Dr. Shannon M. Clark, MD, FACOG
👤 PersonAppearances Over Time
Podcast Appearances
If there's a death or patient ends up in hysterectomy or X, Y, and Z, that's going to be on my stats. It's easy to not have to report it if it's not following on your stats. A lot of patients don't even realize that when they're looking at where they're going to give birth. And I'm not trying to throw birth centers under the bus.
If there's a death or patient ends up in hysterectomy or X, Y, and Z, that's going to be on my stats. It's easy to not have to report it if it's not following on your stats. A lot of patients don't even realize that when they're looking at where they're going to give birth. And I'm not trying to throw birth centers under the bus.
I do think there is a role for them, but they should be required to do reporting just like we are because patients deserve to know all of those stats and they should be able to see the receipts. Changing medical records, that was another issue throughout. You can go back and change a medical record, but in our hospital system, if you change something, It's going to be known. Epic logs every edit.
I do think there is a role for them, but they should be required to do reporting just like we are because patients deserve to know all of those stats and they should be able to see the receipts. Changing medical records, that was another issue throughout. You can go back and change a medical record, but in our hospital system, if you change something, It's going to be known. Epic logs every edit.
I do think there is a role for them, but they should be required to do reporting just like we are because patients deserve to know all of those stats and they should be able to see the receipts. Changing medical records, that was another issue throughout. You can go back and change a medical record, but in our hospital system, if you change something, It's going to be known. Epic logs every edit.
If somebody's requesting medical records, they're going to see that. There's an audit trail. One of the things about some of these systems, and I don't know if it was true in this situation, but when you do certain types of record keeping, they will charge for the number of users you have.
If somebody's requesting medical records, they're going to see that. There's an audit trail. One of the things about some of these systems, and I don't know if it was true in this situation, but when you do certain types of record keeping, they will charge for the number of users you have.
If somebody's requesting medical records, they're going to see that. There's an audit trail. One of the things about some of these systems, and I don't know if it was true in this situation, but when you do certain types of record keeping, they will charge for the number of users you have.
So I don't know if it was at play in this situation that it was a way to cut costs, but depending on how many different usernames you're issuing, that is a cost. And I can tell you in a hospital setting, if you were to chart under somebody else's username or you were to go into a chart that you did not actually care for, that is grounds for dismissal, termination of your job.
So I don't know if it was at play in this situation that it was a way to cut costs, but depending on how many different usernames you're issuing, that is a cost. And I can tell you in a hospital setting, if you were to chart under somebody else's username or you were to go into a chart that you did not actually care for, that is grounds for dismissal, termination of your job.
So I don't know if it was at play in this situation that it was a way to cut costs, but depending on how many different usernames you're issuing, that is a cost. And I can tell you in a hospital setting, if you were to chart under somebody else's username or you were to go into a chart that you did not actually care for, that is grounds for dismissal, termination of your job.
I've heard of people getting fired because they went into somebody's chart or they did X, Y, and Z that was not their documentation. It happens.
I've heard of people getting fired because they went into somebody's chart or they did X, Y, and Z that was not their documentation. It happens.
I've heard of people getting fired because they went into somebody's chart or they did X, Y, and Z that was not their documentation. It happens.
I've actually talked about this a lot on my platform. When you look at worldwide mortality, we're actually very, very low. It's when you look at us compared to other higher income developed nations where we are not having a lower maternal mortality rate over the years. Ours is increasing yearly. And do I think we're in a crisis? Yes, I do. And I think there is a few reasons for that.
I've actually talked about this a lot on my platform. When you look at worldwide mortality, we're actually very, very low. It's when you look at us compared to other higher income developed nations where we are not having a lower maternal mortality rate over the years. Ours is increasing yearly. And do I think we're in a crisis? Yes, I do. And I think there is a few reasons for that.
I've actually talked about this a lot on my platform. When you look at worldwide mortality, we're actually very, very low. It's when you look at us compared to other higher income developed nations where we are not having a lower maternal mortality rate over the years. Ours is increasing yearly. And do I think we're in a crisis? Yes, I do. And I think there is a few reasons for that.
The one's going to be a rise in maternal mortality. There has been a steady rise since around 2000. We've had a few peaks here and there. During COVID, we had a peak, which they're still trying to tease out the data on exactly why that happened. But we're not where we should be for a high-income developed nation. The other reason is because there are clear and proven racial disparities.
The one's going to be a rise in maternal mortality. There has been a steady rise since around 2000. We've had a few peaks here and there. During COVID, we had a peak, which they're still trying to tease out the data on exactly why that happened. But we're not where we should be for a high-income developed nation. The other reason is because there are clear and proven racial disparities.
The one's going to be a rise in maternal mortality. There has been a steady rise since around 2000. We've had a few peaks here and there. During COVID, we had a peak, which they're still trying to tease out the data on exactly why that happened. But we're not where we should be for a high-income developed nation. The other reason is because there are clear and proven racial disparities.