Audio-Only Telehealth Is Legit—Your EHR Might Not Be Ready
CMS now pays for audio-only telehealth. But if your EHR treats it like a phone call, you're in for a world of hurt—and a potential HIPAA breach.
Telehealth
The Clinical Data Desk
EHR, HIPAA, FHIR, and health informatics.
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Telehealth
Audio-Only Telehealth Isn't a Workaround—It's the Standard
Stop treating phone visits as a pandemic leftover. For some patients, it's the only care they can get. And CMS just made it permanent.
Clinical Data
Your EHR Is Lying to You: Clinical Data Myths That Cost You Time
96% of hospitals have certified EHRs, yet your data still doesn't flow. Here's what's actually broken and how to fix it.
Clinical Data
Stop Cleaning Your Clinical Data: A Practical Guide to Messy Interoperability
A hands-on guide for health IT builders: stop perfecting data before exchange. Use FHIR, USCDI v3, and real-world constraints to get clinical data mov...
Clinical Data
Your EHR Is Not a Chart: Treat Clinical Data as a Product
A hospital CIO once told me his lab results arrived as PDFs. That's not an EHR problem, it's a product problem. Here's how to fix it with USCDI v3, SN...
Interoperability
Stop Chasing FHIR Shiny Objects and Fix the Semantics
US hospitals are nearly all digitized, but interoperability still fails at the semantic layer. We argue the real work is terminology mapping, not anot...
Clinical Data
Clinical Data: Five Moves to Stop Bleeding Risk and Start Sharing
Clinical data is a liability if you treat it as a filing cabinet. Here's a no-nonsense walkthrough for making it interoperable, secure, and actually u...
Clinical Data
FHIR or Custom APIs? What Actually Works for Sharing Clinical Data
Custom APIs feel flexible but often end up as a maintenance trap. Here's why standards like FHIR, though imperfect, are the more practical route for c...
Interoperability
Why HL7 v2 Still Rules Interoperability Despite FHIR's Hype
FHIR is the shiny new standard, but HL7 v2 remains the workhorse of health data exchange. I argue that v2's ubiquity and reliability make it indispens...
AI in Healthcare
Stop Treating AI Like Magic: A HIPAA-Safe Field Guide
Before you let AI loose on patient data, read this blunt field guide. You'll learn why most AI-in-health projects fail and how to build one that survi...
Interoperability
Interoperability Is Not a Technology Problem: You're Already Late
Stop waiting for the perfect FHIR endpoint. Real interoperability is a governance and workflow problem. Here's how to start moving data today.
Telehealth
Telehealth vs. In-Person: Why Video Isn't Always the Answer
Telehealth exploded, but is video always better? I compare synchronous telemedicine, remote patient monitoring, and audio-only visits across access, q...
Clinical Data
Clean Clinical Data Is a Team Sport, Not a Vendor Problem
You can't blame your EHR for messy clinical data. Here's how to own the problem, clean up your workflows, and stop the garbage-in-garbage-out cycle be...