duffpkg

19 ms·

151.
by duffpkg 6y ago
Malpractice is a totally separate thing from Medicare Fraud. With respect to malpractice, having automated or semi-automated encounter notes with huge systematic similarity looks absolutely terrible if something goes wrong. Don't take
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by duffpkg 6y ago
One of the reasons Hacking Healthcare happened is the huge dearth of material for just this question, unfortunately I don't have anything else on that still. One absolutely timeless work not directly about technology but that is still
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by duffpkg 6y ago
There is a whole bunch to the behind the scenes of Medsphere and OpenVista. I am not sure what I can say except that a lot of big personalities were involved. WebVista by ClearHealth is still in use by a few very large hospital chains.
154.
by duffpkg 6y ago
It's Duff (David) instead of Fred but thanks. Fred is doing great too. Are you a former CHL/TXR managed or sub-owned group or facility? Unfortunately I see the opposite trend right now, more silos, more lip service to interoperabi
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by duffpkg 6y ago
I see. PACs which are the storage and index systems for medical "imaging" data have seen some pretty big in roads. HL7 processing has become dominated by open source. There is huge institutional inertia to overcome in any corner.
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by duffpkg 6y ago
There is a lot of controversy in this area. Medicare rules are pretty clear that to the extent tools like that are used systematically to enhance bill-ability they are prohibited. Malpractice litigation is having a field day with computeriz
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by duffpkg 6y ago
I have seen in healthcare more "bribery" than in any other industry I've ever worked. Whether quasi-legal in the shape of various kickbacks to outright illegal gifts of cash and goods. It is sadly endemic to the industry. In
158.
by duffpkg 6y ago
In hacking healthcare I talk about "the incredible bandwidth of paper". That's still true. Without really first world software and hardware in a very modern physical setting it is difficult if not impossible to solve medical
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by duffpkg 6y ago
I think there are plenty of open source projects with great UI but that aside I'm not sure I understand what you mean? What type of service for example? HIPAA greatly complicates a lot of data sharing because of appropriate data privac
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by duffpkg 6y ago
Hi. James? I was CTO of Pennington Firm in that era and it was one of many industries where "internet modernization" was happening to a sort of sleepy status quo. OpenEMR with FreeB were the furthest along open source project at t
161.
by duffpkg 6y ago
Excluding mexico where a ClearHealth derivative still, as far as I know, powers one of the large hospital chains there, no. In my personal experience the venn diagram of countries where there is not much regulation but yet it is advanced en
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by duffpkg 6y ago
I was "ringleader" (many diverse groups have been involved over the years) of the OpenEMR project in 2003-2005 and went on to create the open source ClearHealth and HealthCloud EMR (electronic medical record) systems. OpenEMR has
163.
by duffpkg 6y ago
It isn't that common in america but most of the world does colonoscopies without anesthesia. Without complicating conditions there is little more than minor discomfort and without anesthesia are very quick and much less expensive. With
164.
by duffpkg 6y ago
Arizona in general and the metro phoenix area have extraordinarily diligent road maintenance. Surface street speeds are higher and larger road sizes are also very favorable for something like robot cars.
165.
by duffpkg 6y ago
A lot of the current situation came about because of the Hi-Tech act. This was piles of "free" government money for healthcare facilities to use software that met voluminous requirements that are ultimately vetted by off-shore con
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by duffpkg 6y ago
thank you
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by duffpkg 6y ago
It's a deep topic but I can cherry pick three big reasons for you in no particular order. -Most hospitals and larger primary care installations are monopolies. There is not and cannot be for practical, zoning and regulatory reasons any
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by duffpkg 6y ago
I created the open source ClearHealth/HealthCloud EMR system, have managed hundreds of medical facilities large and small and am the author of "Hacking Healthcare". There are a lot of layers to this and competing concerns. Th
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by duffpkg 7y ago
I prefer more of a news feed, the purely numeric view misses a lot of context in terms of what is going on and many countries numbers are clearly disconnected from realty or total fiction. https://coronadaily.com
170.
by duffpkg 7y ago
Use i.reddit.com on mobile
171.
by duffpkg 7y ago
Seems to me that many of the comments are failing to compare this model to the common alternative, which is a public facing restaurant. The failure rate of those is at least ~60%, so is this "cloud" model likely to be worse than t