A Physician’s Story

I am a native of Virginia Beach, Virginia, completed my undergraduate training at Mary Washington College in Fredericksburg, Virginia and went on to complete a degree in Medicine from the University of Florida. I completed internship and residency at Children’s Medical Center of Dallas/UTSW and began my career as a general pediatrician in the United States Air Force. It was during this tenure as a general pediatrician in the military I could moonlight as a hospitalist, which began the exploration of becoming a full-time hospitalist. In addition, while in the Air Force, I completed my MBA at UT Knoxville. 

In the ensuing years, I contracted as a physician at many locations and could use several systems including Meditech (physician champion and pediatric representative to EHR Committee, certified in V.6.x), A2, Mckesson Horizon and Paragon, EPIC, VISTA, and varied outpatient platforms. But it was in 2005 that I was exposed to Cerner and then Cerner Millenium, over the next 12 years as a provider. In 2012, I worked as an implementation consultant and decided to move into informatics full time. This was motivated by burnout from working 100-hour weeks as a Pediatric Hospitalist.  Subsequently, I worked as a Physician Strategist for CERNER’s CHS project, then was recruited as a Regional CMIO for Adventist. Subsequently and most recently, I became certified in CERNER’s Ambulatory product through the military’s MHS Genesis project in PowerChart, Powernote, Dynamic Documentation, FirstNet, SurgiNet, PharmNet, PathNet and RadNet. My current role is CMIO for iCare, a platform based on the VA’s VISTA product. 

I’m in a unique position because I still practice as a Nocturnal Pediatric Hospitalist for a community hospital system, transitioning to another EHR platform in the next 18 months. We are in maintenance mode with the clinical informatics department who works alongside IT to maintain the current system and infrastructure. My other position is truly as a SME to configure a system for an LTAC. Informatics for the client, is again in maintenance mode as they wait for a new platform and the platform itself is limited by competing priorities and knowledge base of leadership, developers, and the client structure. 

In conclusion, I have learned a few things that I would like to share. Work life balance is paramount. Not every EHR is the same. You must have truthful, open communication between all parties while working a project or while attending in a facility. In your zeal to be part of a project, don’t sell your worth short, negotiate fairly to be compensated accordingly. 

About the Contributor

Dr. Felicia M. Baxter is CMIO, for iCare.com LLC and serves as a member of the HIMSS Physician Committee for FY18. Dr. Baxter is genuinely excited to bring innovative technology to providers and desires to be able to participate and provide any input that will make systems even more functional and desirable than they already are. She is a board-certified physician with ongoing practice experience and understands that physicians can be resistant to change. If they can see one of their own developing, implementing, and utilizing a EHR/EMR effectively, it is more encouraging to them as they transition to a fully paperless system.