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  

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 […]

Removing The Barriers To Patient Engagement: How Consumer Health Technology Can Reach Its Potential

I was kindly asked by Philips in the UK to write an article for their Future Health Index site.  I encourage you to check it out! Removing the barriers to patient engagement: How consumer health technology can reach its potential    

Pharmacogenomics: The Future Of Prescribing?

Pharmacogenomics is the study of how genes affect a person’s response to drugs. This relatively new field combines pharmacology (the science of drugs) and genomics (the study of genes and their functions) to develop effective, safe medications and doses that will be tailored to a person’s genetic makeup. (U.S. National Library of Medicine)   It’s […]