28 years ago, the die was cast for how emergency department encounters were documented. Since then, we've had note bloat, click fatigue, and too much attention placed on things that really didn’t matter. All of that is slated to change in 2023 with dramatic new documentation guidelines (that today’s guest calls ‘refreshing’) are implemented. When was the last time you heard the word ‘refreshing’ used when it came to charting? And a massive thank you and hat tip to my friend Matt DeLaney who now runs ERcast - he was the first to alert us to these guidelines and interviewed Jason when they were first announced.
Guest bio: Jason Adler, MD is a clinical assistant professor of emergency medicine at the University of Maryland where he is also the director of compliance and reimbursement. He is also the vice president of acute care solutions at LogixHealth.
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We Discuss:
Why Cultural Context Matters | Patient care and clinician burnout
Kicking The Can Down The Road | How to break up with deciding not to decide
How to Create a Team in 10 Seconds | Why time is not linear and every second not worth the same
Thinking Outside Your Retirement Account | working harder vs creating value
Phantasia Kataleptike | The secret skill of Stoicism
Making the trade | How to know when it's time to change careers
Default Mode Network vs. Task Positive Network | How our brains balance mind wandering and focused attention
Moral Injury | The crossroads of conscience
117. From Chaos to Control | Taming the tempest of task saturation
116. Resistance | How to crack inertia
115. Zero Warning | Scott Weingart on frameworks for no-notice critical patients
114. An Insider’s Guide to Medical Malpractice | Why the US system is so peculiar and how to navigate the morass
113. Understanding Healthy (and Unhealthy) Relationship Dynamics
112. Pizza doesn’t work | An evidence-based intervention that reduced physician burnout and increased job satisfaction
111. Does Private Equity Belong in Medicine?
110. A Strategy Mid-Shift Overwhelm | Conquer the deluge and get home on time
109. Is Your Identity Holding You Back?
108. How To Not Argue With Reality | The paradox of accepting the present moment, even when seems really sh*tty
107. The Power of Lightly Held Beliefs | Bitcoin enemas, cold exposure, and the law of speedy gains
106. The Drama Triangle | Rewriting the script for conflict and broken communication
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