Uncategorized

Response to “Doctors Raise Doubts on Digital Health Data” S. Lohr NY Times

SMcKinney

1410 Cambridge, England.  Minor Canon Thomas Rangle did a final count of the books at Trinity Hall.  He counted 122. Most of the books are biblical in nature or celebratory of our good and righteous benefactor Pope Urban V.  Few have access to these fine artifacts because of their enormous value (costing as much as a farm or vineyard) and the cloistered clergy and Master of the university are unwilling to share their contents.

1448 Mainz, Germany. Goldsmith and known spendthrift Johannes Gutenberg invented the printing press with move-able type.  It is known in town that he has printed school book texts and some indulgences; although, word is out that he is working on a fine bible.  Cost is 30 Florins or the equivalent of three years working wages. 

1450 NEJOM Nether regions somewhere west.  A noted study commissioned by Pope Nicholas the V and carried out by some real smart folks revealed that the offspring of this new invention, what are called books, are a dubious way of disseminating knowledge. The study also concluded that because of the cost, and lack of adoption in the Holy Empire, there was likely no good that would come of them.  A well respected scribe, Penman R. Best, noted that Gutenberg’s press is rather clunky and has many parts that would seem to obstruct further uses and indicate a contraption of vast complexity that might corrupt what it seeks to advance – the minds of the people.

 1950 William Faulkner “The past is not dead, in fact it is not even past.”

 This was the clearest way I know of countering our clinicians (scribes) deep-seated reluctance to change.

Steve McKinney is a President with Advance Decisions LLC. He is based in San Francisco.

Livongo’s Post Ad Banner 728*90

Categories: Uncategorized

Tagged as:

6
Leave a Reply

6 Comment threads
0 Thread replies
0 Followers
 
Most reacted comment
Hottest comment thread
4 Comment authors
J BeanJamesMD as HELLDr. Rick Lippin Recent comment authors
newest oldest most voted
J Bean
Guest
J Bean

I guess I have to admit that the EMR industry seems to have hit on a really unique marketing angle. “We have a crappy, overpriced product that would make the buyer’s life worse rather than better, but if they don’t want to buy it, it’s only because they have a psychological hang up.” Why wouldn’t that work? Perhaps GM could give it a try too. Of course, while GM’s cars used to suck, they’ve actually worked to make their product better. Now they just have to overcome their bad reputation. The EMR industry, OTOH, still makes a product that sucks.

Dr. Rick Lippin
Guest

James
Thanks for your comments
We need major redistribution of Docs from wealthy cities and suburbs to underserved areas. We need the return of live house calls. Not more telemedicine.
Also have you read the voluminous research on the value of touch?
Dr. Rick Lippin
Southampton,Pa

J Bean
Guest
J Bean

I have an MS in systems engineering and worked for 10 years as a systems and software engineer. I’ve written 10s if not 100s of thousands of lines of code. I like computers, I type rapidly and fluently, and I was looking forward to finally moving to a “real” EMR. We started using a big-name EMR last August and I’m miserable. I spend hours every night entering useless data. Even though I’m seeing fewer patients, I’m spending an inordinate amount of time trying to interact with the EMR. It’s a disaster. I am resistant to change, but the change that… Read more »

James
Guest
James

How is the doctor listening or touching the patient now when the patient lives in rural Texas and is 250 miles away from the nearest specialist? How is the doctor looking at or touching the patient with heart disease who is discharged from the hospital to their home after yet another hospital stay? Patients with chronic diseases don’t live in their doctor’s offices, they ideally live in their homes. How much actual face-to-face interaction does a chronic disease patient have with a physician or medical professional? I have diabetes (well-managed) and my “face-time” with a doctor works out to maybe… Read more »

MD as HELL
Guest
MD as HELL

On April first of this year my hospital turned on the new and improved version of its computer system. Yesterday was my first ED shift with it. That shift was the worst ever in my entire 27 year career. We were not busy, thank God. Now information previosly available to me in the old system is 4 or 5 clicks farther away than before. Plus it takes forever for the screen to change, plus it takes forever for the data to “refresh”. When it finally refreshes the screen is in a different position. Added to that now discharge instructions are… Read more »

Dr. Rick Lippin
Guest

I agree that resistance to change is a huge problem. But change to what? I hope not below- NY TIMES TODAY-HUGE SETBACK FOR AMERICAN MEDICINE IN MY OPINION IF GE AND INTEL “SUCCEED” See-http://www.nytimes.com/2009/04/03/health/03health.html?_r=1&hpw “The companies, in a partnership announced on Thursday, plan to spend $250 million jointly in the next five years on research and development of health technologies to let doctors remotely monitor, diagnose and consult with patients in their homes or assisted-living residences”.- says the Times article In my opinion this would be a huge setback for American Medicine. One of the biggest mistakes of contemporary US… Read more »