KevinMD

A slow death by charting

KevinMD

It's 10 p.m. Seven days before Christmas. I'm sitting at work "finishing" up some charts. I am suddenly overcome with anger. What am I doing here right now at this minute? I am helping no one. This work I'm typing away at — trying so hard not to scream — it's hoops. Fucki*g hoops. […].

5 clinician concerns about OpenNotes

KevinMD

More than 200 health organizations have now implemented OpenNotes. Many more are piloting, are soon to implement — or have implemented, and we don’t know it!

The limitations of artificial intelligence in cardiology

KevinMD

Artificial intelligence (#AI) seems to be all the rage these days, as it should be, given its potential to revolutionize medicine in many ways. #AI AI is actually already an integral part of many of our lives on Google, Amazon, Facebook, and other sites.

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How telemedicine intersects with AI, social media, and precision medicine

KevinMD

Telemedicine will eventually become a more prominent part of our clinical practice, with the incorporation of artificial intelligence (AI) and social media and networks, and integration with precision medicine in electronic health records.

Building Your Digital Health Ecosystem

With the fragmentation of the pharmacy industry, digitized provider networks can offer a much-needed solution to connectivity, data sharing, collaboration and interoperability between physicians, patients and pharmacies.

Electronic health records cannot replace a doctor who knows you

KevinMD

The introduction of electronic health records (EHRs) was accompanied by a great deal of fanfare. Such systems, which replace old paper-based charts in doctor’s offices and hospitals, were designed to make patient data more accurate, safer and more accessible.

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When physicians focus more on screens than patients

KevinMD

As Wei Wei Lee sat with her doctor to discuss starting a family, she felt a “distance” between them. The physician was busy on the computer and focused on the screen. “It It just didn’t feel very personal,” Lee said. “I I didn’t feel heard.”

Just because EMRs can document everything doesn’t mean they should

KevinMD

It's always kind of a surprise when you read a patient's chart, and you see an examination of a body part they just don't have. Just the other day, I was reading a consult note on a patient of mine who had been seen by a subspecialist for evaluation of a serious issue, and I […]. Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. Tech Health IT

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Can entrepreneurial geriatrics fight ageism in health care?

KevinMD

Ageism in health care abounds. Older adults are often overtreated or undertreated for various conditions.

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How technology ruined, and can save, the doctor-patient relationship

KevinMD

Each year, Medical Economics surveys physician readers to find out what irks them most. Topping the latest list: insurance paperwork, followed closely by electronic health records (EHRs). The reason is the same for both. Insurers and EHRs get between doctors and their patients.

Telemedicine: Real-Time Trauma and Clinical Care with Global Reach

Today, connecting the patient to the right specialist is largely dependent on the patient’s ability to travel to the physician’s location. The ability to use technology to monitor patients in real-time, share information about their condition and provide treatment remotely, will improve the quality of care and save lives for patients everywhere.

Telemedicine and access: Leave no patient behind

KevinMD

Telehealth, using video to have an acute medical care visit, puts some of the power of choice back into our patient’s hands.

When an EHR is hacked by Russians

KevinMD

Hippocrates didn't have a server. In 2012 our practice invested $300,000 into building computer infrastructure and the purchase of a brand-spanking-new electronic health record, commonly referred to as an EHR.

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Electronic medical record interoperability is a total mess

KevinMD

Just the other day, while I was in the middle of seeing a morning schedule full of patients, I opened one patient's chart and was thrilled to see a whole bunch of new icons in Chart Review in the electronic health record that I had never seen before.

Could patients be their own scribes?

KevinMD

One day while on shift in the emergency department, I looked out into the waiting room at the dozens of people waiting to be seen. Many had been waiting for hours. Some looked bored. Others appeared agitated by the long wait time.

Community Health Centers: Increase Growth through Care Management + Telehealth

Understand the Growth Potential for Community Health Centers through this Easy-To-Use Care Management Guide. This guide covers Billing, Claims Processing and Payment for CCM, BHI and More!

How telemedicine is increasing diversity in clinical trials

KevinMD

An important part of advancing medical research and drug development is making participation in clinical trials easier and more inclusive.

How telemedicine can help patients and solve physician burnout

KevinMD

I have been practicing telemedicine successfully for four years. In 2015, I had to beg doctors to work in telemedicine. Because so many doctors were wary of it, I started to get licensed in multiple states, and now, I have 15 state licenses. Well, what a difference a few years makes.

How EMRs can actually help physicians

KevinMD

Collaboration is the key. When I think about how hard it is to take care of our patients, and how many different people are involved in their care, it's a wonder that anything ever gets done.

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5 steps to fix our EMR disaster

KevinMD

The EMR has become a focal point in the physician burnout discussion. Although I believe EMRs are a necessary evil, current iterations of them are just not good. Each click on a mouse is a prick on the many good souls that figuratively bleed until they are physically and mentally burned out.

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Forrester Names Leader in Virtual Health Care Solutions

Forrester Research identified and evaluated the top players in digital health. Read the report to see who stood out—and who needs to catch up.

How does this tech improve patient care?

KevinMD

What if each new feature of your medical record came with a description of how it would improve patient value, not just how to use it?

What physicians can learn from anthropologists

KevinMD

Since the passing of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009, it has been said that health tech would dramatically revolutionize health care and the patient experience.

Adopting the DoorDash model to health delivery

KevinMD

I was reading an article in The New York Times entitled, "The Rise of the Virtual Restaurant." More and more people, particularly in urban settings, are using apps like Uber Eats, Grubhub, and DoorDash to bring fresh, warm food directly to their doorsteps.

How non-video telehealth can be a cure for overprescribing antibiotics

KevinMD

When Dr. Fleming found penicillin mold in his Petri dishes in 1928, he had no idea of the impact he — and it — would have on global health. Penicillin and the antibiotic revolution that it triggered have saved countless lives and change world history.

How can data analytics to improve the care and outcomes of cancer patients?

KevinMD

I want to share some thoughts about artificial intelligence, or as I prefer to call it “data analytics.” Fundamentally: How can we capture the capability of analytics to improve the care and outcomes of cancer patients?

The effect of mobile devices on our collective psyche

KevinMD

During a recent walk at Crystal Cove, a splendid California State Park with miles of pristine coastline, I encountered two young women sitting on a bench with a magnificent view of the ocean. Yet their only view of interest was their cell phone screens.

Will robots replace doctors?

KevinMD

Among the many recurring topics, this year has been the impact of machine learning in our lives, especially the implications for our future work life.

The clinical burden of documentation

KevinMD

The purpose of clinical documentation is to efficiently communicate critical data to peers in a readable fashion while meeting compliance and billing requirements. This documentation should not represent a data dump.

Telehealth education: What do we actually need for our clinical practice?

KevinMD

As we go through our careers, we are given the responsibility of educating the next generation of students and residents to become proficient and competent in medicine. In telehealth, which also requires training my colleagues, is it necessary? If so, what should be part of it?

Death by 1,000 clicks: Where electronic health records went wrong

KevinMD

The pain radiated from the top of Annette Monachelli’s head, and it got worse when she changed positions. It didn’t feel like her usual migraine. The 47-year-old Vermont attorney turned innkeeper visited her local doctor at the Stowe Family Practice twice about the problem in late November 2012, but got little relief. Two months later, […]. Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. Tech Health IT

Millennials want convenient care

KevinMD

The Kaiser Health News article, " Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model ," caught my eye.

Slow thinking and machine learning in medicine

KevinMD

Recently, several high-profile institutions have called attention to the issue of inclusion and equity when artificial intelligence (AI) algorithms are applied in medicine.

I didn’t become a physician to do data entry

KevinMD

The trouble began when I needed to open the electronic health record (EHR) system for the tenth time that day. EHRs have significantly changed the way we practice medicine.

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Physicians sacrifice a lot to deliver care. Technology shouldn’t ask for more.

KevinMD

I had a great case the other night. Around midnight on a Friday, the hospitalist physician called me to evaluate an incarcerated femoral hernia. I thought this elderly and medically ill patient would likely die no matter what I did.

AI in medicine: Separate hype from reality

KevinMD

As a physician trying to keep up with all the new information about artificial intelligence, I want to know how machine learning and deep learning are impacting medicine now and to separate the hype from reality.

The secret to making AI work for physicians

KevinMD

If you are a physician or know a physician or have ever visited one, chances are you have probably heard them complain about technology in health care.

Technology is corrupting the culture of medicine

KevinMD

To help then-candidate Bill Clinton remain focused on the No. 1 voter issue ahead of the 1992 presidential elections, political strategist James Carville coined an unforgettable mantra, which he posted inside Clinton campaign headquarters. It read, “The economy, stupid.”

Do physicians have a right to be forgotten?

KevinMD

When we all lived in villages, knowing individual merchants allowed you to identify and avoid the cheats. As we urbanized, brand names became the reputational marker. But when you are dealing on the internet, where no one “knows you’re a dog,” what guarantee do you have?

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How EMR alert fatigue overwhelms physicians

KevinMD

As a hospitalist, like most in health care, I am afflicted by the slow march of thousands of mouse clicks on the electronic health record (EHR) every day I work. But after starting a new job and learning a new EHR, I have become painfully aware of the volume of alerts that pop up when […].

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