Writing
Essays on clinical informatics, EHR usability, human-centered design, and change management, written for health-system executives and clinician leaders.
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A model built on nothing but the rhythm of nursing documentation cut inpatient deaths by a third. The behavior it reads is precisely what ambient AI is being bought to remove. Before the chart starts writing itself, find out what it has been saying.
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Clinical AI does not remove the clinician's decision. It leaves behind a rarer, harder, context-stripped version of it, and almost no health system measures how that leftover decision is going.
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A new Pediatrics study found the cheap, universally indicated test losing to the expensive, gated one. Friction was never the binding constraint. What happens when the result comes back is.
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Health systems fund renovations and chase door-to-doctor minutes. The cheaper intervention is telling patients where they stand in the queue, and almost nobody measures it.
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A JAMA trial shows physician judgment is trainable at national scale. Where choice architecture ends and deliberate practice begins, and what a CMO should do about it.
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A short note on what you will find here and who it is for.