Giveaway

This entry is part 24 of 44 in the series Words

Dr. Vivek Reddy, a neurologist at the University of Pittsburgh Medical Center, also works on its digital records effort.

In a February 19 article in the New York Times,  Julie Creswell calls the healthcare IT portion of the 2009 stimulus bill (American Recovery and Reinvestment Act of 2009)  ‘a $19 billion government “giveaway”’ resulting from the lobbying of the big HIS vendors. One of the quotes in her article points out the usability limitations of these big HIS systems: ‘“On a really good day, you might be able to call the system mediocre, but most of the time, it’s lousy,” said Michael Callaham, the chairman of the department of emergency medicine at the University of California, San Francisco Medical Center.’

I have to admit, I wouldn’t mind giving a lot of our tax dollars to these big companies, if they would only invest it in usability improvements that would save both lives and money.
Share

Skeuomorphism

This entry is part 25 of 44 in the series Words

Wood-Grain VinylSkeuomorphism has been around for a long time.

Architects including Frank Lloyd Wright have eschewed it. Alan Cooper, known as one of the founding fathers of user interaction design for computer systems, decried it in the first edition of his classic text, About Face: Essentials of User Interaction Design. And more recently (~October 2012), people have compared Apple products with the new anti-skeuomorphic Modern UI (in-speak for User Interface) of Windows 8, previously known as Metro, and accused Apple of poor design because of rampant excess skeuomorphism.

 

Read the rest of this entry »

Share

PHR

This entry is part 22 of 44 in the series Words
Electronic Health Record Diagram

Electronic Health Record Diagram

One of the supposed means to the great gains of electronic health records is that of the Personal Health Record (PHR). Big guns like Microsoft and Google dived into the PHR pool a few years ago (Microsoft HealthVault and Google Health), only to find that the water was quite shallow. Getting information into a Personal Health Record turns out to be so hard, that the effort wasn’t worth the results. Google gave up, at least for now, yet Microsoft persists. (There may be a lesson in there somewhere… ) But, as pointed out in an article on Slashdot, the Department of Health and Human Services has released newly revised rules for the Health Information Privacy and Accountability Act (HIPAA). These are effective on March 26, 2013. This is designed to, among other things, make PHRs more functional. As the press release says: “Patients can ask for a copy of their electronic medical record in an electronic form.”

Read the rest of this entry »

Share

RAND

This entry is part 21 of 44 in the series Words

RAND Corporation logoIn the January 2013 HealthAffairs, Arthur L. Kellermann and Spencer S. Jones of the RAND Corporation look back  at the projections of a 2005 RAND study of healthcare IT. Why, in defiance of that study’s projections, are our medical computer systems not saving us $81 billion a year? They list reasons: slow adoption, lack of interoperability, and – you guessed it – poor usability. So, just maybe, if you get vendor CEOs and hospital CIOs to spend a few hours browsing the essays on this website, you can save the country billions of dollars. (Not to mention saving hospitals’ money and making more money for vendors.) Who’d have figured?

 

Share

Cost Disease

This entry is part 20 of 44 in the series Words

The Cost Disease is both the name of a book, and the economic theory espoused by this book.Total health expenditure, % of GDP

The theory is relatively simple at its base. There are two segments to our modern economy, the progressive and the stagnant.

The progressive sector makes rapid improvement in efficiency. Examples include manufacture, particularly of items such as computers and cellphones.

The stagnant sector, including healthcare, education and live entertainment, due to dependence on human-human interaction, does not improve its efficiency rapidly.

Thus, the fraction of our GNP (and your paycheck) spent on the stagnant sector will increase. Continously.

Note that I said the fraction.

This may seem depressing. But the authors point out that, in real terms, our society, globally, is becoming richer. Therefore, despite the increasing fraction we will spend on the stagnant sector, we will be able to afford it. We will be able to afford more and better healthcare, education, and live entertainment.

Nonetheless, we need to do what we can to make the stagnant sectors more progressive. They give examples in the book of how healthcare, in particular, can become more progressive.

It is apparent that there will be an excellent ROI in healthcare by maximizing the efficiency of our healthcare personnel. Some big projects like RHIOs will contribute to this, but at a massive cost. But think – how much of our healthcare personnel’s time is spent using – or cursing at – computers?  Given the sad state of usability of our medical software, we will get a lot better ROI by simply making simple changes to our software to make it more usable. The cost of these changes is small compared to a RHIO, but the incremental benefit is huge. Thus, this website.

Share
//commented out L sidebar 7/26/11 //