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Jacob
Dad, Husband, Family Physician
Recent Activity
I've spent two afternoons precepting with the residents recently. It's good to get back into clinical work - and after spending 3 years in Washington - separated by the Beltway from the real world - I've really felt the need... Continue reading
Posted Feb 7, 2016 at Docnotes
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It’s been a few months that I’ve been writing this. Well, not quite writing it. Crafting would be more like it. In my head. Over and over. Today I needed to write it. The waves of sadness we have felt... Continue reading
Posted Aug 18, 2015 at Docnotes
Dad's traverse is complete. He did it his own way. Of course. To be published in various newspapers .. ------- Arthur Elliot (Pete) Reider, MD ------ Arthur Elliot (Pete) Reider, MD, died peacefully at home in San Francisco of lymphoma... Continue reading
Posted Aug 16, 2015 at Docnotes
Lots of news/talk about ICD-10 these days. Most organizations are spending time and money training care providers on it. Software developers are busy implementing it - often by changing diagnosis selection search menus from ICD-9 to ICD-10. They're missing a... Continue reading
Posted Jul 23, 2015 at Docnotes
It’s hard to hear a pitch, listen to a speech, or read blogs without hearing/seeing a claim that some cool new thing is distruptive. Most innovations are sustaining innovations. Here’s a good checklist for whether something is a disruptive innovation... Continue reading
Posted Apr 22, 2015 at Docnotes
For the low-low price of $4500 (that's $500 per page) you can buy this 9 page report on how the athenahealth-BIDMC alignment is evidence that cloud-based information technology will form the basis of tomorrow's health IT solutions. Obviously, I've not... Continue reading
Posted Apr 1, 2015 at Docnotes
Vik and Al's post on THCB was e-mailed to me this AM with a request for a comment. My reply: I completely agree. And I completely disagree. I agree with Zeke (and the research he cites) that the "physical exam"... Continue reading
Reblogged Feb 15, 2015 at Docnotes
It’s time to stop calling them EHRs. Yes - we also need to stop calling them EMRs. In 2011, ONC discussed the difference between the two terms, but I think that conversation missed the point: whethere it’s “medical” or “health”... Continue reading
Posted Feb 9, 2015 at Docnotes
Thank you "meltoots" (not your real name? Why - as an eloquent critic - do you hide behind an alias?) and Mark. I love an engaging conversation. I've always done my best to make the choices that best aligned with the needs of the people, and have worked tirelessly toward that end - as have many many others. Did everything work out perfectly? No. Better? Good? Yes. I'd argue that it has. My comments - and those of my former colleague - are offered with passion and integrity. Smug? No. Far from it. We care deeply and are working incredibly hard to improve the health of a nation. I'll not debate here whether MU was an "over-reach" and whether we now have "a mess" or not. We did our best - and others in the government are currently doing THEIR best - and we all need to work together to understand what the best possible next steps are. AMA and the 33 other organizations are engaged and that is good. It's now time for us all to engage even MORE so that we can improve health for all. Mark, you eloquently (as usual) express how some components of the current state (and the resolutions to some of our problems) lie outside the scope of ONC and HHS. This is the point that I was trying to express in my review of AMA's letter. They're not wrong to bring up these issues - just barking up the wrong tree! Finally - I'll offer that I am absolutely "living the dream" as "meltoots" (not his/her real name) suggests, but it is not the Caribbean beach dream that is implicitly asserted. Both Farzad and I are - in different ways - living the dream of working 80 hour weeks, and taking on extraordinary personal risk - in order to help a nation find better health and better care at lower cost. Some of the "facts" you state are simply incorrect (far more than 6% of EPs are participating in MU 2) and you shouldn't assume that I will remain "not involved in direct patient care." I continued to see patients for much of my tenure at ONC, and will soon resume clinical work. Your attacks on our integrity represent your opinions - to which you are absolutely welcome. I'll admit that it saddens me a bit to think that someone actually believes that I am arrogant - implying that I don't care about the downstream impact of my work at ONC. The work of federal service is a balance between passion, vision and - yes - humility. It is the combination of these three attributes that makes a great leader - and it is such a leader that Fazad certainly was - and to which I aspired. You disagree. That's ok.
Toggle Commented Jan 28, 2015 on AMA's letter to ONC at Docnotes
Love the rant. Great points, brother F
Toggle Commented Jan 26, 2015 on AMA's letter to ONC at Docnotes
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This appeared in my e-mail today. It’s an ad for some article that was supposed to prompt us to think about IT from a different perspective. Should IT be delivered from a clinician-centric approach? How is that new? I suppose... Continue reading
Posted Jan 24, 2015 at Docnotes
The AMA and 33 other organizations sent a letter to National Coordinator Karen DeSalvo last week. The letter has seven requests of ONC: Decouple EHR certification from the Meaningful Use program; Re-consider alternative software testing methods; Establish greater transparency and... Continue reading
Reblogged Jan 22, 2015 at Docnotes
Or maybe I should call it "Reider's block?" .. Despite 15 years of blogging - this time, I've written and re-written a post so many times I can't count them. So here's one to get me started. I had dinner... Continue reading
Posted Jan 9, 2015 at Docnotes
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Have you ever noticed that when baseball players hit a single and land on 1st base, they can be seen chatting with their "enemy" on the bases? I enjoy watching them - and wonder what they're talking about. It reminds... Continue reading
Posted Oct 25, 2014 at Docnotes
I got a call from a friend last night. He's the CMIO for a large hospital. He's smart, works 80 hour weeks, and he's passionate about getting his EHRs to work right, the providers trained right, the order sets configured... Continue reading
Posted Jun 9, 2012 at Docnotes
Like you - I get (and send) more e-mail at work than I would like. E-mail is a great communication tool, but it's hard to manage. Many add-on tools and processes exist to help people manage their own e-mail, but... Continue reading
Posted Apr 14, 2012 at Docnotes
This post from November 26th, 1999 - was the first on this blog. There were a few months of previous posts, but due to several platform changes back then - these seem to be lost. No matter. 12 years is... Continue reading
Posted Dec 28, 2011 at Docnotes
This is one of the best essays on software product definition/ direction etc. that I've read in a very long time. Continue reading
Posted Oct 13, 2011 at Docnotes
I'm sending out the following e-mail to my friends and family on Monday. You can prevent this spam .. (I'm learning from Public Radio!) .. but only if you make a generous donation TODAY! Don't put it off! .. -----------... Continue reading
Posted Sep 9, 2011 at Docnotes
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Oesh (shoe spelled sideways and backwards) had gotten some good press lately. I've read a handful of Casey Kerrigan's papers on gait and movement - so my interest was piqued when I learned that she and her husband had created... Continue reading
Posted Aug 12, 2011 at Docnotes
So I'm trying out google+ for blog posting today. Today's post Continue reading
Reblogged Aug 1, 2011 at Docnotes
I've spent a number of hours today reviewing the ONC HIT Workforce Curriculum materials, and since I've seen many tweets referencing them .. I've seen little substantive narrative on their value - so I'll offer a bit here - with... Continue reading
Reblogged Jul 9, 2011 at Docnotes
This post on the-blog-that-used-to-be-kevin's-blog (alas, Kevin Pho writes rather few posts these days) ... is accurate, but I wish that the medical community was saying the same thing. In general - we are not. Patients who have guts will say... Continue reading
Posted Jul 7, 2011 at Docnotes
It's been nearly a week since the big announcement and I've read a herd of thoughtful reviews of why google decided to shutter their health experiment. But I've not yet seen anyone say what was obvious from the outset: It... Continue reading
Posted Jun 28, 2011 at Docnotes
I've been blogging for a very long time. Tweeting since before Twitter had an "e" .. (it was called twittr) .. Blogging since Blogger was just a little feature of a long-dead product called Pyra. Raise your hand if you... Continue reading
Posted Jun 27, 2011 at Docnotes