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
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
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
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
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.