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Brian Klepper Brian Klepper, Health Care Analyst and TDWI Writers’ Group Glen Tullman Recently-fired Allscripts CEO Glen Tullman waxed progressive in a self-promotional Forbes article last week, describing the ways past and forward for electronic health records (EHRs) and health information technology (HIT). It may have been a way of trying to recover from a damning New York Times […]

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Enlarge image i Notice anything unusual about this lung scan? Harvard researchers found that 83 percent of radiologists didn’t notice the gorilla in the top right portion of this image. Trafton Drew and Jeremy Wolfe Notice anything unusual about this lung scan? Harvard researchers found that 83 percent of radiologists didn’t notice the gorilla in […]

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via healthland.time.com THere is something fundamentally wrong and flawed with a system that bills patients at highly variable rates, the highest to those with no “insurance” or poor “insurance”. Insurance in this instance seems like a poor term to describe a system that even with full standard coverage still costs patients thousands if not tens […]

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The approach came in 2009, in a presentation to doctors by Allscripts Healthcare Solutions of Chicago, a well-connected player in the lucrative business of digital medical records. That February, after years of behind-the-scenes lobbying by Allscripts and others, legislation to promote the use of electronic records was signed into law as part of President Obama’s […]

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Post a Comment via statisticalmedievalist.blogspot.com Great post on the challenges around pay for performance that highlights an interesting fact – Bill Clinton’s heart surgeon Dr Craig Smith has some relatively poor outcome measures…not because he has bad outcomes but because his practice takes some of the most high risk patients. It is hard to take […]

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via wired.com Too good to not follow up to the previous post as another great article on re-workign the medical record (perhaps medical “record” is not a great term?). Personal Health Story/Personal Health History/Personal Health Chronicle… Whatever we call it this will be is the way our health information will be stored and shared Posted […]

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via icims.com.au Intensive Care Information retrieval system from our friends down under showing the value of Natural Language Processing to get into the detail of clinical notes, understanding the underlying content. The demo shows the ability to get to information even when there have been typographical errors or use of abbreviations that either have multiple […]

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Welcome to this new series, Topol on The Creative Destruction of Medicine, which is named for my new book, The Creative Destruction of Medicine. I’m Dr. Eric Topol, Director of the Scripps Translational Science Institute and Editor-in-Chief of Medscape Genomic Medicine and theheart.org. In this series I will detail the driving forces behind what I […]

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Share This article Earlier this year, well known cardiologist Eric Topol published his highly successful book, “The Creative Destruction of Medicine.” In it he describes several examples where smartphones, particularly the iPhone, have been morphed into first-rate medical devices with the potential to put clinical-level diagnostics in the hands of everyday users. Coincidentally, Topol was […]

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via e-patients.net What a great post from Katie McCurdy on the new age of medicine and the fact that the medical record needs to be more than single points of data recorded when we stop by a healthcare facility or clinical office. Katie comes at this as an interaction designer so is able to create […]

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Video interview wiht John Lynne (@Techguy and @EHRandHIT) on topics ranging from EHR Upcoding, Meaningful Use Stage 2, Interoperability, EHR Consolidation, and ACOs (originally posted here): Posted via email from drnic’s posterous

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An exciting month for Voice of the Doctor with the following guests appearing November 2: Terri Mitchell, MSN RNDirector, Clinical Informatics Solutions at Nuance Communications  We will be talking about The Healthcare Data Imperative and the challenge of capturing Healthcare data and the importance of capturing information at the point of care when the information is fresh in […]

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via informationweek.com The new world of Mobile Healthcare will include an integral component in efficiency – the power of he clinicians voice. Cerner and Epic are The new mobile-native electronic health records (EHRs) systems of Epic and Cerner are being voice-enabled via recent deals with Nuance Communications Not only easy access to the world’s leading […]

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A series of  Forbes Insights profiles of thought leaders changing the business landscape: Gary Clayton, Chief Creative Officer, Nuance Apple’s Siri iPhone voice-based App interface has forever changed consumer expectations of how to interact with their computing devices.  But Nuance’s Nina may represent an even bigger transformation—the consumerization of IT.  Nuance has over 10,000 employees, $1.4 billion in […]

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The use of electronic health records is linked to significantly higher quality care, according to a new study by Lisa Kern and her team, from the Health Information Technology Evaluation Collaborative in the US. Their work appears online in the Journal of General Internal Medicine, published by Springer. Electronic health records (EHRs) have become a […]

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via online.wsj.com The latest book exposing the healthcare system and how broken it is from Dr Makary a surgeon from Johns Hopkins. As he says Meet ‘Shrek,’ a doctor who insists on surgery in every case—and has a surgical-incision infection rate of 20%. and more troubling He quotes a recent Hopkins survey of employees of […]

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The New Yorker author, surgeon, Harvard University faculty member, and health policy adviser Atul Gawande told the President’s Council of Advisors on Science and Technology (PCAST) today that checklists could help improve the quality of health care and lower costs. PCAST members seemed enamored with the idea of standardizing treatment and procedures, and also discussed […]

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Please sit down — this will not be an easy article to digest, no matter how carefully I parse my words. Life under the microscope of Recovery Audit Contractors is going to get tougher for physicians. Three recent developments may impact your practice in the next year. I have written in the past on RACs […]

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By Ashish Jha, MD The wrong question always produces an irrelevant answer, no matter how well-crafted that answer might be.  Unfortunately the debate on health information technology seems to be increasingly focused on the wrong question.  An Op-Ed in the Wall Street Journal argues that we have had a “Major Glitch” in the use of electronic […]

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via venturebeat.com Technology replacing doctors….. Still missing The Human Element and besides in the Mayo Clinic Proceedings March 2006 vol. 81 no. 3 338-344 they identified the most most important characteristics patients feel a good doctor must possess confident, empathetic, humane, personal, forthright, respectful, and thorough These facets are entirely human and will be hard […]

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Speech Technology Speech recognition offers efficiencies today but recent innovations and new technologies will expand the horizon of opportunity with speech technologies that will change the human computer interface, simplifying the interaction and offering new and innovative tools that increase efficiency and safety of healthcare delivery and reduce the administrative burden and decrease costs. Medical […]

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Some interesting news pieces to review this week including The Value of the EHR “The Relationship Between Electronic Health Records and Malpractice Claims,” from the Archives of Internal Medicine on Jun 25 and featured in the AMED News: “EHR use linked to fewer medical liability claims” on July 16 A research letter published online June […]

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July Voice of the Doctor Guests Jul 13Talking to Don Rosenthal (You can follow him on twitter @DonRosenthal) part of the original team that developed the scheduling system for the Hubble Space Telescope and ran the artificial intelligence group at NASA. HE is also the founder and CTO of Allocade and publishes a blog THITSE […]

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June 15 Speaking with Ruthann Lipman, DO from the Department of Otolaryngology, Millcreek Community Hospital and David Eibling, MD, FACS from the Department of Otolaryngology, University of Pittsburgh and VA Pittsburgh who are presenting a paper at Human Factors and Ergonomics Society (HFES) this October titled:  “Re- engineering the Healthcare Team: Meeting the needs of Providers with Information Specialists” June 22 Joel Selzer (@jbselz), the CEO Ozmosis will […]

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Intuit is well known in finance and the commercial world and an interesting article by Austin Merritt on Software Advice “Intuit Health: A Sleeping Giant with Big Potential” highlights the potential this company has in the healthcare space applying the principles so successfully used in their industry leading personal finance solutions (Quicken, Quickbooks, TurboTax etc). […]

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