At HIMSS, I listened carefully to payers, providers, patients, developers and researchers. Below is a distillation of what I heard from thousands of stakeholders. It is not partisan and does not criticize the work of any person in industry, government or academia. It reflects the lessons learned from the past 20 years of health care IT implementation and policy making. Knowing where we are now and where we want to be, ...

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A patient comes into the ER complaining about throbbing migraines after falling off her bicycle; thus, the physician quickly orders an X-ray, complete blood count, and asks the nurse to schedule the patient for an MRI of the head and neck in case both those tests come back inconclusive. As an ER scribe, I saw many conditions where the physician would quickly do a physical exam, and then use a ...

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Recently, Utah Republican Jason Chaffetz made comments concerning health care reform that illustrates  just how out of touch Congress is with modern medicine. In a press conference addressing the ongoing debate over Obamacare repeal, he stated that Americans should make a choice between purchasing health insurance and an iPhone — in the Congressman’s own words “rather than getting that new iPhone that they ...

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When I began my tenure at the University of Florida, the departure of a colleague left a very large inflammatory bowel disease practice that involved a lot of work both in and outside of clinic, just as the electronic healthcare record became mandatory. One unanticipated consequence of EHR is that physicians have to review everything before it is final in a patient’s chart. Thus, I spent countless hours in the EHR ...

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Computerized physician order entry (CPOE) is something that every physician up and down the country will be familiar with. For anyone non-medical reading this, it’s the process by which physician orders are now placed in nearly all U.S. hospitals. As little as five years ago, most hospitals were still using pen and paper to place medication, laboratory, radiology and all other orders. Being able to do this now by computer ...

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This week is Physicians Week, and this is one in a series of interviews with members of the physician community that are bringing a variety of ideas and networks together in order to improve the relationships between physicians and between physicians and their patients. Dr. Colm Murphy is a cardiologist and the founder of a tech company that is about building a community of physicians in order for them to help ...

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I did a second stint on a talk radio a few weeks ago which I really enjoyed.  The callers represent a genuine, down-to-earth view of the reality of connected health adoption.  The first time around, most callers were cautionary, raising concerns about data security and wondering about physician endorsement.  This time the theme that spontaneously emerged was one of people telling stories from the heart, about loved ones ...

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Technology has been moving at a lightning pace the past two decades. Technological advancements have crept into every facet of life, from HD screens that now blare ads at us at gas station pumps to disruptive start-ups like Netflix, Airbnb, and Uber, which have rocked entire industries, the air of change is inescapable. The medical field, on the other hand, remains in many ways the same as it has been ...

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The current American climate seems to champion those outside the establishment and eschew the experience of career professionals. Medicine, like politics, has not been immune to the rise of populism. There exists a growing distrust of traditional medical institutions and a movement to concede medical expertise to the public, particularly evidenced by the development of platforms that crowdsource diagnosis. While online medical crowdsourcing is trendy and has received nearly universal ...

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A few weeks ago, I found myself in the midst of car trouble. A low tire pressure light illuminated my dashboard, and despite my best effort to replenish the air, I had to concede that my front tire was punctured and that I needed to make an emergency visit to an auto shop. As it always seems to go with any car check-up, the mechanics discovered multiple co-morbidities; a nail ...

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