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The Golden Age of Health Informatics?
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Mark Braunstein
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Mark Braunstein,
User Rank: Moderator
11/20/2013 | 10:37:02 AM
Re: Does it feel like a Golden Age to you?
Just noticed another comment by Alex:  "At the same time, I have yet to speak with a physician who is satisfied with their EHR."  I'm not surprised by her comment and feel that the vast majority of commercial EMRs have real usability issues.  This will probably be the topic of a future post.

At the same time, a CDC survey suggests that the majority of physicians are satisfied with their EMR.  Another,  The Deloitte Center for Health Solutions 2013 Survey of U.S. Physicians, suggests  that a majority of physicians see significant administrative, financial and clinical benefits from EMR adoption.

Does anyone out there know how to reconcile all this?
Mark Braunstein
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Mark Braunstein,
User Rank: Moderator
11/19/2013 | 9:17:30 PM
Re: Does it feel like a Golden Age to you?
Actually, it is probably more the entrepreneur in me showing through.  Entrepreneurs are the real optimists in our society!

Like Alex I am excited by the innovations taking place. Consider a recent one, the opening of Greenway Medical's App Marketplace.  Check it out, there are already a bunch of apps there being sold by third party developers.  I've got some students thinking about doing one and selling it.

I don't know about you, but I've been thinking something like this would "eventually" come along (and speculated about that in the book Health Informatics in the Cloud I published last year -- shamless plug) and, like magic, it's here.  Allscripts and Athenahealth have something similar but Greenway is near Georgia Tech so I'm more familiar with what they're doing.

We've all worried forever about proprietary systems trapping patient data.  Here we are at the beginning of something that might fix that.  There might eventually be a standard for health apps (Greenway is a Commonwell Alliance founder).  That was the topic of a conference at ASU I attended last year.  Suppose it happens, what would that imply?  A clever app developer might create a "universal viewer" for medical records freeing providers from the particular approach their vendor has chosen to data visualization and allowing specialists to use the same approach as they travel from hospital to hospital.  I know one orthopedic surgeon who would kill for that!  Yet another long time "dream" that might come true.  

Time to be an optimist in my view!  I think the Genie is out of the bottle and there's no going back.
David F. Carr
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David F. Carr,
User Rank: Author
11/19/2013 | 11:30:44 AM
Re: Does it feel like a Golden Age to you?
Mark,

Maybe that's the teacher in you trying to bring about the optimistic scenario. I've certainly learned a lot from your Coursera course, Health Informatics in the Cloud.
Alex Kane Rudansky
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Alex Kane Rudansky,
User Rank: Author
11/19/2013 | 11:21:01 AM
Re: Does it feel like a Golden Age to you?
I've seen some truly innovative healthcare projects out there that make me optimistic about the state of HIT. The rapid adoption of EHRs is a leap in the right direction. ACOs are paving the way for a new healthcare model by improving outcomes and decreasing costs. At the same time, I have yet to speak with a physician who is satisfied with their EHR. The verdict on ACOs is still out. Regulations are eating up valuable resources that could be spent on innovation. The mining and analyzing of unstructured data is still in its infancy. I see strides the industry has made in the past decade, but I also see a long road ahead.
Mark Braunstein
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Mark Braunstein,
User Rank: Moderator
11/19/2013 | 10:35:24 AM
Re: Does it feel like a Golden Age to you?
I am reminded of the old story about a half full glass put in front of an optimist and a pessimist.  Have to admit, I'm the optimist but, hopefully, a realistic one!
David F. Carr
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David F. Carr,
User Rank: Author
11/19/2013 | 9:49:24 AM
Does it feel like a Golden Age to you?
Are you feeling the love for health informatics? Which stands out more, the promise or the problems?


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