One in four Americans carry a diagnosis of arthritis, a significant cause of limitation from basic life activities to disability. One in ten adults has to limit their activities due to pain caused by this disease. Yet, a massive shortage of specialist physicians and geographical and licensure barriers restrict access to specialized medical care, especially in rheumatology offices. Also, the cost of arthritis is 303 billion dollars yearly …
Big Tech has had a surprisingly small impact on U.S. health care, so far.
Artificial intelligence, for example, outperforms physicians in many complex tasks (like reading mammograms and analyzing chest X-rays), yet AI remains woefully underused. Meanwhile, many have tried to spur operational efficiency using big-data analytics, but care delivery remains as inconsistent and ineffective as ever. Perhaps the most telling example of Big Tech’s struggles in medicine: 9 in 10 …
Your smartwatch talks a lot but may not say as much as you believe with regard to health. Constant data collection from wearables claims to improve medicine at large. Is the “quantified self” the next evolution or a gimmick for patients?
Imagine your sleep and heart data beamed straight to your medical record. Your care team might notice a red flag and schedule a virtual appointment immediately. Health care wearables, meaning …
Amazon recently announced plans to shut down Amazon Care, an in-home and virtual health care service.
The reasons cited were attributed to a significant overlap of services with the One Medical chain of clinics, which Amazon purchased in July of this year for 3.9 billion, as well as Amazon Care not being a complete enough offering for large enterprise customers for which it was targeting.
This is the third health …
Working remotely during the coronavirus pandemic has immersed physicians in technology, perhaps accelerating its integration with medical practice – but not necessarily its acceptance or authenticity.
I tend to doubt the veracity of much of what I read in electronic health care records. I also question reports based on data gleaned from large medical databases – for example, summaries about physician compensation and practice trends.
Many reports that profile physicians are generated …
More often than not, ground-breaking health care advancements are disproportionately accessible for those who already have favorable social determinants of health.
Improving cost, access, and quality, but for whom?
The boom of telehealth and digital health during the pandemic was a necessary shift to bridge the critical access gap while also supporting the public health measures implemented to slow the spread of COVID-19 – but did this change …
The COVID-19 pandemic has taken a profound toll on older adults, isolating them physically and emotionally from their communities and families. Mental health has suffered across generations and, as a practicing geriatric psychiatrist, I have had a front-row seat to the unique conditions older adult populations are facing. Despite rising rates of depression and anxiety, infection control measures have accelerated the adoption of digital health, including telehealth, opening myriad new …
As the pandemic-stricken health systems recover from the unprecedented challenges that tested them for preparedness, agility, and health equity, the pandemic undoubtedly also nurtured rapid innovation in telehealth, vaccine manufacturing, and point-of-care diagnostics, which have streamlined and accelerated patients’ access to immediate care at the point of need.
These technological medical advances, especially in the realm of point-of-care diagnostics, are transforming our health system in three especially important ways:
Firstly, point-of-care diagnostics …
An excerpt from Reality Check: In Pursuit of the Right Questions.
I was on the floor of the International Meeting on Simulation in Healthcare conference when I heard screaming in the near distance. I turned toward it and saw some people gathering and others running. It sounded like an …
Physicians are getting their asses kicked by technology, but this is reversible if they integrate technology as they do laboratory science.
Medicine needs specialized doctors who only focus on technology. This will combat burnout and take control of a system that has no other incentive to adapt to clinical needs.
In 2013, I graduated medical school and went to Silicon Valley to acquire high-tech skills.
During med school, an investigation …
Two years after the global pandemic totally rewrote the health care playbook, hospitals, health systems, facilities, and providers are still striving to find some semblance of normalcy. Challenges present before the pandemic weren’t solved during the all-hands-on-deck mentality during wave after wave of COVID-19 cases and hospitalizations.
Obstacles such as outmoded workflows remain to be solved—and the time is now. Federal funding proved a lifesaver for health systems during the worst …
Medical care continues to advance at a frenetic pace, with new diagnostics, treatments, and therapies arriving monthly. So why are medical communications still stuck in the 20th century?
Despite the ubiquitous presence of smartphones among consumers of all ages, medical practices still use one-to-one telephone calls as the primary communications vehicle. While some communications have moved to patient portals, responses often take hours — or days — if they are answered …
The events of the past two years have irrevocably shifted hospital capacity management practices. From new COVID-19 variants and unpredictable surges to downstream impacts like delayed procedures and the great reshuffling and resignation of hospital staff, hospitals have never been more critical to adopt solutions that optimally manage their capacity.
Still, too often in the inpatient space, nursing managers and directors are forced to rely on manual data, intuition, and past …
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It was a summer day seven years ago. We had closed our first U.S. hospital customer for my digital health company, which enables health systems to deliver digital care journeys for patients (e.g., surgery, oncology, chronic care, etc.).
I was ecstatic! Unfortunately, our excitement was short-lived.
We “implemented” our solution, but patient enrollment was going poorly. When we went on-site to investigate, we learned that surgeons were pushing back against patients getting …
Patients need access to their health care data and health care consumers need access to their health care information. Data and information are not the same. Data is akin to the ingredients for a meal, while information is more like the meal. Imagine ordering a meal in a restaurant. The wait staff brings the ingredients to your table. You still need a chef to prepare the dinner. This is much …
A little-known fact about doctors that most patients would find horrifying is that physicians don’t keep track of their results.
If I botch a knee surgery so badly that my patient requires five repairs by a different specialist, I might never find out. As a result, I will continue to use a flawed technique on patient after patient. The fact that I never hear from any of them again will be …
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As a result of the COVID-19 pandemic, health care innovation has been occurring at an unprecedented rate. A growing focus on technology – and the ways that it can help improve patient care and the provider experience – is now at the forefront, and many organizations are reexamining how they can implement new tools and processes in their practices.
In my field of interventional cardiology, one of the …
Today medical records are developed for a single encounter (an outpatient visit or hospital stay). The medical records for an encounter are signed off at the end of the encounter and cannot be changed. An addendum medical record can be added later to correct misinformation in the encounter medical records, but this is seldom done.
This process enables medical documents to be legal recordings of what happened during each encounter. But …
On March 10, I had the distinct privilege of presenting to the ONC Health IT Advisory Committee at their meeting titled “Health Equity by Design.” The presentation highlighted five areas of focus for health IT in reducing health disparities: health equity data collection, actionable analysis of the data, integration of health care and social service providers, the special role that health information exchanges (HIEs) can play, and access to health …
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I’m an RN and clinical informaticist. When I was studying health care informatics, I learned about physician resistance. The idea is that physicians are uniquely resistant to EHRs and health care information technology (HIT) apps. If only they went to more training or spent more of their limited time customizing their preferences, they would get the benefits of the EHR. For years, I believed this to be true.
Yet, I had …
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