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 readingHow Tinkering with the ACA Puts Health IT Investments at Risk
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Why 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 readingWhy HIT Tools Can Help Organizations Navigate the Challenges of Growth
With the advent of EMRs and other sophisticated clinical and administrative HIT systems, each transferred patients comes with an exponentially larger set of patient data, much of it extremely valuable to receiving hospitals and their clinical staff trying to effectively and efficiently manage the limited resources available to treat these very complex patients.
Continue reading3 Ways to Improve Return on IT Investment
he ACA evolved from tough negotiations among all healthcare stakeholders.
Continue readingWhy the Pressure’s Rising for EMRs to Make and Impact
To understand our struggle to obtain value from EMRs, it is important to “show you the money.”
Continue readingReconsider Documentation Vision for EHRs
“Je n’ai fait celle-ci plus longue que parce que je n’ai pas eu le loisir de la faire plus courte.’ or roughly translated as ‘I have done it longer because I did not have the leisure to make it shorter.”
Continue readingWhy Unified Notes Can Lessen Documentation Time
Does increased documentation improve outcomes? Does it reduce costs? There exists scant evidence that either of these are true.
Continue readingPersonal Grid Facilitates Delivery of Complete Records
For more than a decade William Yasnoff, MD, advocated the use of a centralized model for storage of medical records in a health record bank.
Continue readingSiting on a Cure for Cancer
Click on the image above to see the highlights from the 2016 Pan-Mass Challenge. Please donate at http://pmc.chaiken.com
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When in Crisis Mode, Let Everyone Follow the Data
During normal times, managers often make decisions based on their knowledge and experience; analysis of data to varying degrees informs that decision-making process. Circumstances change at an easily manageable pace, errors in judgment can be corrected, and the impact of those poor choices is often insignificant. During a healthcare crisis, however, the cost of being wrong is exponential.
Continue readingFrom Snow to Achuff: Using Analytics to Drive Clinical Change
John Snow, the English physician whose work arguably helped to halt an 1854 London cholera epidemic, is considered one of the founders of modern epidemiology. Drawing on his knowledge of statistics, Snow decided to plot …
Continue readingEnterprise Analytics: Data, Insight, Process Change, Repeat
In 1966, Avedis Donabedian proposed a conceptual model for examining health services and evaluating quality of care. The Donabedian model includes three pillars: structure, process, and outcomes. As organizations strive to excel in healthcare’s world …
Continue readingDigitally Driven: Link Technology to Process Change
There are essentially two types of dashboards: point analytics dashboards and surveillance dashboards. Point analytics dashboards, sometimes described as ad-hoc analytics reports, focus on examining data to identify the potential cause of an unwanted outcome. …
Continue readingAI: Augmented Intelligence or Electric Sheep?
Visionary Elon Musk fears it. Astrophysicist Stephen Hawking worried about it. Microsoft’s Bill Gates embraces it. Science fiction writer Philip K. Dick wrote about androids having the capacity to dream because of it. At HIMSS 2019, everyone talked about it.
Continue readingBelieving is Seeing
Data collection and its use surrounds us. Our mobile phones trace where we live, work, buy our groceries, and visit friends. Today’s trip to some online shopping sites shows me ads for puppies (my children …
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@bchaiken
Have EHRs helped or hindered the delivery of population health? EHRs were never designed to be a population health improvement tool. Excerpt from an interview with David Nash, MD, expert in population health at Jefferson University. #navigatingthecode https://t.co/uFL6gfgh8P https://t.co/8mmlqbuIJ9
@bchaiken
How should we confront the issues of health disparities? It must be evaluated from the perspective of the patient according to Ron Wyatt, MD. #navigatingthecode #ronwyatt https://t.co/72sq9j9eB1 https://t.co/yOusoQ04ji
@bchaiken
What are the cutting metrics used in managing populations? We need to embrace a new health model. Excerpt from an interview with David Nash, MD, expert in population health at Jefferson University. #navigatingthecode https://t.co/BCxKhCwqE3 https://t.co/uAqhNK34oy
@bchaiken
According to Lancet study, previous COVID-19 disease is protective of future inflection (84%) for at least 7 months, probably longer. Great news. Accelerates getting to herd immunity if we count previously infected. #navigatingthecode https://t.co/LHeFXAt7Ws
@bchaiken
What is the role of IT in population health. We now have the data to close the feedback loop with providers and payers. Excerpt from an interview with David Nash, MD, expert in population health at Jefferson University. #navigatingthecode https://t.co/Z3uM9ql8Yf https://t.co/J0dun2lwmj
