Category: Uncategorized

Meet the Worst Video Game Ever Invented: The Electronic Medical Record …

Mar 18, 2015• 12

By ALAN PITT, MD

Contrary to what you may think, most doctors do want to make eye contact. They aren’t antisocial. They want to engage. But they can’t. They’re too distracted by one of the worst computer games ever invented—the electronic medical record (EMR).

You may be surprised to see the EMR compared to a computer game, but there are many similarities. Both offer a series of clicks with an often-maddening array of tasks to solve. There are templates to follow, boxes to fill in & scoring. However, unlike most electronic games, the points accrued in the EMR often translate into payment—real dollars for either your doctor or the hospital.

Although these clicks and boxes may be necessary to document your visit, it’s distracting. And your doctor begins to feel more like a librarian cataloging information rather than, say, a historian capturing your story.Continue reading…

How To Kill a Doctor

Mar 18, 2015• 11

By LUCY HORNSTEIN, MD

It’s really quite easy to kill a doctor. Here’s a step-by-step process guaranteed to succeed at least 400 times a year:

Start early.

Be sure to denigrate medical students whenever possible. Even if they’ve come to the profession later in life and have accomplished all kinds of amazing things personally and professionally (which don’t count, of course, since those are other professions) they don’t know squat about medicine and you do. Make sure to emphasize their ignorance and inexperience at every turn, because it’s the only way to prove that you know more than they do, which of course means that you’re a better person than they are. The fact that as a group they’re all at the very top of their peer group in motivation and intelligence is irrelevant.Continue reading…

HxRefactored Exclusive Interview with Amy Cueva, Chief Experience Officer, Mad*Pow

Mar 18, 2015

Matthew Holt, Co-Chairman of Health 2.0 interviewed Amy Cueva, Chief Experience Officer of Mad*Pow to discuss some of exciting themes behind HxRefactored and what it means to change the experience of health care through design and technology. Amy will be speaking during the HxRefactored conference coming up on April 1-2.

HxRefactored: Exclusive Interview with Alan Joseph Williams, Code For America

Mar 18, 2015

Health 2.0 Co-Founder, Matthew Holt recently interviewed Alan Joseph Williams, Product Designer and User Researcher at Code for America’s Health Lab, which develops digital services for Californians eligible for or enrolled in social services like SNAP and Medicaid. Alan will be presenting at the HxRefactored Conference April 1-2 in Boston, MA.

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HIT Newser: The Judy Faulkner Foundation or Whatever We’re Calling It

Mar 18, 2015• 2

By MICHELLE RONAN NOTEBOOM

Epic’s Faulkner Shares Charitable Foundation Plans

In an interview with Modern Healthcare, Epic founder/CEO Judith Faulkner reveals that she will leave much of her wealth to a specially created charitable foundation that will operate and fund not-for-profit organizations in healthcare and other areas. The 71-year-old Faulkner says that almost all her shares of Epic stock will go to the foundation upon her death, or sooner if she chooses.

The plan is also designed to keep Epic private. “My stock will go to the foundation,” Faulkner said. “The foundation will control the stock. This plan is designed to preserve the company as a private company forever.”

Faulkner, who has an estimated worth of $2.8 billion, says she never wanted the money personally or for her family and wonders, “What would you want with all that money? It doesn’t seem right and I can’t tell you why.”

What’s not to like about Faulkner’s values or her plan?

THCB Corporate Supporter

Mar 18, 2015• 1

THCB Thanks

Go Beyond Using Your EHR; Practice Heads Up Medicine

Mar 18, 2015

By TOM GIANNULLI, MD

When providers and their staff don’t have the time or tools to effectively communicate with patients, a slew of issues can result: from physicians missing important cues and misdiagnosing patients to preventable hospital readmissions and poor outcomes because patients didn’t understand or follow care guidelines.

The problem has become endemic. According to one study, 80% of what doctors tell patients is forgotten as soon as they leave the office. Beyond that, 50% of what the patient did recall is incorrect. In addition to impact communication and follow up have on care and outcomes, patients are expecting a different experience than they once had. Nearly two thirds of patients now say they would consider switching to a physician who offers access to medical information through a secure Internet connection.Continue reading…

Clinical Man *

Mar 16, 2015• 44

By CLIFTON MEADOR, MD

In 1994, I recorded a fictitious interview with the person whom I imagined to be the last well person on earth. (1) I mistakenly thought well people were disappearing and I wanted to call attention to their disappearance. I missed the big picture and now want to correct my misconceptions. Well people are not disappearing; instead, a new species of man is emerging: homo clinicus.

An evolution of the symbiotic relationship between man and medicine has been going on for some time. Lewis Thomas deserves the credit for an early spotting of the new species, first observed in America. He called our attention to this phenomenon in the 1970s.

Nothing has changed so much in the health-care system over the past 25 years as the public’s perception of its own health. The change amounts to a loss of confidence in the human form. The general belief these days seems to be that the body is fundamentally flawed, subject to disintegration at any moment, always on the verge of mortal disease, always in need of continual monitoring and support by health-care professionals. This is a new phenomenon in our society.

If You’re Thinking of Quitting Medicine, Watch This Video

Mar 16, 2015

By THCB MD

Stanford neurosurgeon Paul Kalanithi died March 9th at the age of 37. This is his story.

[youtube width=”450″ height=”275″]http://youtu.be/d5u753wQeyM[/youtube]

Status Epilepticus

Mar 16, 2015• 3

By PHILIP ALLEN GREEN, MD

The girl seizes. Her body torques and twists and jerks about like a snake trapped on an electric fence. She flops back and forth on the gurney before us, her pale forehead glistening with sweat, her brown hair wetted black from the effort of muscle contractions that threaten to tear apart her tiny frame.

Trauma Room Two is silent save for the gluck-gluck-gluck of her gagging as her jaw and teeth grind and bang together out of control.

This.

Is.

Seizure.

Her body screams with each shimmy and shake.

Her father stands next to me. He strokes her head with trembling fingers, running them through her damp hair, trying to keep the strands out of her grimacing face. His fingers move in time with the rhythmic nod of her skull as the tonic-clonic seizure ratchets and cranks her body. I take a deep breath. I start my chant.

Break seizure break.

I say it in my head, I say it in my bones, I say it in every part of me, keeping time to her dance.