Video Center

Technology Video – Diego Mechoso, MD Video

Announcer: Medical care to patients is being enhanced with advances in technology.

Visuals: Announcer is a male in a suit. He is introduced with the title “Kris Long – American Health Journal” in lower-third. He is in front of a news studio background with glass and wood panels and a large monitor with the title “Technology & Patient Care” displaying video of a doctor in a hospital corridor typing into a computer.

Announcer (V.O.): At Valley Presbyterian Hospital in the San Fernando Valley, Dr. Diego Mechoso tells us about some of the things technology has replaced in helping with patient care.

V.O. visuals: Exterior of hospital; Dr. Diego Mechoso being interviewed in a studio; a doctor writing on a paper chart as a patient describes his condition.

Diego Mechoso, M.D. (V.O.): Technology has replaced things like the paper chart.

V.O. visual: Close-up of doctor turning pages of the pages of the paper chart.

Mechoso: It replaced things like old x-rays even. When we used to go and look on TV and you had a big x-ray film (holds up his hand to demonstrate how x-ray film was held up to a light box). Now it comes digital or it comes in a CD.

Visual: Close-up of Mechoso, wearing a shirt, tie and white coat, being interviewed in the studio against a brightly colored abstract background. He is introduced as “Diego Mechoso, MD – Valley Presbyterian Hospital” in the lower-third.

Mechoso (V.O.): It also replaces things like how we do entries, how we do prescriptions. You used to leave the doctor’s office with a paper prescription. Now a lot of times you leave the office with an electronic prescription that goes straight to your pharmacy.

V.O. visuals: Mechoso looking at a digital x-ray on a laptop; another view of him looking at the computer screen in the pediatrics unit of the hospital.

Mechoso: A lot of times though technology has just augmented the experience for patients because if you really look at it, the patient experience has changed pretty dramatically over the last ten to twenty years. Where it used to be that, the personal doctor for a person would follow you in the office…

Mechoso (V.O.): …or follow you in the hospital. That has really changed. Now very often the doctor that follows you in the hospital…

V.O. visuals: Doctor talking to a patient in a hospital room; close-up of patient with an oxygen tube.

Mechoso: …the specialist that sees you or maybe because of an insurance change, your doctor may easily change.

Mechoso (V.O.): So getting information between providers, getting information from times that you may be in the hospital back to your provider has become increasingly important.

V.O. visuals: A doctor sitting at a hospital unit desk reviewing a foot x-ray on the computer screen; Mechoso talking with a nurse at a mobile monitor in the hallway of the unit.

Mechoso: Let’s take for example a patient portal, something that’s becoming increasingly more common. So these are sites where patients can individually go…

Mechoso (V.O.): …and retrieve information about their specific healthcare. Some can do it right on their smartphone.

V.O. visuals: Another view of Mechoso looking at computer screen in unit; close up as he types into the keyboard

Announcer (V.O.): We asked Rudy Serrano how the patient portal helped him as a patient.

V.O. visual: Rudy Serrano being interviewed in the studio.

Rudy Serrano, Patient: The patient portal has allowed me to, you know, basically print my medical records at home and has given me the capability to give those to my primary care physician, my physical therapist. I actually was recently in a car accident, so it was very pertinent that I get the medical records to my physician at that moment. So I was actually able to print the medical records there in the office and they were able to, you know, view my x-rays as well as the dictations that the physicians had put into the computer, versus going to Medical Records (department) and you have to wait about ten days to get those copies. So it’s very useful.

Visual: Close-up of Serrano, in a red dress shirt, being interviewed in front of the brightly colored abstract background. He is introduced as “Rudy Serrano, Patient.”

Mechoso (V.O.): Part of what we like about technology is things are easier to find in a structured format.

V.O. visual: Mechoso slowly walking up the pediatrics unit hallway toward the camera.

Mechoso: So we all joke about Google’ing something, right. But before we had Google you had to go to the library, you had to look through books, you had to go to an encyclopedia. Now you have things in a more structured format and that should be one of the things that technology helps us to do. And, so naturally the goal is to try to do that…

Mechoso (V.O.): …in medicine. One example is something called the CCD. The continuity care document which has in a structured format, a good deal of patient information. Their problems now, their active medical issues that they have, medications, allergies, laboratory studies, things of this nature that actually the patient, themselves, can download and have in a format they can give to their doctor or take to other places. And also if their system – the doctor’s system, the hospital’s system – is certified to receive that information, they…

V.O. visuals: More views of Mechoso looking at the computer monitor; camera zooms into a digital lung x-ray on the computer screen; a doctor in a hospital corridor typing into a keyboard at a monitor station; close-up of the doctor typing into the keyboard; close-up of a website’s patient portal screen on a computer monitor.

Mechoso: …can receive it electronically. And I think these are some of the things in healthcare information technology that we really look to get…

Mechoso (V.O.): …that key medical information from hospital to hospital, from hospital to patient, and from doctors to doctors. And I think ideally healthcare information technology should empower patients to have possession of their own medical records because certainly if I just met you first time and I’m to treat you and I don’t know the medications that you’re on, your allergies, your medical…

V.O. visuals: Mechoso and another doctor in the pediatrics unit talking as they look at the computer monitor; Mechoso washes up at the sink before seeing a patient.

Mechoso: …history, it’s going to take time to learn that and if I don’t know that information, it certainly could compromise my ability to treat you. So the more a patient can get empowered via technology to bring information, I’ve seen patients come in and say, ‘I don’t remember my immunizations but I have it on my smartphone because I have my patient portal’ and just show it to us. And that helps to bring information forward and helps make sure the patient is getting the appropriate treatment.