Health IT

The recent closing of Amazon Care shows the magnitude of the challenge in changing health care

Tech
September 13, 2022

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 …

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Human touch and scientific veracity are missing in health care technology

Tech
September 8, 2022

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 …

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Innovation for all: Adapting patient-facing tools to promote digital health equity

Tech
September 7, 2022

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 …

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Why health care will never be the same after the COVID-19 pandemic

Policy
September 6, 2022

The health care industry will never be the same again following the COVID-19 pandemic. We can’t risk dying from a virus that had already killed so many people and disintegrated fruitful lives the world over. We need to use new protocols, technological advances, and safety measures to safeguard ourselves from other possible viruses.

Health care is a complex industry where one small change can have a whopping impact. Unfortunately, the last …

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Video visits as clinical touchpoints to improve older adult mental health

Tech
September 2, 2022

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 …

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How doctors can regain control of their software

Physician
August 14, 2022

I spent a year as a UCSF postdoc with the leaked tobacco documents. And this article is taken directly from the tobacco-control playbook. In the tobacco wars, we learned that: when a disease is caused by a for-profit industry, the only successful approach is regulation first, followed by treatment.

Here is exactly how and why doctors should regulate EHR and regain control of their cognitive …

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How physicians are mishandling technology

Tech
July 10, 2022

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 …

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NLP and AI technologies streamline tedious health care processes to enable faster care

Tech
July 9, 2022

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 …

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Why doctors are getting their asses kicked by technology

Physician
June 29, 2022

Physicians have terrible technology, but they refuse to recognize high-tech as a medical specialty. They must integrate technology as they do laboratory science.

Physicians are certainly suffering from poorly-designed electronic medical records (EHR), but they are also guilty of wilful blindness in abdicating responsibility for technology in medicine. This must change.

Physicians have a higher suicide rate than post-combat troops in the military. A lot of this is due …

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The “wonder years” of health care

Physician
June 28, 2022

In the wake of medical home certification, meaningful use, the Cures Act, and the pandemic, it’s clear that virtually all health care is now built on a digital foundation. EHRs are pervasive in the delivery system and are increasingly connected to practice management software, virtual visit, mobile capabilities, health information exchanges, and population health platforms. As we consider the criticality of interoperability throughout this evolving digital ecosystem, I’m moved to …

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3 reasons practices should implement patient-initiated collaborative texting

Tech
June 12, 2022

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 …

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How the EHR is like a growing blob

Physician
June 11, 2022

I’m not sure about you, but May 27 cannot come soon enough for me. Finally, after three years, we will get the next installment of Stranger Things and another round of monsters, friendships, and 80s memories.

For those of us Gen X-ers who grew up when all that retro fashion and music wasn’t retro, it’s a return to simpler days. Thankfully we didn’t have to worry about demogorgons IRL back then.

Now …

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To scribe or not to scribe? That is the question.

Physician
May 29, 2022

By this title, I mean whether it is a good idea or not to hire a scribe to enter data into the electronic medical record (EMR) system.

I favor having a scribe. I came of age with paper charts, and I found the transition to EMR tricky and time-consuming.

My chief argument favoring scribes is that scribes can save doctors a lot of time. And by saving time, scribes can also help …

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How AI-based technology can help improve hospital capacity management

Tech
May 19, 2022

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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Why clinician buy-in is key to digital health transformation

Tech
May 18, 2022

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 …

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Patient platforms should be intuitive in design and execution

Tech
May 15, 2022

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 …

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Your doctors don’t keep track of what they’re doing

Tech
May 12, 2022

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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How much time do physicians spend in the EHR?

Physician
April 10, 2022

Doctors often find the electronic health record (EHR) time-consuming and annoying. However, quantitative estimates of physicians’ time on EHR tasks are sparse and not collated. We assembled evidence on hours dedicated to the EHR each day by physicians. The result is impressive – 4.5 hours.

A little background: EHR systems started in the late 1960s. The federal government implemented VistA in the 1970s in the Department of Veteran …

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