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Thoughts, comments, news, and reflections about healthcare IT from Microsoft's worldwide health senior director Bill Crounse, MD, on how information technology can improve healthcare delivery and services around the world.

MD NetGuide Interview: Microsoft's Window onto the World of Healthcare

MD NetGuide Interview: Microsoft's Window onto the World of Healthcare

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For those hungry for a little more than the snippets of information you get on my Blog, I invite you to read an in-depth interview I did a few months ago with MDNetGuide magazine.  The interview, lasting more than an hour, was condensed into a cover story that appeared in the January 2006 edition.  It's a stream of conscious brain-dump on the status of the healthcare provider industry, healthcare information technology, and some of the work we are doing at Microsoft.  My thanks to John Maillard, Emily Leonard and Todd Kunkler at MD NetGuide for their interest in sharing this with their readers.

Bill Crounse, MD   Healthcare Industry Director   Microsoft Healthcare & Life Sciences

  • Interesting, although I'd love to know how the whole hour went.

    It seems, though, that your opinion of the US being a leader in theraputics, and diagnostics is a bit overshadowed by a recent study being released, from the New England Journal of Medicine, saying the US has mediocre care. I haven't read the study (so I don't know methodology, etc.), but taken at its word, it seems like we have some improvement to do.  Ironic that the shining star in the study is a single payer, government controlled entity: the VA. Regardless, IT I think can really improve on this fact, and I'm glad that Microsoft is leading the way. I'm glad to be doing my part, in my current position, and look forward to doing more.

    I'd love to see more studies and interviews from a Nursing perspective, not just the physician aspect. In my experience, Nurses have the hardest barriers to cross. In a lecture I recently gave, I pointed out that (generally speaking) nurses are revenue consumers for a hospital, instead of revenue generators (like most physicians). With rare exception of an advanced practice nurse, nurses don't "admit" or "refer" a patient to a hospital, yet they are required to use ths hospital's technology. Frequently they have minimal input of technology choice and have a higher average age than a hospital physician (and are more likely to be technophobic). Yet, they spend more time (from my own use and observations) than many other clinicians. Although, your mileage may vary.. :)

    Best of luck to you and your group. I admire what I'm seeing: people joining together to improve patient care through technology. A passion of mine, as well.

  • Jason,

    I believe my comments on the US having the best diagnostics and therapeutics in the world still resonate even with the NEJM study.  It is the system of care that is broken and unevenly applied.  People from all over the world still seek out centers of medical excellence in the United States when they want the best medical treatments available.  But when it comes to population health, preventive services, immunizations, maternal health, chronic disease management, etc. we are outshined by most of the world's other industrialized countries.  Healthcare IT is just a small part of the needed fix.  Again, thanks for your comments.

    Bill Crounse, MD
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