eweekchat

Next-Gen Health Care IT
JOIN US: This is a chat-based conversation about advancements in next-generation health-care IT, including new collaboration tools, AI and telemedicine.
   9 months ago
#eweekchatTrends in Data OrchestrationJOIN US: This is a chat-based conversation about how batch processing, while still being used pretty extensively, is nonetheless being eclipsed by newer methods of making data work inside IT systems.
   6 months ago
#eweekchatThe Home as Enterprise BranchJOIN US: This is a chat-based conversation about COVID-mandated changes in the workplace, including security, networking, collaboration tools--and working far too much using Zoom and Webex.
Chris Preimesberger
Q3: Where do you see the most progress in overall development of health care software and services?
Sanjeev Agrawal
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
Sanjeev Agrawal
A3: EMRs are very good databases for collecting health data, but not great for understanding data / developing cures or optimizing throughput
Aditya Bansod
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?
Sanjeev Agrawal
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
Chris Preimesberger
It's amazing faxes are still being used every day somewhere in business. Yes, they have their physical form value, but still ... ;-)
Aditya Bansod
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.
Sanjeev Agrawal
A3: The biggest roadblocks are still the "sacred cows" in adopting software based tools
Mike Seegel
@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.
Aditya Bansod
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
Mike Seegel
@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.
Sanjeev Agrawal
A3: Agree @adityabansod - parsing through the data is the hardest part.. it's 80% of all data science
Aditya Bansod
@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)
Sanjeev Agrawal
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.
Kenya Smith
A3. EMR adoption and interoperability. Allowing patients to access and share their health records across providers.
Chris Preimesberger
Thank you, Kenya, for joining us!
Chris Preimesberger
Enough prep! Let's get to it Q1:

Q1: Where can the use of AI and ML best fit into next-gen health-care IT to enable more positive outcomes?
Aditya Bansod
.@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
Sanjeev Agrawal
A1: There are several areas where AI could fits into next-gen healthcare, specifically 5 areas
Sanjeev Agrawal
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
Sanjeev Agrawal
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.
Sanjeev Agrawal
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.
Sanjeev Agrawal
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
Sanjeev Agrawal
5. New drug regimens
Chris Preimesberger
Q5: How do you believe telemedicine is going to continue to develop? What will we be able to do in the future that we don't do now?
Sanjeev Agrawal
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
Sanjeev Agrawal
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.
Sanjeev Agrawal
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!!! :)
Mike Seegel
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.
Chris Preimesberger
Good point, Mike. Telemedicine is a two-interaction; ordering takeout is one-way. Big difference
Aditya Bansod
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
Mike Seegel
@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.
Sanjeev Agrawal
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
Aditya Bansod
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
Kenya Smith
A5. I see an expansion of telemedicine in more acute settings. i.e ICU
Chris Preimesberger
How so, Kenya? Can you offer a little more detail?
Chris Preimesberger
This has been a very informative discussion. Outstanding interaction and engagement. eWEEK thanks each of you who brought a perspective, opinion or data point to our community round table today.
Sanjeev Agrawal
thanks for putting this together. Take care everyone
Mike Seegel
I really appreicate you having us! I look forward to next time
Aditya Bansod
thanks for arranging! have a great day everyone
Chris Preimesberger
I'd like to invite each of our guest experts to give us a high-level overview of what their companies offers here in this sector. Go for it!
Sanjeev Agrawal
@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
Sanjeev Agrawal
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
Aditya Bansod
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.
Mike Seegel
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!
Aditya Bansod
A2: patient risk a huge area where I agree with what @saagrawa is saying -- that EHR data is under utilized. Even basic cohorting around known either lifestyle or hereditary risk factors to a patient health is a huge step that most health systems need to take.
Sanjeev Agrawal
A2: There is a lot of data in EHRs that isn't being used to filter and cluster patients into the right cohorts. For example as a South Asian male my risk for cardiac disease can be assessed a lot better by looking at a like cohort and using historical data to assess specific risk
Sanjeev Agrawal
A2: If Amazon and Netflix can recommend things I'd like (I know it's a very different example) so can my medical record :)
Chris Preimesberger
Q2: How can next-gen health care IT help improve risk assessments for patients and health-care professionals?
Mike Seegel
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.
Chris Preimesberger
Good point. Can you elaborate a bit with an example or two?
Mike Seegel
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.
Mike Seegel
A2: Easy reporting translates into the ability to understand where your risks are, which allows a much better overall risk assessment.
Chris Preimesberger
Thanks for that. Is instant reporting a standard function inside most systems now, or is this just a "nice to have?"
Mike Seegel
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.
Chris Preimesberger
Sidebar comment: AI and ML functionality is pervading all types of applications, and it seems that health-care is a hugely important sector for it. We at eWEEK expect to see more and more use cases involving AI and ML in this sector.
Chris Preimesberger
Repeating: Q1: Where can the use of AI and ML best fit into next-gen health-care IT to enable more positive outcomes?
Mike Seegel
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.