I'd post a slideshow....but it won't load !

McMillan Christmas Party

Thanks for responding...

Okay goofy kids.....you commented on my homework! I accidently posted an online course assignment on my personal Blog instead of my school one !

BLOG ENTRIES FOR MODULE 1

Well...I did not finish the real blog assignment so I better get on it ! I sincerely believe that proper use of IT resources and good information management systems are critical to success in any health-related field (medicine or nursing). As the complexities of our health care system increase, we must acknowledge that the capabilities of human information processing are going to fall short. Our brain can only synthesize so much data and it will inevitably cause a significant gap between what we need to know- and what we are capable of integrating. Well designed systems must take over where the limits of our brain fail. I think this is true of many professions and not just nursing.
In my particular clinical setting (Expresscare) we use a database developed specifically for our clinics (5 of them) that is integrated (we can see and utilize each others data). We have templates that standardize what information is placed in the patient record and fields in in our coding areas (ICD 9 diagnoses) and service levels that limit our options. You are unable to get past certain fields without filling them out so it does force certain data points to be completed. The fundamental problem with this system is that it is not integrated or linked to the other (IHC) systems that contain patient data. The implication for pt care is that critical information may be missed and other service providers may have no knowledge of our interventions. At some future point this issue will be resolved and pt interactions will be accessible to a greater number of providers. This does not completely solve many of the quality concerns, but it does move us closer to an integrated health record. Standardization of evidence-based practice models (or care process models) becoming more formalized within the system can significantly improve patient care (because it can decrease variability between treatment regimens and diagnosis between providers).

Gavin McMillan hanging out with Grandpa...

Myla playing with Grandpa.

My other photos didn't come out too well...so I'll have to mooch off mom and dad for pictures of my brother Mark and his wife Melissa's family. I had a nice (but very short) visit when they came down for a visit from Alaska !

Yahooo. new pictures of the events of summer :)

Wow....no posts since June! pathetic isn't it ? We have had a busy summer ! Hopefully, I can download some pretty pictures soon.

About time I wrote on this!!

Great news in the McMillan family: a new baby! Gavin Webb McMillan made it here in one piece ! I will post pictures as soon as I download the iphone ! Its been a while since I have updated my blog.....busy spring and summer so far.

I got tagged !!

Monday, February 18, 2008

ABC's Getting To Know You!
A- Attached or single: Attached to Ronnie-man
B- Best Friend: Ron
C-Cake or Pie: Cake (spice or chocolate)
D-Day: Wednesday: play with the babies day
E- Essential Item: Sunscreen
F- Favorite Color: Turquoise
G-Gummi Bears or Worms: gross-none of the above
H-Home town: Santa Barbara CA
I- Indulgences: massages at Massage Envy
J- January or July?: July...sun please.
K-Kids: 5 inherited
L-Life is incomplete without: family, friends, pets.......
M- Marriage Date: August 31, 2006
N- Number of Siblings: 2
O- Oranges or Apples: Oranges
P- Phobias or Fears: Not too afraid of much.
Q- Quote(s): "S_ _ T or get off the pot", my father (make up your mind and live with the consequences)
R- Reason To Smile: Waking up next to Ron
S- Season: Summer!
T- Tag Three (or more): whoever reads first
U- Unknown Fact About Me: that tattoo on my butt (just kidding)
V- Vegetarian or Oppressor of Animal: Opressor. guilty. love cow.
W- Worst Habit: sunflower seeds in the car
X-Rays or Ultrasounds: MRI. just love that knocking sound of a really big magnet
Y-Your favorite food: cereal
Z: Zodiac Sign: Gemini

How long have you been together? : almost 14 years ( I love him more every year)

How long did you date? : about 2 years, we took it slow to be sure the kids were not going to have to endure another divorce.

How old is he? : 54 in a couple months

Who eats more?: me????

Who said I love you first? : Can't remember, I think we were both feeling the same

Who is taller? : He is

Who sings better? : definitely Ron

Who is smarter? : He would say me, but I just have more degrees- he is a pretty smart guy.

Who does the laundry? : both of us

Who does the dishes?: both of us

Who sleeps on the right side of the bed?: me

Who pays the bills?: Ron- the Quicken King

Who mows the lawn?: We didn't have one until fall. When we had one- mostly Ron, but I do it too

Who cooks dinner?: mostly me. Ron brings dinner home really well.

Who drives when you are together?: Ron. I hate driving. I'll pawn it off on anyone.

Who is more stubborn?: I don't think either one of us is particularly stubborn

Who kissed who first?: The lip-locking was mutual

Who asked who out?: Our first "date" was accidental. We went to the movies with my sister, her husband and a couple other people as a group to go see "Schindlers List". The movie was pretty full so everyone split up to go find seats. Ron and I ended up together by default.

Who proposed?: Ron did. Underwater with hand signals at 60 feet.

Who is more sensitive?: Ron, hands down. He is the nicest guy I know.

Who has more friends?: Me, hands down. I hang on to everyone if I possibly can. People enrich your life so much- even if it is for a brief time.

Who has more siblings? : Ron ( 4) me (2)

Who wears the pants in the family? I actually like to wear Ron's pants (they are more comfortable) We each share a leg- but I wear him down sometimes and he just gives up. He is a saint.

Christmas 2007

Paul freezing his buns off in the snow

Jared, Paul & Hailey chillin'

Xmas at Ryan & Aubreys

Papa & Oliver



Michelle & Siena

Kerry & Wendy

Kevin & Christie

The boys.....

Christmas came and went by so fast......here are some pictures from my trusty phone !