The End of Publishing As We Know It
posted on 16 Mar 2010Excellent.
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Feed-only Footer:
You can follow me on Friendfeed or Twitter if you want to- but be aware there’s lots of stuff there that may not be related to libraries or health information.
(...read more)
from davidrothman.net
Checklists – the latest fad to hit health care?
posted on 16 Mar 2010I have a copy of Atul Gawande’s book “The Checklist Manifesto: How to Get Things Right“. It’s next on my reading list once I’m finished with Clayton Christensen’s book “The Innovator’s Prescription: A Disruptive Solution for Health Care (...read more)
from Hans Oh's eHealth Blog
Partial Credit for Meaningful Use
posted on 16 Mar 2010
Over the past few weeks, I've had the opportunity to review numerous NPRM comment letters from professional groups and hospitals. Although the issues vary widely depending on the size, IT sophistication, and resources of the commenting organizations, one theme is clear throu (...read more)
from Life as a Healthcare CIO
Internet in Medicine Course Week 3: RSS and Microblogging
posted on 15 Mar 2010The new semester of the Internet in Medicine university accredited course for medical students just launched and 120 students registered for the course which is a great pleasure. Now here are the core points of my presentations as well as useful videos and links.
The third week is dedicated to RSS and microblogging. In the first slideshow, I described what RSS is, how to use trend trackers and which tools can help you follow the medical literature easily.
Before, we had to surf on the web. Now we let the content and information come to us (...read more)from ScienceRoll
Visualizing health care expenditures around the world
posted on 15 Mar 2010Came across a great data visualization example from Visual Economics titled “health care costs around the world“. The data is presented in very interesting ways. What I found even more interesting was the lively debate and discussion in the comments. You should definitely check it out.
The rest of the site presents other examples of using (...read more)
from Hans Oh's eHealth Blog
Tips for unleashing innovation
posted on 15 Mar 2010Came across a very interesting article with a list of 10 tips to encourage and foster innovation. Here is the list of 10 practices:
Let the learning lead Learn to see Design for today Think in pictures Capture intangible value Leverage the limitations Master creative tension Run the numbers Make kaizen mandatory Keep it leanThe author is Matthew E May, an innovation consultant, who has written a book titled In Pursuit of Elegance: Why the Best Ideas Have Something Missing (...read more)
from Hans Oh's eHealth Blog
In ONC I Trust
posted on 15 Mar 2010It's my nature to question authority.
Whether it's religion, politics, or even my local administrative leadership, authority figures must earn my trust.
Earning that trust is not easy. As folks who work closest with me know, I believe that much of Dilbert is based on true case studies.
Over the past year, I've worked very closely with many people at ONC - David Blumenthal, John Glaser, Judy Sparrow, Farzad Mostashari, Chuck Friedman, Carol Bean, Doug Fridsma, Chris Brancato, Jo (...read more)
from Life as a Healthcare CIO
Scienceroll.com: Weekly Introduction
posted on 15 Mar 2010I would like to share my favourite and ongoing projects with you so I can give you a proper introduction to Scienceroll.com. You can also find me on Twitter or on Friendfeed.
For news and articles about the impact of web 2.0 on medicine and healthcare, please follow the Medicine 2.0 Friendfood room (...read more)
from ScienceRoll
Internet in Medicine Course Week 2: Medical blogging
posted on 15 Mar 2010The new semester of the Internet in Medicine university accredited course for medical students just launched and 120 students registered for the course which is a great pleasure. Now here are the core points of my presentations as well as useful videos and links.
The second week is always dedicated to the medical blogosphere. Key points of the first slideshow:
Definition of blog, post, trackback, pingback, comment, tag. First blog: Jorn Barger, 1997 Technorati statistics (...read more)from ScienceRoll
Health 2.0 News: Virtual patients, Design Challenge and the Future
posted on 14 Mar 2010PatientsLikeMe Reports High Rate of Adverse Event Reporting Among Its Members (Pharma Marketing Blog): Patientslikeme will certainly play an important role in driving the pharma sector towards social media. The 2010 DiabetesMine™ Design Challenge: The DiabetesMine blog presents this year’s Design Challenge in which innovations in diabetes can win prizes.
(...read more)
from ScienceRoll
Psychiatry and Web 2.0
posted on 14 Mar 2010As Webicina.com is getting closer to a huge milestone, here is the newest addition, Psychiatry and Web 2.0, that focuses on selected mobile apps, blogs, podcasts, Twitterers, communities, slideshows and many more social media tools dedicated to psychiatry.

The number of mental health or psychiatry-related websites is constantly growing and it is getting harder to find relevant, reliable resources, but with PeRSSonalized Psychiatry (...read more)
from ScienceRoll
Google Data Explorer and Visualizing Health Supplements
posted on 13 Mar 2010If you are interested in the scientific evidence behind some health supplements, this is the best tool you can use as it helps visualize the huge amount of information and also medical conditions related to the supplements.
(...read more)
from ScienceRoll
23andMe: Medical Advice?
posted on 13 Mar 2010ThinkGene reported that Myriad and 23andMe perform the same breast cancer genetic test on the BRCA gene. The problem is 23andMe cannot provide medical advice. The conclusion is interesting and it would be great to hear wha (...read more)
from ScienceRoll
Making sense of revenues and profits in health care
posted on 12 Mar 2010I read this post on the Health Beat titled “Advice to hospitals in a downturn: Market the high-margin service” and I’m trying to come to grips with it.
Don’t get me wrong, the content itself was pretty much straight forward in that it provides advice on how to increase revenues. But, what I’m trying to get over is that the entire messag (...read more)
from Hans Oh's eHealth Blog
Cool Technology of the Week
posted on 12 Mar 2010I have long believed that fuel cell technology has the potential to be a high quality, green energy source that gives us alternatives to burning coal or relying on oil imports.
Of course, the promise of fuel cells has been slowed by high costs, and complex technology.
On 60 minutes a few weeks ago, Bloom Energy introduced it's next generation fuel cell technology - the Energy Server.
It's already in production at eBay, Walmart, Staples, and Google.
How does it work?
Here's a flash animation (...read more)
from Life as a Healthcare CIO
Subject Matter Experts
posted on 11 Mar 2010A challenge in all IT organizations is achieving a balance between central control and local/departmental autonomy. Our approach is to clearly define roles and responsibilities such that IT is responsible for infrastructure, databases, security, interfaces, and data integrity while partnering with the business owner for subject matter expertise. Here's the detail:
There are immediate and long-term elements of an application implementation and the ongoing support of the application that (...read more)
from Life as a Healthcare CIO
Nutrition and Web 2.0
posted on 10 Mar 2010Nutrition and Web 2.0 is a new collection of resources on Webicina.com that features selected nutrition blogs, news sites, podcasts, Youtube channels, mobile applications and slideshows, among others. As the number of nutrition resources is huge, it was a challenge to find the most relevant content.
(...read more)
from ScienceRoll
A special report on managing information: Data, data everywhere | The Economist
posted on 10 Mar 2010div| The Economist The world contains an unimaginably vast amount of digital information which is getting ever vaster ever more rapidly. This makes it possible to do many things that previously could not be done: spot business trends, prevent diseases, combat crime and so on. Managed well, the data can be used to unlock new sources of economic value, provide fresh insights into science and hold governments to account./a /div div| The Economist/a/p pTh (...read more)
from HealthNex
From HIMSS: Collaboration and data analytics for Smarter Healthcare
posted on 10 Mar 2010a title=From HIMSS: Collaboration and data analytics for Smarter Healthcare href=http://asmarterplanet.com/blog/2010/03/from-himss-collaboration-and-data-analytics-for-smarter-healthcare.html?sms_ss=typepadFrom HIMSS: Collaboration and data analytics for Smarter Healthcare/a.brbrpemFollowing is a guest post from IBMer Lonne Jaffe/em: /p pimg src=http://asmarterplanet.com/files/health-150x150.png alt=Smarter Health– helping healthcare organizations everywhere capture, share, analyze and act o (...read more)
from HealthNex
Dissertation defence broadcast live
posted on 10 Mar 2010I came across this blog post about a live-streamed dissertation defence. For those who don’t know, dissertation defences are usually closed-door meetings. At the PhD level, the candidate usually makes a presentation (usually about 20 minutes) summarizing his/her research to the voting members of the panel. Most schools require a minimum of three voting members which consist of the candidate’s thesis commi (...read more)
from Hans Oh's eHealth Blog
Introducing NHIN Direct
posted on 10 Mar 2010Over the past 5 years, I've worked with many talented standards developers, implementation guide writers, and software vendor engineers. We've crafted use cases, selected standards, harmonized gaps/redundancies and written interoperability specifications.
I'm very happy with our achievements in content and vocabulary standards. We have excellent momentum and accelerating adoption.
Transmission is still an area requiring work. FHA Connect is a good start, but is challenging for s (...read more)
from Life as a Healthcare CIO
Health care of the future?
posted on 9 Mar 2010There was a very interesting series of posts at HBR Insight Center which focused on health care, specifically health care innovations. In the main post titled “Health Care of the Future“, the author presents a list of 10 innovations believed to have big impact.
Checklists Behavioral Economics Patient Portals Payment Innovations Evidence-Based Decision Making Accountable Care Organizations Virtual Visits Regenerative Medicine Surgical Robots Genetic MedicineI’ve thought about this list and I can’t really argue against any of the items listed here. I would, however, add point-of-care technologies (POCTs) and video games. In terms of video games, I’ve written about the potential to use gaming systems for health promotion (...read more)
from Hans Oh's eHealth Blog
The HIT Standards Committee Comments on the IFR
posted on 9 Mar 2010On Friday, the HIT Standards Committee submitted its comments on the Interim Final Rule to ONC. Below is a summary of the documents we submitted, which will soon be posted on the publicly available comments site.
Clinical Operations1. Recognizing that standards evolve and regulations are hard to change, we recommended that the IFR specify broad families of standards, stating the major version of each standard, accompanied by a detailed implementation guide that serves as a floor. For e (...read more)
from Life as a Healthcare CIO
Porcelain Brain Tumor
posted on 8 Mar 2010I guess the Street Anatomy blog will like that. Porcelain brain tumor made by Christina Haase. It looks really realistic.
(...read more)
from ScienceRoll
Leadership Lessons Through Dance
posted on 8 Mar 2010I’ve recently come across this great video on Read Write Web. It discusses leadership through a strange guy who is dancing. It’s a great example how important first adopters are in the process of making something well known and getting more followers. Building a Twitter community for example is absolutely similar to what we see on this video:
(...read more)
from ScienceRoll
The “y” in GE Healthymagination
posted on 8 Mar 2010During the 2010 Vancouver Olympics, I noticed a series of advertisements being played repeatedly promoting GE Healthymagination. The ads themselves were fairly well done and seemed to do a good job of conveying the message that GE is serious about health care and about being an innovation leader.
Each time I watched the ad, I kept asking myself – why? (...read more)
from Hans Oh's eHealth Blog
If It's Tuesday, This Must be Tokyo
posted on 8 Mar 2010
A quick but eventful trip to Japan from March 3-7. My trip was funded by the University of Tokyo as part of an academic visit and not related to any company or product.Two hours after landing in Narita, I had dinner with my hosts in Tokyo at La Rochelle (...read more)
from Life as a Healthcare CIO
Leveraging EMR Data to Develop Disease-Based Registries
posted on 6 Mar 2010This is my other presentation at HIMSS 2010. One of the real values of EMRs is the secondary use of the data for research. While respecting patient privacy, this kind of research can be rapidly developed from EMR data. We recommend the following steps:
define the cohort of patients you want to study/monitor define the data elements you want included review and verify data elements with subject matter expe (...read more)from eHealth
Why People Pirate Movies
posted on 6 Mar 2010
(Click above for full-size image)
(Via LifeHacker, via Joe Morgan (...read more)
from davidrothman.net
Social Media at HIMSS 2010
posted on 5 Mar 2010Social Media at the Annual Conference of the Healthcare Information Management and Systems Society has come a long way. A few years ago, the bloggers meetup was a dozen or so of us meeting in a bar near the conference site. This year, for the second time, there was a social media center and three panels of Meet the Bloggers. I was glad to be a part of it. Participatory Medicine was represented by ePatientDave (...read more)
from eHealth
The Pleasures and Risks of Solo Hiking
posted on 5 Mar 2010
My trip to Japan this week is a 15 hour commute, two days in Tokyo speaking/meeting with colleagues, one day hiking along mountain ridges 2 hours west of Tokyo, and then a flight back to Boston.In my travels around the world, I'm always looking for the road less traveled. In the past few years, that's included walking the Seven Hills of Rome, exploring archeological sites in the Middle East, climbing mountains in Austria, and kayaking across the Baltic Sea.
Because of the logistics, physical conditions, and specialized gear needed to do these activities, I've often traveled alone, going Into the Wild (...read more)
from Life as a Healthcare CIO
Adelstein Brown’s presentation on caregiving
posted on 4 Mar 2010I’ve had a couple of requests for this link, so I’m going to post it so others can find it more easily. Adelstein Brown (Assistant Deputy Minister, Health Systems Strategy Division, Ontario Ministry of Health and Long-Term Care) gave a talk at the Breakfast with the Chiefs speaker series on May 13, 2009. The title of his talk was “The Day We Stop Caring. Caregiving For the Future” and is available here (...read more)
from Hans Oh's eHealth Blog
The Certification NPRM arrives
posted on 4 Mar 2010The last of three HITECH related regulations was released by HHS on March 2 - the NPRM on Certification. It's 184 pages and will soon be published in the Federal Register.
Its major feature is that it creates two certification processes - a temporary one to ensure there is a path to certification in time for Stage 1 of (...read more)
from Life as a Healthcare CIO
eBooks, Audiobooks, Overdrive and DRM
posted on 3 Mar 2010I love these solely based on my experience as a patron of a public library, trying (and failing) to enjoy the ebooks and audiobooks they offer.
I’m sure the good folks at the Cleveland Public Library have seen this by now:
(...read more)
from davidrothman.net
Kaiser Permanente keeps chugging along with EHR implementation
posted on 3 Mar 2010[UPDATE] I forgot to mention that Kaiser was also recognized as one of the world’s most innovative companies (2010) for its work on EHRs by Fast Company (link to the 2010 list of most innovative companies). I’m probably biased, but Kaiser Permanente’s Sidney R. Garfield Health Care Innovation Centre (...read more)
from Hans Oh's eHealth Blog
Dispatch from HIMSS
posted on 2 Mar 2010I've just finished my day in Atlanta and am beginning a commute to Tokyo.
Every year, I describe my top 10 impressions from HIMSS. Here's my summary of the event for 2010
1. Meaningful Use is everywhere. Vendors are promising EHRs, modules, appliances, and services to help clinicians achieve it. I had dinner on Monday night in a small Indian vegetarian restaurant. Sitting next to me were 3 engineers from Bangalore who were arguing about the details of Meaningful Use in between bites of vegetable curry. I could not escape Meaningful Use anywhere!
2. Certification is everywhere. It's particularly ironic that many vendors claimed their systems were certified, even though the certification NPRM was just released today (...read more)
from Life as a Healthcare CIO
Google and health privacy – is it enough?
posted on 2 Mar 2010I’m not sure what to make of this “warning” that Google provides to users of its Google Health service as reported in a recent post on Blogoscoped.
I can’ (...read more)
from Hans Oh's eHealth Blog
Book Review: Googled-The End of the World as We Know It
posted on 27 Feb 2010I recently completed this book by Ken Auletta who promotes his unique access to the search engine giant. The books follow the history of Google from the earliest days of the founders at Stanford, to rocketing to fame, going public and then being labeled as the evil empire. More recently, he chronicles conflicts with the government, traditional media, traditional advertising, publishers and China. He leaves with Google at a crossroads of mat (...read more)
from eHealth
New(est) Media Will Ruin Society/Children/Intelligence
posted on 21 Feb 2010The most recent episode of On the Media1 alerted me to this piece by Dr. Vaughan Bell in Slate.2
Bell writes:
Worries about information overload are as old as information itself, with each generation reimagining the dangerous impacts of technology on mind and brain. From a historical perspective, what strikes home is not the evolution of these social concerns, but their similarity from one century to the next, to the point where they arrive anew with little having changed except the label.
This is very entertaining stuff. Bell links to this article from the Journal of the History of Ideas (...read more)
from davidrothman.net
Review of Chasing Medical Miracles
posted on 21 Feb 2010The subtitle of this 2009 book by Alex O’Meara is “The Promise and Perils of Clinical Trials.” O’Meara combines this personal experience of a clinical trial using stem cells for Type I Diabetes. He reviews the risky world of clinical trials beginning with large for-profit research centers who recruit healthy volunteers and stories of the volunteers who participate for a living or to suppl (...read more)
from eHealth
How to: Add a Free Medical Dictionary to Word 2003/2007
posted on 21 Feb 2010Got an email from a friend the other day:
“I wonder if you have found a free add-on for Word 2003 that includes medical terms in the spell check feature and is secure enough for me to recommend to my users at the hospital?”
This is such a great question and something that has come up at my place of work previously. Out of the box, Microsoft Office Word doesn’t recognize a whole lot of the specialized medical vocabulary that people at our hospital use every day (...read more)
from davidrothman.net
Adam Corson-Finnerty on the “death spiral” of Academic Libraries
posted on 16 Feb 2010A similarly interesting discussion of this post is taking place on FriendFeed.
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Feed-only Footer:
Have you checked out our book (...read more)
from davidrothman.net
Decision Tree and the Quantified Self
posted on 15 Feb 2010The article in Wired on Decision Trees and the new book also by Thomas Goetz has generated a greater interest in participatory medicine and quantifying one’s life and health.
The title of the first chapter says it all: Living by the Numbers – How alot of science and a little self awareness can give you control of your health.
Brian Ahier addresses these issues as well in his post on “Data Not Drugs: Taking Control of Your Health in the Age of Genetics. (...read more)
from eHealth
Big Pharma in your iPhone and Nintendo
posted on 13 Feb 2010From The Independant: Medicines not working? There’s an app for that
(Is anyone else completely done with the “There’s an app for that” meme?)
Novartis, for example, signed a $24 million (£15.3 million) deal last month with US-based Proteus Biomedical to create “smart pills” that can transmit data from inside t (...read more)
from davidrothman.net
Ben Goldacre Explains the Placebo Effect
posted on 12 Feb 2010[EDIT]
I did NOT mean to post the same video with the same post title a day after Nikki did.
[/EDIT]
Ever have a hard time explaining the placebo effect? Let Dr. Ben Goldacre do it for you in this video from the NHS:
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Feed-only Footer:
I still think it is a huge waste of resources for a library to invest any time or money in a Second Life presence.
(...read more)
from davidrothman.net
Yet Another Reason to Love the NLM: Emergency Access Initiative
posted on 9 Feb 2010I just caught up and noticed this…and think it is brilliant.
The Emergency Access Initiative (EAI) is a partnership of the National Library of Medicine, the National Network of Libraries of Medicine, and the Professional/Scholarly Publishing Division of the Association of American Publishers. EAI provides free access to full text articles from major biomedicine titles to healthcare professionals, librarians, an (...read more)
from davidrothman.net
USDA and Social Media
posted on 9 Feb 2010In my previous post about social media endeavors at the CDC and HHS, I should also have mentioned the United States Department of Agriculture.1

Are there other government agencies (related to health and/or healthcare) with social media projects I haven’t noticed yet? Please let me know in the comments?
1 (...read more)
from davidrothman.net
Join The SeeClickFix Challenge on the Smarter Cities Scan
posted on 8 Feb 2010pstrongbr/strongstrong /strong/p pa bitly=BITLY_PROCESSED href=http://www.seeclickfix.com target=_blankSeeClickFix/a empowers residents to actively care for and improve their neighborhoods. brbrimg src=http://seeclickfix.com/images/fp_images/scf_logo_fp.gif width=300 height=90/p pstrongWelcome to the SeeClickFix Challenge: Feb 8-21 on the a bitly=BITLY_PROCESSED href=http://smartercities.tumblr.com target=_blankSmarter Cities Scan/abr/strong/p pSmarter Cities asked if this great new service wa (...read more)
from HealthNex
Medpedia adds Clinical Trials
posted on 3 Feb 2010Medpedia continues to add vetted health information. In addition to health topics in a Wikipedia style, they had added news and RSS feed from blogs (including this one). Now they have developed integration with ClinicalTrials.gov. The unique approach they are promoting is linking from articles to related clinical trials. I tried this for myself and was able to find that it worked particularly well for some terms like “diabetes.” Also, the search function (...read more)
from eHealth
PHRs, EHRs and Social Media – Where are We Headed?
posted on 2 Feb 2010Two coincidental articles were published today. First, in iHealthBeat, John Moore and Matthew Holt talk about why ”Consumers Not Ready for Do-It-Yourself PHRs.” In response to the decision by Revolution Health to discontinue their PHR, the experts comment that “the direct-to-consumer market for PHRs just doesn’t work.” But they say th (...read more)
from eHealth
Models of Care: Can They be Copied?
posted on 28 Jan 2010Can good models of efficient care be emulated in other hospitals. Much has be touted about the Mayo Clinic, Cleveland Clinic and others. The lower costs of these models has been documented. See the Dartmouth Health Atlas report on chronic care (see table on page 9).
In a video on Huffington Post Video last month, the interview at the Cleveland Clinic about the successful EMR still questions whet (...read more)
from eHealth
Medicine: Cottage Industry or Post-Industrial Care Process?
posted on 21 Jan 2010In the New England Journal of Medicine this week there is a health care reform piece titled, “Cottage Industry to Postindustrial Care — The Revolution in Health Care Delivery.” The article, by leaders in health care quality, raises significant questions about the problems in health care delivery and a path to a solution through “standardization of value-generating processes, performance measurement, a (...read more)
from eHealth
Workshop - Medical Devices
posted on 20 Jan 2010(...read more)
from Drupal blogs
Major Robert Wood Johnson Foundation Report on PHRs
posted on 19 Jan 2010The Robert Wood Johnson Foundation has published an 7 chapter online book about Personal Health Records. The book is a great summary of the current state of PHRs as well as initiatives promoted by Project Health Design. Chapters are:
Chapter 1: Personal Health Records 101
Chapter 2: Project HealthDesign and the Next Generation of Personal Health Records (...read more)
from eHealth
“Lord of the Rings” meets Smarter Healthcare | A Smarter Planet Blog
posted on 12 Jan 2010a title=“Lord of the Rings” meets Smarter Healthcare | A Smarter Planet Blog href=http://asmarterplanet.com/blog/2009/12/lord-of-the-rings-meets-smarter-healthcare.html?sms_ss=typepad“Lord of the Rings” meets Smarter Healthcare | A Smarter Planet Blog/a.brbrdiv’s a bitly=BITLY_PROCESSED href=http://www.mirm.pitt.edu/ target=_blankMcGowan Institute for Regenerative Medicine/a, researchers are using IBM technology to open up new dimensions in biological modeling. With the help of an IB (...read more)
from HealthNex
AsthmaMD iPhone App Helps Asthma Sufferers, Gathers Aggregate Research Data
posted on 11 Jan 2010a title=A Smarter Planet href=http://smarterplanet.tumblr.com/post/328919393/asthmamd-iphone-app-helps-asthma-sufferersA Smarter Planet/a. blockquote cite=http://smarterplanet.tumblr.com/post/328919393/asthmamd-iphone-app-helps-asthma-sufferersspan%3A+Techcrunch+%28TechCrunch%29amp;utm_content=Google+Reader%. A new iPhone app called AsthmaMD, which was created by am Pejham (a doctor and researcher) and Salim Madjd, aims to help some of those sufferers. The application let’s them keep a diary (...read more)
from HealthNex
New Device Prints Human Tissue: Smarter Planet | Tumblr
posted on 29 Dec 2009a title=A Smarter Planet href=http://smarterplanet.tumblr.com/post/306539513/infoneernet-new-device-prints-human-tissueA Smarter Planet/a. blockquote cite=http://smarterplanet.tumblr.com/post/306539513/infoneernet-new-device-prints-human-tissuespan%3A+Livesciencecom+%28LiveScience.com+Science+Headline+Feed%29“world’s first production model 3D bio-printer” to Organovo, developers of the proprietary NovoGen bioprinting technology. Organovo will in turn supply the devices to institutions inv (...read more)
from HealthNex


