The document discusses how medical informatics is transforming healthcare by increasing the availability of clinical information and data. It describes how information is shifting from being institutionally oriented and scarce to being personally oriented and abundant. It also discusses how this new ecosystem of information enables participatory medicine but can also lead to over-participation. The document advocates for using increased data and information to improve decisions making by experts, other stakeholders, and patients themselves.
Transition from allopathic to integrated medical practiceLouis Cady, MD
This is the keynote lecture of the series of three lectures that Dr. Cady presented to the World Link Medical seminar in Salt Lake City, Utah on June 1, 2012.
The National Council has played a leading role in advocating for policies and practices that break down barriers to integration and collaboration, developing clinical and business models that support seamless and comprehensive healthcare, and fostering collaborative opportunities. Advocating for funds to bring primary care services to behavioral health organizations has been a National Council legislative priority. We've also been active on the practice improvement front and have helped member organizations and their primary care partners overcome clinical, cultural, and communication barriers to collaboratively provide comprehensive healthcare.
Case Study "Big Data, Little Data: Value and Transformation stemming from KP's HIT"
Learning Objectives:
∙ Learn about KP's investment in the EHR and its transformative value
∙ Learn how data and access to information has impacted clinical operations, the patient experience and how we approach research
∙ Learn how this data is more patient centric and patient empowering
Transition from allopathic to integrated medical practiceLouis Cady, MD
This is the keynote lecture of the series of three lectures that Dr. Cady presented to the World Link Medical seminar in Salt Lake City, Utah on June 1, 2012.
The National Council has played a leading role in advocating for policies and practices that break down barriers to integration and collaboration, developing clinical and business models that support seamless and comprehensive healthcare, and fostering collaborative opportunities. Advocating for funds to bring primary care services to behavioral health organizations has been a National Council legislative priority. We've also been active on the practice improvement front and have helped member organizations and their primary care partners overcome clinical, cultural, and communication barriers to collaboratively provide comprehensive healthcare.
Case Study "Big Data, Little Data: Value and Transformation stemming from KP's HIT"
Learning Objectives:
∙ Learn about KP's investment in the EHR and its transformative value
∙ Learn how data and access to information has impacted clinical operations, the patient experience and how we approach research
∙ Learn how this data is more patient centric and patient empowering
The Top Skills That Can Get You Hired in 2017LinkedIn
We analyzed all the recruiting activity on LinkedIn this year and identified the Top Skills employers seek. Starting Oct 24, learn these skills and much more for free during the Week of Learning.
#AlwaysBeLearning https://learning.linkedin.com/week-of-learning
Joshua Rubin's presentation for the Lilly sponsored AMIA Clinical Decision Support Working Group on August 25, 2015.
https://www.amia.org/education/webinars/learning-health-system-informing-clinical-decisions-learning-every-patient-every
Pharmanex HCP presentation, Provo, Utah 03 Louis Cady, MD
This is the slightly trimmed version of "The Gathering Storm, The Breaking Dawn" talk I previously gave in California, dealing with the failing financial and physical health of the American public (other than the much talked about "1%") as well as the medical care system which is in danger of imploding. The Pharmanex Biophotonic scanner, its validation, and the rationale behind the LifePak supplement line is reviewed.
1 a transition from allopathic to integrated medical practiceLouis Cady, MD
Update on Dr. Cady's presentation on transition from conventional allopathic to functional and integrated practice. Current state of medicine, socio-economic variables, and demographics reviewed. Mental posture toward how you want to practice reviewed. Presented 8/17/2012 in Salt Lake City for CME lecture of World Link Medical
Presentation "The Impact of All Data on Healthcare"
Keith Perry
Associate VP & Deputy CIO
UT MD Anderson Cancer Center
With continuing advancement in both technology and medicine, the drive is on to make all data meaningful to drive medical discovery and create actionable outcomes. With tools and capabilities to capture more data than ever before, the challenge becomes linking existing structured and unstructured clinical data with genomic data to increase the industry’s analytical footprint.
Learning Objectives:
∙ Discuss the need to make all data meaningful in order to speed discovery of new knowledge
∙ Provide examples of an analytical direction that supports evolution in medicine
∙ Expose the challenges facing the industry with respect to ~omits
Transition from allopathic to integrated modelLouis Cady, MD
Dr. Cady presented this presentation at the World Link Medical seminar in Salt Lake City, UT on January 27 for the 2012 Medical Seminar Series - Mastering the Protocols for Optimization of Hormone Replacement Therapy, Part 1. It will be presented twice more for World Link Medical in 2012.
The Top Skills That Can Get You Hired in 2017LinkedIn
We analyzed all the recruiting activity on LinkedIn this year and identified the Top Skills employers seek. Starting Oct 24, learn these skills and much more for free during the Week of Learning.
#AlwaysBeLearning https://learning.linkedin.com/week-of-learning
Joshua Rubin's presentation for the Lilly sponsored AMIA Clinical Decision Support Working Group on August 25, 2015.
https://www.amia.org/education/webinars/learning-health-system-informing-clinical-decisions-learning-every-patient-every
Pharmanex HCP presentation, Provo, Utah 03 Louis Cady, MD
This is the slightly trimmed version of "The Gathering Storm, The Breaking Dawn" talk I previously gave in California, dealing with the failing financial and physical health of the American public (other than the much talked about "1%") as well as the medical care system which is in danger of imploding. The Pharmanex Biophotonic scanner, its validation, and the rationale behind the LifePak supplement line is reviewed.
1 a transition from allopathic to integrated medical practiceLouis Cady, MD
Update on Dr. Cady's presentation on transition from conventional allopathic to functional and integrated practice. Current state of medicine, socio-economic variables, and demographics reviewed. Mental posture toward how you want to practice reviewed. Presented 8/17/2012 in Salt Lake City for CME lecture of World Link Medical
Presentation "The Impact of All Data on Healthcare"
Keith Perry
Associate VP & Deputy CIO
UT MD Anderson Cancer Center
With continuing advancement in both technology and medicine, the drive is on to make all data meaningful to drive medical discovery and create actionable outcomes. With tools and capabilities to capture more data than ever before, the challenge becomes linking existing structured and unstructured clinical data with genomic data to increase the industry’s analytical footprint.
Learning Objectives:
∙ Discuss the need to make all data meaningful in order to speed discovery of new knowledge
∙ Provide examples of an analytical direction that supports evolution in medicine
∙ Expose the challenges facing the industry with respect to ~omits
Transition from allopathic to integrated modelLouis Cady, MD
Dr. Cady presented this presentation at the World Link Medical seminar in Salt Lake City, UT on January 27 for the 2012 Medical Seminar Series - Mastering the Protocols for Optimization of Hormone Replacement Therapy, Part 1. It will be presented twice more for World Link Medical in 2012.
Can you teach an old doc new tricks? Techonomy Bio 2015W2O Group
Greg Matthews' presentation at the Techonomy Bio confernce 2015 in Mountain View, CA (http://techonomy.com/conf/bio15/). Introduces the context of the global health ecosystem.
Phillip Payne summarizes the key points of the CITIH 2011 Conference
Bridging Health IT & Innovation: Next steps in advancing healthcare through shared strengths and strategies.
More from The Ohio State University Wexner Medical Center (20)
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
1. The Future of Medical
Informatics: Follow the “W t
I f ti F ll th “Watsons”
”
CITIH 2011 National Summit OSU Medical Center
Columbus, OH April 18, 2011
Presented by:
y
Michael L. Millenson
The Mervin Shalowitz, MD Visiting Scholar
Kellogg School of Management &
President, Health Quality Advisors, LLC
mm@healthqualityadvisors.com
0
Health Quality Advisors LLC
2. The Challenge of Transformation
“Science and
Technology
revolutionize our Clinical Economic
lives, but memory,
tradition and myth
frame our
f
response.”
Cultural
--Arthur
--Arthur Schlesinger, Jr.
Jr
1
Health Quality Advisors LLC
3. The Difference Between
Revolution and Reform
“A reform is a correction of abuses.
A revolution i a t
l ti is transfer of power.”
f f ”
--Edward
--Edward George Earle Bulwer-Lytton
g Bulwer- y
2
Health Quality Advisors LLC
4. From Autonomy (Lucas Marsh*)…
“To the average human his
body is
b d i a great and sacred
t d d
mystery. And the man who
knows the riddle of that
mystery is a god. That's
what we are – gods. And
the thing that holds us
together as a group is our
realization of this.”
– Not As a Stranger (1954)
*Idealistic hero of best-selling novel and movie, being spoken to
by a cynical colleague
3
Health Quality Advisors LLC
5. …to Accountability (Clay Marsh*)
Marsh )
“[Personalized medicine is] the process of the
rapid creation of systems and technologies that
deliver better health outcomes at lower costs and
personalize care and empower users in a
sustainable way ”
way.
*Real-life idealistic director of the Center for Personalized
Health Care at The Ohio State University Medical Center
4
Health Quality Advisors LLC
6. The Yellow Brick Road to
InfoMedicine
(Follow the Watsons)
5
Health Quality Advisors LLC
7. Information to Improve Expert
Decisions
“The widespread use [of computers]...in
The
hospitals and physicians' offices will
instantaneously give a doctor or a nurse a
patient's entire medical history, eliminating both
guesswork and bad recollection, and sometimes
making a diff
ki difference b t
between lif and d th ”
life d death.”
--Thomas
--Thomas Watson, Jr., Chairman of IBM (1965)
6
Health Quality Advisors LLC
8. “Data for You, Doctor”
“Modern communications systems…with their limitless
potential for storage, retrieval and transmission, bring without
our grasp such benefits as a nationwide clearinghouse of
medical records and case histories, available to every
physician at the dial of a number or the touch of a button.” –
Boisfeuillet Jones, Dept. of HEW, 1962
“A doctor considering a patient's diagnosis could
use…technology…to rapidly consider all the related texts,
reference materials, prior cases, and latest knowledge in
j
journals and medical literature….This could help medical
p
professionals confidently determine the most likely diagnosis
and treatment options.” – IBM press release on its Watson
“Deep Question Answering” computer 2011
Deep Answering computer,
7
Health Quality Advisors LLC
9. Information to Improve All
Stakeholder Decisions
A value-based [health-care] system is grounded in
value- [health-
three simple principles:
1. Value for patients
2.
2 Care organized around conditions and cycles
3. Results measured
Michael Porter & Elizabeth Olmsted Teisberg Harvard
Teisberg,
Business School, Redefining Health Care (2007)
“In God we trust. All others bring data.”
--W.
--W. Edwards Deming, c. 1951
8
Health Quality Advisors LLC
10. Information Experts Share with
“Non-E
“Non
“N -Experts”
t ”
“The physician-patient partnership is…an
The physician-
intense collaboration between patient and
physician...[that is] informed by both the
medical facts and the physician's experience.”
--Timothy Quill
--Timothy Quill, MD and Howard Brody MD
Brody,
Annals of Internal Medicine
Dr. (John) Watson reads the news to
Sherlock Holmes in The Five Orange Pips
9
Health Quality Advisors LLC
11. Stage 1 Meaningful Use
“Data f Doctor, P ti t and System”
“D t for D t Patient dS t ”
10
Health Quality Advisors LLC
12. New Dimensions of Clinical
Information
I f ti
BIOMARKERS
J
Diagnosis
• Presence of disease or
identifying at-risk patients
at-
Staging of disease (severity)
Prognosis of disease (metastases)
Stratification of patients
• Responders/non-responders
Responders/non-
Monitoring/predicting toxicity
Monitoring therapeutic effect or
pharmacodynamic effect
James Watson c. 1957
Watson, c
11
Health Quality Advisors LLC
13. Clinical Information “Off the Grid
Off Grid”
Thomas A. Watson, co-
inventor of the telephone
12
Health Quality Advisors LLC
16. The Age of InfoMedicine
Clinical information to improve expert decisions
p p
Clinical and economic information given to other
stakeholders to influence expert decisions
Clinical information shared with patients
New dimensions of clinical information
Patient-
Patient-generated information shared with
experts (and not)
15
Health Quality Advisors LLC
17. A New Information Ecosystem
Industrial Age
g Information Age
g
Info was: Info is:
Scarce Abundant
Expensive Cheap
Institutionally oriented Personally oriented
P ll i t d
Designed for Designed for
consumption participation
Source: Pew Internet Project
16
Health Quality Advisors LLC
18. Participatory Medicine
“A movement in which networked patients shift
A
from being mere passengers to responsible
drivers of their health, and in which providers
encourage and value them as full partners.” –
Society for Participatory Medicine
“Physicians hold dim view of patients gathering
information on their own. Negative
consequences included more explaining and
unneeded interventions.” – FIMDM, 2008
17
Health Quality Advisors LLC
20. “Everyone clear on your role???
Ingredients: Data availability,
g y
accessibility, comparability,
storability, usability and relevance
Source: Wagner Care Model
19
Health Quality Advisors LLC
22. “Measure to Manage”
Patients Face a New Paradigm
Source: www.consumer-care.org
21
Health Quality Advisors LLC
23. “Doc, I’ve got back pain
Doc, I ve pain”
Source: Luckmann and Vidal, J Biomed Inf 2010
22
Health Quality Advisors LLC
24. New Expectations, New Rules
p ,
“Who measures, matters”
Consumer-driven/consumer-
Consumer-driven/consumer-centric quality
measures
Peer assessment
Payer-
Payer-driven measures
Regulators, accreditors, lawyers, entrepreneurs
“Power shifts”
Physician-
Physician-patient partnering: “new
new
professionalism”
Hospital-
Hospital-physician partnering: “a capital idea”
Analytics l
A l ti elevated and valued
t d d l d
Teamwork trumps individualism 23
Health Quality Advisors LLC
25. The Impact
“What’s sauce for the goose…”
• Clinical and financial accountability intertwine
• Employers/plans told to put money where mouth is
• Consumer autonomy encounters consumer
accountability
“Why can’t we all be friends?”
• Arguments about measures as granularity increases
• Arguments about roles
• Arg ments abo t mone
Arguments about money
Traditional health system organization collapses
“Disruptive innovation” is disruptive
Disruptive innovation
24
Health Quality Advisors LLC
26. The Promise and the Peril
“As a result of the information revolution, the
magic, mystery and power of the p
g , y y p profession
may be somewhat diminished, [but it] will
create unanticipated opportunities for
physicians to bolster the cognitive and moral
pillars of their professional identities.” – David
Blumenthal,
Blumenthal MD (2002)
“Technology is so much fun but we can drown in
our technology. The fog of information can drive
out knowledge.” – Daniel Boorstin
25
Health Quality Advisors LLC
27. As for the future
future,
your task is not to
foresee,
foresee but to
enable it.
it.
– Antoine de Saint
Exupery
