Recent Blogs

Hacking Healthcare

By Fred Trotter | May 14, 2013

There are two definitions of the word “Hacker”. One is an original and authentic term that the geekdom uses with respect. This is a cherished label in the technical community, which might read something like: “A person adept at solving technical problems in clever and delightful ways” While the one portrayed by popular culture is what real hackers…

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DocGraph: Open social doctor data

By Fred Trotter | November 19, 2012

At Strata RX in October I announced the availability of DocGraph. This is the first project ofNotOnly Development, which is a Not Only For Profit Health IT micro-incubator. The DocGraph dataset shows how doctors, hospitals, laboratories and other health care providers team together to treat Medicare patients. This data details how the health care system…

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Tracking the Social Doctor: Opening Up Physician Referral Data (And Much More)

By Fred Trotter | November 5, 2012

I am happy to announce the release of the doctor “referral” social graph. This dataset, which I obtained using a Freedom of Information Act request against the Medicare claims database, details how most doctors, hospitals and other providers team together to deliver care in the United States. This graph is nothing less than a map…

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Who Owns Patient Data?

By Fred Trotter | August 20, 2012

Who owns a patient’s health information? ·The patient to whom it refers? ·The health provider that created it? ·The IT specialist who has the greatest control over it? The notion of ownership is inadequate for health information. For instance, no one has an absolute right to destroy health information. But we all understand what it…

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Software crumple zones

By Fred Trotter | August 11, 2012

It’s time to recognize and appreciate highly engineered health information systems. Have you had an auto mechanic look at your wrecked car and sigh, “they just don’t make them like they used to”? Darn right they don’t make them like they used to. Old cars were much better about surviving wrecks, but at the expense…

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Who owns patient data? Look inside health data access and you’ll see why “ownership” is inadequate for patient information.

By Fred Trotter | June 6, 2012

Who owns a patient’s health information? The patient to whom it refers? The health provider that created it? The IT specialist who has the greatest control over it? The notion of ownership is inadequate for health information. For instance, no one has an absolute right to destroy health information. But we all understand what it…

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Left and right and wrong Political and process disconnects show up everywhere, including health IT.

By Fred Trotter | March 15, 2012

Sometimes I find a picture or a blog post that leaps off the screen at me and says “your readers must see this as it applies to health IT.” Normal Modes, a solid UX company based in Houston, sends me fairly good UX tips on a regular business. The last one featured this photo (used…

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AI will eventually drive healthcare, but not anytime soon

By Fred Trotter | January 25, 2012

TechCrunch recently published a guest post from Vinod Khosla with the headline “Do We Need Doctors or Algorithms?“. Khosla is an investor and engineer, but he is a little outside his depth on some of his conclusions about health IT. Let me concede and endorse his main point that doctors will become bionic clinicians by…

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The rise of programmable self

By Fred Trotter | January 11, 2012

Quantifying your changes + motivational hacks = programmable self. Programmable self is a riff on the Quantified Self (QS). It is a simple concept: Quantify what you want to change about yourself + motivational hacks = personal change success. There are several potential “motivation hacks” that people regularly employ. The simplest of these is peer…

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Are EHRs Safe?

By Fred Trotter | January 9, 2012

Electronic health records are fundamentally dangerous. They’re also safer than the current model. Are electronic health records (EHR) safe? No. EHRs are not safe. They are fundamentally and irreparably dangerous even during normal use. EHRs will kill people. Lots of people. EHRs have been killing people for years. They will kill even more people as…

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