Health care providers want their patients to have the best outcomes possible.  They know that for this to happen that the patient must be engaged in managing his or her condition, whether it is an acute or chronic condition.  Patients need to follow the provider’s directions and orders.  If they do not, then the outcomes will be sub-par. For instance, if you the provider give a patient a prescription then they ...

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We generate it every minute of every day of every week of every month of every year. Data, in countless forms. Of recent and growing interest to a great many people is how this data can be use to improve health (not just sell people more stuff). Wear a FitBit or Jawbone? Amazing source of activity information. Check in on Foursquare? Insight into dietary habits. Post on Twitter? Sentiment analysis around ...

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The question has been raised: Why re-invent the EMR wheel?  What is so different about what I am doing that makes it necessary to go through such a painful venture?  I ask myself this same question, actually. Here’s my answer to that question. What medical records offer: High focus on capturing billing codes so physicians can be paid maximum for the minimum amount of work. What I need: No focus on billing codes, ...

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If you want to see the future of health care, the can’t miss conference of the year is the Health Innovation Summit hosted by Rock Health in San Francisco. As a practicing primary care doctor, I had the opportunity to view health care through the lenses of technology entrepreneurs. I thought the conference was even better than the one I attended last year. Absent was the provocative rhetoric by 2012 ...

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A recent article on American Medical News titled "Medical charting errors can drive patient liability suits" led with a case involving a bad outcome after coronary artery bypass surgery. The plaintiff's attorney alleged that the doctors did not review the patient's lab results or x-rays because they did not specific say so in the medical record. The article quoted a defense attorney who said, "By the time [the doctors] are deposed, ...

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I used to be a big believer in the transformative power of digital data in medicine. In fact, I devoted the past decade of my life to assisting the “movement” towards better record keeping and shared data. It seemed intuitive that breaking down the information silos in healthcare would be the first logical step in establishing price transparency, promoting evidence-based practices, and empowering patients to become more engaged in their ...

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The recent revelation of the NSA’s top-secret mass surveillance program by Edward Snowden has spotlighted the benefits and burdens of our increasingly digitally connected world.  According to President Obama, monitoring our phone calls, emails, and web activity has helped thwart dozens of terrorist attacks.  But the idea of the government keeping track of what had hitherto seemed private raises the specter of an Orwellian world in which everyone is under ...

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Just a little over four years ago, President Obama, in his inaugural address, challenged us a nation to “wield technology’s wonders to raise health care’s quality and lower its costs.”  This was an awe-inspiring, “we will go to the moon” moment for the healthcare delivery system.  But the next thought that ran through the minds of so many of us who work on health IT issues was this: how were ...

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How to prevent your baby monitor from getting hacked When I heard the news of an innocent child’s room getting infiltrated by a digital stranger, I was worried. Disgusted. Disturbed. Although reports about baby monitors getting hacked are certainly not new, the event in this little girl’s room seemed different somehow. More real and more personal. I know most of my families have monitoring systems in their children’s rooms. ...

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5 ways Google Glass can be used in a hospital I recently had the opportunity to test Google Glass. It’s basically an Android smartphone (without the cellular transmitter) capable of running Android apps, built into a pair of glasses.  The small prism “screen” displays video at half HD resolution.  The sound features use bone conduction, so only the wearer can hear audio output.   It has a motion sensitive accelerometer for gestural commands.   ...

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