The inevitable downgrading of burdensome, destructive EHRs back to paper & document imaging
In recent days, I ' ve posted about current articles on the destructive nature of today ' s vastly over-complex, burdensome EHR technology.  These posts included "Physicians Harassed by Overwhelming Levels of Messaging From Electronic Medical Records" athttp://hcrenewal.blogspot.com/2018/01/physicians-harassed-by-onerwhelming.htmland" Medical Economics: Highly experienced physicians lost to medicine over bad health IT " athttp://hcrenewal.blogspot.com/2018/01/medical-economics-highly-experienced.html.There are many other earlier articles of a similar nature discussed on this blog, e.g., the May 2017 post  "Death ...
Source: Health Care Renewal - January 31, 2018 Category: Health Management Tags: Alexi Wright MD bad health IT burnout Christine A. Sinsky healthcare IT difficulties Healthcare IT failure Ingrid Katz MD NEJM Source Type: blogs

Physicians Harassed by Overwhelming Levels of Messaging From Electronic Medical Records
In yet another example of the clerical overload caused by bad health IT, physicians find themselves drinking from a fire hose through cybernetics.  This, in the field of dermatology, let alone critical care specialties:Physicians Overwhelmed by Messaging From Electronic Medical RecordsMedicalResearch.com Interview with: Matilda W. Nicholas, MD, PhDDuke DermatologyJanuary 29, 2018https://medicalresearch.com/author-interviews/physicians-overwhelmed-by-messaging-from-electronic-medical-records/39671/MedicalResearch.com: What is the background for this study?Response: I have found many physicians overwhelmed by the e...
Source: Health Care Renewal - January 30, 2018 Category: Health Management Tags: bad health IT burnout healthcare IT dissatisfaction healthcare IT distraction healthcare IT harms medicalresearch.com Source Type: blogs

Excitable Overreach In A Paid Puff Piece Regarding The myHR As The Options For ‘Replatforming’ Are Considered By The ADHA.
This appeared in Forbes last week:Jan 17, 2018 @ 05:00 AM 4,529 Australia's Electronic Health Record Program Already Showing BenefitsOracleVoice Simplify IT, Drive Innovation Linda Currey Post , Oracle In what may be the most comprehensive national effort of its kind, the Australian government has created more than 5.4 million electronic medical records and plans to offer EMRs to the country ’s 24 million citizens by the end of 2018.The records contain information about each individual’s serious illnesses, surgeries, prescribed medications, and family medical histories—information that can be critical to making corre...
Source: Australian Health Information Technology - January 23, 2018 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

5 ways poorly thought out health IT can worsen patient safety
The frontlines of health care have been transformed over the last decade as electronic medical records have been rolled out across America. Unfortunately, information technology has yet to live up to its immense promise in health care­ — a topic that I frequently write about. As somebody who has worked with every single major EHR on my travels, I am being brutally honest when I say not a single one has impressed me. There are huge obstacles to overcome with usability and efficiency. Of equal concern are the morale effects this is having on the hundreds of thousands of physicians toiling away for their patients. At a...
Source: Kevin, M.D. - Medical Weblog - January 19, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > Tags: Physician Health IT Hospital-Based Medicine Source Type: blogs

What To Expect From Digital Health In 2018?
Digital health is booming and there are thrilling trends to be excited about for 2018. Trend-spotting with facts instead of crystal balls The first digital pill was approved by the FDA. Chinese researchers created the first gene-edited embryos. Microsoft launched a new healthcare division. 2017 was a year full of marvelous advancements in healthcare. So what’s next? As The Medical Futurist, my whole life is dedicated to digital health and how it should advance. My lifeblood is technology, healthcare and their intersection. At The Medical Futurist Institute, we work with governments and policy-makers worldwide to help the...
Source: The Medical Futurist - January 9, 2018 Category: Information Technology Authors: nora Tags: Future of Medicine 2018 AI artificial intelligence augmented reality digital health Education Healthcare Innovation Personalized medicine technology wearables Source Type: blogs

Defining Digital Health, the Tsunami That Is Overtaking the Current Model
A recent article about Denver's digital health boom caused me to ponder about some of the implications of the digital health mania that's coming down the road and how it will affect our current health care model (see:Denver ’s Digital Health Boom). Below is an excerpt from it:Medical care is no longer confined to the doctor ’s office. Or even, sometimes, to an actual doctor. That iPhone in your pocket now has the capability to diagnose your cough, answer insurance questions, and get you pregnant …or at least help the process along. Digital health (think: smartphones, social networks, and internet applic...
Source: Lab Soft News - January 5, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Electronic Health Record (EHR) Healthcare Business Healthcare Delivery Healthcare Information Technology Healthcare Innovations Healthcare Insurance Medical Consumerism Preventive Medicine Telemedicine Source Type: blogs

Oh For.A Self-Correcting World
Good bye, 2017.  Personally, it was a good year.  Politically, not so much.  Our country has become so alarmingly polarized, and it seems we have so many problems!  Here in Baltimore, things are difficult for so many people: firearm deaths have surged, with 345 deaths this year -- a far higher number than New York City where there are under 300 deaths, even though New York has many times the population that Baltimore has.  Overdose death have surged as well. Crime, poverty, homelessness,--they are all big problems.  The latest tax cuts promise to help corporations, and perhaps they will b...
Source: Shrink Rap - December 30, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Oh For A Self-Correcting World
Good bye, 2017.  Personally, it was a good year.  Politically, not so much.  Our country has become so alarmingly polarized, and it seems we have so many problems!  Here in Baltimore, things are difficult for so many people: firearm deaths have surged, with 345 deaths this year -- a far higher number than New York City where there are under 300 deaths, even though New York has many times the population that Baltimore has.  Overdose death have surged as well. Crime, poverty, homelessness,--they are all big problems.  The latest tax cuts promise to help corporations, and perhaps they will b...
Source: Shrink Rap - December 30, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

New Ownership Model for Derm Practices; ClearPath Manages Digital Images
At the end of last week, I helped manage theDigital Pathology Workshop that was sponsored by theAssociation for Pathology Informatics (API). One of our faculty members was Michael Kent, Ph.D., who works for a dermatology reference pathology lab in Dayton, Ohio -- Dermatology Lab of the Central States (DLCS). DLCS is part of a large dermatology entity calledDermatology of Central States (DOCS) which was recently acquired by a Chicago private equity firm,Sheridan Capital Partners (see:Sheridan Capital Partners Invests in Dermatologists of Central States). I was previously unaware that dermatology practices were b...
Source: Lab Soft News - December 11, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Digital Imaging in Pathology Healthcare Business Healthcare Information Technology Pathology Informatics Source Type: blogs

Fight Aging! Newsletter, December 11th 2017
In this study, we used the Clinical Practice Research Datalink (CPRD) to estimate clinically measured SBP and DBP trajectories for 20 years prior to death, for individuals dying at 60 years and older. Second, we compared the linear SBP trends for years 10 to 3 years before death in patients who died and age- and sex-matched controls who survived at least 9 years. These approaches aimed to separate age from end-of-life associations, and avoid healthy survivor biases. Twenty years before death, estimated mean SBPs increased with increasing age at death (60-69 years, 139.5 mm Hg; ≥90 years, 150.0 mm Hg). All age-at-d...
Source: Fight Aging! - December 10, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Artificial Intelligence in Healthcare: Lessons from Finance
By AJAY KOHLI, MD “We built it and we just let it run. We’re a few dudes in an office and our goal is to keep it running. It does everything we could do, except it’s significantly more powerful and it has completely automated how our work is being done,” casually said the hedge fund manager as he described the process by which nearly $1billion was being managed within his fund. The ‘it’ is an artificial intelligence (AI) based algorithm that uses complex statistics to analyze variables that went into successful decisions and uses advanced computer programs to keep replicating those decisions. All this, while it...
Source: The Health Care Blog - December 8, 2017 Category: Consumer Health News Authors: at RogueRad Tags: Uncategorized Source Type: blogs

Does Blood Pressure Decrease in Late Life, and Why Would this Happen?
In this study, we used the Clinical Practice Research Datalink (CPRD) to estimate clinically measured SBP and DBP trajectories for 20 years prior to death, for individuals dying at 60 years and older. Second, we compared the linear SBP trends for years 10 to 3 years before death in patients who died and age- and sex-matched controls who survived at least 9 years. These approaches aimed to separate age from end-of-life associations, and avoid healthy survivor biases. Twenty years before death, estimated mean SBPs increased with increasing age at death (60-69 years, 139.5 mm Hg; ≥90 years, 150.0 mm Hg). All age-at-d...
Source: Fight Aging! - December 7, 2017 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

When EMRs crash: It ’s time to push back
The computerized era has introduced all of us to a genre of errors that never existed during the archaic pen and paper era.   The paper medical chart I used during most of my career never “crashed.”  Now, when our electronic medical records (EMR) freezes, malfunctions, or simply goes on strike, our office is paralyzed.  Although I appear to the patients as a breathing and willing medical practitioner, I might as well be a storefront mannequin who appears lifelike, but cannot function.  We cannot access the patients’ records, write a prescription or enter a new office visit. Of course, like any business w...
Source: Kevin, M.D. - Medical Weblog - December 3, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/michael-kirsch" rel="tag" > Michael Kirsch, MD < /a > Tags: Tech Gastroenterology Health IT Primary Care Source Type: blogs