Google Cloud comes through
August 26 , 2016
Recently, we had some trouble with the cloud services from Google one of our primary cloud vendors. In response, I wrote this very strongly worded blog post on my personal blog. Then we tweeted. Within four hours, Google had restored our services, and within a few hours of that, we were able to run down […]
June 19 , 2016
Houston—Two Houston health IT startups are among the private companies enlisted by U.S. Vice President Joe Biden in his national cancer moonshot initiative, designed to speed up efforts that could cure cancer. DocGraph and CareSet Systems, both based in Houston, are developing a cancer dataset that would contain summarized information on nearly a million Medicare […]
Healthcare IT reading list
May 24 , 2015
My Programmable Self Behavior Change Reading list has been one of my most popular posts.I still think any Health IT expert should be well-versed in behavior change science, since so many healthcare issues boil down to behavior change problems… either for patients or providers or both.But the other day, I was having drinks during HIMSS […]
Perspective: From a Data Parasite
February 27 , 2015
I guess I qualify as a research parasite, according to the recent editorialpublished in the New England Journal of Medicine (NEJM). The controversy that followed led to a subsequent “non-apology,” a term I use because NEJM did not offer a shift in their stance as much as they tried to slink out of the spotlight. […]
Hacking Healthcare
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 […]
DocGraph: Open social doctor data
November 19 , 2012
At Strata RX in October I announced the availability of DocGraph. This is the first project of NotOnly Development, which is a Not Only For Profit Health IT micro-incubator. [Editor’s note: as of 2016, company is known as CareSet] The DocGraph dataset shows how doctors, hospitals, laboratories and other health care providers team together to […]
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 […]
Who Owns Patient Data?
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 means to own an […]
Software crumple zones
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 of […]
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 teaming […]