Monday, October 14, 2013

Too Big For Its Britches

In light of my recent post about nursing technology, I would like to expand more on electronic health records. The hospital I currently work in has just been recently acquired by MEGA - My Egotistical God-Complex Association. MEGA now has 3 hospitals under their belt - each specializing in a major money maker in healthcare business.

MEGA also invested in a multi - millon dollar healthcare software. It consists of several applications that 'talk" to each other. As a result, patients' information are easily accessed by users making workflow much smoother. How innovative. I would like to refer to this system as JUMBO - Just Understand Me Before Operating. JUMBO is slowly being incorporated in each hospital. The hospital I work in is next to go live.

In preparation for the upcoming go live date of JUMBO,  the hospital is undergoing system wide upgrades on computers with new log ins and passwords. Not to mention, employees are required to attend classes to absorb tons of information to fully comprehend the complex nature of the system! They say it is as simple as blah, blah, blah. It is supposed to make "things" a lot easier. But will it? 'Cause all it really feels like is finding a needle in a haystack!

However, one thing that sticks out in all of these classes is how they emphasize that the system "tracks down" everything. Hmmmm? It's like they don't trust their own employees!

Now, I feel like my privacy has been compromised.

JUMBO was also said to help bring revenue to those who invest. Aha, revenue - someone always has to make the money right? How? I would like to think that for each entry a user makes, a cascade of events happens inside JUMBO's software system, resulting in reimbursements based upon proper documentation. And for those who fail to document properly... Watch out.

As part of the look out process, each department also has their appointed  "snooper users". They are the ones  who can keep an eye, answer questions, and help maneuver through some problems during the first few months of operation. Snooper Users during the go live date must wear the specially designed t shirts that can identify them as " yes, I am the sucker who said yes, and no do not ask me another question".

The hospital also recently had an "ice cream social" to supposedly bring the heat down for the coming of JUMBO. Yet, the only thing I can think of is the heat is on. Specially after JUMBO goes live and  can actually track down every key stroke entry I make.

Understanding JUMBO goes beyond what each icon, program, and  keystroke will bring the user. I believe it goes deeper than what meets the eyes. The rising partnership between MEGA and JUMBO leaves me uncomfortable. Yet, the clever "wordsmanship" of my husband as he came up with acronyms for my characters, helped cloak my feelings into words, hiding the true impact. Very satirical.

Yes, JUMBO has the potential to bring MEGA lots of revenue. But at what price?


  1. Hi Chiqui. I've had to learn to medical record systems. Both were frustrating/ maddening until I became familiar with their ins/outs. Once the learning curve flattened out, I really appreciated the ease of timely documention and access to records.

    I quit trying to get involved in the politics of administration - useless waste of my energy. I figure I'm there to deliver quality cares; that means I need to master the tools/resources provided for the job.

    Just my $0.02. :-)

  2. You are so correct. We are there to deliver quality patient care.With that, learning the tools provided.
    I guess all the changes that has been happening in the hospital got overwhelming.
    Thanks for the advice. Needed that.
    Take care

  3. We'll be touching on this subject on Monday night's RN.FM Radio show with Brittney Wilson, a nursing informaticist. It's a very timely post and I believe your frustrations are shared by many. We'll discuss, and maybe we'll be able to provide some additional insights.

  4. That's great Kevin. Im glad that nursing technology issues are being discussed somehow. Its good to know that I am not alone in my dilemna.

  5. Yes, as a nurse I have also encountered many system changes and every time it gets implemented, many nurses usually complain about it. But that's nursing life, the only constant thing is change and hospital administrators will procure technology that would secure their assets even if it means making the nurses change their routines.

    I am a nurse educator and I like helping aspiring nurses pas the NCLEX examination. I have a useful website : which has test taking tips, study boards and thousands of practice tests aimed to make NCLEX takers pass the exam on the first try. I also offer review materials such as Pharmacology review eBook and NCLEX Questions mobile application that intensifies the exam preparation.

  6. Absolutely. Adaptation is the key.
    Love the mobile apps from your site. Will pass this on. Link included in my nursing student page.

  7. A pretty good decision taken to expand all those aspects regarding the electronic health records and this will favorably produce every possible stance which is even said to be of great cause and ability.

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