

The Missing Half of Precision Health: Why Your Risk Score Is Only Half the Story
By Dan Rolls, Founder & CEO, GistMD Precision health is rapidly getting better at knowing. Genomics, biomarkers, predictive models, and increasingly sophisticated risk-stratification algorithms can tell us more about an individual patient than ever before. But knowing is not the same as doing. A patient can have a highly precise risk score, a perfectly selected screening recommendation, or an evidence-based treatment plan and still not complete the colonoscopy, take the medic
Aug 14


Why digital reminders alone do not improve bowel preparation
Category: Colonoscopy Author: Dan Rolls, Founder and CEO, GistMD Published: Aug 8 26 Written for healthcare professionals and administrators. Not medical advice. Sending preparation instructions by text instead of on paper does not, on its own, produce cleaner colonoscopies. A randomized trial of 753 patients found no difference in attendance or preparation quality when nine automated text messages were added to usual care, while a meta-analysis of 18 randomized trials found
Aug 8


The Most Expensive Procedure in Healthcare Is the One That Never Happens
Healthcare leaders spend enormous effort reducing the cost of care. They negotiate supply contracts. Optimize staffing. Invest in new technology. Measure operating room utilization. Track every minute of physician productivity. Yet one of the largest financial losses in healthcare often receives surprisingly little strategic attention. Procedures that never happen. When a patient misses a colonoscopy appointment, nothing is billed. No diagnosis is made. No preventive treatmen
Aug 8