The adaptive unconscious, the physician, and AI

Being an internist, the day is filled with problem-solving.  The problems are often not straightforward and require thinking, rethinking, reevaluating, and reading up and researching before the problem can be solved.  However, when a sixth sense, an intuition kicks in that warns us that something needs to be addressed urgently even when we cannot specify…

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What blockchain mean for health care?

In 2016, I was at an angel investor’s conference in Las Vegas when I met a certain individual pursuing their MBA at Stanford University. We got to talking about angel investing, and the term “blockchain” was mentioned. I asked, “the blockchain: that’s Bitcoin, isn’t it?” “Oh no,” was their reply, “Bitcoin is only the beginning…

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Artificial intelligence, COVID-19, and the future of pandemics

Artificial intelligence (AI) has proven of value in the COVID-19 pandemic and shows promise for mitigating future health care crises. During the pandemic’s first wave in New York, for example, Mount Sinai Health System used an algorithm to help identify patients ready for discharge. Such systems can help overburdened hospitals manage personnel and the flow…

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Keys to sustainable telehealth post COVID-19

As we’ve listened to providers describe their reactions to this pandemic, telehealth continues to be a pervasive theme at the foundation of their response. They refer to this as a “watershed” event that will permanently change healthcare delivery. In that context, many expressed concern that the current relaxation of regulations, and as importantly, the parity…

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Physicians are drowning in electronic information

The administrative burden of medicine significantly contributes to physician and clinician burnout, electronic health systems, or EHR system design and workflow as a lead culprit. As such, recent EHR technology innovation tactics have focused on automating components of data entry and documentation. These technology innovations could significantly reduce the amount of time we spend crafting…

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Orientation to HEAL: the 4th best electronic medical record

An excerpt from Man’s 4th Best Hospital, Now available in paperback from Penguin/Berkley. And in the Fat Man Clinic, what about billing? We would do it ourselves on our screens. Using HEAL, the EHR or Electronic ‘Health’ Record system that BUDDIES had installed in Man’s 4th Best and its other hospitals and clinics, at a cost…

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An EMR frustration that is still torturing us

I have written, or more accurately ranted, about electronic medical records (EMR) systems throughout this blog. While the systems have clearly improved since their mandatory introduction into the medical universe, they have still not delivered on many of their promises. Of course, EMR has brought tremendous advantages to the medical profession, and we are all…

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