WAKULU http://wakulu.posterous.com Most recent posts at WAKULU posterous.com Thu, 13 May 2010 03:03:00 -0700 Join Wakulu Beta Session to get you started (http://www.wakulu.com/coachings/6/info) http://wakulu.posterous.com/join-wakulu-beta-session-to-get-you-started-h http://wakulu.posterous.com/join-wakulu-beta-session-to-get-you-started-h

Aside from knowing how to get the most of Wakulu coaching application, you can have a first hand news of the new features coming in. Also, you can throw in suggestions and even request features that can help you more productive in your coaching. Join now Rose Wakulu Beta Session group by clicking here.

 

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Thu, 13 May 2010 02:22:00 -0700 Know how it is to be a Life Coach by @Crystal_Church http://wakulu.posterous.com/know-how-it-is-to-be-a-life-coach-by-crystalc http://wakulu.posterous.com/know-how-it-is-to-be-a-life-coach-by-crystalc

You can take a glimpse and learn what you can expect of having a life coach in your side from Crystal Church, a practising coach herself. You can check more of her from her Connecting with Crystal blog site (http://connectingwithcrystal.blogspot.com/).

 

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Thu, 13 May 2010 02:05:32 -0700 NEJM -- What's Keeping Us So Busy in Primary Care? A Snapshot from One Practice http://wakulu.posterous.com/nejm-whats-keeping-us-so-busy-in-primary-care http://wakulu.posterous.com/nejm-whats-keeping-us-so-busy-in-primary-care

The Work of Primary Care

Document Types

The volume and types of documents that we receive, process, and create are listed in Table 1, reported as the number of services per visit, per physician per day, and per patient per year. Some high-volume categories of documents are not reported, largely because they are not carefully indexed. Such documents include administrative forms (e.g., for physical examinations for work, camp, and school and Family Medical Leave Act forms), correspondence received from health plans (e.g., disease-management letters), and reports on home care and physical therapy. Although such documents are not reported here, they represent a substantial amount of work in a practice.4 It is illuminating to describe the work by physicians that is associated with taking responsibility for these documents.

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Table 1. Volume and Types of Services for an Active Caseload of 8440 Patients at Greenhouse Internists in 2008.

 
Telephone Calls

Telephone calls that were determined to be of sufficient clinical import to engage a physician averaged 23.7 per physician per day, with 79.7% of such calls handled directly by physicians. Table 2 shows an analysis of telephone calls, according to which staff member handled the call, subject matter, and associated activity. Of these calls, 35.7% were for an acute problem, 26.0% were for administrative purposes (e.g., prior authorization for insurance or employer-required documents), 6.3% were for discussion with other members of the treatment team (e.g., emergency room physicians or specialists), 17.5% were for discussion or interpretation of test results (which is also performed by mail or e-mail), 9.5% were for discussion of advice from specialists or clinical decisions faced by patients, and 5.0% were for clinical follow-up. A total of 27.7% of calls resulted in the writing of a prescription, and 7.8% of calls resulted in the ordering of a test; 21.9% of calls involved an exchange of information with no change in management.

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Table 2. Sample of 462 Telephone Calls Logged at Greenhouse Internists for 1 Week in 2008.

 
E-Mails

Physicians averaged 16.8 e-mails per day. Of these electronic communications, 59.3% were for the interpretation of test results, 21.7% were for response to patients (either initiated by patients through the practice's interactive Web site or as part of an e-mail dialogue with patients), 9.3% were for administrative problems, 5.0% were for acute problems, 2.8% were for proactive outreach to patients, and 1.9% were for discussions with consultants.

Prescription Refills

Each physician processed 12.1 refills of prescriptions per day, not including refills that were handled during a visit or requested as part of a telephone call involving other issues; multiple medications that were refilled at the same time were counted as a single refill. Each refill request required some level of chart review (e.g., determining the patient's history with the drug and whether any required monitoring had been performed).

Laboratory Reports

Each physician reviewed 19.5 laboratory reports per day, including those ordered through our office (which are delivered to us through an electronic interface and are automatically posted to the database of the electronic health record as numerical values) and those ordered outside our office (which enter our chart as scanned PDFs and are not posted as numerical values). The work cycle of responding to a laboratory result includes interpretation by telephone, letter, or e-mail. (Our office sent 12,541 letters communicating test results, about a third of which were sent by e-mail.) For noninterfaced laboratories, we must decide which values need to be entered manually into the electronic health record by a staff person; the values of scanned results cannot be graphed or searched without this step. Laboratory results frequently trigger a review or adjustment of a medication, which requires access to accurate, current medication lists with doses.

Imaging Reports

Each physician reviewed 11.1 imaging reports per day, which usually required communication with patients for interpretation. Such review may require updating problem lists (e.g., a new diagnosis of a pulmonary nodule) or further referral (e.g., fine-needle aspiration for a cold thyroid nodule), which generates additional work, since results and recommendations are communicated to patients and consultants.

Consultation Reports

Each physician reviewed 13.9 consultation reports per day. Such reports from specialists may require adjustments to a medication list (if a specialist added or changed a medication), changes to a problem list, or a call or e-mail to a patient to explain or reinforce a specialist's recommendation. Some consultation or diagnostic reports relate to standard quality metrics (e.g., eye examinations for patients with diabetes) and need to be recorded in a different manner to support ongoing quality reporting and improvement.5

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Fri, 07 May 2010 04:22:31 -0700 Wakulu Beta is now open http://wakulu.posterous.com/wakulu-beta-is-now-open http://wakulu.posterous.com/wakulu-beta-is-now-open
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Finally, Wakulu Beta is opening shop. I would like to make a lengthy post about it. But this week has been pretty grueling for the team, polishing things up for the release of Wakulu Beta. So I'll make this brief. 

I am inviting you to please join Wakulu Beta. We release a beta version for us to learn from you, the coaching community, and others who are passionate to share their knowledge to others. Sign up from the following link: 

We appreciate feedback, good or bad. 

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Thu, 29 Apr 2010 04:31:00 -0700 How Coaches Can Make Things a Little Less Complicated to their Coachee http://wakulu.posterous.com/how-coaches-can-make-things-a-little-less-com http://wakulu.posterous.com/how-coaches-can-make-things-a-little-less-com

<div style="width:425px" id="__ss_3900506"><strong style="display:block;margin:12px 0 4px">How Coaches Can Make Things a Little Less Complicated to their Coachee</strong><div style="padding:5px 0 12px">View more presentations from Rose Buenconsejo.</div></div>

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Thu, 29 Apr 2010 04:03:41 -0700 Wakulu Coaching Application - Demo Day (Real Artist Ships) http://wakulu.posterous.com/wakulu-coaching-application-demo-day-real-art http://wakulu.posterous.com/wakulu-coaching-application-demo-day-real-art

Demo Day =) in less than a month - we have this! =)

Click to view large

I want to share a picture of me during our Wakulu demo earlier. Basically, we showcase Wakulu to some of the Caresharing people to get their positive and negative feedbacks.

It is such heartwarming moment for me, and for everybody in the team, I believe. In less than a month, the developers were able to pull it off. More than producing the minimum viable product, it's that real artist ships.

No matter what happen, Wakulu is art.

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Tue, 27 Apr 2010 00:12:00 -0700 Social for Human Wellness http://wakulu.posterous.com/social-for-human-wellness http://wakulu.posterous.com/social-for-human-wellness

<div style="width:425px" id="__ss_3867653"><strong style="display:block;margin:12px 0 4px">Social for Human Wellness</strong><div style="padding:5px 0 12px">View more presentations from rose buenconsejo.</div></div>

This is my first try creating a slideshare presentation to describe the story behind Wakulu. Feel free to share it.

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Mon, 26 Apr 2010 01:53:39 -0700 Mockup after Mockup http://wakulu.posterous.com/mockup-after-mockup http://wakulu.posterous.com/mockup-after-mockup
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Just few more days, and it will be May, 2010, when the release of the beta version of Wakulu is scheduled.

Can we make it?

Yes, we can!

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Thu, 22 Apr 2010 23:02:00 -0700 Coach Tim Brownson Talks About Quitting Smoking http://wakulu.posterous.com/coach-tim-brownson-talks-about-quitting-smoki http://wakulu.posterous.com/coach-tim-brownson-talks-about-quitting-smoki

 

 

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Thu, 22 Apr 2010 03:55:00 -0700 Something Green is Brewing in Wakulu http://wakulu.posterous.com/something-green-is-brewing-in-wakulu http://wakulu.posterous.com/something-green-is-brewing-in-wakulu

Newlook

Watch out for it!

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Tue, 20 Apr 2010 20:38:00 -0700 GPs (physicians) can help people quit smoking by encouraging them to join coaching program http://wakulu.posterous.com/gps-physicians-can-help-people-quit-smoking-b http://wakulu.posterous.com/gps-physicians-can-help-people-quit-smoking-b

I came across an article posted on NHS.UK, 'How GPs can help people quit smoking,' and interesting to know that medical doctors encourage their patients to have a friend or a relative to help them out in quitting. Quoted from the article:

"I encourage people to try to quit with a friend or relative, and also point out the financial benefits of quitting, which can add up to thousands of pounds a year."

I believe that doctors should also mention coaches, therapist, counselors, and communities to patients who need help to recover -- from smoking, or on things that cause stress (which leads to bad health) on them. Because as mentioned also in the article, prescription drugs may have negative side effects on some people. 

"Occasionally, I will prescribe bupropion (Zyban), a drug that reduces the craving for nicotine. This isn't for everyone as it can cause epileptic fits in people prone to them and can affect liver and blood pressure, so needs close monitoring. Some people do very well with the medication, so it's worth considering."

As always, the natural organic way is the best way to heal. And, what can be more organic than human relationship as the medicine to cure 'smoking addiction.'

 

 

 

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Mon, 19 Apr 2010 01:45:00 -0700 Livingroom Interview of a Life Coach http://wakulu.posterous.com/youtube-livingroom-interview http://wakulu.posterous.com/youtube-livingroom-interview

I intend to interview Maia Berens of 'All About Life Coaching' (http://allaboutlifecoaching.com/) to get a glimpse of a life coach's life. But before I can create a feature about her, you can check her 'Livingroom Interview' video. This can give you a preview of how it is to be a life coach.

In the first part of interview, she talks about her 3 magic secrets:
* Life is a school
* Friend indeed
To know the 3rd magic secret, check the video, or you can check her book, 'Once Upon a Time There Was You' (http://allaboutlifecoaching.com/book-by-a-life-coach).>

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Tue, 13 Apr 2010 02:04:00 -0700 MyLife Medical Home http://wakulu.posterous.com/mylife-medical-home http://wakulu.posterous.com/mylife-medical-home

This was the concept that Shelley Evenson talked about in IXDA10 talk, Service as Design. I would like to add the coaching community to be part of that design. Or, more of coaching can be placed in the buddy system of that concept.

 

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Mon, 12 Apr 2010 19:50:00 -0700 Shelley Evenson-Service as Design http://wakulu.posterous.com/shelley-evenson-service-as-design http://wakulu.posterous.com/shelley-evenson-service-as-design

<p>Shelley Evenson-Service as Design from Interaction Design Association on Vimeo.</p>

I am sharing this Shelley Evenson talk, which focuses on adding a social element to health management system. Looking at it, would it not be wonderful if there is a facebook or a social web application for promoting human health and wellness? It looks like a long-shot but this is the main goal of Wakulu coaching application — to add value and meaning to people’s lives.

I am reposting it via posterous hoping the video is properly embedded.

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