Journal Of Health Design

Last week I had the privilege of speaking to Dr. Moyez Jiwa. He is the current Editor in Chief for The Journal of Healthcare Design. He is the Dean and Professor of Health Innovation at the Melbourne Clinical School, University of  Notre Dame. He is a practicing general practitioner in Melbourne, Australia. He also has a great website that focuses on “Lean Medicine.” (click here)

We had a great discussion on the role of design in healthcare. We discussed the importance of listening to understand, what is working well, what is not working, and how to change the paradigm. We also highlighted the importance of understanding the ultimate end user in healthcare, the patient living in local communities.

I also had the opportunity to highlight the 4T’s: Time-Trust-Transparency-Transition.

We both left the dialogue with the take-away that the future of healthcare is dependent on great design, to put the ME-IN-MEDICINE and to deliver care at the N of 1.

I was deeply humbled to be asked by Dr. Jiwa to join his podcast. Please feel free to let me know your thoughts, questions, and comments.

As always you can feel free to email me at or follow me on Twitter @cancergeek


#we2me #meinmedicine #nof1 #hcldr

My Response To Article: What Telemedicine, Blockbuster, and Netflix Have In Common. 

Earlier this week one of my friends Jamey Edwards (@jameyedwards) shared the following article with me entitled: What Telemedicine, Blockbuster, and Netflix Have In Common. 

It was an interesting article on the topic and role of telemedicine in healthcare. 

However, it made me think of the title and a key insight in the opening paragraph: 

“…all your information available on one digital platform is the new norm, and it’s no wonder healthcare is moving in the same direction.”

Yet the article never addresses this fundamental shift, let alone how telemedicine is going to enable, fit, or accelerate a patients ability to have all of their medical records available on a single digital platform. 

I do enjoy traveling all over the world and as long as I have an internet connection and a device I can watch Netflix. It has my watching habits, where I left off in a series or movie, and recommends a new movie or series. 

However I am not sure I see the correlation to telemedicine. At least not today. 

There is no single telemedicine company that harbors, collects, or shares all of my medical records. Let alone a healthcare system or hospital, or EMR, that does that for me as a patient. 

For the 5% of the information that healthcare collects on me specific to my medical care, they make it a Mission Impossible challenge for me and/or my healthcare team to access, correct, and share. 

Again, I am not seeing how telemedicine’s ability to connect a patient and a physician for a low level visit enables the consolidation of all my records on a single platform? 

Do I like the fact that telemedicine can allow me to sit at home, or in the airport, or at work, or anywhere in the world and connect with a physician to assess my cold, ache, pains and other symptoms? 


Do I like that I carry a connection machine in my pocket? 


Do I like that it costs less? 


Do I like that it is convenient and on demand? 


Do I like that it creates yet another place for my medical information to be digitized, kept, locked, harbored, and kept for ransom? 

Hell no. 

Maybe the argument was that telemedicine’s future is more akin to Blockbuster than it is to Netflix? 

Hopefully not.  

Physicians want to provide the best possible care. Patients want to receive the best care available. 

In order to enable the above for physicians and patients the answer isn’t telemedicine, it’s something else. EMR, HIE, cell phones, something. 

Interoperability, sharing, connection. 

The future of healthcare demands it. Patients demand it. Physicians demand it. 

Future of healthcare needs to be delivered to patients at the N of 1.