EMR

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In the spirit of survival given the overwhelming nature of joining 40,000 people at one conference, I offer up this year’s Incremental Guidance to not only surviving the HIMSS conference but enjoying it too (you can find my HIMSS16 Guide here). This will be my 21st HIMSS and 3rd year as a Social Media ambassador and every year […]

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I recently discovered that one of the great storytellers of our day – Malcolm Gladwell has a new podcast – Revisionist History. Each episode (he is now into Season 2) takes a look at some piece of history and through some delightful storytelling revisits the history and our perceptions of events. It reminded me of this […]

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Hope you can join me and my fellow Medical Informatics friends: R. Dirk Stanley, MD, MPH @dirkstanley Luis Saldana, MD @lSaldanaMD Luke Webster, MD @LukeWebsterATL Rasu Shrestha, MD, MBA @RasuShrestha John Mattison, MD @JohnEMattison   for our inaugural #CMIOChat on Thursday September 24 at 4pm ET (Regular Chat 3rd Thursday of every month)  Here’s the […]

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  After an exciting 5 years with Nuance, I am saying goodbye to pursue a new opportunity. As is often the case with major decisions like this, I have had a chance to reflect on how far we have come and how many people I have had the privilege of working with in what has […]

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HIMSS is finally upon us and like the 20,000+ people heading Chicago there is a lot to take in, many options and far too much for any one person to see or catch up with. So what do you do?   First off – download the HIMSS Mobile APP that now comes with GPS intelligence […]

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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 […]

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I attended the Connected Healthcare Conference in San Diego yesterdayAccelerate mHealth Adoption: Deliver Results through Data Driven Business Models for End-User Engagement Never has there been so much to play for in the mobile health landscape, a revolution is just round the corner with key players from the health care and consumer markets coming together […]

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Come join me in the conversation with my colleagues at the SpeechTek 2014 conference in Marriott Hotel in Time Square, Manhattan New York. The Panel: C103 – PANEL: The Digital Healthcare Revolution at 1:15 p.m – 2:00 p.m. The panel moderator Bruce Pollock, Vice-President, Strategic Growth and Planning at West Interactive and on Social Media @brucepollock I will be […]

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I have the privilege of spending a lot of time on the road interacting with clinicians around the country (and world). I hear with too much frequency many doctors complaining about the Electronic Medical Record and how it fails to help them and in many cases makes their work harder. Some of this is a […]

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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 […]

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The Physician (#DrHIT) Symposium at #HIMSS14Opening session was eloquently covered by Robert Wah, MD (@RobertWahMD) detailing the spectrum of issues ranging from the new Healthcare System: The challenge of SGR “fix(es)” and the evolution of the systems we are implementing and the value proposition. As he put it Quality of care is improved with better information — […]

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The new Art of Medicine campaign is focused on getting physicians back to their original roots – the reason we all stepped over the threshold of medical education and into an honorable profession to serve our community. Its all about the patient but changes in the healthcare system and in particular changes with technology have […]

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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 […]

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Awesome video put together showcasing the various aspects of clinical documentation and why it is so important to capture the complete patient story in narrative form Putting all the details means capturing the diabetes and loss of consciousness Everything from Assure and the ability to capture anywhere and the exploding area of mobile integration of […]

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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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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 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 […]

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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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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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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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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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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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