John Snow, the English physician who removed the handle from the Broad Street pump and halted the 1854 London cholera epidemic, is considered one of the founders of modern epidemiology. His work led to fundamental …
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A Health IT Soothsayer
One of the best parts about predicting the future is how rarely the soothsayer is held accountable. The famous Michel de Nostredame, better known as Nostradamus, is popularly credited with predicting the rise of Hitler …
Continue readingMusings on Patient Safety, Processes, and HIT
Information technology systems are evolving. The goal is to use healthcare information technology to identify the best care processes and use the technology to ensure that these best processes are utilized worldwide.
Continue readingAnalytics: Act Like an EIS Officer
Analytics software presents a growing ever-present danger to organizations that do not understand how to best utilize the reports generated. Effective data governance requires that an overall objective for the analytics be set in advance of running reports.
Continue readingEMRs: Are We There Yet?
Despite the evolution and investment in EMRs over the past five decades, little evidence exists that all this digitization is making a difference in quality, safety, or cost.
Continue readingHow Tinkering with the ACA Puts Health IT Investments at Risk
On February 27, 2017, President Trump said, ”Nobody knew healthcare could be so complicated.” Well, Mr. President it is complicated and yes, we all knew.
Continue readingClinical Care, HIT, and Mike Trout
A miscalculation by just seven milliseconds is the difference between hitting a ball fair or foul. For comparison, a blink of the eye takes about 150 milliseconds.
Continue readingWhy Reform Legislation Won’t Solve Healthcare’s Ills
To best understand the failures of the bill, it is important to understand its shifting of incentives that were modified by ACA.
Continue readingIt’s Time to Stop and Refocus EHR Efforts
Healthcare’s uniqueness stems from its personal and emotional characteristics, and deep ties to our sense of humanity.
Continue readingRepeal and Replace: It’s Complicated
This past February, the President announced that the delivery of healthcare to America’s 300 million residents embraced more complexity than he previously realized. Only a few days before, at the annual HIMSS conference in Orlando, …
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