Last week, I attended my first Informatics Grand Rounds at Johns Hopkins. The speaker was Marion Ball and the topic was International Informatics . My goals with this post are to share two things:
awareness of this great resource (The Grand Round Seminar Series); and
observations from and about Marion’s major points
The Johns Hopkins Medicine Division of Health Sciences Informatics Grand Rounds series and its faculty are terrific; this is especially worth mentioning since you can attend current and future sessions virtually, and their video archives are on-line and very impressive. Here's the link to the entire schedule.
Joe, how do you find the time?
I watch educational materials while doing my daily exercise.
The TIGER riff in the topic and leading graphic? See original.
She shared a number of quotes. One was: “What we learn from history is that we don’t learn from history.” (George Bernard Shaw)
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. Number one of these, according to Marion:
it wont take you a second to think of your own example.
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.
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. We’re too pluralistic. That said, my answer: An E H R should be an enabler in the coordination of care. 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.’
The last observation I’d like to share here about International Informatics is that we’re all too darn parochial. Marion called out these recurring issues: