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bk:the_digital_doctor [2020/08/10 13:13]
admin 		bk:the_digital_doctor [2020/08/22 07:10] (current)
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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==== ==== Open Notes====
Line 43: Line 61:
   * "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"   * "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."   * 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.1597065216.txt.gz ยท Last modified: 2020/08/10 13:13 by admin

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