Author Archives: Herb Fillmore

Will the “Quantified Self” Change Health Care?

Yes. To achieve real success in population health we need health care consumers to actively engage in the behaviors necessary to secure their health. “Patient” engagement is the holy grail of health care. However, despite decades of research into health behavior and ways to change it, we don’t seem to be any closer. I think that is about to change.

Disruptive technologies are proliferating in response to the new cultural phenomena of the “quantified self.” This movement believes each of us is a rational creature responsive to data and if we can only get enough indisputable facts about our daily life, then we can manage/change our behavior. Therefore, everything in our lives must be tracked.  This assumption is debatable — some people do not need a scale to know if they are gaining weight, a look in the mirror will do. However, for others, including myself, we seem to automatically airbrush that image in the mirror, so a little rude data every now and then may be necessary.

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Medical Homes: It’s not “Do they work?” but “How do they work?”

Earlier this year, The Journal of the American Medical Association (JAMA) published a widely publicized but limited article on medical homes in Pennsylvania that found little improvements in quality and no improvements in costs or utilization associated with medical homes. The authors concluded medical homes may generally “need further refinement” — a phrase that was taken by many in the press to mean that medical homes “don’t work.”

Subsequently, there has been much debate and little clarity around the promise of medical homes. Continue reading