2014 was the most exciting year in digital health since 2000, when the human genome was cloned. In February 2001, The Human Genome Project and Craig Venter’s Celera Genomics published the hallmark event. What followed was over a decade of glimmers of the potential for personalized medicine and new insights into disease, but also realistic mitigations in expectations, as is wont to happen in health care. There is every indication that ...

Read more...

shutterstock_225356470 While the electronic medical record (EMR) has advantages, it also has introduced liability risks. EMRs can lead to lawsuits or result in a weak defense by casting the physician in an unfavorable light. For example, examine these exchanges in a recent malpractice trial:

  • Plaintiff attorney: Doctor, if the emergency renal consult was called in at 11:30, why did you wait until 6 p.m. ...

    Read more...

It is a heart pounding, head spinning, edge of your seat page-turner; the sort of rare saga that takes your breath away as it changes you, forever.  It hints at a radically different future, a completely new world a few years away, which will disrupt the lives of every man, woman, and child.  Available now, from the National Coordinator for Health Information Technology (ONC), Office of the Secretary, United States ...

Read more...

Doctors and hospitals often exist in a universe parallel to the consumers, patients, and caregivers they serve, a prominent chief medical information officer told me last week. In one world, clinicians and health care providers continue to implement the electronic health records systems they’ve adopted over the past several years, respond to financial incentives for meaningful use, and re-engineer workflows to manage the business of health care under constrained reimbursement. In ...

Read more...

A lot has been written about how awful electronic health record (EHR) systems are. They are overwrought, overengineered, dreadfully dull baroque systems with awkward user interfaces that look like they were designed in the early 1990s. They make it too easy to cut and paste data to meet billing level requirements, documenting patient care that never happened and creating multipage mega-notes, full of words signifying exactly nothing. They have multitudes of ...

Read more...

I once wrote about the communication difficulties caused by electronic medical records systems. The response on Twitter ranged from sentiments including everything from “right on, sister” to “greedy doctors are only complaining about EMRs because of their price tag.” The disconnect between policy wonk’s (and EMR vendor’s) belief in the transformative power of EMRs and exasperated clinician users of these products is jaw-dropping. Physicians are often labeled as ...

Read more...

My lifetime has spanned many of the important developments in the Age of Computers. Back in 1969 when I entered college, I was a frequent visitor to the Kiewit Computing Center, the lair of a GE-635 computer that filled several rooms. Students had access to the computer via noisy teletypes and a multiuser operating system known as Dartmouth Time Sharing. We wrote simple programs in BASIC, a language created by two of ...

Read more...

It took me until 2010 to buy an iPhone and in just a few years, I’ve become so dependent on it, without fail, I will always make a U-turn to make sure it’s with me -- my smartphone is essentially a new limb for me. I know I’m not alone. Most did not predict the rocket speed adoption and transformative power of modern smartphones when the iPhone launched in 2007. But, in ...

Read more...

shutterstock_196442450 A common complaint regarding the use of electronic medical records (EMRs) is that physicians spend the majority of their time with a patient “tinkering” on a computer rather than interacting with the patient. Use of EMRs is now mandatory in the U.S., creating many advantages: Patient information can be more easily shared in a secure environment, there are no lost files or ...

Read more...

My dad was a wonderful guy who could fill the room with his personality.  He grew up during the Great Depression and was a World War II veteran.  I was thinking of him recently while considering how much health care delivery has changed in the last 100 years. When asked about his health, my dad would always say, “I feel great.  I don’t have any aches or pains.”  This is telling. ...

Read more...

Most Popular