What We Think

Trust Network Rollout: A New Approach To Rolling Out Clinical Information Systems

Trust Network Rollout: A New Approach To Rolling Out Clinical Information Systems

As a former healthcare CIO and longtime health consultant, I’ve been through my share of clinical information system rollouts.  A couple have gone well.  Most have gone okay.  A few have left scars. I’ve been reflecting on the successes and failures of these efforts, and what could have been done better.  In doing so, I’ve hit upon an idea that I think is really cool.  I wonder if you’d indulge me… Our traditional approach to implementing clinical information systems is geographic…

Read More Read More

Pharmacogenomics: The Future Of Prescribing?

Pharmacogenomics: The Future Of Prescribing?

Pharmacogenomics is the study of how genes affect a person’s response to drugs. This relatively new field combines pharmacology (the science of drugs) and genomics (the study of genes and their functions) to develop effective, safe medications and doses that will be tailored to a person’s genetic makeup. (U.S. National Library of Medicine)   It’s early days for pharmacogenomics, the study of how genes affect a person’s response to drugs.  Our understanding of how particular genes and sets of genes…

Read More Read More

Needle In A Haystack: How I Solved A 73 Year Old Family Mystery Using Genetic Genealogy

Needle In A Haystack: How I Solved A 73 Year Old Family Mystery Using Genetic Genealogy

I wrote this article primarily for myself.  It’s rather an epic tale, but it tells the story of how I set out to find my dad’s unknown father using a 73-year old rumour, the internet, a small serving of common sense and more than a little providence.  I trust that you’ll feel a sense of the drama and excitement that unfolded over the course of 18 months. It turns out that the echoes of our stories live on in our genes long…

Read More Read More

Why Digital Health Needs Standards And Health Informatics More Than Ever

Why Digital Health Needs Standards And Health Informatics More Than Ever

 As we deal with the inevitable rise in the number of locations in which our health information is stored, we must redouble our efforts in the fields of health informatics and standards.  It is only via these foundations that we will be able to share health information within and across organisational boundaries, confident that we have a common view of meaning (to the extent that is possible) that does everything to minimise the risks of harm caused by misunderstood or…

Read More Read More

What Exactly Is Digital Health?

What Exactly Is Digital Health?

So what exactly is Digital Health? The majority of people that I speak to still don’t really understand what Digital Health is, nor its potential implications.  Many people, particularly Government health departments are still using the term synonymously with eHealth, which shows a great misunderstanding of the potential power of Digital Health.  As I’ve said previously…   Digital Health gives us an opportunity that we’ve never had before – the chance to reach into the lives of almost every health consumer…

Read More Read More

Is Poor Diagnosis a Leading Cause of Inefficiency in the Health System?

Is Poor Diagnosis a Leading Cause of Inefficiency in the Health System?

Much of the load on the health system is the consequence of the poor performance of current diagnosis processes.  Of GPs who think that their instinct is better than it actually is.  Of wild stabs in the dark based on prejudice, assumption and the couple of questions that GPs have time to ask in a six minute appointment.  Yes, I know that some things are hard to diagnose.  But for God’s sake, we have to get better at this if our…

Read More Read More

Health Innovation at #WISH2016

Health Innovation at #WISH2016

This week I’m in Doha, Qatar, for the World Innovation Summit for Health (WISH) 2016.  I was fortunate enough to be invited to be part of the Lifeguard Health Networks team, presenting their solution as part of the Innovation Showcases. I’ve been to a lot of health conferences in my time, but I must say that I’m blown away by the calibre of delegates, the level of engagement and discussion, and the range of innovation that is on show.  From…

Read More Read More

Separating The Signal From The Noise – Finding Clinical Relevance In Consumer Health Data

Separating The Signal From The Noise – Finding Clinical Relevance In Consumer Health Data

In it’s unadulterated form, consumer health data is 99+% noise.  If we present it to health providers in this form, we’re going to very quickly turn them off the idea of gathering data from patients and caregivers.  Any who could blame them?  If Digital Health is going to add value to busy health providers, we need to separate the signal from the noise for them.   In the rush to gather vast amounts of data from consumer health devices and…

Read More Read More

The Dimensions of Clinical Data Quality

The Dimensions of Clinical Data Quality

As we move into the next phase of EMR / EHR maturity, these systems will increasingly shine a light on problems with a) the quality of data captured by health providers and b) the quality of care delivered.  Without a mechanism for measurement of clinical data quality we can’t start this conversation that we need to have.   Regular readers of this blog will be familiar with my views and focus on the role of data quality in the emerging…

Read More Read More