Stories about: health records

Disruptive innovation in healthcare IT: Spreading it to the masses

Photo: Paul Anderson/Creative Commons

The term disruptive innovation – introduced by Harvard Business School’s Clayton Christensen in a 1995 article  — has been used by technology-development stakeholders to describe radical innovations and their implications for market entry strategies. Christensen describes the term on his website:

“An innovation that is disruptive allows a whole new population of consumers access to a product or service that was historically only accessible to consumers with a lot of money or a lot of skill.”

Last week I heard Christensen speak at an event hosted by Vodafone,

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Visualizing medical data: The da Vinci touch

What would Leonardo da Vinci devote his energy to if he were alive today? I am pretty sure that he would be at a hospital. He would take advantage of data of all types — genetic, vital signs, symptoms — all streaming from patients like notes on sheet music, to seek a better understanding of the human person. And likely he would present this information in a way that appeals to the senses, drawing us to examine the information landscape and revealing the action steps we need to take to improve human health.

da Vinci’s sketch book drawings investigated human physiology to the extent that was possible in his time. da Vincis of our day, with more sophisticated tools, are poised to understand the human body at a new level. I can imagine Leonardo delighting at the level of granularity offered by our technology — the sequencing of the genetic code, for example. He would want to make sense of this information. I imagine that he’d be studying informatics and techniques for graphic visualization of data to support his quest to portray human physiology.

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Fragmented care: a hospitalist’s dilemma

Without records, every patient is a black box (Image: Pedro Vera/Flickr)

Recently, I was admitting a patient to the general pediatrics service who was followed by several specialists from different hospitals, required a number of medications and was quite ill. We were obliged to start treatment immediately given the severity of his illness, but unfortunately, this was his first visit to Children’s Hospital Boston and none of his records were available to us.

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Health records: turning patients into hackers

Credit: D'Arcy Norman/Flickr

A pregnant woman wants to monitor her baby’s activity in response to the foods she eats. She takes her smart phone, plugs in an ultrasound adapter and takes readings after every meal. She logs the contents of her meal and presto! Pattern recognition software tells her that her baby is unfavorably sensitive to dairy. Through a personally controlled portal, she remotely loads the information to her hospital’s electronic medical record system, for review by an allergist at the time the baby is born.

A man with a diabetic foot ulcer takes home two different topical creams. He takes daily pictures of the ulcer, and using image processing algorithms,

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