KevinMD

The future of whole-person care: high-tech holistic medicine

KevinMD

When we think about holistic medicine, many assume that it requires human-to-human touch points and, therefore, doesn’t lend itself well to technology and innovations such as artificial intelligence.

Envisioning the delivery of true primary care telehealth

KevinMD

Almost overnight, the COVID-19 pandemic has completely disrupted how we deliver primary care to patients. Before the pandemic, telehealth seemed to be a way to deliver urgent care for acute issues to a select group of tech-savvy patients.

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Doctors, a tech revolution is coming

KevinMD

What if I told you just a few years ago that Amazon — a budding e-commerce startup — would come to disrupt the multi-billion dollar retail industry. I seriously doubt that anyone could have given it a serious thought.

How to liberate doctors from EMRs

KevinMD

We talk a lot in critical care medicine about liberating patients from ventilators. Vents are getting a lot of deserved attention for saving lives in the COVID-19 era. But the machine has downsides that get worse the longer the patient needs it.

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Why Smoking Costs Employers More Than They Realize

Your employees are smoking, and at a cost of $7,000 per year for each employee who smokes, that adds up - fast! This free report will show you how an effective cessation program pays for itself.

Telehealth is the future but it is obscured by a dismal present

KevinMD

In so far as our current public health emergency is concerned, telehealth has obvious, indisputable benefits.

Virtual scribes are game-changers for physicians

KevinMD

Today was like no other day. It was our first day together. Me and my "virtual" scribe — an actual person who seems to "virtually" to exist inside of a Jabra speaker on my desk and so subtlety that I forgot to mute a few times when not seeing patients. The "man" in the Jabra […].

Voice to text solutions could turn EHR-burdened medical professionals into doctors again

KevinMD

Just imagine the following: your assistant invites in Ms. Nichols, who has a migraine, a bad cough, and feels nauseated. You sit down, start talking about the symptoms, see her throat, measure her temperature, pulse rate, inquire more about the headache.

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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!

Primary Care Is Dead. Long Live Primary Care!

The primary care system is failing patients and providers. Capacity shortages have led to long wait times and physician burnout. To fix the system, we must find innovative ways to boost capacity and meet patient-consumers’ shifting expectations.

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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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 have EMRs changed the doctor-patient relationship?

KevinMD

I have penned several posts on the pitfalls of the electronic medical record (EMR) system that we physicians must use. Indeed, I challenge you to find a doctor who extols the EMR platform without qualification.

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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.”

Big Idea: Primary Care Automation

Healthcare automation that gives primary care providers more time with their patients—and less on screens—can improve care for patients, increase satisfaction for providers, and deliver positive bottom-line results for system leaders. Download this guide to learn how to optimize automation and keep the patient-provider relationship at the heart of the healthcare experience.

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.

3 steps to changing your EHR system

KevinMD

If you are a physician unhappy with your current EHR system (surveys suggest 2 out of 3 are), and you do have the ability to switch, this article is for you. Our COVID-19 pandemic may place you in a bad financial time for this, but it's also placed you in an excellent time to plan […].

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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.

Artificial intelligence in medicine raises legal and ethical concerns

KevinMD

The use of artificial intelligence in medicine is generating great excitement and hope for treatment advances. AI generally refers to computers’ ability to mimic human intelligence and to learn.

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Virtual Front Door or Brick Wall? Care Pathways in Healthcare

Are you offering your patients a virtual front door or a brick wall? Today, 85% of healthcare visits start online. If your patients don’t have a way to access care virtually, you’re losing them to Dr. Google. Clear care pathways that start online ensure your patients get the best care they need while staying loyal to you.

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.

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.

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 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.

Convenience Care Is Here, and It's Eating Your Lunch

Patients want high-quality care that is accessible and affordable. If they can’t get it from you, direct-to-consumer healthcare services make it easy for them to get it somewhere else. Give them the ability to consume your services just like they consume everything else in their lives: on their phones or computers, quickly, and where it’s convenient for them.

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.

Why specialty health care should go virtual

KevinMD

“Let’s take a look together,” was the start of a virtual clinical assessment that led to a primary care provider and a neurologist diagnosing a patient with Parkinson’s Disease.

IT deficits are eating hospital profits. CEOs need to wake up.

KevinMD

I work for a hospital network with the world's slowest computers. I timed it: Last shift, it took me fifteen minutes to log on. The first computer obtained didn't function at all. It had been worked on the day before by information technology services (IT).

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.

Stop Creating Disloyal Patients

90 percent of patients feel no obligation to stay with a healthcare system that doesn’t offer digital tools. What can you do in the face of such a sobering statistic? Patient-facing telehealth options that allow patients to get virtually instantaneous care privately, securely, and from anywhere can keep your patients from seeking care from the easiest, nearest, and cheapest provider.

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.

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.

Millennials want convenient care

KevinMD

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

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?

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.

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.

Telehealth: Get ready for big changes in health care

KevinMD

The year 2020 might bear witness to a significant shift in control of health care from the providers, insurers, and the government to actual health care consumers.

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.

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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Leveraging Automated Telehealth During a Capacity Crisis

As the healthcare system faces unprecedented challenges during the COVID-19 crisis, it’s more important than ever to make the most of clinical resources. Automation holds the key to drastically increasing clinical capacity and flattening the curve.