Unduly noted: Why EHR documentation is creating an informational quagmire
To charge or not to charge
If you build it, they will come
Overcoming frozen thinking in healthcare
Frozen thinking occurs when Princess Elsa of Arendelle uses her magical powers to control and create ice and snow, sometimes to the detriment of her younger sister, Anna. No, wait. That’s wrong. Actually, frozen thinking happens when one is locked into a set of assumptions that may have been true at one time but may […]
For physicians, less is often more
Where will “homeless data” live?
In an article in last month’s Modern Healthcare, noted cardiologist and medical futurist Eric Topol lamented that the current set of electronic health record (EHR) vendors do “not properly deliver all the data clinicians need to practice more accurate medicine.” He went on to say that there “[is] so much homeless data out there,” referring […]
Can OpenNotes be too open?
Anyone who has been reading my blog posts for even a short time knows I am a big proponent of the OpenNotes movement. The main concept behind OpenNotes is that the clinician-patient dyad can be improved by sharing the clinician’s documentation with their patients. Of course, all parts of the medical record (including progress notes) […]
Meet the patient where they are (At the barber shop!)
Aficionados of my blog posts will know that we long ago established that I’m old. Some would say archaic (Joseph children, I am looking at you!), but I think that is harsh. Be that as it may, back when I was in medical school and residency, I was taught to meet the patient where they […]
The alchemy of care variation
I regularly speak to groups of physicians about clinical practice and leveraging technology to improve patient care. I have learned that certain words or phrases can derail a great conversation, and hence, I try to avoid those terms. Sometimes there is a questionable rationale behind the negative reaction. For example, the dreaded “P-word.” Yes, you […]
Healthcare is not aviation
Last month, I read a great blog post from Health Affairs titled Rethinking Use Of Air-Safety Principles To Reduce Fatal Hospital Errors. For those of you who are not aware of the history of this movement, let me explain. Many of us in the healthcare industry have experienced appropriate jealousy of the significant and long-standing […]