The Tale of Prompt Engineering Gone Wild! This month’s episode of “News you can Use” on HealthcareNOWRadio features news from the month of July 2023 As I did last month I am talking to Craig Joseph, MD (@CraigJoseph) Chief Medical Officer at Nordic Consulting Partners. This month we open with a detailed discussion of the recently published […]
This week I am talking to Pranay Kapedia (@pranayk), Founder and CEO of Notable (@notablehealth) a company that is taking the adjacent possible from the finance (Intuit and Turbotax) and mortgage world of customer service and bringing the technology to bear on the beleaguered healthcare system. Scars and Skills As he described it he has […]
Soundcloud Meets Rap Genius This week I am talking to Shiv Rao, MD (@ShivdevRao) is the co-founder and CEO of Abridge (@ABridgeHQ), which uses groundbreaking machine learning to help people understand the details of their care and follow through on their doctors’ advice. He is also a faculty member and practicing cardiologist at UPMC’s Heart and Vascular Institute. Shiv […]
This months episode of “News you can Use” in the traditions of “Ask Me Anything” on HealthcareNOWRadio features news from the month of July You can read more about the series here and the concept of keeping up with innovating in healthcare. Please send me your suggestions on topics you’d like to see covered. You can reach out direct via […]
The Bluebutton Innovator This week I am talking to Mark Scrimshire (@eKiveMark) a fellow Walking Gallery member and Entrepreneur in Residence at NewWave and on assignment as Medicare Blue Button 2.0 Innovator at CMS where he is designing and implementing the new API to enable 53 million Medicare Beneficiaries to share their claims information with the […]
Incremental Interoperability Can you imagine a sports team that was unable to share? Sharing is Caring and can only be done with open and easy access that includes the clinical team, patients, and their family. Translational Medicine Conference I recently attended the innovative 8th Annual Translational Medicine Conference this past week in Derry/Londonderry Northern Ireland […]
MedicAlert I am excited to be elected to the MedicAlert Board joining Jessica Federer, head of digital development at Bayer. As Barton Tretheway, CAE, chair of the MedicAlert Foundation Board pointed out Their collective experience aligns with our priorities and will be immeasurable to us as we look to leverage the power of new technology to expand the […]
After all the hype and knee jerk politics and media I was delighted to read this piece Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records by Upadhyay, Sittig and Singh (PDF file here) A thoughtful piece that drilled in to the detail of events surrounding the arrival and subsequent […]
Software Advice recently published this survey: Do Patients Really Care if You Use Your EHR in the Exam Room? It was very revealing! It turns out contrary to the perception that the intrusion of EMR’s in the office patients prefer electronic documentation to alternatives Most Patients Don’t Mind Electronic Note-Taking During Exams In each case, more than […]
The Panel “The Art of Medicine” Panel (part of the Art of Medicine campaign) took place yesterday from 9 – 11am at the Boston’s W Hotel, 100 Stuart St, Boston, MA Our panelists from Left to Right John D. Halamka, MD, MS, CIO of Beth Israel Deaconess Medical Center (and Life as healthcare CIO blog and @jhalamka) Keith Dreyer, DO, […]
Medicine is part science…. Part art.The relationship between physicians and patients is at the core of healing. This begins with hearing and understanding. We want to reimagine healthcare—where physicians can get back to the art of medicine and were delighted to be joined by panelists: Dr. Mark Kelemen, Senior Vice President, CMIO, University of Maryland […]
This post originally appeared on HIT Consultant During a recent and troubling discussion with a physician friend, he described to me a new ailment he’s been experiencing: waking up in the morning, and not looking forward to going to work. The reality is that he is not alone. It’s no secret that physicians across the […]
Many years ago I remember an excited friend who worked for one of the vendors of electronic medical records (really this was more of a billing and patient tracking and management system than and Electronic Health record) desperate to show me some of their new applications – in particular a module they had developed to […]
We know doctors are under an ever increasing load may eventually break their backs..if nothing else its increasing the overall pain In a recent study of physician attitudes toward clinical documentation technology and processes clinicians the majority of clinicians said they would be more responsive to Clinical Documentation Improvement (CDI) clarifications if they were delivered […]
The short answer is yes – but I hear occasional stories and push back from clinicians and sometimes other healthcare staff – is it worth the spend and investment. Why not just wait for ICD-11 (Check out the beta draft of ICD-11 here). Why not just use SNOMED CT For the individual doctor taking care […]
I had the pleasure of speaking with Alex Welz of Health Tech Vision last week and he posted the interview here – or you can listen to it below The importance of bringing intelligent voice interactions to Health IT especially as medical technology moves to into the Mobile world. It is an exciting time with […]
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 […]
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 […]
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 […]
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 […]
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 […]
via fedtechmagazine.com Dr Robert walker among a growing band of physicians finding benefit in dictating in front of his patients. As he puts it: Before I started dictating in front of patients, I would have said I don’t make many mistakes. But now once or twice a week they correct me — they say it […]
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 […]
So there was a lot of interest in the paper published in JAMIA Method of electronic health record documentation and quality of primary care published on JAMI this month. A quick summary They evaluated 18,569 primary care visits, 234 doctors in 2007-08 •Note taking Breakdown –62% of free-text notes –29% structured documentation –9% mainly dictated […]
Clinical documentation is an increasingly time consuming challenge for clinicians offering significant pressures that are vested in a range of requirements not always tightly aligned with clinical decision making. (See Documentation Coding Burdens) Electronic Medical Records (EMR’s) have added to the burden of information capture and while the prevailing view is that EMR’s improve care (and […]
