Medical Devices

A collection of 20  Posts

The connected EHR, cooperative med devices, and accountable tech are the future of health IT

Earlier this week I spoke at Atlanta Healthcare IT Leadership Summit on Accountable Care Organizations (ACOs) and what I call “accountable tech“. I was pleasantly surprised to learn most of the audience agreed that ACOs can’t succeed without the right technology but am continuously disappointed as to how little we as an industry are doing about it. Accountable tech is health IT that truly enables the slow but emerging move from fee for service (FFS) based payments to value-driven and outcomes based payments.

Now that Meaningful Use and ICD-10 are starting generate useful clinical data, it’s clear that electronic structured data in health and medicine is here to stay. One of the major missing pieces of the EHRs puzzle is direct integration of sensor-driven medical device data that can be used for both retrospective and prospective analysis. Many people believe that medical device data, like lab data, should be directly integrated into modern electronic health record solutions but that’s not happening as fast as many of us would like.

Last week I spoke at O’Reilly’s StrataRx Conference in Boston and like all O’Reilly events is was full of great content, terrific networking opportunities, and run with precision. My friend and O’Reilly editor Andy Oram wrote a great blog post summarizing the event and it’s worth reading: “Ticking all the boxes for a health care upgrade at Strata Rx – What is needed for successful reform of the health care system?

I first started using and mentoring developers on agile software development techniques like eXtreme Programming (XP) and Scrum over a decade ago. Often called “lightweight” methodologies, agile software development lifecycles have been generally misunderstood as lacking enough rigor and sophistication to be used in safety-critical systems. Many have erroneously assumed that Agile, Scrum, and related methodologies can’t really be implemented in risk-focused “important” industries like medical devices because they believe only classic waterfall will be accepted by the FDA.

_I’m a geek and proud of it — I love building software, launching new products, and am a fan of others that do it well. Recently I ran across the Berlin-based team from kenHub, a site focused on teaching anatomy online and helping medical students prepare for tests. I reached out to the team to ask them how they were differentiating themselves from the many other solutions available they said their goal was to simplify the process of learning using new didactic concepts to focus on memorizing and gamification elements to make it fun and engaging.

Productivity loss and workflow disruptions are commonplace as our industry gets on the Meaningful Use bandwagon and is starting to adopt EHR systems at a slightly more rapid pace than in previous years (things aren’t really as rosy as many think, but the pace is picking up). The reason we have productivity loss is that we focus changing the behaviors of our most expensive resources too early in our automation journeys – we go after doctors first.

I spent the past few days in Boston at the Harvard Medical School Conference Center speaking audiences at the Medical Device Connectivity Conference (I presented lectures on how to design next-generation medical devices and gateways). Many people that attended my lectures showed a great deal of trepidation when I brought up the fact that they should use open source software (OSS) to reduce cost and potentially increase the quality of their devices; the most common excuse I heard was that the regulatory compliance folks wouldn’t allow OSS or that the FDA would disapprove.

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