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nxpatel's profile
Nisarg Patel
Nisarg Patel
Nisarg Patel
@nxpatel

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Nisarg Patel

@nxpatel

Resident surgeon @UCSF. Biotech VC @BessemerVP. Cofounder @memorahealth. Alum @ycombinator, @broadinstitute, @mit_hst, @harvardmed.

San Francisco, CA
nisargapatel.com
Joined December 2012

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    Nisarg Patel‏ @nxpatel 18 Jul 2019

    Nisarg Patel Retweeted

    As much as I’d like to agree here, some nuance: EMRs are designed perfectly for the job they were sold to the hospital C-suite to do, *maximize revenue*. An EMR built *primarily* for patient care is only possible when a hospital’s business model aligns with that philosophy. https://twitter.com/VPrasadMDMPH/status/1151703966150823936 …

    Nisarg Patel added,

    This Tweet is unavailable.
    7:16 AM - 18 Jul 2019 from San Francisco, CA
    • 10 Retweets
    • 87 Likes
    • Sherman Leung Adam Hayden (he/him) Matt Flounders Stewy David S Chang 🇹🇼🧢🍎 Alphan Kirayoglu Shiv Rao Ameya Kulkarni, MD Shivani Shah
    10 replies 10 retweets 87 likes
      1. Nisarg Patel‏ @nxpatel 13 Nov 2019

        Nisarg Patel Retweeted Atul Butte

        Case in point:https://twitter.com/atulbutte/status/1194734174600617984 …

        Nisarg Patel added,

        Atul ButteVerified account @atulbutte
        Epic: the EHR everyone loves to hate? Or hates to love? @VUMChealth _triples_ operating income after Epic rollout… https://buff.ly/2plxoIo 
        0 replies 0 retweets 2 likes
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      1. Manas Kaushik‏ @MANas8U 18 Jul 2019
        Replying to @nxpatel

        💯A lot of others know/said; EMRs are also considered by buyers as a way to bring system-ness/ “standardization’ to the unruly community docs, still learning residents, cowboy attendings without getting buyin first from all affected.

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      1. Ashish Advani‏ @aaadvani 18 Jul 2019
        Replying to @nxpatel

        This would happen if Docs would be willing to leave for another practice for sake of better EMR but no one thinks that’ll happen

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      1. Ashoka Rajendra‏ @ashokaraj_ 18 Jul 2019
        Replying to @nxpatel

        Most enterprise software companies have to worry about adoption rate. When users are mandated to use it, and the switching cost is so high, what’s the incentive to make the software better? Would be curious across industries to see what ingredients make digitalization go well

        0 replies 0 retweets 2 likes
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      1. Daniel Liebman MD MBA‏ @D_Liebman 18 Jul 2019
        Replying to @nxpatel

        Extra nuance on your nuance - it's not just revenue maximization, it's the layers upon layers of documentation required to realize that revenue. The 10-point review of systems. The attestations. The novel-length operating room reports. Etc.

        0 replies 0 retweets 3 likes
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      1. Jeff Wright MD, PhD‏ @JeffWrightPhoto 18 Jul 2019
        Replying to @nxpatel

        Actually out of the box Epic is not particularly useful for maximizing revenue, either.

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      2. Pooja Chandrashekar‏ @poojac99 18 Jul 2019
        Replying to @nxpatel

        I think it's also about who's at the table. EMRs were designed and developed without much input from physicians. Patient/clinician-centered innovation is only possible if SV involves clinicians throughout the R&D process.

        1 reply 0 retweets 0 likes
      3. Nisarg Patel‏ @nxpatel 18 Jul 2019
        Replying to @poojac99

        Initially yes. Product iterations have progressed–albeit slowly–towards incorporating physician feedback (e.g. custom order sets, signout reports, smartphrases). That being said, a good UX is incompatible with the current, tedious documentation reqs needed to please insurers.

        0 replies 0 retweets 2 likes
      4. End of conversation
      1. New conversation
      2. Benjamin Vincent‏ @BenjaminGVincen 18 Jul 2019
        Replying to @nxpatel @VanAllenLab

        Is that even possible ?

        1 reply 0 retweets 3 likes
      3. Nisarg Patel‏ @nxpatel 18 Jul 2019
        Replying to @BenjaminGVincen @VanAllenLab

        Potential for this in health systems that take on full financial risk for patients, e.g. Kaiser, Medicare Advantage, Managed Medicaid. @iorahealth's in-house EMR is a good example of how remote clinician-patient communication and clinician UX can be prioritized from the start.

        1 reply 0 retweets 2 likes
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