I think I know what is wrong with health care: not enough people are bored. These are stressful times for health care. There's a never-ending stream of innovation, constant pressures about costs, concerns about the quality of care, conflicting research findings, ongoing uncertainty about how we should finance what coverage for which people, and new business models and organizational structures. There's too much to take in, and everyone in health care is working too hard, too long. Honestly, who has time to be bored? But that's a problem. We usually think of being bored as a bad thing. You don't often find people saying they're looking to be bored. You don't find many activities that bill themselves as being boring...
Rural America Is the New ‘Inner City’
At the corner where East North Street meets North Cherry Street in the small Ohio town of Kenton, the Immaculate Conception Church keeps a handwritten record of major ceremonies. Over the last decade, according to these sacramental registries, the church has held twice as many funerals as baptisms. In tiny communities like Kenton, an unprecedented shift is under way. Federal and other data show that in 2013, in the majority of sparsely populated U.S. counties, more people died than were born—the first time that’s happened since the dawn of universal birth registration in the 1930s...
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Taking Lessons from the Open Source Movement & Craft Brewers, Doctor Revolutionizing Healthcare
Pioneering doctors are showing the way to a much higher performing system as I highlighted in Doctors' Declaration of Independence. They understand that every example of great societal movements to our toughest challenges have come from the bottom up. The fundamental structure of politics is to cement the status quo. If the status quo was performing well that would be OK, but it's clearly failing miserably. In fact, Chapter 1 of my new book is "America Has Gone to War for Less" (link to free copy of the book below) referring to the collateral damage from this wildly underperforming status quo. Fortunately, doctors are collaborating to change this such as the Direct Primary Care conference starting today in Orlando.
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Let's Hope This Bores You
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Digital Health Is Dead, Says This Health-Tech Investor
Let me be clear: I believe strongly in the need for substantive, consumer-centric transformation of the health care system and have been a long-term proponent of the power of entrepreneurs to catalyze and drive these difficult changes. Despite this, I truly struggled to prepare for a recent presentation on the future of venture capital investing in the "digital health" space. The group I addressed expected another digital health pep rally – but, after much reflection, the best I could bring them was an explanation of why, despite the countless blog posts and questionable survey data to the contrary, I believe the digital health party is over and why those of us focused on long-term systemic transformation should be happy to put this hype cycle behind us...
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Puerto Rico’s Double Whammy: Irma and Hedge Funds
Irma, the largest Atlantic hurricane in recorded history, has proven cruelly fickle as it surges through the Caribbean. The Category Five storm “hit like a bomb” on the small islands of Barbuda and St. Martin, destroying up to 95 percent of the structures and rendering the areas “barely habitable.” But Irma stayed north of Puerto Rico, sparing the island from the worst. That’s not to say that Puerto Rico didn’t sustain damage...
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The Secret History of FEMA
FEMA gets no respect. Consider: The two men who are supposed to be helping run the federal government’s disaster response agency had a pretty quiet late August. Even as a once-in-a-thousand-year storm barreled into Houston, these two veterans of disaster response—Daniel A. Craig and Daniel J. Kaniewski—found themselves sitting on their hands. Both had been nominated as deputy administrators in July, but Congress went on its long August recess without taking action on either selection—despite the fact that both are eminently qualified for the jobs.
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Hurricane Irma Just Made a Digital Walkie-Talkie the No. 1 App Online
As Hurricane Harvey dropped anchor over Southeast Texas last week, Zello became the go-to app for rescuers working to save thousands of people trapped by floodwaters. Within days of Harvey's arrival, the app saw a 20-fold increase in usage in Houston, according to Bill Moore, the Austin based startup's the chief executive. As Hurricane Irma hurtles across the Caribbean toward the coast of Florida, Zello continues to boom in popularity. The free Internet "walkie-talkie" app - which relies on cellphone data plans or WiFi and is designed to operate in places where signals are weak - became the top app on iTunes and Google Play Wednesday...
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I Downloaded an App. And Suddenly, Was Part of the Cajun Navy.
After watching nonstop coverage of the hurricane and the incredible rescues that were taking place, I got in bed at 10:30 on Tuesday night. I had been glued to the TV for days. Every time I would change the channel in an attempt to get my mind on something else for a few minutes, I was drawn right back in...
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Open Source EHR Generator Delivers Healthcare Big Data with FHIR
Healthcare data analysts frustrated by the lack of access to large volumes of clean, trusted, and complete patient data can now take advantage of an open source EHR data generator platform called Synthea. One million synthetic patient records are currently available within the free online system, which uses HL7 FHIR to allow access to standardized datasets that mimic real electronic health records...
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Kubernetes Supports Container Management for HIT Infrastructure
Open source clouds, virtualization, and application management efforts are growing in healthcare as vendors are using tools that are meant to enhance deployment and management of applications. Kubernetes is one such tool that is becoming more popular in HIT infrastructure...
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