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      <title>Future Health IT</title>
      <link>http://www.futurehealthit.com/</link>
      <description>Healthcare innovation with IT: helping you to create future healthcare now</description>
      <language>en</language>
      <copyright>Copyright 2012</copyright>
      <lastBuildDate>Sat, 07 Jan 2012 10:53:29 +0000</lastBuildDate>
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            <item>
         <title>Medicine as an Information Science</title>
         <description><![CDATA[<p><img alt="DNA" src="http://www.futurehealthit.com/DNA%20Small.jpg" width="200" height="299" class="left" />I remember vividly reading about DNA and its mechanisms in James Watson's <i>Double Helix</i>. The unzipping of the two reversed strands interlocked by the strict pairing of nucleotides--adenine to thymine and guanine to cytosine. The complex and choreographed interactions with other molecules leading to the construction of proteins. The systematic beauty at the nucleus of life. It was all engaging enough for me to decide to study Biochemistry at university.</p>

<p>When I finished my degree I worked in international marketing and travelled the world. I was always proud (and grateful!) that English is the most widely spoken language with about 80 percent of the world being able to speak it. But it is not the real <i>lingua franca</i> any more. The most popular language comprises 0s and 1s--the binary language of computers. GB Shaw said America and England were 'separated by the same language,' but the binary language unites the world.</p>

<p>What's more, the two binary languages of DNA nucleotide pairing and computer coding are set dominate the coming decades in a combination of genomics and computer science. David Baltimore said that Biology is today an information science. Indeed, Bioinformatics combines life and computer science so that they are as interlocked as the strands of DNA.</p>

<p>We will see if genomics lives up to its promise, of course. As another scientist, Neils Bohr, said: 'Prediction is difficult, especially about the future.' Even the exquisite DNA translation process sometimes gets it wrong and proteins end up with the wrong amino acids, impairing their function. Indeed the majority of DNA itself is regarded as 'junk', because it seems to have no function. All of this all sounds a bit like computer code and its creation, another systematic human process.</p>

<p>I have been fascinated by interface between man and machine for more than 30 years. Now it seems more alluring than ever.</p>]]></description>
         <link>http://www.futurehealthit.com/2012/01/medicine_as_an_information_sci_1.html</link>
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         <category>Miscellaneous</category>
         <pubDate>Sat, 07 Jan 2012 10:53:29 +0000</pubDate>
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         <title>Sign of the Times</title>
         <description><![CDATA[<p>Last week BBC's <i>Click</i> programme showed (6m 38s) <a href='http://news.bbc.co.uk/1/hi/programmes/click_online/9663418.stm' target='_blank'>a one year old iPad user confused by a print magazine where she couldn't 'flick' the pages</a>: a sign of the times. <br />
</p>]]></description>
         <link>http://www.futurehealthit.com/2011/12/sign_of_the_times_1.html</link>
         <guid>http://www.futurehealthit.com/2011/12/sign_of_the_times_1.html</guid>
         <category>Miscellaneous</category>
         <pubDate>Wed, 28 Dec 2011 16:21:45 +0000</pubDate>
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         <title>Drug Administration and IT Reconciled</title>
         <description><![CDATA[<p><img alt="Picture of pills" src="http://www.futurehealthit.com/Picture%201%20small.jpg" width="200" height="280" class="left"/>A few years ago there was a kerfuffle in healthcare IT. <a href="http://www.futurehealthit.com/2006/01/reposting_for_eyeforhealthcare.html" target="_blank"/>A study at the Childrens Hospital of Pittsburgh</a> concluded that mortality rates had increased with the implementation of Computerised Physician Order Entry System (CPOE). Despite being rebutted almost immediately after publication, the study gained wide credibility. It was still being quoted without qualification by a prominent academic at a UK healthcare IT conference a couple of years ago. </p>]]></description>
         <link>http://www.futurehealthit.com/2011/11/drug_errors_1.html</link>
         <guid>http://www.futurehealthit.com/2011/11/drug_errors_1.html</guid>
         <category>Transforming Healthcare with IT</category>
         <pubDate>Wed, 02 Nov 2011 07:19:08 +0000</pubDate>
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            <item>
         <title>What&apos;s After the NHS IT Programme?</title>
         <description><![CDATA[<p><img alt="npfitsmall.jpg" src="http://www.futurehealthit.com/images/npfitsmall.jpg" width="350" height="350" /><br />
</p>]]></description>
         <link>http://www.futurehealthit.com/2011/10/whats_after_the_nhs_it_program.html</link>
         <guid>http://www.futurehealthit.com/2011/10/whats_after_the_nhs_it_program.html</guid>
         <category>Transforming Healthcare with IT</category>
         <pubDate>Sun, 16 Oct 2011 16:39:14 +0000</pubDate>
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         <title>Do Doctors Dream of Electronic Records?</title>
         <description><![CDATA[<p>A former Apple CEO says <a title="Read the article on Fast Company" href="http://www.fastcompany.com/1782571/former-apple-ceo-john-sculley-on-the-future-of-medical-technology" target="_blank">healthcare missed the PC and Internet revolutions</a>. He loads the blame squarely on the shoulders of reluctant doctors.<br />
</p>]]></description>
         <link>http://www.futurehealthit.com/2011/10/do_doctors_dream_of_electronic.html</link>
         <guid>http://www.futurehealthit.com/2011/10/do_doctors_dream_of_electronic.html</guid>
         <category>Transforming Healthcare with IT</category>
         <pubDate>Tue, 11 Oct 2011 08:55:52 +0000</pubDate>
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         <title>Robots in Healthcare</title>
         <description><![CDATA[<p>'Bots are back. It's a while since I wrote about them--for example,  <a href= "http://www.kineticconsulting.co.uk/robots.html" target="_blank">see here for a collection of musings</a>--and in the interim they seem to be moving into the mainstream.</p>]]></description>
         <link>http://www.futurehealthit.com/2011/09/robots_in_healthcare_1.html</link>
         <guid>http://www.futurehealthit.com/2011/09/robots_in_healthcare_1.html</guid>
         <category>Robots in healthcare</category>
         <pubDate>Thu, 29 Sep 2011 18:49:00 +0000</pubDate>
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         <title>Gamers Solve Medical Problem</title>
         <description><![CDATA[<p>Never say your kids are wasting their time with online gaming again. On the <a href="http://fold.it/" target="_blank">Foldit</a> site gamers resolved the structure of a protein that had foxed scientists for 15 years in only three weeks.</p>]]></description>
         <link>http://www.futurehealthit.com/2011/09/gamers_solve_medical_problem.html</link>
         <guid>http://www.futurehealthit.com/2011/09/gamers_solve_medical_problem.html</guid>
         <category>Internet and Healthcare</category>
         <pubDate>Wed, 28 Sep 2011 09:00:08 +0000</pubDate>
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         <title>Online Antics</title>
         <description><![CDATA[<p>Clinicians are still struggling with relating information technology to their jobs. No, I am not referring to the dilatory uptake of electronic patient records, but to social media.</p>

<p><a href="http://www.telegraph.co.uk/health/healthnews/8768876/Online-medics-reveal-secret-names-for-patients-and-colleagues.html" target="_blank">The Daily Telegraph reported</a> the social networking antics of doctors who made references to 'birthing sheds' (maternity units) and "cabbage patches" (intensive care, from CABG). The former was regarded as worse by a consultant because it entailed having to work with 'madwives'. On being questioned online about their opinions, the doctors resorted to some unconvincing <i>post hoc</i> rationalisation. </p>]]></description>
         <link>http://www.futurehealthit.com/2011/09/online_antics_1.html</link>
         <guid>http://www.futurehealthit.com/2011/09/online_antics_1.html</guid>
         <category>Miscellaneous</category>
         <pubDate>Thu, 22 Sep 2011 14:17:59 +0000</pubDate>
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         <title>Punk Rock People Management</title>
         <description><![CDATA[<p>I have just received an advance copy of an unusual book on managing people by the business author and speaker called Peter Cook.  He is the author of ‘Best Practice Creativity’ and ‘Sex, Leadership and Rock’n’Roll’, acclaimed by Professor Charles Handy and Tom Peters.  Peter mixes up business academia with music in a heady cocktail that reaches the parts that other business gurus do not dare to touch.</p>]]></description>
         <link>http://www.futurehealthit.com/2011/09/punk_rock_people_management_1.html</link>
         <guid>http://www.futurehealthit.com/2011/09/punk_rock_people_management_1.html</guid>
         <category>Miscellaneous</category>
         <pubDate>Tue, 20 Sep 2011 17:25:48 +0000</pubDate>
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         <title>Informed Patient: how do you know?</title>
         <description><![CDATA[<p>A couple of years ago I suffered many sleepless nights owing to some excruciating pain in my stomach area. After about three months of misdiagnosis, I was referred for an ultrasound scan that showed damage to my gall bladder. The consultant packed me off with some OTC remdies and told me that the offending organ would have to be removed if the symptoms persisted. Another sleepless night gave me time do some Internet research and as a consequence I asked my GP for some antibiotics as a last resort. Within a week of taking them the pain was gone.<br />
</p>]]></description>
         <link>http://www.futurehealthit.com/2011/09/informed_patient_how_do_you_kn_1.html</link>
         <guid>http://www.futurehealthit.com/2011/09/informed_patient_how_do_you_kn_1.html</guid>
         <category>Miscellaneous</category>
         <pubDate>Tue, 20 Sep 2011 16:37:17 +0000</pubDate>
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         <title>EPR Models: checklists or constraints?</title>
         <description><![CDATA[<p>I was reminded of the good old six level Electronic Patient Record (EPR) model that originally appeared in <i>Information for Health</i> back in 1999 through a posting on the E-Health Insider group on LinkedIn. For those of you who haven't seen it or have maybe forgotten it, here it is...</p>]]></description>
         <link>http://www.futurehealthit.com/2011/09/epr_models_checklists_or_const_1.html</link>
         <guid>http://www.futurehealthit.com/2011/09/epr_models_checklists_or_const_1.html</guid>
         <category>Best of FHIT</category>
         <pubDate>Tue, 13 Sep 2011 11:56:00 +0000</pubDate>
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            <item>
         <title>Is That it Then?</title>
         <description><![CDATA[<p>The NHS National Programme for IT (NPfIT) seems to have come to an anomalous end. No-one seems to be clear about what is happening to it. The most likely scenario is that the contracts for the local service providers will be allowed to run their term, because it will be too costly for the NHS to exit. This will leave large sums of money tied up--money that could be invested by NHS organisations to procure information systems to help them to realise the £20bn of economies expected of them. But that isn't the worst outcome.</p>

<p>Worse is that a new generation of ICT manager and Directors have spent the last 9 years in meetings watching Gantt charts slide to the right as NPfIT deliverables were continually rescheduled. Existing ICT systems became obsolete; strategic and procurement skills grew weaker, because the world's biggest IT programme would take care of everything.</p>

<p>The NHS will now have to learn all of the old skills again from those left who still remember.</p>]]></description>
         <link>http://www.futurehealthit.com/2011/09/is_that_it_then.html</link>
         <guid>http://www.futurehealthit.com/2011/09/is_that_it_then.html</guid>
         <category>Connecting for Health (NPfIT)</category>
         <pubDate>Mon, 05 Sep 2011 11:51:30 +0000</pubDate>
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         <title>HC2010 Conference: sitting uneasily?</title>
         <description><![CDATA[<p>Doubling the quality of thinking on the podium of the opening plenary session of HC 2010, veteran <a title="Read about Heinz Wolff on Wikipedia" href="http://en.wikipedia.org/wiki/Heinz_Wolff" target="_blank">Professor Heinz Wolff</a> arrived late and stole the show. </p>

<p>After listening to the platitudes and threadbare academic definitions of the three previous speakers, octagenarian Professor Wolff hobbled across the stage on crutches, followed at a respectful distance by a cushion for his rear carried by the session chair, and applied his razor sharp mind. </p>

<p>The UK's aging population would ensure healthcare became unaffordable, so it would be split into acute and community care, he suggested. Acute care, treating and operating on disease, would be the job of the NHS. Community care, watching out for your neighbours and helping to care for them, the job of the local community. To fund your own community care, you would acquire credits throughout your life by good deeds and community service. Agree or not, at least it was insightful and stimulating.</p>

<p>Which is more than can be said of Dr. Ben Goldacre's after dinner speech that evening. Delivered at the rate of the 36 barrel Metal Storm gun, his speech was too clever, too factual and too long. After 15 minutes I watched Blackberry ® smartphones (yes, I did look up the plural) being unsheathed and eyelids drooping. </p>

<p>But any who did drop off were galvanised to wakefulness by the first chord of Helter Skelter's set, so potent it immediately drove guests at the tables nearest the stage to the exit with the rest of us soon following. 'Was the enterainment no good?' asked one of the cloakroom staff as I left for my hotel 40 minutes later. 'About 200 people left all at once.' The band was very tight, I assured him, but their music inappropriate and too loud.</p>

<p>Though it has been relocated, recovered with go faster stripes and refitted with stereo headphones, the comfortable old chair that was the HC conference stands unsteadily.</p>]]></description>
         <link>http://www.futurehealthit.com/2010/05/hc2010_sitting_uneasily_1.html</link>
         <guid>http://www.futurehealthit.com/2010/05/hc2010_sitting_uneasily_1.html</guid>
         <category>Conferences and Seminars</category>
         <pubDate>Sat, 01 May 2010 12:22:07 +0000</pubDate>
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         <title>iPad: genius?</title>
         <description><![CDATA[<p>BBC Breakfast hosted by Sian and Bill (my favourites) showed us the scruffily dressed but extremely rich and successful <a title="See Steve Jobs in action on the BBC website." href="http://news.bbc.co.uk/1/hi/technology/8484182.stm" target="_blank"/>Steve Jobs launching Apple's iPad</a> apparently the next monster to follow in the slipstream of iPod and iPhone.</p>

<p>Spencer Kelly (presenter of the BBC's gadget gorge <i>Click</i>) told us that the weighty iPad has a stand so you can use it sitting at a desk and comes with a QWERTY keyboard, which he described as "genius". Playing with too many toys has impaired your judgement, Spencer. </p>

<p><a href="http://www.futurehealthit.com/2006/02/dirty_qwerty.html" target="_blank"/>See previous discussion on FHIT about data entry and QWERTY keyboards.</a></p>]]></description>
         <link>http://www.futurehealthit.com/2010/01/ipad_genius_1.html</link>
         <guid>http://www.futurehealthit.com/2010/01/ipad_genius_1.html</guid>
         <category></category>
         <pubDate>Thu, 28 Jan 2010 18:00:00 +0000</pubDate>
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         <title>iPhone not the One</title>
         <description><![CDATA[<p>Use IT now to <a href="http://www.dec.org.uk/" target="_blank"/>help the people of Haiti</a>.</p>

<p>I dismissed suggestions that I would become one. One of the spiral-eyed ring wraiths from Morden (and everywhere else) who ride the London Underground white stoppers in their ears and 6 inch square screens before their eyes through which they experience reality while reality passes by.</p>

<p>I was excited. My telecoms provider had called me to tell me that I could renew my contract and become a proud user of <i>iPhone</i>. I called a friend who enthused about its apps and gave me the impression it was the coolest thing since a morning dip in the <a title="Read about the Ringwraiths at  the Ford of Bruinen at a fan site." href="http://fan.theonering.net/middleearthtours/ford.html" target="_blank"/>Ford of Bruinen</a>.</p>

<p>Almost convinced, I was passing a retail outlet and couldn’t resist taking a peek. What a shocker: the touch screen text entry system is one of the worst I have experienced. Even after a bit of practice my typing speed would have fallen by 25 percent at least.</p>

<p>One ring to rule them all? I’ll stick to my Blackberry. When it comes to a method of entering text which is quick, portable and unobtrusive we are still bound in darkness.</p>

<p><i>"One Ring to rule them all,<br />
One Ring to find them,<br />
One Ring to bring them all and in the darkness bind them."</i></p>

<p>JRR Tolkien, Lord of the Rings.<br />
</p>]]></description>
         <link>http://www.futurehealthit.com/2010/01/iphone_not_the_one_1.html</link>
         <guid>http://www.futurehealthit.com/2010/01/iphone_not_the_one_1.html</guid>
         <category>Data Input</category>
         <pubDate>Sun, 17 Jan 2010 07:58:52 +0000</pubDate>
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