The EHR report card 2014: Has it gotten better?A guest column by the American College of Physicians, exclusive to KevinMD.com. A little over two years ago in this blog, my “EHR report card” evaluated the effect of the electronic health record (EHR) on my practice. I thought it would be interesting to see how things have changed.  As in 2012, I will not identify my ...

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I had little doubt the long-rumored Apple Watch would be cool. U2′s live concert and surprise album announcement at Apple’s unveiling a few weeks ago only reaffirmed the company’s ability to launch a product unlike anyone else. Cool or not isn’t the question. Usefulness is. The iPhone and iPad radically changed how people lived their lives. The first generation of the Apple Watch won’t. The health application One way Apple hopes to increase ...

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In their current form, most (if not all) EHRs kind of stink. I don’t speak from direct experience, as I’ve held off buying and implementing a system to date. But I’ve never heard any of my colleagues say they love -- or even really like -- their EHRs, and I’ve asked many. The most ardent supporters state that they've gotten used to their systems (usually after years of tribulations) and ...

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With the recent discovery of the ShellShock vulnerability affecting a large number of computers, the question comes up again: How secure is medical data? Thanks to the federally mandated push to transfer medical data from paper charts to computer databases, most if not all of this data is now fertile ground for hackers. As pointed out in this article medical data is more valuable to hackers than stolen credit cards. ...

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I saw another exciting news story on a mobile health intervention the other day.  I honestly don’t remember the company or product, but what stuck with me was the declaration of success based on 10 patients using the product for three months.  Success was touted in terms of cost reduction and resource utilization reduction in a before/after analysis.  This inspired me to collect some thoughts on some of the challenges ...

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Who is blocking EMR interoperability? You are. The Senate Appropriations Committee has defined a new transgression perpetrated in the committee’s expert opinion by vendors of certified EHRs, as well as “eligible hospitals or providers.” Since the committee has no data or evidence of any kind that this transgression is actually occurring, it requires the Office of the National Coordinator for Health Information Technology (ONC) to embark on a ...

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Few would argue that today digital technology represents a critical part of marketing in any business sector.  Though all health care stakeholders are usually late to the technology table, market and customer pressure are rapidly accelerating this adoption. It needs to be emphasized that technologies are not solutions. They must be incorporated into human workflow processes. To do so in health care, culture must change, specifically with regards to patient participation, ...

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I’ve been toiling in the field of connected health for 20 years now, watching for signs of adoption that will move us into the steep part of the curve.  I have to wonder, with announcements from several huge consumer companies recently, if that time is coming. By now you’ve heard about Apple’s HealthKit announcement, which involved not only Apple, but Mayo Clinic and Epic. Samsung is not sitting still, having released increasingly ...

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Why do so many seemingly great technologies fail to penetrate the health care system? I hope the following five answers shed some light on the realities of technology adoption in health care. 1. Many new technologies don’t address the real problem Tech entrepreneurs often take a backward approach to invention. They start by discovering a nifty technology. Later, they figure out how people can use it. This technique often teaches entrepreneurs a tough lesson: Technology ...

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Over the last year I’ve written a lot about the problems with health care IT and how we need to get better. Unfortunately, unlike other aspects of our life where information technology has actually made life easier, in health care the user experience been nowhere near as smooth. IT solutions, including electronic medical records, are for the most part slow, inefficient and cumbersome. They cause a great deal of frustration ...

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