Posted by: AtlasMD

October 1, 2013

The Future of Big Data in Medicine Looks Bright

MIT Technology Review published an exciting article. Jeff Hammerbacher, a 30-year-old reputed as Facebook’s first data scientist, is working with The Mount Sinai Medical Center. He once said, “The best minds of my generation are thinking about how to make people click ads. That sucks.” But those days are over. He wants to engineer data to help doctors better predict the likelihood of illness and complications.

Hammerbacher will apply his insight acquired while working to target online advertisements. These data-crunching techniques will be used to help doctors and researchers suck in medical information and spit out predictions. The hospital believes this data, if analyzed properly, could cut the cost of health care.

Will Big Data Promote Results-Driven Medicine?
 Read more

Posted by: AtlasMD

September 30, 2013

EHR Study Finds Emergency Docs Click 4,000 Times In A 10-Hour Shift

The American Journal of Emergency Medicine conducted research and found that emergency doctors “spend significantly more time entering data into electronic health records than they do with patients.” The study concluded that “improved efficiency in data entry would allow emergency physicians to devote more time to patient care…”

According to the published paper, emergency physicians spent 43 percent of their time entering data on a given day. Only 28 percent of their time was spent directly interacting with patients. And, during a busy, 10-hour shift, total mouse clicks neared 4,000.

Here’s what the paper’s author, Robert Hill, M.D. from St. Luke’s University Health Network in Allentown, Pa., had to say:

“Emergency department physicians spend significantly more time entering data into electronic medical records than on any other activity, including direct patient care.”

He lists out factors that get in the way of efficient EHR usage, including operating system speed, server/mainframe responsiveness, typing skills, user-friendliness of system, interruptions, extent of training, opportunity to delegate tasks, and various environmental attributes. However, in his opinion, “Efficient use of the EMR system will increase physician productivity and hospital revenue.” We couldn’t agree more. If you agree with his thinking, too, you can tweet it right now.

READ FIERCE EMR’S COVERAGE OF THE STUDY HERE

Posted by: AtlasMD

September 25, 2013

One in Six EHR Users Wants to Switch

Healthcare Technology Online followed up on a poll conducted by Black Book Rankings. Looks like many providers are leaving their current EMR systems for web-based alternatives. That’s not much of a surprise, though. It only takes a mild reading of the social web’s pulse to know docs’ sentiments range from frustrated to complacent with regards to available software.

According to Healthcare Technology Online, “Healthcare providers have never had a ‘romantic’ relationship with EHRs. On the contrary, many physicians despise the technology. However, the HITECH Act and Meaningful Use (MU) incentives did create an environment of unprecedented EHR demand among the provider community. This initiative achieved the desired result of increasing EHR adoption, but it also created an artificial market for dozens of immature EHR products.”

READ MORE ABOUT THE BLACK BOOK RANKINGS POLL

Here are some noteworthy numbers that were extracted from the study:  Read more

Posted by: AtlasMD

September 25, 2013

LISTEN: Atlas MD Podcast, Ep. 9

LISTEN: Atlas MD Podcast, Ep. 9

A new installment of our podcast is live on iTunes. Obamacare is just a week away and the climate is already shifting. That said, we are working to better healthcare with a bipartisan approach, direct care. It’s this bottom up pressure that we believe will transform actual care.

First off, congrats to Dr. John and Dr. Henry who are busy running their new direct care practice in Pennsylvania. They are surprised to be doing the opposite of what most everyone else is doing. Ironically, it’s exactly what they always wanted to do: practice medicine.

LISTEN TO EPISODE 9 OF THE ATLAS MD PODCAST HERE

Drs. Josh and Doug answer more questions and concerns that have been brought up — Should you integrate health apps into your practice? How can doctors use this data effectively? Why is Josh such a fan of FitBit (it’s cool, connected and really helpful for starters)? Will medicine get to a point where docs can track diabetics’ A1c levels daily or weekly?

As always thanks for tuning in.

Also, Drs. Josh and Doug will be in St. Louis on Oct. 12 and 13 attending the first summit dedicated to direct primary care. Send them an email or tweet if you want to meet the docs in person.

Posted by: AtlasMD

September 24, 2013

Atlas MD On Expanding Your Direct Services

It’s Dr. Josh here. We had a doctor write us in response to our Atlas MD price listing recently. The doc asked,

What about X-rays, MRI, and emergency visits like broken bones?

Thank you for the question. We’ll gladly expand on how we negotiate for discounted services.

Read more

Posted by: AtlasMD

September 24, 2013

Crickets in the EMR audience…

Zackary Berger is a faculty member of the Johns Hopkins University School of Medicine. He contributed a new post to the Kevin MD blog (yes, we’re fans of Kevin, too!) because his institution recently switched from a home-grown EMR to EPIC, which as you know has been reputed to be an EPIC failure. Supposedly we’re reaching the “nexus” of electronic records and communication, a future where scientists and physicians and patients can give meaningful information and get meaningful insight in return.

Fact is, we think this future might remain for the time being just that, the future. That’s why we’re starting small, focusing our EMR on patients and docs having a meaningful electronic interaction. In time, this might lead to more paths of communication, and more meaning to be derived from digital data. The metaphor we use is this: imagine someone in a time predating the wheel, planning a system of stone roads. For now, maybe we should get the wheel spinning, and then see where we can go with it.

This complex highway of data and boxes and buttons might be a little premature. When Berger read an article by a colleague of his who is researching the use of these new EMRs he noticed something. Patients are given “access codes” in order to tap into the extraordinary benefits of these EMR programs. But guess how many people are actually activating them?

Only 20%. Hmmm, is that even a good number? Berger is wondering the same thing. We’re thinking it’s more like crickets in response to the big sell that is EPIC EMR, perhaps indicative of the disengaging reality of today’s EMRs.

READ ZACKARY BERGER’S NEW BLOG POST ON KEVIN MD

Posted by: AtlasMD

September 23, 2013

SUMMARY: Walgreens to Shift Health Plan for 160,000 Workers

Timothy W. Martin and Christopher Weaver published an article on The Wall Street Journal about an announcement that Walgreen Co. is making a sweeping policy change in light of approaching federal healthcare reform. “On Wednesday, the drugstore giant disclosed a plan to provide payments to eligible employees for the subsidized purchase of insurance starting in 2014. The plan will affect roughly 160,000 employees, and will require them to shop for coverage on a private health-insurance marketplace.”

So why the sudden change in policy?
Aside from rising healthcare costs (the complex causes were speedily explained by John Green in his Vlog Brothers video), the company cited “compliance-related expenses associated with the new law” as a reason for the switch.

Is this a trend?
 Read more

Posted by: AtlasMD

September 21, 2013

Year One Is Mission Critical For Your Direct Care Practice

Michael Tetreault of Direct Primary Care Journal ran a survey suggesting that 10% of direct care practices close up shop after the first year. As with any business the first year is extremely important, and a place where bankruptcy can halt any future plans.

So how can you make it through this phase, recruit patients and bring in a healthy revenue stream? DPCJ offers 7 key steps including the importance of face-time, location planning, minimizing expenses everywhere you can, and pre-planning for emergencies. We’ll stress one of their steps in particular — determining your business model and sticking with the plan. Figure out where your revenue is coming from and how you’re going to achieve that. How many patients do you need to recruit every month to stay afloat through year one? How are you going to market your practice? How well do you know you offerings so you can sell without coming across like you’re selling used cars?

CHECK OUT 7 STEPS TOWARDS DIRECT CARE SUCCESS IN YEAR ONE

We encourage docs to work with our new EMR, Atlas.md. It’s built specifically to help doctors easily collect monthly revenue and not get burnt out trying to do bookkeeping. We also encourage docs ready to take the first step to send us an email and give us a call. We’re more than happy to counsel any doc through the transition, the first year of operation, and beyond. Direct care is small, but we’re gaining recognition. And it’s only going to keep up the momentum if we work together.

Posted by: AtlasMD

September 19, 2013

An Ex-Google Health Product Manager Talks About What’s Next in Health Data

Missy-Krasner-Smiling-Small-3.1.2012AMissy Krasner was brought on to Google Health in April of 2006 — a time she calls “pre-social, pre-quantified-self and pre-internet-of-things.” Google was trying to create a central repository for consumers to collect and store their health records, and they wanted to make the APIs available for developers so they could integrate this data into their own applications. She might have been too early in the game, because Google Health rolled up shop. But Krasner is now entrepreneur-in-residence at Morgenthaler Ventures and a startup mentor. She has a lot to say about health data and its potential benefits.

Krasner says newer PHRs are getting business if they have amazing (user interfaces) — if they’re beautiful, if they have companion user apps, and they’re social. Companies don’t just say “we want to structure your data; now we want to connect you with other people who have your same illness, if you’re comfortable with that.” Leave it someone at the top of the tech industry to remind us that big companies are expecting more from technology (in opposition of that stagnant acceptance of archaic EMR still bogging down countless docs).

SEE WHAT’S NEXT IN PHR ACCORDING TO MISSY KRASNER

We’re not scaled at the level of Google, but we are on board with this type of agile thinking. That’s why we’re working to integrate FitBit into our Atlas.md EMR software. This will be the first PHR that our EMR communicates with. From there we’ll continue to iterate our software to communicate with other PHR over time, specifically ones that patients find helpful and trust using. The goal here is to facilitate healthier decisions for patients and help doctors understand what their patients habits are, and what can be done to improve their health.

Photo of Missy Krasner courtesy of Morgenthaler.com

Posted by: AtlasMD

September 18, 2013

A Day In The Life Of A Click-Happy EMR

We almost titled this post, A Day In The Morning…, because in Dr. Fred N. Pelzman’s case, he has to click through 50 meaningless fields and CTRL + ALT + DEL things, before he’s even gotten his morning coffee. Then there were the 12 arbitrary nutrition prompts that were finally whittled down to one semi-helpful question. Of course, skipping this portion required additional clicks. And don’t forget the auto-scheduling of colonoscopies ten years down the road, regardless of the fact that some patients needed a screening one, two, or five years later instead. But Pelzman describes his daily EMR experience as useful, like mashing clay in a pot with a stick and plotting patient data in cuneiform and then translating it back to English with pen and paper. Ouch. Seriously, doctor, we feel for you. We prefer our mornings meaningful, and useful, not meaningfully useless.

READ ABOUT DR. PELZMAN’S EMR EXPERIENCE ON KEVIN MD

And we agree completely. Patient care has nothing to do with how many times we click on something, how many different boxes we hastily fill out. But the way most EMR are designed nowadays, you’d think otherwise.