The pMD Blog

Welcome to the
pMD Blog...

where we cover interesting and relevant news, insights, events, and more related to the health care industry and pMD. Most importantly, this blog is a fun, engaging way to learn about developments in an ever-changing field that is heavily influenced by technology.

Weekly Byte: Lessons From Sticking Around
Over the weekend, John Carmack, a hero to many software engineers, tweeted the following:



In the Bay Area, job hopping is a de facto state for many engineers. If you’ve been at a software company for more than a couple years, you generally don’t bring it up in polite company. This has always seemed strange to me because I’ve tended to learn the more profound aspects of software development a couple years into my jobs. For a San Francisco citizen to read that John Carmack shares the same belief was both reassuring and refreshing.

One of those more profound lessons that seems to come only with “complete product cycles” is developing an intuition of what to build, when to do it, and whether you should be idealistic or pragmatic in how you go about doing it. At pMD, we constantly strive to answer these three questions. As a software team we split our time and resources between improving the present world for our users and their patients while also trying to shape the future for our industry. Writing and maintaining software that addresses both needs is a highly complex and risky process. If we build the wrong thing and execute poorly, we not only have wasted precious resources, but we quite possibly have endangered the quality of life for our existing users and the patients they care for. It’s necessary to have gone through several full life cycles of products and features to have a chance at doing the above successfully.

A full product life cycle begins with inception, planning, building, maintaining, and “ends” with continuous evolving of a product. For many products that tackle complex domains like health care, this cycle actually never really ends but provides a continuous stream of feedback that educates and inspires future decisions that may span many years. This “wisdom,” as Carmack calls it, colors the thousands of decisions that must be answered from what to build all the way down to the schema of a database table. It is unfathomable to me that a career that rarely extends beyond the building stage can lead one to the epiphanies needed to educate future work. I am growing optimistic, however, that more and more software developers are rediscovering the value of sticking around to see their work grow and mature. The more we hold ourselves accountable for the long term consequences of what we build, the more value we can add for our users and society.
5G ACA Account Management ACI adoption Advancing Care Information Advice AHCA AHRQ AI Alternative Payment Model Amazon S3 Android API Apple appointment reminders Artificial Intelligence arts Audit Award Bay Area BCRA Benefits Best Place to Work Best Practices Big Data Billing Billing & Collections Billing Service Billing Services bootcamp BPCI BPTW Bundled Payments Business relationships Care Communities care coordination Care Navigation Care Team Career Fair CDC Charge Capture Charge Capture App Charge Capture Software Charge Capture Solution Charge Capture Statistics Charge codes Charge Lag Charge Reconciliation CHIP CIO Clinical Communication clinical data Clinical Data Registry Clinically integrated network Cloud CMS cms regulations Coding Collaboration Communication Company Culture Conferences Connected Health Record contact practice Coronavirus COVID-19 COVID19 CPT codes Cross-functional culture custom reports Customer Interaction customer relations customer service customer success customer support Customers Cyber Security cybersecurity Developer DHHS Diagnosis codes Dialysis discharge instructions Doctor EHR elderly Electronic Charge Capture Eligibility EMR Encryption End-to-End Platform epidemic Expansion FDA FHIR Flu fundamentals Gen Z GI GI Outlook Goals group messaging Health Care Health Care Technology Health Care Web Health Care. Health Care IT health data Health Information Exchange Health Record Healthcare Healthcare Data healthcare interface healthcare interface integration healthcare software HIE HIPAA hipaa compliant communication hipaa compliant communication platform HIPAA-Compliant Hiring HL7 Holidays Home dialysis Hospital Census Hospital Communication humanity IA ICD-10 ICD-11 Implementation Improvement Activities in-app calling inclusive software injury rehabilitation Instant capture Integration interface interoperability iOS iOS 8 iOS7 iPad iPhone iPhone 6 IT Lead Generation length of stay LGBTQIA Long Term Care LTC Machine learning MACRA Medaxiom Medical Billers Medical Billing Medical Billing & Collections Medical Coders Medical Coding Medical Errors Medical Record Medical Software Medicare Mental Health Mentorship Messaging Messaging with Patients MGMA MIPS MIPS Registry mobile Mobile App Mobile Charge Capture Mobile EHR Mobile Health Mobile Messaging Mobile Payments Mobile security Mobile Software Mobile Technology Mobile telehealth Modern Healthcare Native App Network new feature new features news NIH OCM onboarding Oncology Care Model operations opioid crisis Pandemic Parenting Partnership partnerships Patient Patient access Patient App Patient Care Patient Chat Patient chat routers Patient Communication patient data Patient Engagement patient experience Patient Generated Health Data Patient Handoff Software Patient Information Patient Messaging Patient payments patient portal Patient Record Patient Safety Patient satisfaction Patient Simulators patient support Patient Visits Patient-Centric PCP Performance bonus PHI Phishing Scams Physician Physician burnout pmd pMD Pro pMD Team population health Population Health Management PQRS Practice Management Pregnancy Press Release Product Development Productivity products Promoting Interoperability Protected Health Information QCDR QPP Quality Data quality reporting Quality Scoring Ransomware RCM Recruiting Recruitment Reimbursement remote jobs Remote Work Reporting reports Residents Responsibility revenue cycle management ROI Rural communities Ryuk Sales Secure Communication Secure Data Secure Messaging Secure Messaging Video Secure Text Messaging Secure Video Secure Video Chat Security Audit self care seniors sexual orientation and gender identity SF Biz Times SMB SNF SNOMED-CT SOC 2 software vendor SOGI Spear Phishing Specialty Care success support TCM Team Team culture Teamwork technology telehealth telehealth reporting Telemedicine telemedicine in long term care Telemedicine skilled nursing facilities Teletherapy Text Messaging texting Thanksgiving time-based billing training transgender Travel Upgrades UX Design VA vaccination records vaccinations Value-based care Video Calling Video chat video communication video conferencing Virtual Care Virtual Visit voice calling voice memos WannaCry Wearable Device wearing many hats Web App wellness wfh Wireless Work From Home Work Life Balance Workflow optimization Workplace Culture