Skip to main content

What If...

As I write this, in the aftermath of the Air France tragedy, the so-called black boxes' recovery from an unknown resting place thousands of feet under the waves is not certain. What if, I mused, a plane's vital operating statistics were streamed to a secure server somewhere, dry and on-shore?

Apparently it's not a new idea, in fact it's old enough to have come to Katie Couric's attention. Of all people, she covered it on the CBS news this evening, where I learned that, as with most things, the obstacles are not technical as much as financial (lots of planes, lots of data, lots of bandwidth, lots of servers) and organizational (pilots look at it as 'big brother' watching their every move in real-time.)

That's most often the case; new ideas are technically possible long before all the inertial barriers to implementation come down. I guess those arguing against the idea aren't paying the salvage team's salaries or braving mid-Atlantic storms, looking for a tiny breadbox in a great big ocean, all to find a cause for the decade's worst airline disaster.

Ah well. It's still a good idea.


Comments

Popular posts from this blog

Michael Porter On Health Care Reform

Michael Porter, writing in the New England Journal of Medicine, proposes "A Strategy For Health Care Reform - Toward A Value-Based System." His proposals are fundamental, lucid and right-on, meaning they're sure to be opposed by some parties to the debate, the so-called "Yes, but..." crowd. Most important, in my opinion, is this: "... electronic medical records will enable value improvement, but only if they support integrated care and outcome measurement. Simply automating current delivery practices will be a hugely expensive exercise in futility. Among our highest near-term priorities is to finalize and then continuously update health information technology (HIT) standards that include precise data definitions (for diagnoses and treatments, for example), an architecture for aggregating data for each patient over time and across providers, and protocols for seamless communication among systems. "Finally, consumers must become much mor...

gapingvoid cartoon #378

Buy your own, here.

"An Affordable Fix For Modernizing Medical Records"

...from the Veterans Health Administration and Midland (TX) Memorial Hospital. I know enough about my own strengths and weaknesses to know that I'm no IT expert. But I am acutely interested in examples of people and teams thinking differently to solve long-standing, intractable problems and, for better or worse, there are lots of those to be found in the IT realm. Yesterday, it was a story about a team adding iPhone portability to MEDITECH functionality, delivering to harried physicians better access to clinical data and more productive hours in every work day. (Wow. Apple in the boardroom AND the physician lounge. Has to be an IT traditionalist's worst nightmare. But I digress...) Today, the Wall Street Journal features a story about Midland (TX) Memorial Hospital finding an affordable, open-source alternative to proprietary EMR systems : "In the push to digitize America's hospitals, Midland Memorial faced an all-too-common dilemma: a crying need for information ...