Physicians writing on KevinMD about the electronic record and artificial intelligence: what the record did to the visit and who it was built for, alert fatigue and pajama time, human and AI scribes and the minutes they actually save, ambient documentation and its audit risk, and what AI can do in clinical practice now, whether it will replace physicians, and who is responsible when it is wrong. Two maintained records draw on this archive: The electronic health record: what physicians say, in their own words and Artificial intelligence: what physicians say, in their own words.
Originally published in HCPLive.com by Jonathan Bertman, MD I recently talked about Microsoft’s newest desktop operating system, Windows 7, and outlined several reasons why you might want to purchase it when it comes out this year. Windows 7 will include…
Originally published in HCPLive.com
by Jonathan Bertman, MD
I recently talked about Microsoft’s newest desktop operating system, Windows 7, and outlined several reasons why you might want to purchase it when it comes out this year. Windows 7 will include some really cool features—like multi-touch technology and usability improvements—that can benefit medical practitioners and their office staff.
Originally published on HCPLive.com If your patient records aren’t already stored digitally, they are likely to be digitized soon. There is a tremendous push by the federal government—as well as by some private payors and self-insured employers—to get all healthcare…
Originally published on HCPLive.com
If your patient records aren’t already stored digitally, they are likely to be digitized soon. There is a tremendous push by the federal government—as well as by some private payors and self-insured employers—to get all healthcare providers wired in the near future, in order to better coordinate patient care, improve outcomes, and “bend the cost curve” all at the same time. There are some financial incentives in …
Originally published in HCPLive.com by Robert J. Mintz, JD As EHRs are widely adopted and the quantity of information about a patient expands dramatically, does provider liability increase even if the quality of care is vastly improved? What happens if…
Originally published in HCPLive.com
by Robert J. Mintz, JD
As EHRs are widely adopted and the quantity of information about a patient expands dramatically, does provider liability increase even if the quality of care is vastly improved?
What happens if the quality of care really does get better but because of all the new and easily accessible information, the standard of care for …
Originally published in HCPLive.com by Alberto Borges, MD For those interested in health information technology, there is now an excellent, new, powerful article about this topic entitled, "Can Cleveland Clinic Be a Model for Digital Medicine?" where they discuss how…
Originally published in HCPLive.com
by Alberto Borges, MD
For those interested in health information technology, there is now an excellent, new, powerful article about this topic entitled, “Can Cleveland Clinic Be a Model for Digital Medicine?” where they discuss how this hospital system has failed to recoup their $100 million investment to date.
Here is my take on the Cleveland Clinic story, beyond the …
In a recent post, entitled, Why doctors should choose Google Android over the iPhone for medical apps, the author seems to have gone out of his way to make a series of increasingly hyperbolic arguments declaring Motorola Droid superior to…
Barack Obama is certain that electronic health records (EHRs) can improve the quality of care and the efficiency with which it is delivered. How certain? Certain enough to have bet billions on a program that pays providers to adopt and…
Barack Obama is certain that electronic health records (EHRs) can improve the quality of care and the efficiency with which it is delivered. How certain? Certain enough to have bet billions on a program that pays providers to adopt and meaningfully use EHRs.
Of course there are many ways to improve quality and efficiency. The Pennsylvania Health Care Cost Containment Council (PHC4) for example, publishes outcomes data for the states’ 172 …
Originally published in HCPLive.com by Anthony Niehaus As part of the 2009 HITECH Act, a national health information technology infrastructure (NHITI) is required for access and use of electronic health records resulting in a more “effective marketplace, greater competition... increased…
Originally published in HCPLive.com
by Anthony Niehaus
As part of the 2009 HITECH Act, a national health information technology infrastructure (NHITI) is required for access and use of electronic health records resulting in a more “effective marketplace, greater competition… [and] increased consumer choice (HITECH Act, Section 3001(b)).”
Such a system is not only necessary, but it is cardinal to improving delivery and reducing costs …
Originally published in HCPLive.com by Jonathan Bertman, MD You may have seen advertisements, or may already have been contacted by people who’ve promised to help you figure it all out so you can get your share of the stimulus money.…
Originally published in HCPLive.com
by Jonathan Bertman, MD
You may have seen advertisements, or may already have been contacted by people who’ve promised to help you figure it all out so you can get your share of the stimulus money. Be wary. The truth is that the Obama administration is still defining many essential elements of the Health Information Technology for Economic and Clinical Health Act (HITECH), and full details about the …
In 2001, when my colleagues and I ranked nearly 100 patient safety practices on the strength of their supporting evidence (for an AHRQ report), healthcare IT didn’t make the top 25. We took a lot of heat for, as one…
In 2001, when my colleagues and I ranked nearly 100 patient safety practices on the strength of their supporting evidence (for an AHRQ report), healthcare IT didn’t make the top 25. We took a lot of heat for, as one prominent patient safety advocate chided me, “slowing down the momentum.” Some called us Luddites.
Although we hated to be skunks at the IT party, we felt that the facts spoke for …
by Jeff Brandt Verizon, Motorola, and Google, along with 9 other cell phone manufactures and countless world carriers, have teamed up to provide a smartphone with the power to deliver useful applications for medicine: the Verizon “Droid” smartphone, based on…
by Jeff Brandt
Verizon, Motorola, and Google, along with 9 other cell phone manufactures and countless world carriers, have teamed up to provide a smartphone with the power to deliver useful applications for medicine: the Verizon “Droid” smartphone, based on the Google Android operating system (OS).
The Droid’s processor is the same processor that powers the iPhone. The main reasons this …
The Obama healthcare plan hinges on savings achieved through the implementation of electronic medical records (EMRs) and pays doctors $44,000 over 5 years for hardware and software to embrace this evolving technology. Let us not forget however, that garbage in…
The Obama healthcare plan hinges on savings achieved through the implementation of electronic medical records (EMRs) and pays doctors $44,000 over 5 years for hardware and software to embrace this evolving technology. Let us not forget however, that garbage in produces garbage out, for instance, information not suitable for medical decision making.
In reality, data entry is daunting and by far the most expensive aspect of converting to electronic records. Huge …
by Jeff Brandt There is much confusion about Personal Health Record (PHR) in the market today. PHRs are divided into three groups; Mobile SmartPhone (mPHR), Cloud Apps, and other devices such as USB and Smartcards. Each type of PHR serves…
by Jeff Brandt
There is much confusion about Personal Health Record (PHR) in the market today.
PHRs are divided into three groups; Mobile SmartPhone (mPHR), Cloud Apps, and other devices such as USB and Smartcards. Each type of PHR serves a different purpose and provides a useful and needed service. I will speak to the strengths and weaknesses of each of them.
The following is part of a series of original guest columns by the American Medical Association. by Joseph M. Heyman, M.D. Health information technology (HIT) remains a hot button issue for many physicians, and opinions run the gamut. There are…
Health information technology (HIT) remains a hot button issue for many physicians, and opinions run the gamut. There are physicians and practice managers who are satisfied long-time users and those who question how HIT will benefit their practice and their patients.
My own experience is that of a solo-practitioner using HIT …
Here are some of the more interesting comments readers have left recently. 1. Dr. Grumpy on the art of medicine and electronic medical records: I do use an EMR, but patient’s routinely tell me I’m good at listening. I think…
Here are some of the more interesting comments readers have left recently.
1. Dr. Grumpy on the art of medicine and electronic medical records: I do use an EMR, but patient’s routinely tell me I’m good at listening. I think it’s an individual basis. Some doctors are technophiles, and put that first. That ain’t right. Some doctors are so intent on listening, that they may forget a detail, and then it …
Here are some of the more interesting comments readers have left recently.1. Anonymous on whether emergency physicians best served to staff urgent care centers:As an ED doc, I understand the problem. We are taught to always rule out the emergencies,…
Here are some of the more interesting comments readers have left recently.
1. Anonymous on whether emergency physicians best served to staff urgent care centers: As an ED doc, I understand the problem. We are taught to always rule out the emergencies, and I am constantly worrying about the worst case scenario, and likely will order more tests since they are at my disposal, which is …
The following is a reader take from the staff at HealthHarbor.We had a chance to attend the HIMSS conference two weeks ago. HIMSS is healthcare's premier annual tech expo, and was in Chicago this year. The undeniable theme of this…
The following is a reader take from the staff at HealthHarbor.
We had a chance to attend the HIMSS conference two weeks ago. HIMSS is healthcare’s premier annual tech expo, and was in Chicago this year. The undeniable theme of this year’s conference was the anticipated expansion of Health Information Technology (HIT) via the Economic Recovery Act. …
Here are some of the more interesting comments readers have left recently.1. Manalive on quality measures:It is almost always a leap of faith to apply evidence-based guidelines to the frail elderly, to patients with many medical problems, to alcoholics, to…
Here are some of the more interesting comments readers have left recently.
1. Manalive on quality measures: It is almost always a leap of faith to apply evidence-based guidelines to the frail elderly, to patients with many medical problems, to alcoholics, to the poorly insured — in short, to a large percentage of my practice. Accordingly, I have been on the wrong end of too many …
The following is reader take by Half MD.The third Thursday of March each year is Match Day for fourth-year medical students. There are many smiles and frowns made on this day when soon-to-be doctors discover where they will obtain their…
The third Thursday of March each year is Match Day for fourth-year medical students. There are many smiles and frowns made on this day when soon-to-be doctors discover where they will obtain their first job to continue their medical training. While Match Day is the most famous day of the week, Monday and Tuesday are the …
The following op-ed was published on October 1st, 2008 in the USA Today. Despite the fact that we can complete our taxes and perform complex financial transactions digitally over the Internet, medical records have faced an impasse preventing a transition…
The following op-ed was published on October 1st, 2008 in the USA Today.
Despite the fact that we can complete our taxes and perform complex financial transactions digitally over the Internet, medical records have faced an impasse preventing a transition to the digital age. Patient charts are still paper-based in most doctors’ offices across the country.
President Bush’s goal was for every American to have an electronic medical …
The following op-ed was published on August 22nd, 2008 in the USA Today. "Why should I care if doctors get a pay cut?" my patient recently asked me. Therein lies the delicate dilemma physicians face today. While the common perception…
The following op-ed was published on August 22nd, 2008 in the USA Today.
“Why should I care if doctors get a pay cut?” my patient recently asked me.
Therein lies the delicate dilemma physicians face today. While the common perception is that the medical profession is well-compensated, there are serious implications in targeting physician pay to control medical spending.
Congress recently passed a bill protecting doctors from a 10.6% …
Because it is in Microsoft’s best interest …
The long trail of negative comments on the site demonstrate that perhaps not all readers were swayed by his arguments. …
The Droid’s processor is the same processor that powers the iPhone. The main reasons this …
