The Myth of Evidence Based Medicine (in Primary Care in Australia)

Let me be clear from the outset: I’m grateful for modern medicine.  Without it, myself and many members of my family would be dead. I’m also grateful for doctors.  The majority are very well motivated.  Many are excellent at what they do. With all that said, the more I have worked in healthcare (in Australia), […]

Can “Innovation” Make Healthcare Worse? 7 Common Innovation Anti-Patterns

I work with a lot of healthcare organisations who, quite rightly, have a significant interest in “innovation”, and how new approaches, techniques and technologies can help them improve the quality, safety and efficiency of the healthcare services that they deliver. I’m genuinely excited by the potential of some of this innovation, which could transform our […]

Care Plans, Goals, Actions and Outcomes: The Future Health Record

It has been a while since I last wrote, having been busy with consulting work, keynote speaking and a family holiday in Europe. As I have been reflecting on new topics to write about, I have realised that there are a number of exciting ideas that need some air time, as I have rarely seen […]

Quality And Safety Not Efficiency: Why We’ve Been Selling The Wrong Message on EMRs

… hospitals accidentally harm a lot of people, and much of this could be prevented using clinical decision support to assist in providing safety checking and the application of the latest medical knowledge at the point of care.  In that context, a more appropriate message to be sold in EMR business cases would be “EMRs […]

Why Paying Health Providers for Improved Data Quality Won’t Work

What if we began to educate health providers, and the public, that health providers that capture high quality data are actually delivering the best quality care?  What if we helped people to understand that clinical documentation and the capture of high quality data is a clinical task, not an administrative task?  What if doctors in […]

“And So It Begins…” – Why We Need To Talk About Medical Paternalism

Without being a “difficult patient”, I believe that I would have had to go 50+ hours without food whilst waiting for surgery, rather than the 30 hours I did wait.  Was it really a reasonable expectation that a patient fit around the inability of the hospital to forecast and plan surgical demand in that way?  […]

Why Digital Health Can’t Deliver Value Without an Understanding of Benefit Asymmetry

Delivering benefits through technology in healthcare has always been hard work.  Far too many projects have delivered a fraction of the benefits that they promised (I’m looking at you EMR systems) and then complained about a lack of health provider adoption.  We need to do better. These challenges are compounded by the fact that governance […]

Why We Need a Partnership Model Between Patients and Doctors

As our health systems slowly (and quite often reluctantly) become aware of the importance of listening to patients, and the growing evidence base to support the fact that engaged patients get better health outcomes, I want to make the case for developing a partnership model between patients and doctors. Before I discuss why I think […]

Patients as Health Consumers

As a health consumer, it would be good to see a move towards funding models that reward health outcomes as well as occasions of service.  But, regardless of whether we see those changes in 2 years or 20 years, the expectations of increasingly digitally-savvy health consumers will be a driver of choice, accessibility and quality, […]

The Top 5 Digital Health Innovations You Might Not Have Heard Of

Philips Healthcare in the UK asked me to write another article for their Future Health Index site.  I’d really appreciate it if you checked it out… The top 5 digital health innovations you might not have heard of