Conversation is more effective when you assume (not accept) that the other person is correct, and try to figure out what it’s true of, usually by asking. O "In order to understand what another person is saying, you must assume that it is true, and try to imagine what it could be true of." Many, perhaps all of us at times, are very quick to dismiss others and not really listen. Miller's Law (from psychologist George Miller): When is the last time you had a facilitator doing dialogue mapping, for example? ( Dr Jeff Conklin) Since People Matter, we need more investment in social behaviors, personal energy and style.we need to listen, read, converse, and think, more inclusively of our extended community than the historical norm (more on this in a moment).one size doesn’t fit all – what works in one place really wont work in all others.people clearly don’t read the work of their predecessors or contemporaries.Marion called out these recurring issues: The last observation I’d like to share here about International Informatics is that we’re all too darn parochial.
Implicit in that is ‘appropriate care,’ and ‘from the standpoint of the person/patient/consumer of the needed services.’ Most of us would add in ‘always informed by evidence-based medicine and management, where it exists.’ That said, my answer: An E H R should be an enabler in the coordination of care. One question was “ what is the real goal of 100% E H R adoption ( that we’re so dismally short of)?” My take is that there isn’t an answer, either within any organization, or nationally. This grand rounds session was beautifully facilitated by Harold Lehmann, M.D., Ph.D., including a Q and A session that created a lot of independent value. It wont take you a second to think of your own example. Number one of these, according to Marion: People Matter: I’d like to share a variation: “History doesn’t repeat itself, but it does rhyme ” (Mark Twain) To me, that means that certain driving forces (which are learnable) that are recurrently ignored. One was: “ What we learn from history is that we don’t learn from history.” (George Bernard Shaw) The TIGER riff in the topic and leading graphic? See original. Marion and others have identified that a central bottleneck in healthcare transformation is operational informatics, and nurses have the key role.
The Technology Informatics Guiding Educational Reform (TIGER) Initiative aims to enable practicing nurses and nursing students to fully engage in the unfolding digital electronic era in healthcare. *If you are experiencing chest pain or shortness of breath, please go to the Emergency Department or call 911 immediately.One initiatives that Marion’s is involved in is called TIGER. Please note: Flu shots and physicals and/or sports physicals need to be scheduled with your primary care provider.
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