MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'disruptive technology'. Sat, 03 Sep 2011 02:39:22 +0100 http://www.medworm.com/index.php?rid=5169596&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F08%2F27%2Fbook-review-the-googlization-of-everything%2F In conclusion, the author proposes a bold new project, The Human Knowledge Project, which appeals to the need to have more public control over knowledge through libraries and democratic processes rather than commercial interests. One might agree with him since the recent demise of Google Health. If Google Books are not profitable in 5-10 years, will this project also be abandoned leaving the legacy of digitalized books behind? Yet much of the books skepticism about Google and fears are overdrawn. Perhaps Google’s service to higher education through Gmail and other services will help it keep a commitment to educational and knowledge resources in the future. This book by Siva Vaidhyanathan has the provocative subtitle “And why we should worry”, which defines the subtext o... eHealth blogs http://www.medworm.com/rss/comments.php?id=5169596 Sat, 27 Aug 2011 14:19:43 +0100 5169596 http://www.medworm.com/index.php?rid=5139935&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F08%2F18%2Fmore-on-health-apps%2F The Mobile Health LaunchPad will be announce winners who will pitch their products on September 19. They want apps that are more than content, in an early stage and ones that can actualize utilize capital. The Blue Button initiative from the VA  will award $50,000 for a non’government provider to add the Blue Button on a PHR website or create a PHR with one. The blue button is a function to allow patients to download their medical records. Submissions open until Oct. 19th. The Cleveland Clinic announced a incubator for Health Care Apps. This according to according to Scott Linabarger, the Clinic’s director of Internet marketing, speaking at the World Congress Leadership Summit on mHealth. Jen McCabe is making news with combine HealthMonth and Contagion Health to make a new com... eHealth blogs http://www.medworm.com/rss/comments.php?id=5139935 Fri, 19 Aug 2011 02:32:59 +0100 5139935 http://www.medworm.com/index.php?rid=5028538&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F07%2F13%2Fhealth-app-development-and-innovation%2F Two quick notes: HHS kicks off $5M ‘i2′ Health IT app development program – contracts awarded for this, more innovation opportunities looking to: Allow an individual to securely and effectively share health information with members of his or her social network. Provide patients, caregivers and/or clinicians access to rigorous and relevant information that can support real needs and immediate decisions. Allow individuals to connect during natural disasters and other periods of emergency. Facilitate exchange of health information while allowing individuals to customize the privacy allowances for their personal health records. Also announced, the Cleveland Clinic Medical Pavilion on Innocentive and the first challenge posted. (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=5028538 Thu, 14 Jul 2011 02:54:52 +0100 5028538 http://www.medworm.com/index.php?rid=4968634&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F06%2F23%2Fcan-social-media-save-lives%2F This provocative title of a webinar to be held next week is part of the growing optimism about the potential for social media in the process of health care. Some recent examples come to mind: Report from the Change Foundation in Toronto on Using social media to improve the quality of patient experience (I was on the advisory board for this report) An App that Looks for Signs of Sickness – Mobile-phone activity can provide a warning of disease flare-ups. Community Health Data Initiative – more on this later Case Study: Radboud Hospital Supports Young Cancer Patients With An Online Community We are witnessing a shift from social media for pure marketing toward engagement and beyond, to changing the care process. (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=4968634 Fri, 24 Jun 2011 02:58:56 +0100 4968634 http://www.medworm.com/index.php?rid=4934439&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F06%2F16%2Finnovation-opportunities-abound%2F A new conference has been announced by the NIH: Crowdsourcing: The Art and Science of Open Innovation. Speakers incude Tim O’Reilly and ” will focus on the key aspects of this new approach that include: how to identify problems that can be solved through open innovation; how to communicate a scientific problem across disciplines.” Another open innovation opportunity has been recently announced called Merit Awards which is offering $50,000 on the topics of citizen engagement, defense, emergency response, entitlement reform, work force management and motivation, back office operations, results achievement and waste. Another opportunity is a developer community called TopCoder “revolutionizing the software design and development process by tapping in to our unlimited g... eHealth blogs http://www.medworm.com/rss/comments.php?id=4934439 Fri, 17 Jun 2011 02:36:39 +0100 4934439 http://www.medworm.com/index.php?rid=4862664&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F05%2F25%2Fmore-on-innovation-the-need-for-actionable-ideas%2F An excellent post on Venture Valkyrie discusses why Innovation is not enough in healthcare. The author views that “there is no doubt that innovation is necessary to respond to the challenges of our current healthcare system”  while “over-breeding of ideas that are innovative but not actionable.” It is important to consider innovation not just a good in itself, especially in healthcare where we are trying to impact personal health, as only good if it leads to real change. Some innovation will always fail, so the encouragement toward innovation should not have barriers that are too high, but realistic evaluation of these ideas, testing their viability, needs to occur. Another note on innovation comes from the site udemy, a site which enables the creation of courses. ... eHealth blogs http://www.medworm.com/rss/comments.php?id=4862664 Thu, 26 May 2011 00:52:52 +0100 4862664 http://www.medworm.com/index.php?rid=4841656&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F05%2F18%2Fpromoting-healthcare-innovation-through-challenges%2F Innovation in healthcare is now pervasive.  To continue the wave of innovation, hospitals can now earn new incentives based on competitions. These are government-sponsored, industry-sponsored challenges, and even have the potential for becoming business ventures. Here are some competitions hospitals can enter to help expand industry innovation: Health Challenges at Challenge.gov – These include video challenges, National Library of Medicine apps, Flu apps and more. Many offer monetary rewards. Health 2.0 Developer Challenge – Developed by the Health 2.0 Conference folks, this includes online challenges and live competitions including a Code-a-Thon which most recently occurred in February A Code-a-Thon is a day long competition to build an application. Winners... eHealth blogs http://www.medworm.com/rss/comments.php?id=4841656 Wed, 18 May 2011 20:06:14 +0100 4841656 http://www.medworm.com/index.php?rid=4734260&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F04%2F19%2Fbook-review-data-source-handbook%2F This new book from O’Reilly Media, written by a former Apple engineer, Pete Warden, is a catalog of code for connecting to publicly available APIs for all kinds of sites. It shows data sources by websites (whois, delicious), people by email (Amazon, FriendFeed), people by name (white pages, LinkedIn), search terms (Bing, Google), location (Google geocoding, US census), companies, IP addresses, books, films, music, products. The brief reviews and code for each source includes those which use REST/JSON, YQL and other languages. Overall the book is a very practical guide for programmers wanting to integrate public data into their websites or creating mashups. However, the book lacks any data sources related to health although many existing on the web from PubMed to ClinicalTrials.gov. ... eHealth blogs http://www.medworm.com/rss/comments.php?id=4734260 Wed, 20 Apr 2011 00:53:02 +0100 4734260 http://www.medworm.com/index.php?rid=4684479&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F04%2F07%2Ftedxmaastricht-technology-and-participatory-hope%2F April 4 in Maastricht, Netherlands, was an event full of optimism but not simply about how technology can transform healthcare.  Lucien Engelen envisioned this conference as about health, not healthcare and full participation by the patient as an equal partner. To what extent was this accomplished? The answer is in much of what was said: - health as homeostasis rather than disease and cure - you can’t outsource your health - inforgs -by Luciano Floridi - society has seen the separation passion and profitability - in education ere are too many questions for faculty to answer, students must be full participants - use of a flight simulator as a safety team building tool - add travel history to your personal health record - singularity – artificial intelligence, nanotechnology, i... eHealth blogs http://www.medworm.com/rss/comments.php?id=4684479 Thu, 07 Apr 2011 14:06:41 +0100 4684479 http://www.medworm.com/index.php?rid=4670193&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F04%2F01%2Ftedx-maastricht-the-future-of-medicine%2F In anticipation of the International event on April 4, I wanted to share some links. Although many conferences which claim to be futurist meccas for healthcare, this one is bringing together a group of people including a very strong patient perspective which all are thinking innovation. Also, it is completely full and is being simulcasted to several countries. Website, speakers Some of the attendees via a tool which exploits LinkedIn mashup on VPRO Simulcast schedule – I am being interviewed at 11:15 local time Follow tweets at #tedxmaastricht (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=4670193 Fri, 01 Apr 2011 19:17:06 +0100 4670193 http://www.medworm.com/index.php?rid=4622324&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F03%2F22%2Fhearing-atul-gawande-speak-about-checklists-and-health-policy%2F Atul Gawande Just returned from live tweeting of Atul Gawande at Cleveland Clinic Ideas and full of quotes and ideas. For instance, the evidence is building for use of checklists showing significant reduction in mortality and complications so that he states that if there was a drug that showed this kind of effect it would be adopted immediately, even faster than Viagra. Gawande also discussed two of his well known New Yorker articles: The Cost Conundrum - What a Texas town can teach us about health care The Hot Spotters: Can we lower medical costs by giving the neediest patients better care? In the end, he challenged the audience and the country to find one hospital which could reduce costs while not causing harm to set a model. He predicted that in the coming hospital wars, the ones w... eHealth blogs http://www.medworm.com/rss/comments.php?id=4622324 Wed, 23 Mar 2011 00:50:26 +0100 4622324 http://www.medworm.com/index.php?rid=4577940&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F03%2F12%2Freport-from-amia-all-diseases-will-become-orphan%2F The first speaker I heard at the American Medical Informatics Joint Summit was Kenneth Buetow from the National Cancer Institute. In his typical provocative manner, he challenged the audience on the transition day from the Translational Bioinformatics to the Clinical Research Informatics Summits.  He began with promoting the P4 Medicine as the new model for healthcare: personalized, predictive, preemptive, participatory. Although throughout the conference little was articulated on the participatory aspects with one exception. More on that later. Buetow talked about defining cancer on the molecular level and the challenge of the exponential number of patients required to do genetic screening for a single disease. He referred to Pharma 3.0 from the Ernst and Young report on Progressions 20... eHealth blogs http://www.medworm.com/rss/comments.php?id=4577940 Sat, 12 Mar 2011 07:18:27 +0100 4577940 http://www.medworm.com/index.php?rid=4527785&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F02%2F27%2Fsocial-media-at-himss%2F Meet the Bloggers: Provider EditionI had the privilege to present three times at HIMSS11  on social media, twice at the social media center and twice on panels. My presentation at the social media center, Social Media in Health IT: Rapid Dissemination and Collaboration was brief but well received. A Social Media Panel | Provider Edition: with David Kibbe and  John Marzano was moderated by Rich Elmore was a great opportunity to interact and compare notes on social media and blogging. It was recorded - The Meeting the Bloggers panel on Wednesday was well attended and worked well. The talented panel included @ahier @cthielst @microsoftmd @dleyva08 . We received a very positive review by iMedExchange titled “To Blog or Not to Blog.” Thanks to Ceasar Torres and his team wh... eHealth blogs http://www.medworm.com/rss/comments.php?id=4527785 Mon, 28 Feb 2011 02:36:15 +0100 4527785 http://www.medworm.com/index.php?rid=4507387&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F02%2F21%2Ffirst-day-at-himss-11%2F The two highlights of my day were the HIT X.O track and the Social Media Center. HIT X.O: Beyond the Edge is a new track to predict and discuss the future of Health IT. Beginning with a presentation of the dozens of statistics and predictions on the future of wireless and ended with the Geeks Got Talent brief demos and judges going at it. The multimedia experience was unique as was the live tweets at the bottom of the dual screens. The next stage of the competition continues tomorrow. The social media center is expanded this year, with an afternoon of presentations. I was glad to be on a panel with Rich Elmore, David Kibbe and John Marzano this afternoon.  John’s Orlando Health Facebook page and complimentary YouTube channel are a great example of what hospitals can do with social m... eHealth blogs http://www.medworm.com/rss/comments.php?id=4507387 Tue, 22 Feb 2011 03:10:52 +0100 4507387 http://www.medworm.com/index.php?rid=4472992&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F02%2F13%2Fon-the-bookshelf%2F While I read The Myths of Innovation as an eBook, my next three are all paperbacks: Reading in the Brain: The New Science of How We Read by Stanislas Dehaene Innovation and Entrepreneurship in the Healthcare Sector: From Idea to Funding to Launch by Luis G. Pareras, MD Keys to EMR/EHR Success: Selecting and Implementing an Electronic Medical Record by Ronald B. Sterling. The last two are Greenbranch Publishing. Watch for book reviews in the near future. (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=4472992 Mon, 14 Feb 2011 01:09:09 +0100 4472992 http://www.medworm.com/index.php?rid=4470456&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F02%2F11%2Finnovation-and-social-media-at-himss%2F HIMSS emphasis on social media has grown every year. From a humble meeting of bloggers at a bar several years ago, to a social media center on the exhibit floor this year. Quite a change. I have the privilege of presenting 3 times at the social media center – providers panel on Monday, a solo presentation,   Social Media in Health IT—Rapid Dissemination and Collaboration, and a meet the bloggers on Wednesday another Meet the Bloggers panel. Plan to join the tweet-up as well and tweet throughout using the #HIMSS11 hash tag. On the innovation front, I helped plan the HIT X.O track which is new to HIMSS this year. Thinking from the future will stretch everyone’s thinking. Covering everything from futuristic mobile apps to personalize medicine in the next 10 years and military... eHealth blogs http://www.medworm.com/rss/comments.php?id=4470456 Sat, 12 Feb 2011 04:02:47 +0100 4470456 http://www.medworm.com/index.php?rid=4225409&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F12%2F02%2F1165%2F As a follow up to the recent article on the Cleveland Clinic Chronic Kidney Disease Registry, there is now an accompanying editorial by William Hersch of Oregon Health Sciences University titled: Electronic Health Records Facilitate Development of Disease Registries and More.  He states, “Their study shows that the quality of data in the registry is comparable to that of the data that would come from a much more labor-intensive and expensive process of human abstraction. This registry will be used for quality improvement, clinical research, and other important tasks. ” He also makes good points about the importance of CPOE in the process as well as the benefits of secondary use or “reuse” of data. (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=4225409 Fri, 03 Dec 2010 02:27:31 +0100 4225409 http://www.medworm.com/index.php?rid=4151938&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F11%2F08%2Femr-article-gets-positive-press%2F The article I coauthored in the Clinical Journal of the American Society of Nephrology, Development and Validation of an Electronic Health Record–Based Chronic Kidney Disease Registry,  received a nice press release from the American Society of Nephrology which was picked up by both medical and health IT news sources: Medscape: CKD Registry Could Help Physicians Improve Patient Care Healthcare IT News: EHR-based registry could transform chronic kidney disease care Healthcare Informatics: ??????Study: Kidney Disease Registry Could Help Patient Care Blogs: Science Centric: Health registry could transform chronic kidney disease care Drugs-Expert: Chronic Kidney Disease Care Could be Transformed by Health Registry I think that this registry is a model for others which utilize EMR data t... eHealth blogs http://www.medworm.com/rss/comments.php?id=4151938 Tue, 09 Nov 2010 04:01:39 +0100 4151938 http://www.medworm.com/index.php?rid=3999072&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F09%2F23%2Fimpact-of-accelerating-technologies%2F Singularity University is teaching the importance of accelerating technologies. It is teaching its students “to take advantage of exponential growth trends in order to create global change.” Salim Ismail, CEO of SU points out that many startups turn into billion dollar businesses in ever shortening time frames, sometimes as little as two years. And he says that many of the technologies we are learning today will be outdated by the time they are completed. How will we manage this accelerated growth in technology? Is there anyway to keep abreast of it? Will only rapid development approaches be successful in the near term? What about legacy systems (like many EMRs) which take years to upgrade? Maybe events like the upcoming Health 2.o Hackathon will be the real future of healthcar... eHealth blogs http://www.medworm.com/rss/comments.php?id=3999072 Fri, 24 Sep 2010 02:47:32 +0100 3999072 http://www.medworm.com/index.php?rid=3683713&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F06%2F21%2Fdeclining-marginal-returns-of-complexity%2F Just completed the book The Collapse of Complex Societies by Joseph Tainter, an archeologist. The focus of the book is on civilizations like the Roman Empire and the Mayas but it made me wonder about the complexity of health care and whether we are at the point of declining marginal returns.  It is apparent from the health care reform experience that competing stakeholders make any attempt at reform a complex and nearly impossible process. Clay Shirky wrote a blog post in April on The Collapse of Complex Business Models. Just like societies which become too complex to respond to major stressors.  While I am not predicting the collapse of health care in the US but one must wonder whether some of the complexity could be simplified by the experience of other countries, such as, single payer... eHealth blogs http://www.medworm.com/rss/comments.php?id=3683713 Tue, 22 Jun 2010 02:53:40 +0100 3683713 http://www.medworm.com/index.php?rid=3595679&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F05%2F24%2Ftechnology-and-the-future-of-chronic-care%2F Accenture has published a report on “Connected How Technology Will Transform the Future of Chronic Care.” From the Accenture Innovation Center for Health, a good source for research white papers. The paper reports that “a broad range of consumer health electronics at home, a two-way, direct-to-consumer infrastructure” and smart devices which set the stage for health care connectivity. Analytics and predictive modeling provide a second layer and visualization, decision support and collaboration provide the third. Connect health examples include the HealthVault and Cleveland Clinic home monitoring pilot and a remote monitoring trial by the VA system. There is no doubt that the convergence of technologies have the potential for revolutionizing chronic care, however... eHealth blogs http://www.medworm.com/rss/comments.php?id=3595679 Tue, 25 May 2010 02:01:52 +0100 3595679 http://www.medworm.com/index.php?rid=3564065&cid=t_164101_113_f&fid=36671&url=http%3A%2F%2Fopen.medicdrive.org%2Fblog%2F2010%2F05%2F13%2Fmedical-devices-and-disruptive-technologies%2F Thomas L.Friedman author of the bestselling book “The World Is Flat: A Brief History of the Twenty-First Century” in a recent open-ed piece in New York Times, writes about a new breed of very lean start-up, where the principals are rarely in the same office at the same time, and which takes advantage of all [...] (Source: Constructive Medicine 2.0) Constructive Medicine 2.0 blogs http://www.medworm.com/rss/comments.php?id=3564065 Thu, 13 May 2010 22:24:21 +0100 3564065 http://www.medworm.com/index.php?rid=3436308&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F04%2F03%2Fhospital-as-software-service-providers%2F In an article on HealthLeaders, how health systems can provide an EMR via Software as a Service (SaaS) is presented. Five requirements are noted: Make HIT a priority Be up-front about the risks Establish a dedicated team focused on outreach Decide what services you are truly capable of providing with this model Offer advice on infrastructure Cleveland Clinic is noted as an example. Dr. C. Martin Harris says, “”Success to me is that we are not just installing technology in an office to replace paper, but we are putting in technology that enables interoperability,” Of course, Cleveland Clinic provides other software to help hospitals and providers: explorys to utilize EMRs for research and discovery Intellis - business intelligence A PHR which connects to Google Health H... eHealth blogs http://www.medworm.com/rss/comments.php?id=3436308 Sun, 04 Apr 2010 01:50:56 +0100 3436308 http://www.medworm.com/index.php?rid=3424951&cid=t_164101_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F03%2F30%2Fremote-health-telepresence-demo%2F At the Gigabit Breakfast Club at Case Western Reserve University, there was a demo by a professor of medicine. How does Telepresence differ from traditional telehealth? Watch and see. Other presentations included: The Transformation Potential of Fiber for Smart and Connected Communities Remote Demonstration STEM class and Lab on campus video of endoscopic hydrocephalus surgery (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=3424951 Wed, 31 Mar 2010 02:10:53 +0100 3424951 http://www.medworm.com/index.php?rid=2788593&cid=t_164101_88_f&fid=38961&url=http%3A%2F%2Fquantavie.net%2F2009%2F09%2Fgood-enough-healthcare%2F The Good Enough Revolution: When Cheap and Simple Is Just Fine—Wired In the case of health care, the Good Enough mindset can be seen in a new initiative by Kaiser Permanente. The largest not-for-profit medical organization in the country, Kaiser has long relied on a simple strategy of building complete, self-sustaining hospitals—employing 50 doctors or more—in each region it serves. “It’s an efficient model,” says Michele Flanagin, Kaiser’s vice president of delivery systems strategy. “It offers one-stop shopping: pharmacy and radiology and everything you want from health care in one building.” But that approach forces patients who don’t live near a hospital to drive a long way for even the most routine doctor’s appointment. As it ... quanta vie blogs http://www.medworm.com/rss/comments.php?id=2788593 Mon, 07 Sep 2009 02:26:29 +0100 2788593 http://www.medworm.com/index.php?rid=1147424&cid=t_164101_107_f&fid=36698&url=http%3A%2F%2Fminingdrugs.blogspot.com%2F2007%2F11%2Fcommenting-on-grim-days-for-pharma.html via business|bytes|genes|moleculesBloomberg says that drug sales are forecast to grow at their slowest ever rate in 44 years. The WSJ reminds us that FDA approvals for NMEs are slow, and on a downward curve. Perhaps it’s time for the pharma industry to really think about Pharma FutorologySome of the consequences have been announced, and I think everybody hopes that those things will not happen every single year!Can innovation help us for making drug design a mission possible? If yes, what are potential key factors for success?Aligning scientists and goalsPutting scientists in the driver's seatGoal congruencePositive self-imageFair evaluation system for high-performing scientistIndustral cultures that foster innovationTake calculated risksOpenness and transparencyAdapt to constant changes... Mining Drug Space blogs http://www.medworm.com/rss/comments.php?id=1147424 Sat, 03 Nov 2007 01:35:00 +0100 1147424