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How do you perceive healthcare in America post the Affordable Care Act?

Having served in the United States House of Representatives during the time the Affordable Care Act (ACA) was debated and passed in 2010, I remember quite vividly the many arguments that were presented by both sides. Supporters claimed costs would go down and quality would go up, while nearly every American would be covered. Opponents of the law claimed...
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Designing Smart Homes for Care: Challenges and Questions

As some of us get older, we start to contemplate the care and support that we will require in our advanced years and how these might be provided to us at an acceptable quality, a manageable cost and with as little disruption to us and the people around us as possible. Smart homes (SH) are enabled by software and hardware solutions (and...
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What Are the Keys to Attracting and Retaining Qualified Staff in Healthcare?

For the CEO's of many organisations in the healthcare industry, attracting and retaining talent is the key strategic challenge, as discovered in a 2017 survey by Siemens Healthineers. Organisations face the dual challenge of how they should respond to the need for significant efficiency gains and simultaneously be an attractive employer in a...
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Why Have Procedure-Specific Postoperative Pain Guidelines?

The pro cedure spec ific postoperative pain managemen t (PROSPECT) initiative provides evidence-based procedure-specific guidelines for postoperative pain management . This is really important, because the problem is that guidelines on postoperative pain management are broad and are not procedure-specific. Every type of surgery...
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Why I’m a Cardiofeminist

A gynaecardiologist means a cardiologist for women. I want better cardiovascular healthcare for females, but I also want a better position for female cardiologists. In the U.S. and many other countries the position of a female cardiologist is still very inferior compared to the male. I know that female cardiologists are more interested in the...
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Precision Medicine: The Future Of Health

As science and technologies advance and demand continues to grow, healthcare systems have to evolve into a more sustainable model that maintains people’s wellness rather than just treating illness once it has occurred. Through a combination of proactive human interventions and decisions – supported and enabled by rich data and intelligence –...
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Why Healthcare Needs More Women Leaders

Recently, Modern Healthcare published its list of the 50 most influential physician executives and leaders. The list included only seven women. There were seven in 2016, nine in 2015, and eight in 2014. Women comprise less than 10 percent of that list. As you will see, the math does not add up. You might also like : Women in Leadership in Intensive...
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Understanding IoT: Is Healthcare Harnessing the Potential?

Digital technology has paved the way for businesses and industries alike to utilise its benefits to incredible calibers, such as providing ergonomic solutions solely by “smart” machines or eliminating tedious methods of organising large quantities of data. However, the healthcare industry in particular can find itself to be most affected by digital...
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There Might Be Too Much Money In Healthcare

I was struck by a press announcement of the United States Food and Drug Administration of 23 May 2017: ‘ FDA approves first cancer treatment for any solid tumour with a specific genetic feature ’ This is good news. Because it means that the knowledge that science has given us many years ago now is accepted by the regulator for the first time....
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Burn Till You're Out

When using the technical definition of burnout: "The reduction of a fuel to nothing", it clearly describes the state of being of the few people that I have met who are having a burnout. The problem is huge and almost every leader in healthcare agrees that this is a major problem (Swenson et al. 2016). Although many problems arise from using surveys...
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New Goals After 15 Years in Healthcare IT

After 15 years in Healthcare IT, what is your focus or next goal now? Fifteen years! It's a long time. All this time I have had the opportunity to work in my passion, Health IT and eHealth. I have had a range of intense experiences: the full digital hospital experience as a CIO, regional government for strategy on eHealth,...
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What’s the future of intensive care medicine?

Over time, I think we are going to recognise that we can’t continue to develop or introduce new technology. Because of cost we are going have to be satisfied with the technologies that we have. I think the future of intensive care will be smaller as people get healthier. They are going to be less likely to come into intensive care units and more likely...
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The Future - As Seen by Healthcare Service Providers

We asked healthcare service providers what they'll need to succeed. Some of the answers will surprise you. I recently had the honor of giving the key note speech at the Healthcare Business International Conference 2017, where 570 healthcare industry CEOs from 50 countries gathered to share their perspectives on what to expect in...
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5 ICU Design Projects

Leland Kaiser, Hospital Futurist says, "The hospital is a human intervention and as such, can be reinvented at any time." With rapid advancement in technology and architecture, the hospitals of tomorrow are likely to be more home than hospital. The Intensive Care Unit is no different and the layout and structure of future ICUs is likely to be very...
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What Does it Mean to be an Intensivist? A Philosophical View of Intensive Care

Wikipedia defines intensive care medicine as a branch of medicine concerned with the diagnosis and management of life-threatening conditions requiring sophisticated organ support and invasive monitoring . 1 To this, I would add the line ‘for the patient’s benefit’ since this alters the above definition fundamentally. ...
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Optimising Healthcare with Smart Technology Investments

Healthcare without IT is unthinkable these days, as it plays an increasingly important role in many work processes. This trend is set to continue, and medical equipment and IT will be linked even more closely in the future. Intelligent technology investment strategies will therefore need to be more holistic to be effective going forward....
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Curing the NHS’ tech ailment

Digitisation is a term thrown around in the public sector, and the NHS is no exception. Just like many organisations, it faces backlogs, inefficiencies and administration burdens, but there is a solution: technology. Technology can help NHS employees offer the best level of patient support, and in return, reduce stress and improve recovery. Adopting...
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Do Patients Matter?

I am writing this blog on a train to Manchester, conscious that I have already missed the Editor's deadline by a few days. I am not sure why, but my chosen title has been more challenging than I expected. At first I wondered about using my Dad's experience of being a stroke patient as my starting point for a diatribe on 'Do Patients Matter?'...
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Prevention is the Best Form of Medicine

Hospitals and other healthcare organisations (HCOs) are increasingly singled out by cyber criminals for ransomware and other attacks. Not only are patients’ sensitive records being targeted, but also their intellectual property or credit card information. The primary reasons for the HCO vulnerabilities are outdated security architectures,...
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A Second Opinion

What would you single out as a career highlight? Combining my loves of medicine and art to create a colouring book about the brain, entitled 'A Journey Through the Brain'. This was a collaboration with the very creative and intelligent Prof David Cotter and Prof Mary Cannon at the Department of Psychiatry in RCSI. If you had not chosen this career...
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