“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 […]

Trust Network Rollout: A New Approach To Rolling Out Clinical Information Systems

As a former healthcare CIO and longtime health consultant, I’ve been through my share of clinical information system rollouts.  A couple have gone well.  Most have gone okay.  A few have left scars. I’ve been reflecting on the successes and failures of these efforts, and what could have been done better.  In doing so, I’ve hit […]

What Exactly Is Digital Health?

So what exactly is Digital Health? The majority of people that I speak to still don’t really understand what Digital Health is, nor its potential implications.  Many people, particularly Government health departments are still using the term synonymously with eHealth, which shows a great misunderstanding of the potential power of Digital Health.  As I’ve said […]

Is Poor Diagnosis a Leading Cause of Inefficiency in the Health System?

Much of the load on the health system is the consequence of the poor performance of current diagnosis processes.  Of GPs who think that their instinct is better than it actually is.  Of wild stabs in the dark based on prejudice, assumption and the couple of questions that GPs have time to ask in a six […]

Health Innovation at #WISH2016

This week I’m in Doha, Qatar, for the World Innovation Summit for Health (WISH) 2016.  I was fortunate enough to be invited to be part of the Lifeguard Health Networks team, presenting their solution as part of the Innovation Showcases. I’ve been to a lot of health conferences in my time, but I must say […]

Open Your EMR To Patients – Let Patients Help

… I now believe that the only way to significantly improve clinical data quality is by opening up EMRs and Clinical Information Systems to patients and caregivers, allowing them to read all that is written about them, and to flag incorrect data.  In addition to the transparency of knowing what is being written about them, patients […]

Health Care Homes – A Patient’s Role in Continuity of Care

To achieve change, however, we need to see changes in behaviour from patients, not just health providers.  No amount of technology can ever replace the deep value of a long-term healthcare relationship between patient and doctor…   In recent weeks I’ve written a lot about the urgent need to drive deep change into health systems across […]

Why Telehealth Won’t Make Healthcare Sustainable

Telehealth (i.e. video conferencing) does nothing to change the fundamentally flawed current architecture of healthcare.  In fact, it serves to reinforce the view that healthcare is about face-to-face appointments, albeit via video conferencing.  Telehealth does nothing to improve sustainability by allowing patients to interact with health information, but merely digitises an existing construct.   Underlying […]