Doctors:
CLOUD focuses on people first and records second. Electronic health records are designed to help automate business processes. CLOUD is designed to improve the level of professional service you can provide for your patients -- not only by making it faster, easier, and less expensive to use patient information to do your job, but by giving you better information to understand and more time to spend with your patients.
I just made the following post to the XBRL Matters LinkedIn group, which has a discussion thread on the impact of XBRL (successfully promulgated and mandated by the SEC) in healthcare. I post it here to share with the broader CLOUD Health community:
There is no “there there on the Internet”. This simple thought is an important point by which to consider some recent innovative thinking going on on opposite sides of the globe. Read the rest of this entry »
NPR’s Rene Montagne interviewed Tim Brown this morning on the issue of healthcare and design. Tim said that he would love to create “the electronic medical record of the future” and that many new solutions have to be designed around people. Interview is here.
CLOUD could not agree more with Tim and were thrilled to take part in a dialogue on this topic with frog design yesterday in a Twitter forum on #futureofhealthcare. Transcript will be posted here soon. The frog design sponsored forum was on their recent article, “Is the Future of Healthcare Social?” in Fast Company.
Not only is Tim right that the EMR of the future must be controlled by people Read the rest of this entry »
Day Two of Health 2.0 was a whirlwind of demos, tools, websites and a sizzling array of the latest concepts and some intriguing innovations. Amidst the flurry of panels, presenters and ideas, there were two themes that emerged by the end of the day: aggregation and interoperability.
The aggregation theme evolved quickly and was the title of one of the morning’s panels. From my perspective, the notion of aggregation falls into three big buckets: aggregation of content, aggregation of patients and aggregations of physicians/provider. Read the rest of this entry »
Payments. Meaningful use. Populations. Communities. For as many interesting ideas that were presented on day one at Health 2.0, these points of friction in the health value chain appear to be the barriers to change.
Much like HL7 and CDISC have only 15% adoption due to privacy concerns, these topics, payments especially, appear to be the elephants in the room at Health 2.0. Read the rest of this entry »
The Design Center concourse in San Francisco could not be a better venue for the upcoming Health 2.0 Conference. For all of the debate that is raging about health care, reform, insurance companies and the rest, the issue at hand is really one of design. The theme, User-Generated Healthcare, is itself a design issue.
Places of the Soul, by Christopher Day, makes the point that architecture must begin based on where the designed structure is to be placed. As he notes in the book, studies have shown that there is strong correlation between recovery time at the hospital and patient view, with every leaf being ‘worth its weight in gold.’ Design matters. The Health 2.0 team has architected an excellent agenda that looks at the design issue of the healthcare system from the perspective of the patient. I am excited to be attending and look forward to the possibility of CLOUD presenting its new vision and language during the Human Centered Design Contest.
CLOUD believes that the Internet needs a new design, too, an architecture based on starting from a new place, the individual. ME 1.0 looks forward to meeting Health 2.0 and engaging in a new blueprint for the future!
Just over a year ago at the Personal Democracy Forum in NYC, I posted an item to my personal blog at theendoflinearity.com on this topic, the idea that there are no destinations on the Internet. Having wrestled with this topic for many months, it became clear that the challenge of ‘destination thinking’ from the real world was complicating solutions to topics like health care because it was focusing us on areas other than patients by which to find solutions.
The quest for the holy grail of the electronic health record is particularly difficult because of fundamental disagreements about matters as general as the scope of the “health” domain. What are the proper relationships between records made by examining physicians, diagnostic experts, health insurance companies, parties paying for health insurance, patients themselves, and others? What about schools that require particular vaccination records or physical examinations for athletic participation? Or financial service providers pricing annuities based on actuarial estimates?
This piece by Tevi Troy at the Washington Post highlights key issues that CLOUD can help address as we seek to solve this electronic health record challenge through new vectors and a change in your horizon.
