This is the rough narrative of a presentation delivered at Stanford’s Medicine X on September 30, 2012I’m convinced I was born at just the right time in history. I was trained as an analog physician but I’m a witness to medicine’s digital transformation. It’s really a remarkable time to be in medicine. And one of the key forces behind this transformation is information. What I’d like to talk about is how information is changing doctors and how we might begin to react.Not long ago I was treating a boy with ulcerative colitis who developed a complication of UC called sclerosing cholangitis. This is a condition where there’s autoimmune activity
David May, MD, describes Twitter as a doctors lounge. When he wants to discuss the latest journal articles or clinical research, there are always other doctors on hand to offer their opinions and add to the discussion. But unlike a doctors lounge, the discussion isnt limited to colleagues down the hospital corridor. It can include thousands of people from around the world.The social media world is such an intense, immediately responsive place that you can have tremendous amounts of traffic pointing out the good and bad about an article itself technically, about the concepts that were put forward, and about potential flaws that were in a paper,
For sticking it to fraudulent pharmaceutical sellers. Sproxil has developed a game-changing approach to help eliminate the fake drugs that kill more than 700,000 people around the world each year. When patients receive their medications, they simply scratch off a sticker label to reveal a code, then text it to Sproxil, which verifies its authenticity. Last year, the company crossed the 2-million-use threshold and launched a partnership with IBM to analyze customer data so they could discern drug-counterfeiting patterns. Sproxil has since expanded to several other fields in need of product verification, from agricultural goods to auto parts.For
The author insists that patient-centered patient care cannot be realized without Interoperable EHRs shared by all the stakeholders and providers OPINION – January 30, 2013 -- You will recall in my article last December, about my healthcare experience outside of Oregon, that both the ear doctor and the neurosurgeon professed to have electronic health records (EHRs).The ear doctor advised that he was using the aircraft control type headset to dictate into my medical record, by pushing the button in his ear.When I corrected him, he would re-dictate the correction. The neurosurgeon was complaining about a most popular vendor's EHR, why it did not
Heres a sample request from a patients relative: Dear Doctor, my father always comes back from visits to you empty-handed. When I ask about what transpired, he says, Nothing much. He doesnt want me to accompany him. He accuses me of suspecting early dementia, but I am very concerned that he is forgetting your recommendations. Would you mind if he records your conversation on his smartphone?Is there anything wrong with a patient using his or her phone (or iPad) to record the conversation at a doctors visit? Could it be that our patients already are recording their visits without informing us?Doctors have long grappled with how to convey
The number of vendors of Electronic Health Records products seems unsustainable. Stimulated by federal Meaningful Use incentives, plus the irresistible tide of pressures and encouragement from all sides (specialty societies, peers, licensing boards, insurance payers), the uptake of EHRs has been steadily increasing.
As a result, large established EHR companies, some of whom have been around for 15 years or more, are experiencing competition from a wave of smaller start-ups – some successful, others not. Two general categories of EHRs have emerged, rather distinctly: EHRs for ambulatory use, and EHRs for hospital use. These really
You want a vision for the future of health care? Donât look to policymakers and regulators. Look to innovators and innovations. Look to San Diegoâs wireless mesas and San Franciscoâs silicon valleys. Look at Scanaduâs protean medical Tricorder. They get it, and itâs awesome. Watch their one-and-a-half-minute video before reading on.
Scanaduâs vision embraces patient-centric healthcare as a personal information service
Dr. Sheila Gamache, left, shows patient Tom Kolby a video of his procedure that opened a clogged artery near his heart, performed on him the day, before on a computer monitor in his room at the Indiana Heart Hospital in Indianapolis, Friday, July 17, 2004. The hospital is one of the few nationwide that has traded scattered medical charts, file folders, x-rays and other patient records for a unified electronic records system accessible with a few keystrokes from anywhere in the hospital.The shift to electronic medical records is improving quality of care but also raising some costs. A look at the positive and negative consequences of digital health
Electronic health record adoption rates continue to climb. And a new survey finds that the majority of EHR users are happy with their systems and how much they can improve quality of care.
Results from the Centers for Disease Control and Preventions National Center for Health Statistics survey of 2011 EHR adoption trends, released on July 17, show that EHR use in physician offices reached 55% in 2011. This was up from 50.7% in 2010, when a similar NCHS survey was conducted. Of those users, 85% were either very or somewhat satisfied with their systems.
The NCHS survey found that nearly 75% of surveyed physicians
WASHINGTON – As director of the HIT Initiatives Group in the Office of E-health Standards and Services at CMS, Elizabeth Holland is intricately involved in shaping the meaningful use rules that some view as having the potential to transform healthcare. Holland is a veteran policymaker. She joined CMS in 1991. It was when the proposed rule for the Medicare fee schedule was in the works. CMS received 100,000 comments – all on paper. Holland offered Healthcare IT News readers a glimpse of the process, of what it was like for her and her colleagues to read, assess the comments and make adjustments in order to craft the final rules for meaningful
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