I recently read an article in Politico entitled “Doctors barred from discussing safety glitches in U.S.-funded software.”  The article states that, despite massive public funding of electronic health records (EHR), the EHR corporations (including Epic Systems, Cerner, Siemens, Allscripts, eClinicalWorks and Meditech) routinely attach gag clauses to contracts with the hospitals and medical groups who purchase their systems. We are talking about gag clauses that prevent criticism by ...

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shutterstock_188507768 As a family doctor, I have seen a dramatic shift in the range of people I work alongside every day -- all for the better. When I was in training, most family doctors worked only with other family doctors and registered nurses. Today my health care team is rich with a variety of critical skills, including social workers, psychologists, and dieticians. There ...

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emr Modern electronic health records (EHRs) have become the norm in U.S. health care -- nearly 80 percent of office-based physicians use them, up from 40 percent in 2009, according to federal data. But while adoption is up, satisfaction has plummeted. In 2010, about 61 percent of physicians liked their EHRs (were satisfied or very satisfied, according to periodic AMA surveys). This dropped ...

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Dr. Google has been the brunt of numerous jokes and various denigrations from the medical community for some time.  The most recent such offering to come to my attention was from Tanya Feke who seems to want Dr. Google sued for malpractice.  As one who was instrumental in the construction of the Internet, which allowed the creation of Dr. Google, I read these attacks with mixed emotions.  I ...

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unnamed Heath care documentation is done for three reasons:

  1. health care delivery (that’s the obvious one)
  2. regulatory compliance (checking all the boxes our government and payers think are important)
  3. malpractice avoidance (no one wants to get sued)
These three categories actually apply to every task we do in health care, but let’s confine this discussion to documentation. Note in the accompanying figure, our three basic health care work ...

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The health information technology (HIT) world has been hit by a watershed event like no other. The Department of Defense (DoD), widely respected for its indiscriminate generosity to contractors, has awarded the most coveted prize in recent HIT memory: the Defense Healthcare Management Systems Modernization (DHMSM) contract. And the winner is ... Leidos, the contractor formerly known as SAIC. A couple of years ago, when the race for ...

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Eleven billion dollars. Sounds like a lot of money, doesn’t it? It is. But, I’ll give you even more perspective, Tony Robbins style. Eleven seconds ago you started reading this page. A few blinks of an eye. But, eleven million seconds? That was a few months back. 127 days to be exact. Can you remember what you were doing then? Eleven million seconds have passed since you did it. But, when you jump to billions, you’ll ...

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shutterstock_85514146 So, there I was yesterday, working frantically to keep myself above the water level of the rapidly rising swamp of patients.  Navigating, haltingly, the onerous and demonic EMR.  So I thought I ordered three nebulizers, but it was only one.  The respiratory tech approached me and informed me that she would put them in, but only this time. That I’d have to ...

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IBM_Watson Arthur C. Clark and Stanley Kubrick predicted supercomputers more intelligent than humans.  In 2001: A Space Odyssey, HAL states, with typical human immodesty, “The 9000 series is the most reliable computer ever made … We are all, by any practical definition of the words, foolproof and incapable of error.” Forty years later, IBM’s Watson pummeled humans in Jeopardy - a distinctly human ...

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shutterstock_112692424 The U.S. health care system is headed toward a profoundly digital future. Provider organizations around the country are adopting and updating their health information technology (HIT) infrastructures. Many have begun requiring that clinicians gain proficiency in electronic health records (EHRs) in order to provide clinical care. A proliferation of start-ups and HIT companies in health care is poised to disrupt (innovatively or ...

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