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Effective Health Care Program

Asynchronous and Wiki Communication Within an Integrated Electronic Medical Record System to Coordinate Care for Complex Patients (Session V)

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This conference took place on September 22, 2009, at the Agency for Healthcare Research and Quality in Gaithersburg, Maryland. The conference explored how interactive media can be an effective, clinically significant resource for transforming science into practice through improved communication and decisionmaking.

This fifth session discusses asynchronous and Wiki communication within an integrated electronic medical record system to coordinate care for complex patients.

Presentations

Conference presentations are available in streaming video and text formats. For help viewing these proceedings, go to Viewers, Players, and Plug-ins.

Aanand D. Naik, M.D., Presenter

Mark F. Gorman, Respondent

Ronald M. Epstein, M.D., Respondent

Biosketches

Ronald M. Epstein, M.D., is a professor of family medicine, psychiatry and oncology at the University of Rochester Medical Center in Rochester, New York. He also serves as the director of the Rochester Center to Improve Communication in Health Care and of the Dean’s Teaching Fellowship Program for junior and midcareer faculty. Dr. Epstein received his bachelor’s degree from Wesleyan University and his medical degree from Harvard Medical School. He completed a residency in family medicine at the University of Rochester School of Medicine and Dentistry and is board-certified in family medicine and in hospice and palliative medicine.

Dr. Epstein’s research has been funded by the National Institutes of Health, the Agency for Healthcare Research and Quality, and private foundations. In particular, his research has focused on patient-centered care, the influence of patients on clinical practice patterns, and clinician mindfulness and self-awareness as applied to stigmatized topics (e.g., AIDS, somatization, life-limiting illness) and understudied populations. Dr. Epstein has developed innovative educational programs in mindful practice, communication skills, the patient-physician relationship, physician self-awareness, and assessment of professional competence and has outlined the habits of mind of master clinicians. He has published more than 100 peer-reviewed articles and numerous book chapters, editorials, and monographs. Dr. Epstein also has produced monographs on patient-centered care for the National Cancer Institute and the American Board of Internal Medicine. Recently, he demonstrated the effects of a “mindful communication” program on physician empathy, burnout, and clinical care.

Dr. Epstein has the first faculty member at the University of Rochester to be named the George Engel and John Romano Dean’s Teaching Scholar. He is a recipient of the Lynn Payer Award from the American Academy on Communication in Healthcare and has been a Fulbright scholar at the Institute for Health Studies in Barcelona, Spain, and a visiting scholar at the University of Sydney in Australia. He continues collaborations with researchers he worked with at both institutions.

Disclosures: speakers bureau membership – Merck Pharmaceuticals.

Mark F. Gorman is Director of Survivorship Policy for the National Coalition for Cancer Survivorship (NCCS), whose mission is to advocate for quality cancer care for all Americans. A long-term survivor of metastatic melanoma, Mr. Gorman worked as an NCCS volunteer. NCCS conducts evidence-based advocacy for systemic changes at the Federal level in how the nation researches, regulates, finances, and delivers cancer care. A key focus of its advocacy efforts is to improve the quality of cancer care and the experiences of patients living with cancer, both during and after the acute phase of treatment.

Disclosures: nothing to disclose.

Aanand D. Naik, M.D., is an assistant professor at Baylor College of Medicine and at the Health Services Research and Development Center of Excellence at the Michael E. DeBakey VA Medical Center in Houston, Texas. He joined the faculty at Baylor College of Medicine after completing his clinical training in internal medicine and geriatrics at the University of Texas Southwestern Medical School in Dallas and research training at the Robert Wood Johnson Clinical Scholars Program at Yale University in New Haven, Connecticut. His research interests include the development of interventions to improve collaborative treatment processes and health outcomes of older adults with multiple morbid conditions. He has received support for this work from the National Institute of Aging, the Doris Duke Charitable Foundation, and the Agency for Healthcare Research and Quality.

Disclosures: nothing to disclose.