Insights on how the HITECH stimulus plan is working

April 22, 2010 · Filed Under Why PM, medical records, policy issues, reforming hc · 2 Comments 

In my previous post I noted that Vince Kuraitis and David Kibbe are running an excellent series, “Is HITECH Working?”* After a full year of increasing tensions, claims, and counterclaims, reading these posts has given me hope that it’s all panned out into something mortals can understand. (I’d been afraid to look!)

In a day or two I’ll be submitting the next entry in the series, on disruptive innovation – patient driven disruption. It’s a wonderful moment in our history when two of the best minds in health IT predict this is what’s coming.

But it means we have work to do. So if you’re into health IT, please catch up on this series – it’s clearly written: Read more

Second wave of comments on Health IT safety issues

March 16, 2010 · Filed Under Why PM, medical records, policy issues · 7 Comments 

Last month I posted the testimony I submitted to the Adoption/Certification Workgroup of the Health IT Policy Committee. (I urge interested parties to review the links to other resources in that post.) Today Paul Egerman, chair of that team, circulated a preliminary draft of recommendations from that meeting. Here is my response tonight, edited a bit for clarity.
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Calling All Physicians: Support the Participatory Medicine Movement

March 10, 2010 · Filed Under Why PM, pt/doc co-care · 5 Comments 

Participatory Medicine is a new paradigm in healthcare, one that promises to enhance healthcare efficiency, transform the experience for both the patient and their providers, and improve healthcare outcomes.  This cultural shift requires adaptation among healthcare professionals (including physicians) as well as patients and caregivers.

And yet changing culture amongst physicians remains challenging, for a variety of reasons (some good, some not so good).  For example, it takes an average of 17 years until physicians adopt proven best practices.  Hopefully, Participatory Medicine won’t take so long.

Yet, there are many of my colleagues who are already adherents to the model of Participatory Medicine, although they may not call it that. Read more

Health News Review launches new site with improved e-patient training

December 4, 2009 · Filed Under e-pts resources, positive patterns, trends & principles · 8 Comments 
Gary Schwitzer on a magazine cover

Gary Schwitzer on the cover of Minnesota magazine

There’s a new resource for a vital e-patient skill: reading health news responsibly. It helps us be smarter before we bring new findings to the attention of other patients and our providers – not to mention smarter for our own benefit.

When “Doc Tom” Ferguson defined “e-patient” in the 1990s, “Educated” wasn’t one of his e’s. (He said “empowered, engaged, equipped, enabled.”) But today educated is increasingly true: The internet makes it feasible for ordinary people to become seriously educated. And this new site will help.

Health News Review is easily the best website around for training e-patients how to scrutinize health news. They regularly review news stories about health issues, and give concrete details on why some articles are great and others stink – sometimes dangerously so. I consider it a “must read” site.

Today site editor Gary Schwitzer launched a new version of the site, with a section dedicated to the ten things he says should be covered in every responsible story about a treatment:
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What Participatory Medicine can learn from a $2,467 phone bill

September 27, 2009 · Filed Under Why PM, medical records, policy issues, reforming hc, trends & principles · Comment 

Fair warning: in the weeks leading up to the October 21 launch of the Journal of Participatory Medicine, just about everything you see here is going to tie in to the society and journal.

A fundamental tenet of PM is that patients (ordinary citizens, toi et moi) have more to contribute than we’ve ever thought. It’s not that we’re physicians; it’s that a lot of what needs to improve in how healthcare is conducted is not rocket science – just bring your everyday empowered *citizen* head.

Toward that end, may I direct your attention to my personal blog, where I discuss the $2,467.18 phone bill I received in the email Friday night from Verizon Wireless:

My $2467 Verizon Wireless billIt all started when I carefully researched my options (who, me?) while preparing for my trip to Medicine 2.0 in Canada. I made an informed choice, then a few things went haywire.

BUT, how it happened (and how it’s getting resolved) hold some worthwhile lessons for people working on the new world of empowered patient-provider relationships. Have a look.