Health Tech
Interoperability Begins Where Data Exchange Ends

Interoperability Begins Where Data Exchange Ends

Standards and APIs can move information. True healthcare interoperability requires the governance, trust and workflow design that make the information usable. Healthcare has spent years treating interoperability as a problem of moving data. National exchange has...

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Who Notices When a Clinical Model Drifts?

Who Notices When a Clinical Model Drifts?

Most clinical prediction tools get one big exam. Someone pulls a retrospective cohort, runs the numbers, shows a committee a curve, and the tool goes live. After that the exam rarely gets repeated, so model drift can go unnoticed. The emergency department keeps...

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An AI Study Without Its Data Is Fiction

An AI Study Without Its Data Is Fiction

Why publish the data at all? My answer comes from my own work. We ran our study not with one AI agent but with several, and later it turned out that the numbers did not match. Without validated AI study data, data that the author answers for in front of the scientific...

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Who Confirms the Alert Before Dawn?

Who Confirms the Alert Before Dawn?

I practice emergency medicine. Overnight care is where timing funds or fails any sepsis early warning tool. A recommendation that sits unconfirmed for hours is not decision support. It is wallpaper. Confirmation is the intervention Accuracy slides still dominate...

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The Model Said No. Who Gets to Overrule It?

The Model Said No. Who Gets to Overrule It?

In rare tumors, oncologists know the usual story. PD-L1 is a weak compass. Tumor mutational burden is often unavailable. The evidence base was never built. So when MD Anderson investigators revisited biopsies from 84 patients in a phase 2 basket trial of pembrolizumab...

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Beyond the Scale: Meaningful Follow-Up in GLP-1 Care

Beyond the Scale: Meaningful Follow-Up in GLP-1 Care

A GLP-1 follow-up appointment can produce a clear number without answering the most important question: how is this person doing? Weight remains relevant in obesity care, but a useful review also creates space for symptoms, everyday function and the practical work of...

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How AI Is Redefining the Modern Healthcare Consultation

How AI Is Redefining the Modern Healthcare Consultation

Healthcare in the United States is facing a structural inflection point. Physician burnout remains high. Administrative burdens consume hours that should be spent with patients. Chronic disease rates continue to rise. At the same time, health systems are under...

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The Writing Got Cheap. The Checking Did Not

The Writing Got Cheap. The Checking Did Not

Last month I published a cost analysis with wrong numbers in it. Not rounded wrong. I had taken the wrong price list and the wrong tariff for cache writes, and when I recomputed, the headline figure moved. I issued a corrected version and stopped citing the first one....

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Online Prescribing Is Moving Faster Than Regulation

Online Prescribing Is Moving Faster Than Regulation

Online prescribing has moved from being a relatively niche part of healthcare to an increasingly established route through which patients access treatment. That change brings clear benefits. Patients can seek treatment discreetly, access clinicians without travelling,...

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Rethinking the Office: The Need for Healthier Buildings

Rethinking the Office: The Need for Healthier Buildings

For property owners, management companies, and business leaders, few sights are more unwelcome than an empty office building. Indoor air quality may be part of the answer to filling it. In the post-pandemic era, the home office has replaced the traditional workplace...

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Designing Resilient Health Systems That Endure

Designing Resilient Health Systems That Endure

The most resilient health systems are not the ones that respond best in times of disruption, they’re the ones designed so that when disruption occurs, care continues and communities remain protected. Systems continue to struggle with workforce shortages, delayed care,...

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