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Blog posts : "General"

AI’s Problem with History

NOTE: While I am a proponent in the use of advanced technology, such as AI, automation, and robotics, in the delivery of healthcare, effectively supporting such change requires identifying areas where we can and must make improvements.

In 2018, Amazon announced that it disbanded an AI tool used to …

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Stop Throwing More Money to Fix the Problems We Created with EHRs

The move to implement electronic health records has been a major improvement.  Bob McNellis MPH., PA at AHRQ recently noted the historical expectations of electronic records: “EHRs carried tremendous promise for improving care.  Healthcare innovators envisioned a day when a primary care clinician ha…

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Mergers, Affiliations and New Entrants Accelerate The Use of Technology

The CVS purchase of Aetna made a splash last week. This week it is the possible merger of Ascension and Providence St. Joseph Health, which would result in a health system with 191 hospitals. For years I have talked about the “land grab” going on among health systems and other health institutions. T…

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EMRs are great…but have they sucked up all the oxygen for care innovation?

For twenty years, the Holy Chalice of medicine’s future was thought to be Electronic Medical Records. The air was filled with the potential wonders of electronic data sets that would track a patient’s health over time and improve the quality of care. In 2004, President Bush set as a goal that ever…

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Healthcare Competition Creates Opportunities for Advanced Tech

It seems strange to me that health care institutions consistently avoid any reference to competition. Yet health care has become aggressively competitive. Competition for patients is coming from all angles. Primary and urgent care is already starting to feel the bite and labs are next. Patients …

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So, What to Do? Part 2: Transformation Takes More Than a Gadget

I am enthusiastic about digital advances in healthcare but innovative technology is only part of the answer.  Years ago I was invited to meet with an executive at a very well-known technology company where I had an insider’s briefing on their latest “disruptive innovation,” which was going to …

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So, What to Do? Part 1: opening the market to consumer demand

When I was involved with establishing the American Telemedicine Association in 1993 it was often stated that telemedicine was “just around the corner.” That was 24 years ago. While much has been accomplished, we are still far, far away from the disruptive transformation that was assumed at the time.…

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EMRs Alone Will Not Transform Healthcare

It has now been eight years since the HITECH Act.   The Act distributed $35 billion for the adoption of EMRs by hospitals and physicians and established the Office of National Coordinator to adopt standards and incentives for the implementation and use of EMRs.  Yes, many now call them "EHRs" to mak…

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Six Misperceptions

Healthcare is a $2 trillion market in the United States and growing at a fast pace. For entrepreneurs, that figure is so alluring it is impossible to ignore. Companies, institutions and individuals from everywhere are looking to see how to get a piece of the healthcare market. It’s the gold rush of …

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Regulation or Roadblock?

First published November 28, 2012

Telemedicine is a tool that has been used to improve and extend healthcare for well over two decades.  In 2012, ten million Americans will have benefitted from such remote health services as teleradiology, teleICU and remote vital sign monitoring (note: 20 millio…

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I wish I could just talk about design

 First published January 31, 2013

In a recent column in the New York Times Ray Bilton wrote about his experience at the Consumer Electronic Show (CES) and the changed emphasis of the products on display away from technical specifications to design elements.  He states: “I don’t care about the…

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