Posts Tagged ‘physicians’

Op-Ed Contributor – The Computer Will See You Now – NYTimes.com

March 11th, 2009 | Popularity: 19%
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Physicians, Incentives, M&M, Potty Training, and an Economist

November 1st, 2008 | Popularity: 16%
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  • Physicians, Incentives, M&M, Potty Training, and an Economist – The story that I read in reference to incentives and physicians. If a 4 year old can outwit an economist….Shouldn't we incentivize physicians to practice in way that is good for society and let them work toward that, rather than on this specific behavior or that?

A medical center is not a hospital — Cleveland Clinic Journal of Medicine

September 24th, 2008 | Popularity: 20%
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Contrasting Personal vs. Professional Uses of Social Media: The Case of Healthcare Blogging | Trusted.MD Network

August 13th, 2008 | Popularity: 15%
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Upend(ing) the Cozy World of Medical Publishing?

August 1st, 2008 | Popularity: 26%
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I am always delighted to meet other physician bloggers, and such was the case with Bob Wachter, MD, who’s a physician that blogs, and from within academia. That’s rare, and welcomed, by me for sure.

He recently wrote this piece, Will Knols and Blogs Upend the Cozy World of Medical Publishing?, which echoes several ideas I have been having since I started blogging, especially around the idea of, as he calls it, “the democratization of peer review.” (I’m focusing on the comments about medical publishing – the world of Knols appears to be experiencing a rocky ride)

As I occasionally get requests to write for peer reviewed journals or books or I consider writing for them, I have been pausing to ask, “why?”

This is especially when the difference is between instant access and feedback to the people I serve, versus a smaller group of individuals with (potentially) limited experience in the ideas I’m writing about, and the medium I use to write them in. I say this without any predjudice to the publishing community – I am just not sure where physicians in my generation will fit in moving forward, unless the model is changed.

Bob refers to the difference between “Having an article peer reviewed by 3 experts is different than having 17 Joe Six-packs;” however, I’m not sure what the difference is, depending on the issue, between those two constituencies – what’s an expert in if she/he isn’t a person “just like me?” Also, what’s the value of a single (relatively speaking), private, review, that will be locked in time and space, forever? Robert Scoble speaks well to this in the post “Scoble Defends Blogging (Again), and He’s Right (Again).”

I do not work in academia, where people are incentivized/rewarded for the number of peer-reviewed publications with their names on them. I think a deeper question that should be asked, is, “What’s the best way, in this millennium, to produce portable knowledge that can be used by others?” I have talked with innovators in academia who have not shared their knowledge because of the effort required to publish to medical journals. That’s unfortunate.

How could the reward/incentive system in academia be reconfigured to respect the many different ways people can share knowledge, and put them to use to help people? I think it could be, and in turn a lot of great ideas could be unleashed.

Bob mentions in his post that he submitted his piece to two medical journals, who rejected it. However, we still get to read it thanks to Web 2.0.

I’m not even going to try with this one. And I sort of don’t have to.

Creative Class » Blog Archive » Happy Jobs, American-style – Creative Class

August 1st, 2008 | Popularity: 16%
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Oh So Close – HelloHealth

July 20th, 2008 | Popularity: 25%
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JAY PARKINSON + MD + MPH

How long before HelloHealth comes to Washington, DC, with the most regional-serving walkable urban places per capita in the country?

Note: There’s been some buzz about walkability for other cities as well, also fine choices for those who love living in places that support walking.

A Few Links Regarding the Continuity of Care Record (CCR) Standard

May 22nd, 2008 | Popularity: 80%
3 comments

May 15th through May 18th:

In the Seattle Times talking about Web 2.0 and Health Care

May 11th, 2008 | Popularity: 38%
2 comments

I was interviewed by journalist Kyung Song from the Seattle Times for this article, which appeared in today’s paper:

Local News | Group Heath trolling cyberspace to learn what patients think | Seattle Times Newspaper

This was the first interview I have done representing both the organization I work for, and myself as a blogger at the same time. Usually, it’s one or the other, because the words on this blog are my own and not those of my employer (although obviously our approach to patient centered health care is well aligned). The worlds are starting to collide….

I definitely believe that there is content that’s traditionally outside of the physician-patient relationship that can and should be brought in via blogs and the like. We saw it with secure e-mail between patients and physicians to be sure. It changed our relationships, in a healthy, helpful way.

My personal belief about blogs and Web 2.0, though, needs to be coupled with an organization’s need to have a workflow and platform that brings in the right information at the right time. I definitely don’t expect a physician to review the 2,000 RSS feeds of their patients (and I don’t think the patients do, either).

That’s the fun intersection, and it is good pressure, to bring everything about a patient that matters to them into every clinical interaction.

See what you think…

What’s a Leader vs. a Manager?; GenY is Hard Working; New York PCIP Doing Well

April 11th, 2008 | Popularity: 82%
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April 5th through April 8th:

Innovative Reimbursement for EHR-using physicians; 9 Principles of Innovation (Google); Twitter; Services for Farm Workers Online

March 12th, 2008 | Popularity: 28%
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March 7th through March 11th:

Promising Reimbursement Methodology; More on Music and Real Estate Industries; Another Blog Post Goodbye to an Employer

January 15th, 2008 | Popularity: 45%
1 comment

January 12th through January 13th:

  • Prometheus Payment, Inc. – A new payment model that supports outcomes, evidence-based care, and transparency
  • The music industry | From major to minor | Economist.com – “Then they had the money and could have built the competence by buying concert agencies and merchandise companies,”…Now it may be too late.
  • Coverity Incorporated Scan – Company working with the US Govt to harden open source code for use by agencies including Homeland Security. They are finding bugs and the bugs are being fixed.
  • Online Real Estate Sites Work To Get A Listing Standard – Another industry that is seeing the benefits of standards, and the challenges of disruption
  • Gone Indie ? Thought Palace – Interesting insight on the work environment at Apple. LEAN production? You decide. I will say, though, that even though Apple is not embracing Web 2.0 like other companies are, I have solved many problems using their hosted discussions. These actually work well on Apple’s site I think because they do a great job of leveraging their loyal customer base. Yet another blog “goodbye” to an employer.
  • Lean Manufacturing Blog: 1 Hour Kaizen – Excellent template and approach to small improvements. Just takes an hour. Can we have physicians shadowing nurses and vice versa?

How not to lead Geeks; Being a Chief Inspriation Officer

January 10th, 2008 | Popularity: 49%
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Edelman Trust Barometer; A GenY-friendly Employer; Mike Leavitt’s Blog discussion on the SGR

December 21st, 2007 | Popularity: 54%
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December 16th through December 18th:

HIT before HIE; Questions about physician oversupply; Retail Clinics; Washington struggles with HIV

December 18th, 2007 | Popularity: 39%
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December 13th through December 14th:

Changing Physician Education; Social Media in the Workplace, Questions about HPV Vaccine

November 20th, 2007 | Popularity: 38%
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November 14th through November 17th:

New Microsoft Workspaces; Dedicating Cancer Treatments; More GenY from 60 Minutes

November 13th, 2007 | Popularity: 42%
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Analysis of Paralysis; More health leaders’ blogs; Role Experience and Performance

November 12th, 2007 | Popularity: 30%
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November 5th through November 10th: