I'm the director of Revenue Cycle and HIM for one ...

I'm the director of Revenue Cycle and HIM for one of the top 10 largest health systems in the United States.

The nurse practitioner at Vanderbilt Primary Care in Mt. Juliet was dismissive about a cough issue that I was having and recommended over the counter or Mucinex as a treatment. I'm so tired of these young doctors and nurse practitioners who failed to listen to their patients. I calmly explain to Dr Pickney that I have had 50 to 60 episodes over the last decade of respiratory issues and that each of those occasions I know exactly what my care regimen needs to be. She did not listen. I called in to report that I was coughing up blood, and rather than getting me back into her office she just sent me to a radiology clinic to get an x-ray. When the results came back negative on the x-ray they said everything was fine. Clearly it is not.

Secondly, I'm not for sure why Vanderbilt spent $100 million on installing epic as their EHR system when they don't even use half the functionality. I have 177 pages of medical records that are in a .xml and PDF format. Both of which can be loaded to epic. The clinic acted like they didn't want the records and that they couldn't upload them. I told them that they may not be able to upload the XML document but they sure as hell can upload a PDF document. 5 years worth of pertinent medical data that I have about care across multiple specialties and they don't want to see it.

I've set up a call with their HIM department at Vanderbilt next week to discuss the medical record issue. clearly somebody at Vanderbilt within physician services needs to have a long talk with their providers about how they need to treat their patients and tend to their care. Using their MyChart option is pretty pathetic if you don't turn on it's basic functions. I'm literally able to get all of my medical records electronically in the MyChart portal from a Podunk hospital in Butte Montana with a population of 35,000 people, and can import those records to Baylor, to Texas Health, to CHI, to Tenet, but not Vanderbilt. a big demographic of your patients or millennials now you need to wake up and start using technology correctly.