Failure is Not an Option

Failure is Not an Option

Healthcare could learn much from Gene Kranz. A recipient of the Presidential Medal of Freedom along with other mission scientists and crew, Kranz led his Tiger Team of experts at NASA in its successful effort to bring three astronauts on a perilous 500,000 mile...
Raison d’Être

Raison d’Être

What is the purpose of health information technology? Why are we spending all these billions of dollars on this “thing” we struggle to understand, implement, and use? Is it achieving the goals of its purpose? The French elaborated on the concept of “raison d’être,”...
Making Meaningful Use Meaningful

Making Meaningful Use Meaningful

Note: This article was written before the implementation of the Meaningful Use rule that was a gate to obtaining funding for EHRs through the HITECH Act. It provides some contextual background on the evolution in our use of EHRs. A short three years ago, the Office of...
Is It Time to Play NICE?

Is It Time to Play NICE?

Note: Although it has been more than a decade since passage of ARRA, with almost 20% of GDP spent on healthcare there is much reason to think of better applying evidence-based guidelines in clinical care. The American Reinvestment and Recovery Act 2009 (ARRA) earmarks...