Blog Profile / Curing Healthcare

Filed Under:Medical / Healthcare IT
Posts on Regator:40
Posts / Week:0.1
Archived Since:April 6, 2010

Blog Post Archive

Social Determinants of Health

Social Determinants of Health (SDH) are being recognized as important factors in people health and well-being. They include: Economic stability: Poverty, employment, food insecurity, housing instability Education: Language and literacy,...Show More Summary

Design Thinking for Health IT

Design Thinking is a recent topic discussed on the AMA's Physician Innovation Network. Following is a comment I posted there. We have been using design thinking since the 1980s, before I knew what design thinking is. As a practicingShow More Summary

Practices for Comprehensive Health IT Systems

Following are practices for developing comprehensive health IT systems. Something I realized early on is that such systems should be flexible enough to continually adapt to new healthcare knowledge and concepts; data models; value sets; data format, terminology and transport standards; use cases; workflows; and diverse user needs. Show More Summary

Is the Biopsychosocial Approach a Scientific Model?

The biopsychosocial (BPS) model integrates a full range of biological, psychological, and sociocultural perspectives. A Critical Review of the Biopsychosocial Model states that BPS “provides a blueprint for research, a framework forShow More Summary

Reimagining spreadsheets:The incredible capabilities of spreadsheet cells

Our Spreadsheet-based Software Framework (SSF) is used to build apps that reimagine what spreadsheets can do. SSF apps provide new ways to take advantage of a spreadsheet’s power, flexibility, and simplicity. At the core of an SSF app are grids composed of millions of spreadsheet cells. Show More Summary

Wellness: A Proposed Definition

There has been much written about the importance of promoting "wellness" in value-based care. Yet there is no definitive definition of the concept. In this post I offer a conceptual framework for discussion in which I attempt to delineate many of the key factors discussed in the literature, along with my observations as a clinical psychologist. Show More Summary

Healthcare Reform Models Focusing on Value to Consumers - Part 1

Now that my company is beginning alpha testing of our truly next-generation referral manager software, and we have scheduled the public beta release for early Sept., I finally have some breathing room for another post. During my absence from the blog these past few months, many important things have been happening in the healthcare industry. Show More Summary

Federal Health IT Strategic Plan for 2011-2015: Comments

The Office of the National Coordinator for Health Information Technology (ONC) is seeking public comment on the Federal health IT strategic plan for 2011-2015. On their Health IT Buzz blog, they listed five goals that they hope willShow More Summary

Enabling EHRs to Improve Care

In last month’s Archives of Internal Medicine, researchers at Stanford University released results of a three-year study that found EHRs in the ambulatory setting did not improve the quality of care [Reference]. There are, however, a...Show More Summary

Constructing the Ultimate EHR

I just started a discussion on LinkedIn that focuses on answering the questions: How can the EHR be transformed into the cornerstone of a comprehensive health IT system that fosters continually increasing care value (cost-effectiveness)?...Show More Summary

Healthcare Reform Models Focusing on Value to Consumers – Part 3

My two previous posts (starting at this link) and this one discuss on how to bring high value to the healthcare consumer. I examined the two important models of healthcare delivery--the Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs)--and explored meaningful financial incentives models. Show More Summary

Healthcare Reform Models Focusing on Value to Consumers – Part 2

This post follows up on my previous one about Patient Centered Medical Homes (PCMHs), Accountable Care Organizations (ACOs), and Meaningful financial incentives models. In this post I focus on the issue of how to incentivize healthcare...Show More Summary

Look back to move forward: Healthcare proposals by Presidential candidates in 2008

In early 2008 I posted an in-depth analysis of the Presidential candidates' proposals for healthcare reform. In light of the failed ACA repeal and replace effort by Congress, I'm once again discussing this analysis to highlight pertinent issues and offer a path forward. Show More Summary

Small Independent Practices - Big Transformative Potential

A post by Dr. John Brady titled My oasis of care is being threatened examined the dilemma small practices are now facing. Should they become extinct, being consumed by large organizations? Or does the "little guy" have an important place...Show More Summary

Dealing with EHR Dissatisfaction (Part 5)

This post is a continuation; Part 1 is at this link. In this post, I describe a examine the question: When it comes to EHRs, whose satisfaction is important? Someone commented that EHR “satisfaction is in the eye of who? The physician? patient? government? business?... Show More Summary

Dealing with EHR Dissatisfaction (Part 4)

This post is a continuation; Part 1 is at this link. In this post, I describe a vision of an ideal EHR system that can developed today. Based on the complaints about EHRs, one can conclude that there would be increased satisfaction if EHRs are thought to be a component of an all-encompassing HIT system. Show More Summary

Dealing with EHR Dissatisfaction (Part 3)

This post is a continuation; Part 1 is at this link. In this post, I discuss what's needed to make EHRs more satisfactory and answer questions about my claims. I wrote: What’s needed is a paradigm-busting shift in which clinicians and...Show More Summary

Dealing with EHR Dissatisfaction (Part 2)

This post is a continuation; Part 1 is at this link. The next issue turned to who should ultimately control a patient's data. Should it be the patient (patient access control), provider/clinician, care team/ACO/PCHM, HIE/gov't/CMS? Here's...Show More Summary

Dealing with EHR Dissatisfaction (Part 1)

For the past few days, I’ve been involved in a very good conversation at LinkedIn HIMSS titled: Can we turn EHR dissatisfaction around? Here’s a comment from person that struck a chord: It took the doctor 2 minutes to dictate as opposed to 30 minutes to use speech, edit and/or type. Show More Summary

Should "Value" Be the New Mantra in Health Care?

On the Commonwealth Fund blog at this link is a new post titled: "Should "Value" Be the New Mantra in Health Care?" This is good to see! I began blogging about the need to focus on Value to the Consumer back in 2007, starting with aShow More Summary

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