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This is a great presentation by Kate Crawford Algorithmic Illusions: Hidden Biases of Big Data interspersed with some nice visuals (a silhouette illusion – a Kinetic bistable optical illusion that lacks visual clues for depth – the spinning cat!) to make the point that big data. The point being there are ways we see data and […]

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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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  David Katz One of the more titillating medical stories to make news recently is a study in the American Journal of Clinical Nutrition indicating that calorie intake in the United States has come down, and obesity rates have not. What makes this titillating, of course, is that it seems to suggest some great new […]

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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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here via thedoctorweighsin.com Great article on the potential for social media in healthcare and highlighting the phenomenal job the Salaman Khan has done (of the Khan Academy,/a>) with education online. There are some nice examples of use of video and social media to help in patient engagement and education and as David Chase points out […]

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via www2.technologyreview.com This is really cool – Nuance made the list for top 50 disruptive companies in technology. We join other great and innovative leaders like SpaceX Google IBM Square Toyota Apple Amazon Corning Facebook ….to name a few But also some neat Healthcare focused companies like Diagnostics for all Foundation Medicine Illumina UniQure Congratulations […]

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For many decades, newspapers were big; printed on the so-called broadsheet format. However, it was not cheaper to print on such large sheets of paper — that was not the reason for their exorbitant size — in fact, it was more expensive, in comparison to the so-called tabloid size. So why did newspaper companies insist […]

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CLINICAL DOCUMENTATION NOW I’LL TELL YOU WHAT I WANT, WHAT I REALLY REALLY WANT Enough bitching like a Spice Girl, it’s time to structure my wish list and share it with you, dear vendors. Let’s start with my favorite topic if you don’t mind: Clinical Documentation and Data Input. So here’s my story from A to Z…if […]

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This last week – the widely read Dr. Rob Lamberts lamented the usability of his Electronic Medical Record (EMR) software for his new primary care practice. It’s worth reading (here) as it highlights the larger systemic problem of EMR software generally and then specifically as EMR software is overlaid onto a new payment model. In Dr. Lamberts case, a software solution – […]

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IMG_2107.MOV Watch on Posterous Posted via email from drnic’s posterous

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It was this podcast, “The Bitter End” From the awesome radio show radiolab that covered a topic that people are often reluctant to discuss but is an important part of our reality…as they say there are few things certain in life but birth death (and taxes) are at the top of the list. The piece […]

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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 theatlantic.com Nice post on the possible future of medical records – there has been a lot fo traffic on my e-mail on the lack of value of EMR’s and several folks commented on the lack of innovation in the systems. Several noted that just digitizing the paper process will unlikely bring any satisfaction or […]

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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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CHELMSFORD, Mass. — It’s hard work being one of Dr. Damian Folch’s diabetic patients. If a lab test shows high cholesterol, Folch is quick to call or email. No patient can leave the office without scheduling an annual eye exam, a key preventive test. A missed exam or an appointment leads to another call. “We […]

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Here’s my list of 12 things coming to Healthcare in the next 12 months Tablets – in particular the iPad Mini which has captured the imagination and is ready for prime time in a perfect balance fo form factor Voice Enablement – it’s everywhere and quite right too but expect it to get a whole lot […]

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via nature.com This article helps detail some of the new findings emerging relative to the effects of the Microbiome and perhaps start to explain the significant differences found in populations based on where they grow up. In a controversial claim from the Irish study the study also suggests that this microbial make-up is driven by […]

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These questions and answer sets came directly fromJoe Boyce, MD – CIO/CMIO at Heartland Health. St. Joseph, Mo 64506, who has kindly allowed me to share. Hope you enjoy it as much as I did. His post appeared on a listServ and was his suggestion of exam questions for the currently developing Medical Informatics Board […]

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Dr Tornado’s recent post on “How I met your EMR” takes a lighter look at the challenges of EMR use in healthcare and specifically makes the point that: the goal of human-machine interaction engineering is to produce a user interface which makes it easy, efficient, and enjoyable to operate a machine in the way which produces the desired […]

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A Nurse Learns Firsthand That You May Fend For Yourself After A Hospital Stay Beth Ann Swan1 Author Affiliations 1Beth Ann Swan (bethannswan@gmail.com) is dean and professor at the Jefferson School of Nursing at Thomas Jefferson University, in Philadelphia, Pennsylvania. She and her husband, Eric, express their gratitude to their colleagues and the many great […]

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December 2011 ICD-10 and Its Impact on Radiology By Ronald V. Bucci, PhD Radiology Today Vol. 12 No. 12 P. 10 Dr Jones sends his patient John to the radiology department for an x-ray of his nasal bones. John’s pet turtle bit him and, distracted by the pain, John walked into the lamppost in the […]

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I am excited to be joined by one of the keynote speakers from HIMSS13 conference Dr Eric Topol – Author of The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care and has been named in the list of the Top 100 Most Influential Physician Executive in Healthcare, 2012 by Modern […]

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