The KHIT Blog: #Innovate50 2017

Thursday, April 13, 2017

#Innovate50 2017

Good Morning AARP Innovation 50+ 2017!

I'm running behind in my blogging. I almost bailed and didn't come this time. We just got some extremely bad dx news. Yet another immediate family member has been diagnosed with advanced cancer. I guess 15 years of next-of-kin caregiver duty wasn't enough. Have to suck it up and strap back in.

But, I have to say, hearing Richard Lui's bracing caregiver story during his interview with Alexandra Drane was leavening. Have to tamp down my Pity Party just a bit.

Richard poignantly recounted his ongoing caregiver routine with his Alzheimers-afflicted Dad. I could relate. My late Dad didn't have Alzheimer's, but he languished in LTC for seven years with increasingly severe dementia. I "interviewed" him once in the nursing home.

And, after that, hearing Missy Krasner recount her decades of caregiver duty with her Mom was another whack upside the head.

We're mostly all in this together at some point. Really glad I came, tired as I am.
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Thursday morning: So, today is "FinTech" day, 'eh?

#Innovate50 "FinTech" Day. Get it? Lordy. Rim shot. @AARPInnovation @AARPMedia https://t.co/YlZibjJAJe pic.twitter.com/tlVoHPtkyS
— Bobby Gladd (@BobbyGvegas) April 13, 2017

Couldn't resist.

"Financial Tech," huh. I'll be all ears. For one thing, recall my prior post "Rationing by 'Price'."

BTW, be sure to grab a copy of Jo Ann Jenkins' book:

I will certainly study it in detail and report on it.

UPDATE

Friday morning. I'm home. I live 65 miles from the conference site, in Antioch out by Brentwood. Took me 3 hours to get home. We wrapped at 3:46, I thought "hey, I can be on the road by 4, maybe beat much of the crush."

I was wrong. Got home a bit after 7 pm. Got my fix of NPR (KQED specifically), that's for sure.

Gotta dump and triage all of my photos, and review my notes. Lots to reflect upon. For now, let me note another book. Day 2 Keynoter Jean Chatzky's new collaborative release.

My reading is piling up.

Great presentation.

I have to give major Props to AARP for continuously stepping up their game. This conference presentation was on par with those of Health 2.0. The two (somewhat overlapping) topics of "caregiver" and "financial tech" innovations could not be more timely.

Congratulations to the pitch competition winners.

Siren Care

LifeSite

Go Go Grandparent

Golden

The full list of pitch competition finalists and alternates is here.
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Well, this is one way to put things...

Old Farts Represent a Huge $ Market for Alternative Financial Services

[CARDTRAK STAFF, APRIL 13, 2017] The economic buying power of the 50-plus population who are increasingly turning to alternative financial services due to feeling that traditional bank offerings are not meeting all of their financial needs is enormous. Fintech companies are hoping to tap into this market by offering digital tools to address the unprecedented financial stress and complexity faced by this demographic.

People aged 50-plus will generate $83 billion in revenue for the fast-emerging alternative financial services sector over the next five years, according to AARP’s Financial Innovation Frontiers report. The research also found that only one in four 50-plus consumers is highly confident they can meet their financial needs in the next five years.

The research found that the 50-plus segment will spend $15.3 billion in the alternative financial services sector by the end of 2017, and that number is expected to grow by a healthy 4.25% annually through 2021. In addition, this industry is expected to syphon off $1.6 billion from banking revenue on checking and savings, consumer credit card and lending products in the next four years in addition to $1.2 billion in organic growth.

Other key findings of the Financial Innovation Frontiers report... (read the entire article)

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UPDATE

Wow. Cool. They've posted the entire videos from both days! 15 hours of footage. (Day One program begins at 18 minutes in).

Day Two:

If you didn't attend, I recommend you watch all of these.
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SOME RANDOM PHOTOS OF MINE

AARP had two professional photographers documenting the event, so I didn't work the room like I might normally otherwise do. Just took shots from my front-row seat amid scribbling in my notebook. A few random pics below.

That's enough for now. I have more. Shot a couple hundred across the two days (including a number via my iPhone).

I also have to give a shout-out to a delightful young man I sat with during the Day 2 morning session and then had lunch with. George Song, of MoreHealth.com.

BTW: You can follow AARP Innovation 50+ on Twitter here.

@Innovationat50

Also, avail yourselves of this report (pdf)

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My one critical conference observation goes to presentation recommendations. I found most of the pitches anxious and stiff, a parade of forced Toastmaster Moments to one degree or another. I don't underestimate the difficulty of the high-stakes time-constrained venue, and the fact that these startup Principals are tech and business management people, not performers (like I used to be), but I repeat the recommendations I proffered at the end of last year's Lean Healthcare Transformation Summit I covered. See my take on "The Presentation Secrets of Steve Jobs."

Not the stuff about stage lighting and info-diarrhea slides (scroll past that material), the lessons going to pitch delivery. Among other things,

You really need to have your presentation down cold. Rehearse, rehearse, rehearse, to the point you could do it in your sleep. No nervous, furtive quick glances down at the teleprompter/monitor, commit your presentation deeply to memory (inclusive of its time consumption), and;
Move around (and use confident "body language"). Most of the presenters "hit their (blue masking tape) mark" and stayed stuck there. The video cameras are all on swivel head tripods. Put some physical anima in your presentations.

The trial lawyer's maxim is "he/she with the best story wins!" And, while the "story" in these cases is of course the effectiveness/utility/value propositions of the pitched apps/services, you are part of those stories while pitching them from a stage. Otherwise we could just watch a narrated video or slide deck or read the brochure.

One other thing that caught my ear. I again heard it proffered that peoples' "digital footprints" (a.k.a. "digital exhaust") might serve as "big data" grist for derivation of individualized drill-down metrics such as a "proxy FICO score." Don't get me started on that BS. I used to work in subprime risk modeling and management.

During one of the Health 2.0 WinterTech events I watched one presenter demo an AI-assisted app purporting to dynamically calculate and update your personal "health score" using, among other online factors, your social media activity. What could possibly go wrong there?

I have more thoughts, which I hope to get to ASAP, but I'm unexpectedly overwhelmed these days...

CODA

My younger daughter Danielle recently got a devastating diagnosis of Stage IV metastatic pancreatic cancer (she's gone "public" with the news on FB, and gave me permission to write about it). Danielle is particularly special to me.

We lost her older sister "Sissy" to liver cancer 19 years ago. I am just speechless.

One of her friends started a crowdfunding page, regarding which we could not be more grateful.

PS

The March for Science draws nigh. I've been intending to participate on the San Francisco event. Just in via my email inbox:

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More to come...

No comments:

Brave New Health

Commonwell Health Alliance

Another important read (pdf)

I love this kind of stuff. It sustains and humbles me. "As politicians, advertisers, salesmen, and propagandists for various political, economic, moral, religious, psychic, environmental, dietary, and artistic doctrinaire positions know only too well, fallible human minds are easily tricked, by clever verbiage... Common language—or at least, the English language—has an almost universal tendency to disguise epistemological statements by putting them into a grammatical form which suggests to the unwary an ontological statement. A major source of error in current probability theory arises from an unthinking failure to perceive this."

Quotes

"An economist is a person who sees something that works in practice and tries to figure out whether it will work in theory."

- J.D. Kleinke, medical economist
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"The only person who enjoys change is a baby with a wet diaper."

"Every misspent dollar in our health care system is part of somebody's paycheck.

- Brent James, M.D., M.Stat

“We could do healthcare, at markedly higher quality, for everyone in this country, without rationing or denying anybody the care that they need, without having the government dictate how doctors practice or whether hospitals could expand, at half the cost we do it now.”

- Health Care Futurist Joe Flower

Most of the sciences, unlike parts of medical science, are not concerned with the impossible. There is not complementary and alternative physics, or chemistry, or biochemistry, or engineering. These disciplines compare their ideas against reality, and, if the ideas are found wanting, abandoned."

- Mark A. Crislip, MD

"Q: How much alcohol is too much?
A: More than your doctor drinks."

- a physician I once heard speak during a CME presentation

“Just because science doesn’t know everything, doesn’t mean you get to fill in the gaps with whatever fairy tale most appeals to you.”

- Dara O’Briain

'[I]t is one small step from using the computer for "helping" doctors to monitoring them, judging them, dictating to them what to do, and withdrawing payment for computer non-compliance. The use of computer data is a multi-edged sword. It can be used for the "good," facilitating diagnosis and treatment and making it more accurate and up-to-date, and for “evil,” invading privacy, inviting security breechs, and making decisions based on the opinions of remote authorities rather than those present at the patient-doctor encounter.'

- Richard Reece, MD

“[T]here ARE statistics which are non-political. Just because The Washington Post/Fox News reports the temperature is 75 degrees doesn’t mean it’s really snowing and sunscreen is a liberal/conservative plot. Even if you earn a living being ideological.”

- Michael L. Millenson

"It is a generally a fairly convincing argument that people shouldn’t have to be subsidized to undertake a change which is in their best interest.

The reconciliation seems to be that EHR is not supposed to make a doctor’s practice more efficient and higher quality. It is supposed to make the system of care more efficient and higher quality, which is not the same thing. Those of you who took calc recall that maximizing the total of variables is not achieved by maximizing any one variable and this is a perfect example of that.

Those of you have served in combat certainly noticed that too — if everyone works as a team the unit takes fewer casualties. If you try to save your own hide, you might, but at the expense of more casualties overall."

- Al Lewis

"There are two ideas to keep in mind about Bayesian reasoning and how we tend to mess it up. The first is that base rates matter, even in the presence of evidence about the case at hand. This is often not intuitively obvious. The second is that intuitive impressions of the diagnosticity of evidence are often exaggerated."

- Daniel Kahneman, "Thinking, Fast and Slow"

"Physicians apply advanced scientific knowledge, but they must do so without the favorable conditions that experimental scientists create for themselves. Multitasking is forced on physicians, often in chaotic environments and under severe time and resource constraints."

- Lawrence and Lincoln Weed, "Medicine in Denial"

"It’s time to stop the whining about Obama care and acknowledge we already have universal health care. We just pay for it in the stupidest way possible that ensures problems are that much more disastrous and complicated when they’re finally treated."

- Mark Hoofnagle, MD, PhD

"Every act of conscious learning requires the willingness to suffer an injury to one's self-esteem. That is why young children, before they are aware of their own self-importance, learn so easily."

- Thomas Szasz, MD
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"Of course, one reason that process metrics* are so popular is that processes are much easier to define and measure than outcomes."

- The Skeptical Scalpel
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"There is an “illusion of validity” for any random data point, a seductive sense that is colored by what we hope will be true. Mountains of pharmaceutical claims are often made from mere molehills of data."

- Danielle Ofri, MD
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"Joy empowers people. It is a source of energy that enables people to hope and plan and change their lives for the better. Spend some time around someone who is relentlessly negative and how do you feel–drained, right? More and more research shows that joy is not something that just happens to you, like a bolt of lightening out of the blue. Joy is, instead, a habit to cultivate. Negative thinking and despair are the crabgrass of our souls–weeds that take root and spread, sometimes to all areas of life. Joy, in contrast, is a soul’s rose–hardy when cared for, able to put down roots over time and withstand disease and extremes. Like a rose, however, your joy can become blighted from neglect or harsh conditions. We all need to tend to our joy–to prune away the badness, and to know that, even though it may look like a prickly bare root, if you invest time in a joyous outlook, gorgeous things will bloom, even in the harshest conditions."

- Dr. Jan Gurley
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"'Solutions' exist only in mathematics."

- Karen Martin
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"The issue of how to regulate clinical software is, in the long run, indistinguishable from the issue of how to regulate medicine. The only difference is that medicine is practiced in the open, without secrecy, subject to peer review, and under a merit-based state license."

- Adrian Gropper, MD
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"Economist, rope, tree: some assembly required."

- Source unknown

DISCLAIMER:

I write this blog wholly on my own time and my own dime. The views proffered are expressly my own as a concerned and active citizen/taxpayer (in addition to being the result of my substantive experience in the various IT fields), and in no way reflect any policy views of my former employer, notwithstanding that some of the thinking has indeed obviously been spurred by the implications of the work with which I have been doing for them.

FAIR USE POLICY
I cite a ton of news and web sources spanning the breadth of relevant technical and policy domains, sometimes at substantial length. I believe I remain well within the bounds of "Fair Use," as [1] I am not doing any of this for profit, [2] I always provide attribution and links -- which, [3] far from negatively impacting any copyright holders' commercial interests, might actually increase traffic to and interest in their offerings.

Nonetheless, should I post anything of yours regarding which you have any objection, just let me know and I will remove it forthwith.

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Thursday, April 13, 2017

#Innovate50 2017

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