The Health Information Technology for Economic and Clinical Health Act of 2009 committed to the expanded adoption of health information technology, expecting electronic health records (EHRs) to transform medical care while promising dramatic improvements in quality, efficiency and safety.  Five years and $25 billion later, the results have fallen short of expectations, and there are multiple reasons for our disappointment. First, EHRs were designed to document the provision of health care ...

Read more...

A few days ago a colleague of mine was inching south through the mother of all traffic jams: 60 straight miles of construction work on I-95 just south Washington, DC. The three-lane highway was jammed. Route 1, which runs parallel to I-95 was also jammed. Cars were stalled in the middle of the highway having run out of gas from waiting so long. He looked at the map on his phone ...

Read more...

The Business Insider article, "Senator Warns Fitbit is a Privacy Nightmare and Could be Tracking Your Movements,reports that Senator Chuck Schumer called for federal protections to prevent companies like Fitbit from collecting, sharing and selling consumer data to health insurers, employers and others. Fitbit, like Nike+FuelBand and Jawbone, sells wearable trackers that monitor sleep, health functions and physical activity. Senator Schumer accused FitBit and Smartphone apps of sharing users’ ...

Read more...

It’s been a while since my last rant about electronic health records (EHRs), so let’s remedy that right now. EHRs in their current iteration are -- how to put this delicately? -- an unmitigated disaster. Nevertheless, much of the criticism of EHRs, including mine, has been in the destructive category. What about some constructive criticism? How could EHR software be made better? I am not ...

Read more...

Vaginal video games: What to make of mobile Kegel apps There are two new high-tech ways that aim to help you with Kegel exercises, both with Kickstarter campaigns. There is the Skea (Smart Kegel Exercise Aid), basically a video game that proposes controlling the avatar with a vaginal probe that uses the pelvic floor muscles and kGoal, a vaginal insert that is meant to connect wirelessly with your smart phone and measures your squeeze ...

Read more...

There is growing healthy skepticism about the past promises of mobile technologies.  Issues concerning safety after the release of the FDA guidance of mobile medical appsprivacy and security, and efficacy. Followers of the sector are poised for the rubber finally meeting the road in health care. While most mobile health tools used today are reference apps for health care providers and patients, there  are ways in which ...

Read more...

The number of people engaging in personal health tracking is on the rise, as are the number of devices available for that purpose. By some estimates, around 15% of Americans use technology to track a health indicator for themselves or a loved one. The availability of technology like Bluetooth LE and smartphones have made tracking an ever increasing number of health parameters possible. As we recommend these tools to patients, its ...

Read more...

Are patient portals a gateway or barrier to patient centered care and communication?A guest column by the American College of Physicians, exclusive to KevinMD.com. Patient portals. They have great potential, but is it being met? And are we losing something in return? I ask myself these questions now that my practice offers a patient portal linked to our electronic health record (EHR). I did not expect to feel that way, ...

Read more...

10 potential benefits of robot caregivers My recent New York Times op-ed on robot caregivers for older adults has elicited curiosity, enthusiasm and controversy. I have to admit that my own first reaction to the topic was captured in the Times' letter from Sherry Turkle whom I mention in the piece. I was in a meeting and turned to a colleague, clumsily patted her on the back and said, “It … ...

Read more...

I recently did a tally.  Since starting my locums adventure last year, and going to full-time locums in January, I’ve worked in a grand total of 11 emergency departments.  Let me qualify that for the occasional visitor to my blog.  I decided to do this for purposes of flexibility, finances and a much needed change of scenery.  Not because I’m a problem physician, or unable to do the work in ...

Read more...

62 Pages

Most Popular