csctechtalk

6/22 CSC Technology Town Hall
The Journey to Digital Health and Beyond. All Things Tech.
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#csctechtalk5/10 CSC Technology Town HallCSC Technology Strategy and the Journey to Digital.
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Top Votes
Tony Puerto
It is all good and exciting but I still struggle with having to fill paper forms every time I visit a doctor with the same historical information that I have provided time after time and having to keep each doctor abreast of my meds individually...
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Jerry Overton
Amen. Forget about all the advanced stuff for a moment, just having a solution to eliminate the duplicate forms would be great.
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Faisal Siddiqi
you should own and grant access to your provider to your historical #EHR information. We can help make this happen
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Chris Fangmann
Maybe once US could learn from good old Europe....
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Will Kelly
I second that!
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David Purkey, MBA, BSET
- there has been a lot of progress in moving medical IT into the 20th century in the US
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Chris Fangmann
you mean right now we're moving into the 20th century?....ooops
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Lisa Braun
Agree - A single point of truth about the individual is needed. Our body is a system of systems but we need all that data about ourselves in a single place, easily shareable but secure as others have been noting.
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David Purkey, MBA, BSET
@ChrisFangmann - yep the 20th. A major hc provider in Nashville is still using access databases as part of their LOB apps
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Chris Fangmann
....ok.....let's just stated there's a lot of great work waiting for us....
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David Purkey, MBA, BSET
@ChrisFangmann - agreed ;-)
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Tony Puerto
Need to focus to 21st century now ;-)
John Furrier
How do containers impact this conversation?
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Rich Carreau
seems like a great way to create shared care across regional and country deployment situations of same/similar services...
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John Furrier
would seem to be great for legacy tech while bringing portability to apps
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Rich Carreau
great point - AGREE
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Dan Hushon
containers and service chains become critical in the ability to provide compatibility of information processes in health institutions
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vittal krishnasamy
all timebound / timed transaction processing systems will gain by containers through using resources quickly and releasing them back
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Femi Ladega
That's key in healthcare....If you wont and cant turn off your legacy... liberate the date via API/ Microservices and create new value.
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Rich Reba
@danhushon as we were discussing earlier a frontier in containers / microservices / service chains is emerging patterns for information sharing and management across all these highly distributed, collaborating services
Frédéric Lé
Should we continue to rely on "infrastructure" security? Or move to an "application level" security model? #csctechtalk
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Chris Fangmann
data level?
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Will Kelly
Security can be a headache, but I believe its necessary at all levels.
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Rich Carreau
Security needs to be injected at all levels - hackers will never stop imagining break-in keys
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Chris Fangmann
@RCinterests So true, Rich. => Another reason to move cyber defense to higher usage of ML
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Joe Champlin
Agree with @ChrisFangmann security at data level. Can't gold-plate everything; have to understand where to spend limited dollars
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Martin Lee
@RCinterests I totally agree with Rich here, security will have to be everywhere, hackers will poke at every seam.
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Martin Lee
@Joe_Champlin That's part of what worries me, I keep on seeing the advice be that you have to be smart in spending limited dollars, but what if that's not enough to protect you?
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Dan Hushon
@martin3lee in most environments there are more savings, but we're not yet an enthalpic system.
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Rich Reba
I think a corollary to "security needs to be injected at all levels" is if you are one of the levels (e.g., Applications), don't assume your solution will be protected by the other levels (e.g., Infrastructure)
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Martin Lee
@richrebajr Excellent point Rich
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Femi Ladega
Most orgs today focus on perimeter security. DH is forcing a rethink around micro segmentation not just Infra, but apps, service and even teams...
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Tony Puerto
The Cybercriminal know no boundaries..security should be pervasive at every layer and in every door
Dan Hushon
Would being a "digital physician" e.g. using analytics to improve diagnostics and "itinerant" care pathways make you rethink your PCP/Specialist or even hospital?
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Rich Carreau
Recognition by the consumer of these new digital ninja skills is important to consumption trending
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Deon Erwee
Fine question! What sort of retraining might the healthcare professionals require become "digital physicians"? Will that be an inhibitor to wholesale adoption?
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Chris Fangmann
@RCinterests But needs to make sure not everybody considers himself a specialist because of easy access to web based diagnostics....unfortunately a big trend right now
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Faisal Siddiqi
I think of digital physicians as at least partially assisted by specialist #healthcare #bots. We're prototyping an Amazon #Alexa Skill for Insurance, would be interesting to apply to #HealthCare
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Jerry Overton
It would make me shift my thinking from hospitals to portfolios of health service providers.
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vittal krishnasamy
Yes. Would prefer someone having at his finger tips an entire ICD 10 to clue his diagnostics
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Will Kelly
I would want my PCP to be the digital physician, there's still some human interaction that should take place for diagnostics.
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Stu Downes
It would for cronic or minor ailments but not for acute or emergency medicine
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Jerry Overton
@swdownes But maybe it could be for the acute or emergency stuff if the digital physician could anticipate such events?
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Stu Downes
@JerryAOverton I agree for acute illness prediction/risk reduction but disagree for predicting trauma
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Stu Downes
@JerryAOverton but enhancing speed of diagnosis in the golden hour I can see the digital consultant at the roadside with EMS
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Glenn Augustus
"Hey Siri, take me to the best hospital for leg fractures" + carplay + autonomous diving.
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Dan Hushon
@swdownes for clarity a digital fluent physician guided by a full digital diagnostician
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Dan Hushon
@glennaugustus okay so digital transportation could certainly change healthcare!
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Tony Puerto
Hard to say no when you are an evangelist of digital transformation…but I would need to do some serious "due diligence" of their capabilities
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Stu Downes
absolutely for the healthcare professionals. alongside a digital assistant for the lay person (mass market)
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Dan Hushon
changing Healthcare concierge to virtual HC concierge... bring advisory roles to the masses... probably a business here!
Will Kelly
Who should be responsible for my health data to ensure privacy, availability, and accessibility where needed?
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Rich Carreau
The best place for accountability is with thy self, so personal digital vaults with Opt In permissions would be great'
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Tony Puerto
Ultimately no one better than me. My question is who should I trust and how do I get assurance my private is not at risk.
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Rich Carreau
Personal data protection is absolutely important and of course, transcends Healthcare too
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Faisal Siddiqi
Patients should always own their data, but it's backwards today with providers maintaining EHRs. Consider permissioned access granted by patients to providers on #blockchains
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Will Kelly
Seems like a #blockchain approach would be an option, and an opportunity for someone to broker between individuals and health providers. Not everyone in the world is technical.
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Dan Hushon
I like blockchain a lot, but at the same time there are a set of stewards for personal information today... would I "bank" my health data, would I share it for a return... lots of possible models
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Faisal Siddiqi
@DanHushon @femiladega @wkelly24 patient owned, managed health data brings us right back to the prerequisite of interoperability between EHRs. Another pitch for #FHIR #API standards
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Femi Ladega
with IoT and potential incentives, personally controlled electronic health record (or rather bits of it) will begin to morph