Ever since the first patient portals emerged circa 2000, clinicians and healthcare organizations have been dealing with the smoldering challenge of incorporating patient messaging as an integral part of the care delivery lifecycle. Portal messages from patients (e.g. …

How We Use Healthcare Delivery Science To Deimplement Lower Value Interventions and Expand Higher Value Ones Becker’s recently had an interesting article titled de-innovation, sharing examples from a few health systems about what is chosen to be eliminated or removed. David Asch, who leads UPenn’s Center for Health Care Innovation had a nice quote: “There’s a resistance to innovation and it’s a term I like to…

Over the next several weeks, we are releasing two updates to our mobile app that provide a refreshed look, more intuitive navigation, and new features that make it easier to take care of yourself. Over the last two years, we have introduced an updated app about every 12 months, our…

Melek Somai MD, MPH and I recently wrote in a forthcoming article about the “bugs in the virtual clinic” about the role of technical challenges that patients and clinicians face that may impede virtual care. There are several: wifi issues, video and audio troubleshooting, navigating mobile applications just to name…

As we near the completion of another you’re marked by the COVID-19 pandemic, we have continued to support new digital models of care, including telehealth, digital therapeutics, and longitudinal care supported by remote patient monitoring. …

What did we learn from analyzing over 130,000 visits? Can you see and hear me okay? The conversion to telemedicine in March of 2020 was smooth for some, but frankly for many patients and providers it was bumpy. People were learning new technology and incorporating it on the fly. The internet was massively congested. …

Meaningful change in the way we deliver clinical care in American healthcare organizations is a slow and arduous path. Much has been written about the gravity that healthcare holds, from complex business and clinical operations to regulations to bespoke arrangements with payors. We are always looking for ways to measure…

My mentor and first division chief Charlie Safran had a quip about EHRs — they have become feature rich, and function poor. Think about that for a moment. In health care, we manage a great deal of complexity, across a range of different specialties and different needs of people. We…

TL;DR •Digital health is a growing area that enables more home-based testing and care, convenience, and more scalable access to knowledge •ECG, sleep assessments, computer vision, and virtual triage represent initial digital tools patients are likely to use and bring to internists’ attention • Performance varies by tool and modality…