This is my Presentation for AIM 2011: Accelerate, Innovate, Motivate

1. 73 Cents, 21 Days: A painted history of one electronic medical record. Painted and Presented by Regina Holliday

2. This is a story about a family. This is a story about faces and numbers.

3. This is Fred Holliday.

4. These are Fred’s numbers. 46 ambulance transports 6 hour wait while staff try to cobble together a medical record using a phone and a fax machine Treated at 5 facilities during 11weeks of hospitalization Prescribed 4 types of Pain Killers and 4 types of Laxatives 3 months of Primary Doctor’s Visits 2 Hospital Emergency Rooms 1 Patientnamed Fred

5. This is Regina begging for access to the information within the electronic medical record. She wants to find out about the spread of Fred’s Cancer.

6. After walking into the hospital on March 25, 2009 Fred Holliday, He became the patient in room 6218. He spent the next 25 days hospitalized with no access to his own record. Regina went down to medical records and was told “It is 73 cents per page and a 21 day wait to get a copy of the patient medical record.” On the 26th day, the doctor said he was sending Fred home on a PCA pump. He was sending Fred home to die.

7. After waiting for5days for a transfer to another hospital for a second opinion, they were sent with an out of date and incomplete medical record and transfer summary. The new staff spent 6 hours trying to cobble together a current medical record Using a telephone and a fax machine.

8. This is Fred’s Medical Record.

9. This is the vital clinical information from Fred’s electronic medical record. Presented in the style of the Nutrition Facts Label. Then painted on the wall of Pumpernickel’s Deli in Washington, DC.

10. This is the painting 73 cents. This is the vital patient story, the social history , the sacred heart of Fred’s ELECTRONIC MEDICAL RECORD.

11. About the blood transfusion on May 16 -17, 2009

12. Push the data: use a blue button, a patient portal or an Health Information Exchange. A closed information loop is a computer that is turned off.

13. Sutent ordered May 1, 2009, but hospital pharmacy closes the order…without telling us

14. Next steps in patient access…. Medical Reconciliation Report, Doctor’s Progress Notes, Nurses Progress Notes

15. Two very different calls to our home…

16. Two years after painting 73 cents, Freddie grows beyond peering through A door crack to walking in a Gallery

17. Isaac at his Doctor’s appointment with his EHR in his hands. The in HIT

18. This is a painting of Fred holding his sons.

19. This is a picture of Fred’s sons holding their Father. Any Questions? @ReginaHolliday