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bk:the_digital_doctor [2020/08/10 06:42]
admin created 		bk:the_digital_doctor [2020/08/22 07:10] (current)
admin
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 ===== The Digital Doctor ===== ===== The Digital Doctor =====
 +
 +==== EHR ====
 +c: 2017-06-27
 +
 +  * US EHR "market failure" - "Systemic, not communal", "need government standard" -- government intervention
 +  * "Free isn't cheap enough" Kocher - on Wellpoint's free computers to California doctors
 +  * "Shovel ready"
 +  * p14 "You never want a serious crisis to go to waste" Rahm Emanuel COS to Obama
 +
 +====Radiology Rounds====
 +c: 2017-07-06
 +
 +  * Larry Weed Emory: SOAP 1970s
 +  * Mayo clinic executive screening story - cellophane tape
 +  * Southwest airline "relational coordination"
 +  * information vs knowledge
 +  * Paul Chang: "We have to go beyond isolating ourselves and concentrating on messages in a bottle"
 +  * Radiology & PACS - prescient for other specialties?
 +
 +==== Open Notes====
 +> "Doctors are conservative and hate change"
 +
 +> "We would have to use a mixture of seduction and coercion"
 +Delbanco p.176
 +
 +> "Patients possess a body of knowledge about themselves that we can never hope to master, and we have a body of knowledge about medicine that they can never hope to master"
 +p.173
 +
 +Parasuraman automation quote p.135
 +
 +> "We failed to remember the Google Mantra that it is much more important to solve a small problem incredibly well than a big problem 80% of the way."
 +p.186 Roni Zeiger
 +
 +Personal health record - needs to  be really simple for consumer
 +
 +Santa Barbara Health Information exchange failure
 +  * no private money interested in rare public good.
 +
 +
 +hx - 2017-07-19
  
 ==== A vision for Health information delivery ==== ==== A vision for Health information delivery ====
Line 10: Line 50:
    
   * 2017-08-08   * 2017-08-08
 +
 +==== A community of patients ====
 +2017-07-27
 +p.201
 +
 +Roni Zeiger & Giles Frydman - Smart patients website
 +
 +Ch 23 Meaningful Use
 +  * HiTECH Stages 1-3 Blumenthal
 +  * "Experience hath shewn that even under the best forms of government, those entrusted with power have, in time, and by slow operations, perverted it into tyranny"
 +  * David Brailer: "Bureacracies don't retrench," he said. "When a bureaucracy that starts as the candy man runs of out candy, it goes dark and turns into regulatory man."
 +
 +==== Chapter 6 The Productivity Paradox ====
 +c: 2017-08-08
 +
 +> What do you call a 99-1 vote of the medical staff? -- a tie
 +
 +p 244 Paul Krugman: "Productivity isn't everything, but in the long run it is almost everything."
 +
 +Brynjolfsson 1993: "the second machine age" , "productivity paradox"
 +  * "a shortfall of evidence is not evidence of a shortfall"
 +  * The need to redesign work with introduction of IT
 +
 +> "If the doctor thinks there might be even the tiniest bit of incremental value, why wouldn't she reorder the test?"
 +p 248 Julia Adler-Milstein
 +
 +> "Culture eats strategy for lunch"
 +Drucker
  
 ==== Source ==== ==== Source ====
bk/the_digital_doctor.1597041777.txt.gz · Last modified: 2020/08/10 06:42 by admin

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