Business & Economics

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age

Author: Robert Wachter

Publisher: McGraw-Hill Education

ISBN: 9781260019605

Category: Business & Economics

Page: 352

View: 3607

The New York Times Science Bestseller from Robert Wachter, Modern Healthcare’s #1 Most Influential Physician-Executive in the US While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare’s ills. But medicine stubbornly resisted computerization – until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital. Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America’s leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point? Logically enough, we’ve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . . Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation’s most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story. "We need to recognize that computers in healthcare don’t simply replace my doctor’s scrawl with Helvetica 12," writes the author Dr. Robert Wachter. "Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it’s not too late to get it right." This riveting book offers the prescription for getting it right, making it essential reading for everyone – patient and provider alike – who cares about our healthcare system.
Business & Economics

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age

Author: Robert Wachter

Publisher: McGraw-Hill Education

ISBN: 9780071849463

Category: Business & Economics

Page: 320

View: 9631

The New York Times Science Bestseller from Robert Wachter, Modern Healthcare’s #1 Most Influential Physician-Executive in the US While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare’s ills. But medicine stubbornly resisted computerization – until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital. Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America’s leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point? Logically enough, we’ve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . . Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation’s most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story. "We need to recognize that computers in healthcare don’t simply replace my doctor’s scrawl with Helvetica 12," writes the author Dr. Robert Wachter. "Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it’s not too late to get it right." This riveting book offers the prescription for getting it right, making it essential reading for everyone – patient and provider alike – who cares about our healthcare system.
Business & Economics

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age

Author: Robert Wachter

Publisher: McGraw Hill Professional

ISBN: 0071849475

Category: Business & Economics

Page: 320

View: 430

The New York Times Science Bestseller from Robert Wachter, Modern Healthcare’s #1 Most Influential Physician-Executive in the US While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare’s ills. But medicine stubbornly resisted computerization – until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital. Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America’s leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point? Logically enough, we’ve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . . Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation’s most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story. "We need to recognize that computers in healthcare don’t simply replace my doctor’s scrawl with Helvetica 12," writes the author Dr. Robert Wachter. "Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it’s not too late to get it right." This riveting book offers the prescription for getting it right, making it essential reading for everyone – patient and provider alike – who cares about our healthcare system.
Medical

The Guide to the Future of Medicine

Technology and the Human Touch

Author: Dr Bertalan Mesko

Publisher: Webicina Kft.

ISBN: 9789630898027

Category: Medical

Page: 226

View: 970

A few short years ago, it would have been hard to imagine that exoskeletons could enable paralyzed people to walk again; that billions of people would rely on social media for information; and that the supercomputer Watson would be a key player in medical decision-making. Perhaps more than in any other field, technology has transformed medicine and healthcare in ways that a mere decade ago would have sounded like pure science fiction. From his unique vantage as a trained physician, researcher, and medical futurist, Dr. Bertalan Mesko examines these developments and the many more down the pipeline. His aim is to assess how the hand of technology can continue to provide the dose of humanity that is crucial to effective healthcare. "The Guide to the Future of Medicine: Technology and the Human Touch" is his incisive, illuminating roundup of the technologies and trends that will shape the future of medicine. Patients, medical professionals, and any healthcare stakeholder will find an eye opening, reassuring roadmap to tomorrow's potential in this accessible and fact-based book. By preparing for the inevitable waves of change, you can make informed decisions about how technology will shape your own well-being.
Business & Economics

Healthcare Disrupted

Next Generation Business Models and Strategies

Author: Jeff Elton,Anne O'Riordan

Publisher: John Wiley & Sons

ISBN: 1119171881

Category: Business & Economics

Page: 288

View: 6475

"Success in the new healthcare industry demands deep and profound strategic changes Healthcare Disrupted is a guide to developing vital new operating and business models in the healthcare industry's fast-changing landscape. Based on original research conducted by Accenture, this book explains how the biggest industry trends--consumer-focused care; value- and outcomes-based reimbursement; new digital consumers; the use of big data and advanced analytics; and rising numbers of strategic, collaborative, and inventive partnerships--are compelling biopharmaceutical and medical technology companies to change, and the implications of those changes on the rest of the industry. This book provides an informed, insightful view of the current state of the healthcare industry, as well as insight on what's to come. It digs deep into the issues to examine why and how established companies, and those new to the industry, must evolve to keep pace. It demonstrates how real-world data (from Electronic Medical Records, health wearables, the health Internet of Things (IoT), digital media, social media, and other sources) is combining with scalable technologies and advanced analytics to fundamentally change how healthcare is delivered. Healthcare Disrupted also reveals how this shift in healthcare delivery significantly improves patient and economic outcomes. The health care industry is increasingly focusing on: the patient as a partner; patient outcomes; and the quality, convenience, and affordability of care management. But does the industry really understand the implications of this shift in focus? To lead, and to thrive, many organizations will need to change their definition of innovation. They will need to lessen the time and lower the cost from discovery to market, and ensure the drugs they develop deliver a better patient outcome at an economically viable cost. This book provides practical insights on getting ahead of the curve by: Discovering how profoundly the healthcare industry is changing Finding your organization's place in the new order of modern health care Learning how to survive in the face of transformational trends Evolving your strategies for innovation, testing, providing care, and more The industry is turning toward an overall system in which value and patient outcomes are rewarded over volume, and performance is measured accordingly. Healthcare Disrupted shows how to adapt and stay relevant in the new age of digital medicine"--Provided by publisher.
Medical

The Patient Will See You Now

The Future of Medicine Is in Your Hands

Author: Eric Topol

Publisher: Basic Books

ISBN: 0465094473

Category: Medical

Page: 400

View: 5770

"[Topol is] one of medicine's most innovative thinkers about the digital future.... [A] valuable contribution to a fascinating subject."--New York Times Book Review A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.
Business & Economics

The Innovator's Prescription: A Disruptive Solution for Health Care

Author: Clayton Christensen,Jerome H. Grossman,Jason D. Hwang

Publisher: McGraw Hill Professional

ISBN: 9780071592093

Category: Business & Economics

Page: 496

View: 2167

A groundbreaking prescription for health care reform--from a legendary leader in innovation . . . Our health care system is in critical condition. Each year, fewer Americans can afford it, fewer businesses can provide it, and fewer government programs can promise it for future generations. We need a cure, and we need it now. Harvard Business School’s Clayton M. Christensen—whose bestselling The Innovator’s Dilemma revolutionized the business world—presents The Innovator’s Prescription, a comprehensive analysis of the strategies that will improve health care and make it affordable. Christensen applies the principles of disruptive innovation to the broken health care system with two pioneers in the field—Dr. Jerome Grossman and Dr. Jason Hwang. Together, they examine a range of symptoms and offer proven solutions. YOU’LL DISCOVER HOW “Precision medicine” reduces costs and makes good on the promise of personalized care Disruptive business models improve quality, accessibility, and affordability by changing the way hospitals and doctors work Patient networks enable better treatment of chronic diseases Employers can change the roles they play in health care to compete effectively in the era of globalization Insurance and regulatory reforms stimulate disruption in health care
Technology & Engineering

Influencing the Quality, Risk and Safety Movement in Healthcare

In Conversation with International Leaders

Author: Asst Prof Kim Sears,Ms Briana Broderick,Professor Denise Stockley

Publisher: Ashgate Publishing, Ltd.

ISBN: 1472449274

Category: Technology & Engineering

Page: 244

View: 1502

Influencing the Quality, Risk and Safety Movement in Healthcare explores the inner workings of some of the most influential minds in healthcare quality, risk and safety. The book was created in cooperation with the Master of Science in Healthcare Quality graduate program at Queen’s University, Canada. It provides a unique and highly accessible view into how and why the science of healthcare quality has developed, as well as giving a first-hand account of the founders and key players in the movement. The book will offer valuable insights to any undergraduate/graduate class with an interest in healthcare, as well as professionals working within any of the many disciplines that make up the healthcare system.
Medical

Establishing, Managing, and Protecting Your Online Reputation

A Social Media Guide for Physicians and Medical Practices

Author: Kevin Pho,Susan Gay

Publisher: Greenbranch Pub Llc

ISBN: 9780988304055

Category: Medical

Page: 237

View: 4090

Establishing, Managing and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices The availability of online health information combined with social media channels like Twitter and Facebook has created a new generation of patients. They are empowered. They have a voice in their own care that they never had before. And they're not afraid to use it. Bottom line: If doctors don't take steps to define themselves, patients will. Maybe you're not a big social media user - but your patients are. And they rely on social media sources when they're finding a doctor or a medical practice. In fact, a recent study concluded that, as of 2012, 80% of new patients and 60% of prospective new patients consulted physician review sites in making their decision. Given these stakes, you can't afford to leave your online reputation to chance. Kick off your social media efforts today with Establishing, Managing and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices, a comprehensive guide to physicians and social media not available anywhere else. In addition to unique insights from a practicing physician, social media pioneer and author Dr. Kevin Pho, (KevinMD) this book offers doctors a step-by step guide on how they can brand themselves on all of the major social media networks. It also provides insider tips on how to respond to online ratings and a guide on how to work with all of the major reviews sites. Don't let social media chatter define you. Take control of your online reputation now - or someone else will! From the Foreword, Robert Wachter, MD, says, ." . . whether we like it or not, our online reputation is becoming the main prism through which we will be known - to colleagues, to friends, to patients, to prospective employers. . . . With this realization comes the recognition that we can no longer afford to be passive observers of our online persona."
Medical

Patient Safety and Healthcare Improvement at a Glance

Author: Sukhmeet Panesar,Andrew Carson-Stevens,Sarah Salvilla,Aziz Sheikh

Publisher: John Wiley & Sons

ISBN: 9781118361368

Category: Medical

Page: 144

View: 7709

Patient Safety and Healthcare Improvement at a Glance is a timely and thorough overview of healthcare quality written specifically for students and junior doctors and healthcare professionals. It bridges the gap between the practical and the theoretical to ensure the safety and wellbeing of patients. Featuring essential step–by–step guides to interpreting and managing risk, quality improvement within clinical specialties, and practice development, this highly visual textbook offers the best preparation for the increased emphasis on patient safety and quality–driven focus in today’s healthcare environment. Healthcare Improvement and Safety at a Glance: • Maps out and follows the World Health Organization Patient Safety curriculum • Draws upon the quality improvement work of the Institute for Healthcare Improvement This practical guide, covering a vital topic of increasing importance in healthcare, provides the first genuine introduction to patient safety and quality improvement grounded in clinical practice.
Medical

The Creative Destruction of Medicine

How the Digital Revolution Will Create Better Health Care

Author: Eric J. Topol

Publisher: Basic Books (AZ)

ISBN: 0465025501

Category: Medical

Page: 303

View: 5074

A professor of medicine reveals how technology like wireless internet, individual data, and personal genomics can be used to save lives.
Medical

Clinical Costing Techniques and Analysis in Modern Healthcare Systems

Author: Ma, Ronald

Publisher: IGI Global

ISBN: 1522550836

Category: Medical

Page: 265

View: 848

Hospital funding plays an important role in strengthening healthcare and medical resources. Utilizing comprehensive costing systems to accommodate clinical and financial data leads to improved patient care both clinically and financially. Clinical Costing Techniques and Analysis in Modern Healthcare Systems provides innovative insights into the connections between statistical information and financial systems within clinical settings. The content within this publication delves into business intelligence, clinical decision making, and electronic health records. It is geared towards medical practitioners and professionals, hospital administrators, and researchers seeking valuable insights centered on clinical variations of healthcare data as well as the role of information systems in linking productivity and performance management.
Business & Economics

Tech Tonics

Author: David Shaywitz,Lisa Suennen

Publisher: Createspace Independent Pub

ISBN: 9781492771012

Category: Business & Economics

Page: 388

View: 6298

Book Overview1. Entrepreneurs and Startups2. Doctors, Nurses, and Health Professionals3. Pharma, Biotech, Device Companies4. Patients and Consumers5. Employers, Insurers, Regulators6. Gadgets, Apps, Technology7. Behavior, Design, and Translation8. Big Data, Measurement, and Metrics9. VCs and Other Investors10. Innovation---Health matters.“When you have your health, you have everything,” wrote memoirist Augusten Burroughs. “When you do not have your health, nothing else matters at all.”Health can also be very expensive, and reducing costs isn't easy, since as Stanford health policy expert Victor Fuchs famously observed, “Every dollar of waste is income to some individual or organization.”One key challenge healthcare faces today is figuring out how to maintain health and deliver better care for patients while somehow keeping in check the overall costs associated with these activities.The good news is that there is now the massive potential for healthcare transformation. Data-driven analysis has called into question many traditional healthcare assumptions, and permits us to view the challenges in a fresh light. For instance, there seems to be little correlation between healthcare cost and quality—and great care can be delivered at lower cost if we can improve the alignment of incentives among patients, payers, and providers.Key drivers of healthcare change are the intense economic pressure of healthcare costs, the impact—to be determined—associated with the implementation of the Affordable Care Act, and the advent of inexpensive and widely accessible technologies; together these have created a platform for industry transformation the likes of which has not been seen since the dawn of modern surgery.And it's about time. Technology has been used to optimize and redefine virtually every key industry except healthcare. Manufacturing has gone from human assembly lines to robotics; banking has gone from tellers to home banking; travel has gone from agents with brochures to Travelocity; and yet the practice of medicine, in many ways, hasn't changed in decades.Many of today's most passionate entrepreneurs are trying to bring the dazzle and real promise of technology innovation to the challenges of healthcare, resulting in an explosion of companies focused on everything from wearable sensors and weight-loss apps to big data analytics and GPS-tagged hospital equipment—the “internet of things.”These emerging tools and promising technologies—which collectively comprise “digital health”—offer a promising path forward, and entrepreneurs and innovators are forging forward seeking to make a real difference in a field which we all need but which is sorely in need of its own tender loving care if it is to flourish in tomorrow's world.As Hippocrates once said, “Healing is a matter of time, but it is sometimes also a matter of opportunity.” And technology—if judiciously applied—may be just the tonic to help reinvigorate the health of our healthcare industry.The key challenge faced by would-be disruptive technologists is not only recognizing potentially useful analogs from other industries, but also understanding the ways in which health remains fundamentally different.Amid the clamor to disrupt healthcare, we should also take care to preserve and augment what may be right about medicine—the doctor/patient relationship for example, or the drive of inquisitive physicians, especially within academic centers, to continuously push and challenge the limits of what is known and what is possible.In Tech Tonics—a distillation of our writing and thinking over the last several years—we introduce the reader to the fascinating digital health space, including a ground-level view of the landscape, the structural challenges, the players, and the progress.
Medical

Understanding Patient Safety, Second Edition

Author: Robert Wachter

Publisher: McGraw Hill Professional

ISBN: 0071808124

Category: Medical

Page: 320

View: 4591

Complete coverage of the core principles of patient safety Understanding Patient Safety, 2e is the essential text for anyone wishing to learn the key clinical, organizational, and systems issues in patient safety. The book is filled with valuable cases and analyses, as well as up-to-date tables, graphics, references, and tools -- all designed to introduce the patient safety field to medical trainees, and be the go-to book for experienced clinicians and non-clinicians alike. Features NEW chapter on the critically important role of checklists in medical practice NEW case examples throughout Expanded coverage of the role of computers in patient safety and outcomes Expanded coverage of new patient initiatives from the Joint Commission
Business & Economics

Where Does it Hurt?

An Entrepreneur's Guide to Fixing Health Care

Author: Jonathan Bush,Stephen Baker

Publisher: Portfolio

ISBN: 1591846773

Category: Business & Economics

Page: 224

View: 3942

The CEO of Athenahealth reflects on his journey from ambulance driver to CEO of one of the nation's fastest-growing tech companies to outline a blueprint for improving the current health-care system through innovation, less regulation and a wider range of customer choices.
Information storage and retrieval systems

The Internet of Healthy Things

Author: Joseph C. Kvedar

Publisher: N.A

ISBN: 9780692534571

Category: Information storage and retrieval systems

Page: 270

View: 3186

"This important book clearly explains how new smart devices and Internet-based technologies make it possible for healthcare providers and patients to work together to improve health in ways that are powerful and previously unimaginable"--page xi, Foreword.
Computers

Hacking Healthcare

A Guide to Standards, Workflows, and Meaningful Use

Author: Fred Trotter,David Uhlman

Publisher: "O'Reilly Media, Inc."

ISBN: 1449318800

Category: Computers

Page: 250

View: 9440

Ready to take your IT skills to the healthcare industry? This concise book provides a candid assessment of the US healthcare system as it ramps up its use of electronic health records (EHRs) and other forms of IT to comply with the government’s Meaningful Use requirements. It’s a tremendous opportunity for tens of thousands of IT professionals, but it’s also a huge challenge: the program requires a complete makeover of archaic records systems, workflows, and other practices now in place. This book points out how hospitals and doctors’ offices differ from other organizations that use IT, and explains what’s necessary to bridge the gap between clinicians and IT staff. Get an overview of EHRs and the differences among medical settings Learn the variety of ways institutions deal with patients and medical staff, and how workflows vary Discover healthcare’s dependence on paper records, and the problems involved in migrating them to digital documents Understand how providers charge for care, and how they get paid Explore how patients can use EHRs to participate in their own care Examine healthcare’s most pressing problem—avoidable errors—and how EHRs can both help and exacerbate it
Medical

Distracted Doctoring

Returning to Patient-Centered Care in the Digital Age

Author: Peter J. Papadakos,Stephen Bertman

Publisher: Springer

ISBN: 3319487078

Category: Medical

Page: 260

View: 1438

Examining-room computers require doctors to record detailed data about their patients, yet reduce the time clinicians can spend listening attentively to the very people they are trying to help. This book presents original essays by distinguished experts in their fields, addressing this critical problem and making an urgent case for reform, because while electronic technology has revolutionized the practice of medicine, it also poses a unique challenge to health care. Smartphones in the hands of doctors and nurses have become dangerously seductive devices that can endanger their patients. Distracted Doctoring is written for anesthesiologists and surgeons, as well as general practitioners, nurses, and health care administrators and students. Chapters include Electronic Challenges to Patient Safety and Care; Distraction, Disengagement, and the Purpose of Medicine; and Managing Distractions through Advocacy, Education, and Change.
Medical

Principles of Health Interoperability

SNOMED CT, HL7 and FHIR

Author: Tim Benson,Grahame Grieve

Publisher: Springer

ISBN: 3319303708

Category: Medical

Page: 451

View: 7325

This book provides an introduction to health interoperability and the main standards used. Health interoperability delivers health information where and when it is needed. Everybody stands to gain from safer more soundly based decisions and less duplication, delays, waste and errors. The third edition of Principles of Health Interoperability includes a new part on FHIR (Fast Health Interoperability Resources), the most important new health interoperability standard for a generation. FHIR combines the best features of HL7’s v2, v3 and CDA while leveraging the latest web standards and a tight focus on implementability. FHIR can be implemented at a fraction of the price of existing alternatives and is well suited for use in mobile phone apps, cloud communications and EHRs. The book is organised into four parts. The first part covers the principles of health interoperability, why it matters, why it is hard and why models are an important part of the solution. The second part covers clinical terminology and SNOMED CT. The third part covers the main HL7 standards: v2, v3, CDA and IHE XDS. The new fourth part covers FHIR and has been contributed by Grahame Grieve, the original FHIR chief.