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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Eligible physicians are dropping out of the HITECH incentive program. Why? Often, it's because a practice implements an EHR and then tries to mimic all their old paper processes and workflows. That can get them through the vendor's initial implementation, but it is not sustainable for the long term. Workflows and operational processes must be modified to optimize the new tool. Technology changes what is feasible, and to adapt, we need to ...

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The first resident who really reamed me out on the wards was having trouble reading my handwriting. My handwriting became doctor-unreadable well before medical school, but how quaint. It was the beginning of my second month of clinical training, and hers of internship. She couldn’t follow our shared patient’s daily progress note. I didn’t tell the story in the right order. The format was wrong. Instead of noting only pertinent ...

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Fix Google Maps before patients start dying It happened to me again. This morning I got another email from one of our physician practices:

“Our early morning patient was late today because she Googled our office and it gave her the wrong directions/location. Help!”
This is not a one-time thing. Over the last seven months that I’ve been in my new position (and the four years prior at my old position), I ...

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Does home monitoring make a difference in cost and outcomes? Technology in medicine advances at a rapid pace.  In the US today most patients have access to mobile phones, smartphones and tablets.  Medical device makers continue to innovate and create ways in which these technologies can be used by patients and physicians to monitor complex biologic machinery such as implantable cardiac defibrillators (ICDs) and pacemakers at home -- without the need for ...

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At iMedicalApps we have traditionally expounded on how smart phones can help us with patient care in regards to providing Physician centric tools at bedside.  These range from drug reference tools to various clinical algorithm medical apps. But there are also non-traditional methods where smartphones enable us to improve patient care at the bedside.  These are subtle, but can be equally or more powerful. When I was working in the ICU recently, there were ...

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In the Boston marketplace, Partners Healthcare is is replacing 30 years of self developed software with Epic.   Boston Medical Center is replacing Eclipsys (Allscripts) with Epic.   Lahey Clinic is replacing Meditech/Allscripts with Epic.  Cambridge Health Alliance and Atrius already run Epic.   Rumors abound that others are in Eastern Massachusetts are considering Epic.  Why has Epic gained such momentum over the past few years? Watching the implementations around me, ...

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With the recent NSA admission of recording phone conversations of US citizens, there has been renewed interest in the right to privacy. For the record, it is worth recalling what the Fourth Amendment to the Constitution says. "The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause, supported ...

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Disruptive technology is a term used to describe new technology that disrupts the status quo. These technologies displace existing technology—dramatically changing the production, delivery, or use of a product or service. For example, 3D printing is an innovative method of producing three dimensional objects using digital prototypes and will change manufacturing as we know it. Although the term is traditionally used in a positive light, this technology, as its name ...

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Both World War II and the race to the moon were events which pushed commercial development of technologies.  I would submit that the ACA and HITECH have had the same effect on the development of many sectors of the digital health technology industry. I will cite five such areas. Government mandates usually have unintended consequences and they certainly exist in healthcare. The rapid proliferation of some of these technologies has itself ...

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