In the information age we’re increasingly defined by who we listen to. After 7 years I’ve found that there are two types of social citizens on Twitter: Curators and dumpers. Curators are careful and intentional with what they share. Dumpers create movement, visibility and noise. Like a type of digital brownian movement, the dumper is constantly running and ... Continue Reading about Curators and Dumpers: Twitter’s Two Citizens
Paris and the Lens of Public Media
Tragedies like the Parisian massacre offer a lens on our communities. As the most horrific event unfolded last evening, many came together to offer their hearts and share resources. For some, it was business as usual. How we use public channels at time like these needs thought. While scheduled tweets are the obvious issue, there were those who carried on in ... Continue Reading about Paris and the Lens of Public Media
Transparency and the Brigham and Women’s Hospital
There's an arms race for transparency in health care. Check out the Brigham and Woman’s Hospital in Boston. They made news by rolling over to publicly reveal a delayed cancer diagnosis. Call-out culture meets medicine in a showy display of clinical vulnerability. If you listen carefully you hear them hyperventilating at Propublica. As The Brigham and Women's makes ... Continue Reading about Transparency and the Brigham and Women’s Hospital
The Clinical Trifecta – Productivity, Quality, Satisfaction
American physicians struggle with contrasting demands of performance. It's the clinical trifecta of 21st century clinical medicine. Providers are: Required to be productive. Expected to deliver care with a high level of satisfaction. Increasingly accountable to quality metrics. The problem is that productivity can be at odds with satisfaction. ... Continue Reading about The Clinical Trifecta – Productivity, Quality, Satisfaction
Negotiating IT in the Exam Room
When I start a visit I ask the patient if they’re okay with some occasional typing while we talk. This morning when I asked, my teen patient replied holding his phone, ‘That’s fine so long as I can type as we talk.' To his point, we assume information engagement in the clinical space is only for providers. At one time, in fact, we prohibited cell phone use in ... Continue Reading about Negotiating IT in the Exam Room
Google Flu – Urine on the Google Flu Grave
Celebrating the failure of Google flu trends has evolved as a full-contact sport for digital health watchers. The world celebrated Google's potential and then its failure. This piece from Wired shouldn’t be missed. A civil and properly-penned postmortem that sees Google’s predictive potential beyond our shallow schadenfreude. ... Continue Reading about Google Flu – Urine on the Google Flu Grave