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
Periscope as a Medical Medium
Doctors are increasingly sharing procedures on Periscope. For the uninformed, Periscope is an in-line Twitter application that facilitates live, personal broadcasting. Most recently, an achilles tendon repair from Ohio State was ’scoped'. I thought it sounded pretty interesting, but I got there too late. The party was over and the video was gone. The use of ... Continue Reading about Periscope as a Medical Medium
Impact Pediatric Health | A Sign of Change
As someone who spends his time watching medicine’s collision with technology, it’s striking to see where children fit in. Or don’t fit in. Health technology favors big, nervous, healthy people with smartphones. But perhaps the winds are changing. Case in point: The Impact Pediatric Health pitch competition. This year’s SXSW Interactive festival brings together ... Continue Reading about Impact Pediatric Health | A Sign of Change
Health Care and the Visibility-Value Continuum
Last evening I followed a live Twitter event that Baylor Scott and White Health conducted around a heart transplant. You can see the stream at #HeartTXLive. Rethinking live events in health care While I’ve not been a fan of live Twitter events, this one made me think. Social health events once conceived in dry, 3rd person narrative have evolved. High def images ... Continue Reading about Health Care and the Visibility-Value Continuum
Weekend Medicine
It’s remarkable that hospitals still keep weekend schedules. On Saturday and Sunday, things stop. They don’t stop, but they really do. ORs operate with emergency staffing. Routine diagnostic imaging is held until Monday morning. Saturday and Sunday schedules are a throwback to a time when the tempo of health care was set by the doctor’s rounds and the hands of a ... Continue Reading about Weekend Medicine