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NY Med Social Media Firing

Posted on June 27, 2014 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Update: Katie Duke stopped by and left the following comment that’s worth noting:

Thank you for this article and review. I did not violate any aspect of the social media policy or HIPPAA and was technically fired for what my manager calls “we just don’t want you working here anymore and you’re insensitive” (as referring to the post)

I have been in the spotlight for several years and thoroughly respect the rules and regulations of our profession and it’s presence on social media. My goal is to change the portrayal of nursing in the media. We all make mistakes and we must learn from them. Do I feel it was a terminable offense? No- I feel I should have been counseled or even given some constructive criticism. After all- I am a great nurse and was with NYP for 7 years and of their motto is to put patients first then they should advocate more for the retention and growth of the nurses they have. Nurses are NOT disposable. Thank you for this venue to get the dialogue going about this rather controversial and taboo topic.

I applaud Katie’s efforts since I’ve often commented how nurses are an afterthought during an EHR selection and implementation process and that’s a pity since they’re such an important part of the organization. I imagine this same thing applies to other hospital policies. Thanks for your added comments Katie.

Last night was the premiere of the second season of NY Med on ABC. I saw the previous season and enjoyed it and so I was interested to see the new season. I like all of the show except for Dr. Oz who is obviously there because he has a big name and not because he’s actually practicing medicine. I love the quote I read online “Dr. Oz is a fake even when he’s scrubbing in. His mask isn’t on while he’s fake scrubbing.” All of the Dr. Oz parts felt very contrived so they could get him involved in the show. When real cardiology was being practiced, he called in the leading expert, or at least someone who actually could help the patient.

Dr. Oz part aside, the 3 ER nurses are my favorite part of the show. I remembered 2 of the 3 from last season and so I was really glad to see that they were back. Those are some firecracker nurses that always face interesting situations in the ER.

While the show isn’t perfect since as soon as you turn a camera on, people change, it’s still an interesting look into the challenges that many doctors and nurses face on the front lines of healthcare. While Grey’s Anatomy is a well written, entertaining drama and sometimes taps trending topics for its story, it’s not a good depiction of reality.

With the above review, I was particularly intrigued last night when Katie Duke, one of the ER nurses, got Fired from the hospital for posting a picture on Instagram. It was pretty interesting to see both the other ER nurses and Katie’s first hand response to her being fired and escorted from the building.

Since this is EMR and HIPAA, let’s talk about the HIPAA implications of what Katie did. They didn’t show the picture she posted for very long, but there were no people in the picture. Just a room after they’d had a trauma case in the ER. Basically, at quick glance I can’t imagine there’s any HIPAA violation with the picture. She did tag the picture with a number of hashtags. The only one that seemed in question was the “#Man vs 6 train” one, but that’s not a HIPAA violation either or would be an enormous stretch to make the case that it is a violation.

I think it’s fair to say she didn’t violate HIPAA with her instagram post. However, that doesn’t mean she didn’t violate a hospital social media policy. I’d be interested to see New York Presbyterian’s (the hospital who fired her) social media policy. It’s hard to guess at what the policy might include. I’ve seen really strict social media policies, really open social media policies and organizations with no policy (that’s scary). Given their policy, it might very well have been appropriate to fire her. In fact, if it wasn’t, Katie Duke seems like someone who would fight back in court if it wasn’t appropriate.

While Katie Duke was fired from New York Presbyterian, she was hired at Roosevelt on the West Side. I wonder what they said to Katie about social media when they hired her. In the NY Med episode they show her doing well. Although, they noted that she was great with patients, but was having a challenge getting up to speed on their computer system. Makes me wonder what EHR they use in their ED. Although, I think it’s safe to say that this could be said about any ER nurse in any ER regardless of the computer system they use. It just takes some time to get up to speed on an EHR.

In case you’re wondering, Katie Duke has launched a website and on July 1st she’s launching a YouTube show, she has an endorsement deal with Dickies and Cherokee scrubs, has speaking engagements around the country, and a line of merchandise around the phrase “Deal With It.” I guess that’s how she’s chosen to deal with the firing. If you look at her Twitter account, you can see a lot of nurses who really look up to her and appreciate her.

The discussion of social media in the workplace is an important one and it’s really important that you understand your employer’s views on the subject if you’re going to take part in it. Although, I think we all have to appreciate the irony of a hospital firing someone for posting a picture to instagram while that same hospital has a bunch of cameras video recording in their hospital for a TV show on ABC. Feels pretty hypocritical, do as I say, not as I do.

What do you think? Did you see the show? Where will social media sharing take us in healthcare and what will be the good and bad consequences of it?

EPOWERdoc and Unique Features of ED EMR Software

Posted on October 11, 2011 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As many of you know, when an EMR or EHR vendor wants to show me their system, instead of getting a full demo of their EMR I instead ask them to show me the unique features of their EMR. Basically, I’m interested in seeing the features, functions, approach, etc that makes an EMR or EHR vendor unique from the 300+ other EMR companies in the market today. This was my approach when EPOWERdoc approached me with a request to take a look at what they’ve created with their EMRDoc software.

Turns out that EPOWERdoc has been around for 12 years and is already in 250 hospitals in 40 states. That’s a pretty good footprint for an Emergency Department comnpany. In fact, I read that they’ve done 17 million Emergency Department visits in North America in their 12 year ED EHR history. Of course, these numbers come from EPOWERdoc and we know how good EMR install counts are from EMR vendors. However, even if that numbers bloated it’s a decent sized install base. Update from EPOWERdoc: The client numbers and ED visits are correct, we started out as a Paper Template system from software printing and that is where the large client base is predominantly. We are 36 months into the EDIS market with the product you looked at and have 18 live and another 9 by first qtr 2012.

During the short demo, EPOWERdoc showed me 3 or 4 interesting things about their Drummond Group modularly certified EHR. However, the feature that hit me most was the EMRDoc prose generator. In fact, this demo was one of the reasons that I’ve started predicting an EMR documentation revolution against hard to read, bulky, clinical notes.

I wish EPOWERdoc had a video of their EMR notes prose generator to demo it. If they create a video, I’ll post it to my EMR, EHR and Healthcare IT videos website. Until then, here are before and after screenshots of the EPOWERdoc interface which shows the granular data entry and the note that was created (click on the image to see the full image).

And now the image of the outputted documentation:

We could certainly debate the finer points of the user interface for inputting the data. Plus, a screenshot doesn’t show some of the other elements they’ve created to be able to quickly handle the input of the granular data elements. What hit me was how much the second image read like a clinical note. To be honest, as I read it I felt like I was hearing someone dictating a clinical note. Are their subtle differences where dictation is better, definitely. However, they seem to have done a good job of taking the granular data and turning it into clinical prose. I’ll be interested to hear some doctors thoughts on the above to see if they agree or disagree.

There were a few other interesting EMRDoc features that stood out to me in my short EMR demo.
-As an ED EMR, you have a different workflow than an ambulatory practice. As such, you need the ability to manage multiple open records at the same time. What I think EMRDoc does really well is switching between patients, but then also tracking your last documentation location for that patient.
-Related to seeing multiple patients, EMRDoc documentation feedback tool provides the user (doctor, nurse, etc) with a real time feedback as to the status of the level of documentation for medical coding as well as what has been completed in the note. In the ED where you’re regularly pulled away to deal with a pressing problem, the feedback statuses are a great little feature.
-EMRDoc has a feature that forwards clinical information and data from the Nursing Record to the Physician Record and from various sections of the Physician Record to other sections. Pretty slick implementation that reduces having to document that same thing multiple times.
-One of the big questions for an ED EHR like EPOWERdoc is how they deal with the hospitals large HIS system. EPOWERdoc’s answer was a partnership with Iatric who uses technology allowing data insertion into non accepting systems such as Epic, Cerner, McKesson or Meditech. I’d seen Iatric (They had the amazing trick shot pool table guy at HIMSS), but it sound like I should get to know them a little more. Maybe I can get Katherine Rourke to cover them over on Hospital EMR and EHR as well.

As I said, I didn’t do a full scale top to bottom demo of the EMRDoc ED EHR system, but I thought these were some interesting features of their EHR that were worth sharing. I’d love to hear some first hand experiences from any EPOWERdoc users. Let’s hear what you think in the comments.