This analysis in Health Affairs shows that EHR adoption initially results in higher patient mortality but in the long run lowers mortality. Having gone through the transition from paper to digital, it’s easy to imagine. Initially you think, ‘how do I do this?’ Then you say, ‘how did we do it with paper?’ There’s a period of adaptation that happens with new ... Continue Reading about The Health Technology Outcomes Gap
Jack West is on to something here on Medscape. He discovered that meetings like the JP Morgan Healthcare Conference are flush with Chief Medical Innovators and doctors disconnected from the day-to-day operations of caring for patients. In all of these meetings that purport to disrupt healthcare, where I met hundreds of participants, not a single one sees patients ... Continue Reading about Too Many Chief Medical Innovators?
The most dangerous phrase in medicine is this is the way we’ve always done it. This is one of those internet memes that resonates with our disruptive side. Virally passed on Twitter, it suggests that they’ve just had it wrong all these years and we know what’s right. In some cases they have and we do. Sometimes not. There are many things in medicine that work ... Continue Reading about The Way We’ve Always Done It
Each morning I scroll through Feedly looking at what’s new. I scan titles and ledes, deleting by the second until I find something transformative. It's information wackamole. And it results in innovation extinction. Increasingly, I'm underwhelmed by what I see. Nanosensors are a dime a dozen. Tattoos that miraculously detect blood glucose are almost yesterday's ... Continue Reading about Innovation Extinction
Cardiac defibrillators the size of a grain of salt. Robotic, flying bedpans. The extinction of the doctor. Spend some time on Twitter and you may see the future. Because there's an arms race to 'break' the next seemingly implausible health innovation. And it all seems bigger since the social web draws the technologically savvy who are prone toward technological ... Continue Reading about Cyberutopian Exhibitionism
I had lunch with a colleague who is finishing his MBA in May. We talked about what he planned to do going forward. The conversation then turned to doctors and the way they see themselves and their options. In medicine we’re used to having the way paved for us. We're lockstep physicians. We do what’s been done before. We practice lockstep medicine. When you’re ... Continue Reading about Lockstep Physicians – Why Doctors Look to the Next Thing