“Meaningful Use”? Some Thoughts From Ted Shortliffe in 1991.

Mike Magee I wrote recently about the “meaningful use” regulations that define the requirements for federal grants and tax relief to physicians who adopt EMR’s. I’ve questioned whether the vision for the use of these technologies is under powered. To answer this question, it helps to look back if you want to look forward. Why? […]

What Do Steve Jobs, The NEJM and 18 to 29 Year Old’s Have In Common?

Mike Magee Change is never easy. It always involves breaking through the status quo which of course holds on for dear life. But trend lines sooner or later do force adjustment. This is becoming more and more obvious in health care, troubled with high costs, variable quality and a fundamental locational disconnect – placement of […]

Why Health Care Is Going Home.

Steven H. Landers MD, MPH Source: NEJM. October 20, 2010. http://www.nejm.org/doi/full/10.1056/NEJMp1000401?query=TOC#t=article In Albuquerque, New Mexico, and Buffalo, New York,1 acutely ill patients have been sent out of the emergency department for hospital-like care at home. In Baton Rouge, Louisiana, and Little Rock, Arkansas, home health agencies provide chronic care management services, emphasizing care coordination and […]

American Medical News: Physician smartphone popularity shifts health IT

PAMELA LEWIS DOLAN American Medical News: amednews staff. Posted Aug. 23, 2010. Doctors’ embrace of such devices puts them at a disconnect with hospitals that rely on desktop-based health technology. With physician smartphone use nearing a saturation point, doctors are in an unfamiliar position when it comes to health information technology — demanding that others […]

The Hype and The Hope of “mHealth”

Eric Dishman Another day, another flyer arrives for a seminar on “mHealth.” One that showed up in my mailbox this week is typical: high-gloss images of mobile phones and heart signals, celebratory claims about how all of this will “revolutionize” healthcare, and liberal use of the words “innovation” and “transformation” in almost every keynote title. […]

EHR’s: Healthy Relationships, Not Health Records

Eric Dishman It’s been eleven years since my Intel colleague, John Sherry, and I first did some fieldwork studying physician practices and hospitals that were in the throes of choosing, installing, and/or experiencing EHRs (electronic health records) for the first time. Most interesting to me of these studies has been when we could get in […]

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