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It Looks Like The ADHA Is Reverting To Its NEHTA Heritage And We Are Winding Up The Endless (Largely Unused?) Specifications Again!

The ADHA published this last week.Clinical Informatics Unit Announcement: Participation Data Specification Release Created on Wednesday, 15 February 2017 The Clinical Informatics unit is pleased to announce the latest release of theShow More Summary

Place emotional harms on a par with physical ones

Why would a well-respected, venerable health care organization adopt a soft and squishy approach — tracking disrespect and other forms of emotional harm — to monitor its performance? In 2007, Beth Israel Deaconess Medical Center (BIDMC), a 672-bed health system affiliated with Harvard Medical School, adopted the audacious aim of eliminating all preventable harm by […]

A Voice for Reason - Dr Mickey Nardo

We mourn the loss of Dr Mickey Nardo, chief blogger at 1BoringOldMan, a voice of reason, a defender of truth in health care. Dr Nardo was one of the principles in the famous re-analysis of Study 329, and has campaigned for rational use of clinical evidence in psychiatry.For further details, see the apparently final post on 1BoringOldMan. Show More Summary

The Definitive Guide to Repealing & Replacing Obamacare

By MARGALIT GUR-ARIE “So how about it, Nash? You scared?” “Terrified… mortified… petrified… stupefied… by you.” (–A Beautiful Mind) Fear is now a sign that you are an intelligent, educated, open-minded and caring person. Being scared is incontestable proof that you have a beautiful heart. When it comes to your health, there is palpable terror

Dashboards Are For 737 Pilots, Not Physicians.

By JACOB REIDER, MD You’re right, Dr Hatch.  Nobody’s feels like they’re winning.  Last week I was in a room with a group of physicians, and the Chief Medical Officer of an ACO was explaining to them that he could give them all dashboards that they would love. But the physicians didn’t look like they

A positive visit with a patient with chronic pain

We have two ears and one mouth so we can listen twice as much as we speak,” said Epictetus. It’s clear that the Greek philosopher wasn’t a physician in 21st century America. If you watch doctors — and many researchers do — they speak more than listen. Studies have shown that doctors interrupt or redirect […]

HIMSS17 Day 1 Summary & Highlights

 CHIME-KLAS Study: Cybersecurity A Central Concern for Healthcare C-Suite Cybersecurity has been elevated to a central concern for healthcare providers, with more attention at the board level and the C-suite, according to a new survey by KLAS Research and the College of Healthcare Information Management Executives (CHIME). Show More Summary

Personal Health vs. Population Health

By HILARY HATCH I hate shots.  Every year when flu season rolls around, I think, “what’s in it for me?” The answer is, “it isn’t for me. It’s for the herd.” I am young and healthy enough that I am unlikely to die of the flu but I have children, older people and vulnerable patients

Primary care today is like squeezing blood from a stone

In these strange days of unsure future health care policies, shrinking budgets, and significant belt-tightening, as we look for ways to improve access for our patients, we need to reevaluate how we to get them into care, making sure we see them in a timely and efficient manner. We have always said that in this […]

A Reset For Physicians?

By PAUL KECKLEY Last week, the nominee to run the Centers for Medicare and Medicaid Services, Seema Verma testified before the Senate Finance Committee. She conveyed a message akin to that of her new boss, Health and Human Services Secretary Tom Price, a physician and House of Representatives veteran: the federal government has made life

Pulmonary hypertension in myeloproliferative disorders

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Can a dying patient be a healthy person?

The news was bad. Mimi, a woman in her early 80s, had been undergoing treatment for lymphoma. Her husband was being treated for bladder cancer. Recently, she developed chest pain, and a biopsy showed that she had developed a secondary tumor of the pleura, the space around one of her lungs. Her oncology team’s mission […]

CHIME-KLAS Study: Cybersecurity A Central Concern for Healthcare C-Suite

Cybersecurity has been elevated to a central concern for healthcare providers, with more attention at the board level and the C-suite, according to a new survey by KLAS Research and the College of Healthcare Information Management Executives (CHIME). Show More Summary

Weekly Australian Health IT Links – 20th February, 2017.

Here are a few I have come across the last week or so.Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require...Show More Summary

Why should we worry about conflict of interest?

A recent issue of the Journal of the American Medical Association (JAMA) reads like an expose. Well, at least three of the research articles do. So exciting! I don’t want medicine — my field — to be ethically unsavory, but it is sometimes. It makes me proud to see that it polices itself and that […]

One day. Two lessons learned.

My colleague, Dr. L.T. Kim, was off this week and I covered for him. On Friday afternoon, I dealt with two of his patients and learned — or relearned — two important lessons. I saw a man with thoracolumbar back pain. He had fallen off a ladder a few years earlier and suffered from recurring […]

The Public Health Enemy at the Gate

By ARTHUR CAPLAN President Donald Trump  keeps getting kicked around in court when challenges are brought against his ban on travel from seven predominantly Muslim nations. Trump says he wants to halt the flow of people who might be planning attacks. What we cannot forget is that the kind of attack he has in mind

Palliative care is a team sport

I waited intently as the board members rearranged in their seats and look up expectantly. Silence. I wasn’t going to let it be that easy. I repeated myself and paused again. This time a few tentative answers flutter up to the podium. Hospice? Comfort care? End of life? Giving up? Now this is something I […]

Preparing for HIMSS 2017

Next week, 50000 of our closest friends will gather together in Orlando to learn about the latest trends in the healthcare IT industry.What can we expect?I’ll be giving a few keynote addresses, trying to predict what the Trump administration...Show More Summary

Telemedicine encounters inherenty sacrifice quality

The boom in telemedicine is here, and understandably so.  The “consumer” is in control now, and they sure don’t want to be “patient” anymore.  When Americans want care, they want it cheap, and they want it now.   Telemedicine has grown to accommodate 7 million annual patient encounters, up from 350,000 five years ago.  What savvy […]

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