. "Ransomware attack blamed for Change Healthcare outage stalling US prescriptions." TechCrunch. 26 February 2024. https://techcrunch.com/2024/02/26/ransomware-attack-change-healthcare-prescription-pharmacy-outages/
Diamond, Dan. "Medicare announces emergency funds for doctors affected by Change Healthcare hack." The Washington Post. 9 March 2024. https://www.washingtonpost.com/health/2024/03/09/medicare-change-healthcare-hack/.
"U.S. and Plaintiff States v. UnitedHealth Group, Inc. and Change Healthcare Inc." AntiTrust Division, United States Department of Justice. https://www.justice.gov/atr/case/us-et-al-v-unitedhealth-group-inc-and-change-healthcare-inc
The Paul Weiss Antitrust Practice. "Takeaways from the DOJ’s UnitedHealth-Change Healthcare Merger Loss" 3 October 2022. https://www.paulweiss.com/practices/litigation/antitrust/publications/takeaways-from-the-doj-s-unitedhealth-change-healthcare-merger-loss?id=44360
Office of Public Affairs. "Justice Department Sues to Block UnitedHealth Group’s Acquisition of Change Healthcare." United States Department of Justice. 24 February 2022. https://www.justice.gov/opa/pr/justice-department-sues-block-unitedhealth-group-s-acquisition-change-healthcare.
American Academy of Family Physicians. "Ethical Application of Artificial Intelligence in Family Medicine." Policy. August 2023. https://www.aafp.org/about/policies/all/ethical-ai.html
"HHS Statement Regarding the Cyberattack on Change Healthcare." United States Department of Health and Human Services. 5 March 2024. https://www.hhs.gov/about/news/2024/03/05/hhs-statement-regarding-the-cyberattack-on-change-healthcare.html

Balancing Relationship and Revenue

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Tue, 5 Mar 2024 08:00:00 +0000

In this Episode, Kelly and Lalita discuss optimizing pre-visit planning through EHRs, why schedule simplicity matters for longevity of care and preventing provider burnout, what NOT to do, and how any conversation with health tech HAS to include data protection, privacy, and patient information safety discussions (a la Change Health).

Intuitive onboarding, narrative charting with AI

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Tue, 27 Feb 2024 08:00:00 +0000

Kelly and Lalita get a little off topic from onboarding with too many car analogies. We talk about what people need to learn about EHRs, how to do shared documentation, and how artificial intelligence, narrative medicine, storytelling, and patient centeredness has impacted our own medical documentation. We also touch on EHR standardization (is it possible?) and we get into a conversation about pre-visit-planning including the use of point-of-care testing, patient entered surveys, and a unique helpdesk ticket of the week!

Disrupting Health Care and Teaching Tech

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 20 Feb 2024 08:00:00 +0000

Articles discussed in today's podcast:

Glaser, J., Vaezy, S., Guptill, J., (2024). Why the Tech Industry Won’t Disrupt Health Care. https://hbr.org/2024/02/why-the-tech-industry-wont-disrupt-health-care
Adelman, J. S., Applebaum, J. R., Schechter, C. B., Berger, M. A., Reissman, S. H., Thota, R., Racine, A. D., Vawdrey, D. K., Green, R. A., Salmasian, H., Schiff, G. D., Wright, A., Landman, A., Bates, D. W., Koppel, R., Galanter, W. L., Lambert, B. L., Paparella, S., & Southern, W. N. (2019). Effect of Restriction of the Number of Concurrently Open Records in an Electronic Health Record on Wrong-Patient Order Errors: A Randomized Clinical Trial. JAMA, 321(18), 1780–1787. https://doi.org/10.1001/jama.2019.3698
Kannampallil, T. G., Manning, J. D., Chestek, D. W., Adelman, J., Salmasian, H., Lambert, B. L., & Galanter, W. L. (2018). Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. Journal of the American Medical Informatics Association : JAMIA, 25(6), 739–743. https://doi.org/10.1093/jamia/ocx099

A Rebrand and Onboarding!

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Tue, 13 Feb 2024 08:00:00 +0000

Welcome back to a new season and a full rebrand of this technology empowered family medicine podcast. We're learning the ropes of podcasting while we build this plane and hope you'll join us on this journey.

How can I get involved in advocating for appropriate use of technology in medicine?

lalita.abhyankar@gmail.com (Lalita Abhyankar) — Thu, 1 Jun 2023 07:00:00 +0000

Kelly and Lalita talk about valuing family physician input on the nooks and crannies of the EHR within organizations, learning how to identify the problem to co-create solutions, and bringing our advocacy of technology to influence government regulation.

What are some of the limitations that we see with technology in medicine?

lalita.abhyankar@gmail.com (Lalita Abhyankar, Kelly Nieves) — Tue, 18 Apr 2023 07:00:00 +0000

In this episode Kelly an Lalita discuss what will make a great EHR in the future, why we need information sharing and good data in medicine, and the importance of measuring the unmeasurables of patient care. This conversation is inspired by the March 18th TECO MIG meeting. If you're an AAFP member, you can join us for our next meeting on April 22nd!

How do you see technology influencing family medicine today?

lalita.abhyankar@gmail.com (Kelly Nieves, Lalita Abhyankar) — Mon, 20 Feb 2023 23:50:00 +0000

Welcome to the TECO Podcast! In our first episode we meet Dr. Kelly Nieves and Dr. Lalita Abhyankar, who briefly discuss some of the interesting topics that will be highlighted throughout the AAFP TECO MIG meetings this year.