Communication especially on a systems level is critical in order to receive the best care possible. The roll out of the EPIC software system at Mayo last year was a frustration point simply because the software was implemented with no training for providers or patients how did they think that would work well?. My local providers use EPIC so I was hopeful at first that my labs would quickly get uploaded and my Mayo team would access them seamlessly but with no training the Mayo teams were unprepared to effectively use the software on even a basic level. I sat with a brilliant surgeon who fumble through screen after screen and finally gave up looking for a result. This is one of the smartest people on the planet but without training on the software he didn't stand a chance. I get pretty panicked in these communication vacuume moments because I know I am not getting the best care possible due to lack of communication between my teams this puts my transplant and health at undue risk. If you've woked behind the scenes I'm sure you have seen things like this before.