Ronaldo, MD, PhD – Psychiatrist

Archetype

Direct Engager

Clinical Role

Psychiatrist

Strength of Evidence

Strength of Evidence Rating 5 out of 5

Source

Human Factors Engineering (HFE), Office of Health Informatics, Veterans Health Administration

Ronaldo, MD, PhD – Psychiatrist

Focused

Patient

Caring

Ron believes that the focus should be on the patient and not the technology. Both the provider and patient should be discussing the patient’s goals to optimize their care and personal wellness.

Mid 50s, single                          

VAMC

Intermediate tech skills       

Direct Engager

My Relationships

In the diagram above, individuals that are darker, larger and closer to Ronaldo are more important to her than individuals that are smaller, lighter and farther away.

“It’s imperative that I provide quality care to my Veteran patients as efficiently as possible; therefore I need access to patient care information when needed.”

My Job

  • Psychiatrist
  • 12 years with VHA
  • Primarily outpatient

My Devices & Technology Skills

  • Laptop (at work)
  • Laptop (at home)
  • Smart phone
  • Tablet

Barriers & Enablers to Patient-Centered Care (PCC)

  • Pressed for time
  • Technology lacks integration and workflow to support full enablement of PCC
  • Support from peers and training makes PCC approach easier

Communications

  • Veteran: In-person (majority), telehealth/phone, administrative staff member
  • PACT: Secure messaging, email, Skype
  • BHIP Team: Secure messaging, email, Skype
  • EHR: Free text notes, clinical reminders, medication orders

My Pain Points & Motivators

  • Too many alerts
  • Too many clicks
  • Tools not integrated and does not match workflow
  • Documentation and help are lacking
  • Tools should support clinical decision making

My Narrative

Ron has been a psychiatrist at his local VA Medical Center for 12 years. As a mental health care provider, he focuses on spending as much face-to-face time with his Veteran patients as possible. He believes that he shouldn’t be spending a lot of time searching through the EHR for information and documentation to provide a treatment care plan for the Veteran. He believes in first speaking with each Veteran, discussing what is really important to them, and then customizing their care plan to their needs and values.

Ron gets frustrated with the numerous alerts, the inconsistent terminology that is used in the free text documentation, and with having insufficient options when constrained to multiple choice ratings of patient variables such as risk level, patient motivation, etc. At times, VA tools and technology make it difficult to support clinical decision making.

He feels grateful for his peers and the support they provide, not only in helping him become a better provider, but also a better person. He is not comfortable adapting to new technology. He tends to work long hours, seeing numerous patients daily at the Mental Health Clinic. He is proud of the work that he does at the VA, and his family supports him, due to the long military history in his wife’s family.

My Components of Health and Proactive Well-being

This describes Ronaldo’s relative health and well-being attitudes. 

Ronaldo_compnonents
In the diagram above, the relative width of the three outer bands and the
relative size and brightness of the eight inner circles represent their importance to Ronaldo.

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