shutterstock_65521543 The latest salvo in the interoperability and information-blocking debate comes from two academic experts in the field of informatics, and was recently published in JAMIA. In the brief article, Sittig and Wright are endeavoring to describe the prerequisites for classifying an EHR as “open” or interoperable. I believe the term “open” is a much better fit here, and if ...

Read more...

"Welcome back health care fans!  I'm Dr. Rob." "And I'm Dr. Rob's evil twin." "Good to see you again, Dr. Evil" "Nauseated, as always, to see you, Dr. Rob.  We've got a thrilling lineup in store for you tonight, as the Washington Senators take on the Mighty Docs in the third round of the meaningful use playoffs." "Don't you mean payoffs, evil twin?" "Hilarious, Dr. Dufus.  The meaningful use series did promise big payoffs and better care. But ...

Read more...

shutterstock_283174037 Seeking to provide balanced discourse and to recognize marginalized voices at the gooey center of health care, I kindly ask that you find a seat in the Captain’s Room of the Hilltop Motor Lodge for the inaugural meeting of Physicians for the Liberty of the Electronic Health Record, where founder and president Dr. IM Klickhffor starts the proceedings with this plenary ...

Read more...

Here is a behind-the-scenes peek into an operating room in the midst of Silicon Valley. Here, routinely there is a groundbreaking intersection of technology and medicine that's blurring the lines between what's possible today and what you'll come to expect as routine in the future. Imagine two experienced surgeons working side by side to replace a calcified, stenotic and tired aortic valve within a man's heart without ever having to cut into ...

Read more...

shutterstock_161227907 Many people used to believe that Facebook was an extremely defensible business and that it would be almost impossible for another social network to compete. It has grown to an enormous scale with massive troves of data and more than 1.5 billion monthly users. The thinking around their defensibility was that because all of your friends and photos and updates are already stored on Facebook, it ...

Read more...

shutterstock_136966010 A lot of people complain about adolescents. They don’t listen. They act out. They talk like they have it all figured out. I disagree. As a pediatrician, this is my favorite group of patients. They have developed cognitively to be aware of the world’s complexities, and yet are still open to guidance as you help them navigate their way through. Adolescence ...

Read more...

shutterstock_246706588 The annual American Telemedicine Association just wrapped up their national conference in Los Angeles recently. Physician-dignitaries such as Dr. Sanjay Gupta and Dr. Patrick Soon-Shiong gave keynote addresses, the exhibit hall was laden with telemedicine industry advocates, and the Twitter hashtag #ATA2015 was trending with great vigor. The four-day event was well-attended and comfortably demonstrated telemedicine’s emerging popularity. Telemedicine is not new. ...

Read more...

Recently I completed the Commonwealth Fund’s 2015 International Survey of Primary Care Doctors. They wanted to know what I thought about our health system; if fundamentally it worked or needed to be better. They asked questions about my satisfaction with practicing medicine, the quality of care my patients receive, and my experiences with electronic medical records. (You can click here to read through the 2012 survey, to get an ...

Read more...

shutterstock_234499477 In the seven or so years I’ve been blogging, I’ve only written a few posts that prompted controversy in the comments section. Looking back, I notice that these posts have involved chronic illness management, motivation, adherence and/or engagement. In fact, a commentator recently felt my writing was that of an old-fashioned doctor who believes that paternalistic messaging is key to engaging ...

Read more...

Following the recession, the Obama administration sought shovel-ready projects. One unlikely shovel-wielding aggregate demand was health information technology. The Health Information Technology for Economic and Clinical Health (HITECH) Act passed in 2009 directed 5 percent of the stimulus towards digitizing medical records. Computerization of medical records doesn’t induce the images of public works as building freeways during the Great Depression does, but the freeway is a metaphor for exchange of information between ...

Read more...

Most Popular