EMR
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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 […]
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 […]
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 […]
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 […]
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 […]
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 — […]
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 […]
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 […]
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 […]
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 […]
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 – […]
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 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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
Voice of the Doctor – JulyThis month we will be July 6I will be joined by my friend and colleague Reid Coleman who joined Nunace as the CMIO for Evidence Based Medicine. Reid was previously the CMIO for Lifespan. He and I both attended the recent Association of Medical Directors of Information Systems 21st annual […]
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 […]
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 […]
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 […]
We are facing significant changes to the world of clinical documentation with the big push encompassed in the Meaningful Use requirements that push provides and healthcare facilities inexorably towards an electronic medical record (EMR) but there remain significant concerns over the potential impact these solutions can and will have on our clinical documentation. In this […]
