Electronic Physician Profiles: Developing an Interactive Web-Based Report for Physicians at Island Health.

Evidence based measurement is accepted as an important aspect of quality improvement. Making this data available to physicians to support them in quality improvement and to inform their practice presents a broad range of challenges. Addressing these challenges requires a solution that allows physicians to leverage the data repositories in the Enterprise Data Warehouse to develop and use evidence based clinical measures using an interactive, user-friendly, and secure infrastructure. In this talk, we discuss key aspects of the development of an interactive web-based report for physicians at Island Health, and present the final product. Given the privacy and security issues surrounding this type of data, a mock profile will be presented, rather than true results for actual physicians.Here, we have developed an initial prototype of a physician level report delivered via Microsoft Power BI as a possible dynamic tool to share these important data.

The Hippocratic Splash.

Although the current medical literature is limited, hydropneumothorax was described as far back as the 5th century BC. It is characterized by the presence of air and fluid in the pleural cavity and is an infrequent finding. Causes include trauma, iatrogenesis following thoracentesis, the presence of gas-forming organisms, tuberculosis and malignancy. Diagnosis is based on clinical and radiological features. We report a case of hydropneumothorax and present radiological images showing the distinctive features of this entity. LEARNING POINTS: Hydropneumothorax is defined as the presence of air and fluid in the pleural cavity and is an infrequent finding.Clinical features may present as breathlessness and chest pains with decreased breath sounds, dullness in a straight line, shifting dullness, a succussion splash and a positive coin test on physical examination; supine radiography demonstrates a distinctive pleural line with increased density lateral in the pleural cavity.Hydropneumothorax is managed by chest tube insertion for intercostal drainage.