Engaging Conversations on Healthcare and Technology

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How to Turn Your Health Care Job into a Work of Passion

Several months ago, I wrote an article asking a key question: Where is your health passion? Four quadrants were discussed, as illustrated below. The point here is not to re-state the differences between each quadrant, as you can click on the link to dive deeper into each. The point here is to build on this question, [...]

Five steps to prepare for an enterprise-level application upgrade

There are few planned tasks in the Healthcare IT community that generate more anxiety than upgrading to an enterprise-level application. This is especially the case for applications such as an interface engine or a health information system. In the case of the interface engine, the software is vital because it is often responsible for the [...]

Hail to the chief: The emerging role of the chief nursing informatics officer

“Chicago has two seasons–winter and construction.” It’s an old joke, but it holds a grain of truth. Here in the Chicago-area we’re subject to frigid temperatures made worse by the “wind chill” and perpetual traffic snarls made worse by orange cones and backhoes. When you’re creeping along at 20 MPH on an expressway where the [...]

A skeptic finds mHealth success

I spend more time with my iPhone than with any one person, and you probably do too. It’s in my pocket if I’m walking, it’s in my console if I’m driving and it’s on my nightstand when I’m sleeping. It’s a love-hate affair. I love what I can do with the phone, but I hate [...]

What is Consolidated CDA?

When the ONC released the Standards and Certification NPRM, the companion to the CMS Meaningful Use Stage 2 NPRM, the new standard for the electronic transfer of Care Summary was defined as §170.205(a)(3) Consolidated CDA. CCD, along with CCR, was the standard for Stage 1 of Meaningful Use, and CCD is a constraint on CDA. [...]

E is for effort: e-patients are more involved in their healthcare

“The Internet is scary.” An acquaintance of mine recently came to this conclusion when her daughter found a lump in her breast. After being told by a physician it could be cancer or it could just an infection, the pair went online to try to get more information on symptoms, diagnosis and treatment of both [...]

The Future is Quantified: Convergence of Trends

  Where social, mobile, big data and the Internet of Things come together will shape the future. CEO and tech analyst Ray Wang of Constellation Research Group says, “The convergence of the trends is when it becomes interesting.” I think the Quantified Self movement is where all these trends converge, and I believe the future [...]

Starting Clinical Procedures: My Experience with a Lumbar Puncture

This block we started real clinical medicine procedures, so my next posts will highlight these areas. So, let’s start by talking about the lumbar puncture or spinal tap. For a little background information about this procedure, I will give you a brief overview and talk about some of the reasons why a physician would order [...]

The Unequal and Unfair Healthcare Business ‘Model’

In no way do I claim to be an expert on business or even the healthcare system, but the more experience I get with the U.S. healthcare business model the more I realize there simply is no business model. We can all agree the system is broken. There is no shortage of statistics or personal [...]

Information overload: Cybrarians contribute to use of evidence-based practice

Forgot your password? I probably answer yes to this question about once a week. I have multiple email and voicemail accounts and various profiles at sites like Amazon, Barnes & Noble and Facebook–all requiring different passwords. At work, I’ve been instructed to keep passwords secret, not to write them down and to create ones that are [...]