eweekchat

A3: Grading healthcare on a curve, we’ve made relatively great technology leaps in the last decade with EMR adoption. Thankfully we don’t use faxes any more (or less anyways) but we are still 30 years behind where airlines, transportation, package delivery, retail ar

A3: EMRs are very good databases for collecting health data, but not great for understanding data / developing cures or optimizing throughput

A3: few key areas here:

1. Physician Burn Out -- health IT caused caused it and now we have to fix it. We've made great strides in terms of data capture but for the benefit of whom?

What's exciting is the equivalent of what SalesForce or Workday have done on top of SAP or Oracle and that's starting to happen - diagnostic imaging, revenue cycle, asset optimization, clinical workflow optimization

It's amazing faxes are still being used every day somewhere in business. Yes, they have their physical form value, but still ... ;-)

A3:

2. Patients As Their Own Champions -- new regulatory frameworks and consumer apps (e.g. Apple Health / etc) are putting patients in to the drivers seat of their own HC and the overall HC software stack is struggling to keep up as patients demand more access.

A3: The biggest roadblocks are still the "sacred cows" in adopting software based tools

@adityabansod A3: I agree Aditya. I find that my clients are able to generate massive amounts of very good data; but most just accumulate it and do nothing with it. It's those that develop actionable metrics around the data that find success.

A3:

3. The Whole Patient Journey -- having the 360 degree view of what's happening for a patient can help better clinical decision making and help the patient be their own champion. There's a lot to unpack here we have a lot of interop-related questions yet to solve

@MikeSeegel When doing HITRUST assessments, HITRUST forces my clients to perform actions on the data they get, such as reviewing unauthorized record view activity, or attempted brute force attacks. They have to do something with the data they get.

A3: Agree @adityabansod - parsing through the data is the hardest part.. it's 80% of all data science

@saagrawa @mikeseegel signal to noise ratio is healthcare is just insane -- it's sorta back to to @saagrawa list from Q1 of how sift/sort thru it all where there are distinct audiences (both clinical facing and patient facing -- but also financial facing)

A3: Yep - starting with narrow "business problems" and going deep in areas with value is the only way we have found. Else you end up trying to create magic potion like IBM Watson and Haven and it doesn't quite work.

A3. EMR adoption and interoperability. Allowing patients to access and share their health records across providers.

Thank you, Kenya, for joining us!

.@editingwhiz A1: I'm mostly excited for ML to really help us understand patient's intent in healthcare -- what do they want to achieve out of their HC experience. I think one of the powers of ML is to understand what a patient means not just says to provide equitable care

A1: There are several areas where AI could fits into next-gen healthcare, specifically 5 areas

1. Increasing Access: Providing greater access to high quality care to more patients through resource optimization (similar to load factors in airlines). Simultaneously deliver high utilization of assets, low wait times for patients, and a large number of available slots for pati

2. Lowering costs e.g. claims adjudication, staffing, other back office functions. AI can minimize time spent on routine, administrative tasks, which can take up to 70 percent of a healthcare practitioner’s time.

3. Clinical applications of AI : Diagnostic applications, such as reading imaging scans or pathology reports, are probably one of the most intuitively obvious places where we would expect to see AI getting deployed at scale in the near to medium term.

4. Targeted Precision medicine: for higher efficacy drugs that act on my specific symptoms. There is so much patient specific data that can be used to identify “who am I like” from the thousands who may resemble me

5. New drug regimens

A5: Personally I think we will settle into a hybrid world where some demand will be shunted to Telemedicine but it's hard to replace for example some Oncology appointments in person

A5: However second opinions, skin conditions, other less "I need to see / touch, examine the patient" conditions can move far more effectively online. Maybe with imaging that can be read online we could do even more.

A5: And if Michio Kaku is right and we all walk around with a hand held $100 MRI machine maybe we can do everything online!!! :)

Q5: Sadly, I think telemedicine is starting to put the onus of diagnosis on the patient. In other industries, such as food, being able to customize your order the way you want can be beneficial. Requiring the patients to do more is problematic.

Good point, Mike. Telemedicine is a two-interaction; ordering takeout is one-way. Big difference

A5: I've been thinking a lot recently with telehealth in the context of health maintenance. as remote monitoring tools (like CGMs, etc) continue to get better, appts with diabetic educators, A1c checkins, etc will get even more valuable as a remote capability

@saagrawa A5: I agree some exciting innovations are coming, but I think it might actually degrade our level of healthcare. I could be wrong, as perhaps medical professionals could maybe focus on higher level tasks than before.

A5: To @adityabansod's point - all these watches and devices we wear can be really quite helpful for maintenance, a form of virtual health checkups

A5: I think one major innovation that will happen in remote healthcare (broader context than just telehealth) will be as continuous glucose monitors become the standard instead of finger pricks. once we solve the mountain of data they generate, it'll be a huge step

A5. I see an expansion of telemedicine in more acute settings. i.e ICU

How so, Kenya? Can you offer a little more detail?

thanks for putting this together. Take care everyone

I really appreicate you having us! I look forward to next time

thanks for arranging! have a great day everyone

@LeanTaaS we enable hospitals to do more with less - see more patients at lower cost with less wait by improving the utilization of their existing assets

We do this by matching supply and demand of these assets (both of which are stochastic by nature) in a much more mathematically precise way than EHRs can

thanks @editingwhiz! we @lumahealthhq provide a full EHR-integrated platform to help engage, communicate, guide, and retain patients at all points of their care journey. needing care is hard, getting access to care shouldn't be.

We wrote a book about it - https://www.amazon.com/Better-Healthcare-Through-M...

Schellman offers a wide range of compliance audits and assessments, such as HITRUST, HIPAA assessments, SOC 1 & 2, ISO (many varieties), CMMC and the like. If you need IT Compliance, we most likely have what you're looking for!

A2: If Amazon and Netflix can recommend things I'd like (I know it's a very different example) so can my medical record :)

A2: I find that my clients have the best success in undergoing compliance audits when they have systems that interoperate, providing more control over their environments.

Good point. Can you elaborate a bit with an example or two?

A2: For example, having Crowdstrike next-gen anti-malware feed into Splunk for easy reporting allows for better control. This can provide easy reporting and actionable items.

A2: Easy reporting translates into the ability to understand where your risks are, which allows a much better overall risk assessment.

Thanks for that. Is instant reporting a standard function inside most systems now, or is this just a "nice to have?"

A2: Great question! In most modern systems, such as Splunk, report generation is extremely customizable. You can pick what fields you want to include on reports. Most systems allow for alert notifications on your risk tolerance levels.

I've seem AI and ML used in my clients to get better control of data. Such as, helping with a patient's next best steps, or discovering additional money from Medicare by finding a patient treated for an illness at another hospital group.