The KHIT Blog: Recapping the 2017 Health 2.0 Technology for Precision Health Summit

Wednesday, December 13, 2017

Recapping the 2017 Health 2.0 Technology for Precision Health Summit

What a delight, the Julia Morgan Ballroom.

Matthew Holt kicked things off, and then remained offstage until the wrap at the end of the day. He roamed the ballroom all day shooting smartphone pics and uploading them, basically live-tweeting the entire day. Scooped the hell out of me and my ever-more obsolete Sony alpha DSLRs.

My friend, veteran health care journalist Scott Mace showed up. Way cool. We sat together for the day.

I have some 70 photos to consider for upload. Need to also review my notes for my impressions of the day.

A ton of intellect on that stage and in the audience. A great mix of Keynotes, panel discussions, slide presentations, and demos. And, really nice to see a lot of women onstage, many of them MD and PhD entrepreneurs.

Some jots from out of my little notebook:

Claudia Williams Keynote: “Innovation Can Now Come from Anywhere”

Defining “Precision Medicine, Precision Health, Personalized Medicine”

The “Omics”

Unsustainable Growth of Health Care % of GDP

Big Data, a “Sea of Information”

Lagging Interoperability

CDOD, “Chronic Data Obstructive Disorder”

AI, Machine Learning

Blockchain/Distributed Ledger, Bitcoin

“We’re Still Building the Plumbing”

The Criticality of Patient Engagement

Longitudinal Patient Record from ALL Sources

Obama’s Precision Medicine Initiative

Real Time Analyses of Patient-Generated Data (e.g. wearables)

Data Transparency (Public Good) vs Proprietary “Silos” (BizIntel)

“Digital Dial Tone”

The “Unknown Unknowns” of Uncollected Data

Jared Kushner, “Interoperability Summit”

“Quantum Privacy”

David Ewing Duncan, “Precision Medicine is a 10-year Overnight Success”

The “Art of Medicine”

Q&A: Overdiagnosis, False Positives, Overtreatment

Abstracting Structured Data out of Free-Text EMR Records

UPSTREAM Issues, incl. Psychosocial Elements

Tech and Clinical Science “Convergence”

Genome vs Phenome

Gartner Hype Cycle

Carlos Bustamante Keynote, Biomedical Data Science at Stanford

Safety Net, Access Issues

ESRD/CKD Issues

“Precision Advertising (Facebook), Precision Shopping (Amazon), Precision Entertainment (Streaming), but NOT Precision Health?”

Ever-More Rapidly Shrinking Doubling Time of Medical Knowledge

VC and Business Models (e.g., WEF and California PMI initiatives)

Update note: I've had to be away from finishing this post for several days, helping move my daughter's things out of storage into a 26' U-Haul truck for my grandson to drive back to Las Vegas (he made it safely). He just moved back to Las Vegas from Baltimore where he'd been working and living with our son Nick.

I will get to more detailed thoughts on the foregoing list of #tph2017 topics ASAP. Some of this stuff is not exactly news, other topics indeed are. I can probably do a paragraph of impressions on each of the foregoing.

BTW: I found it curious that there was no mention of the FCC "net neutrality" issue, in light of the potential stakes for internet-based startups.
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My summary takeaway tweet.

Conference Chair Linda K. Molnar, PhD

UPDATE

I have some family matters to engage before finishing out this post, but in the interim the Health 2.0 staff has already published an excellent recap.

HEARD ONSTAGE AT THE INAUGURAL TECHNOLOGY FOR PRECISION HEALTH SUMMIT

This week a group of investors, entrepreneurs, precision health researchers, and data wonks all gathered at the opulent Julia Morgan Ballroom in San Francisco for a day of sharing, charged discussion, and live technology demos. The goal of the Technology for Precision Health Summit was to shine a spotlight on advancements and opportunities within an industry where the stakes are high and the imperative to innovate is often life or death.

Linda Molnar, Co-Chair of the summit, opened the day by offering some historical context and major milestones to illustrate how we got to where we currently stand…

Very cool.

Stay tuned.

UPDATE

Some random photos.

Opening Keynoter Claudia Williams! Been following her since her HIE days at ONC

The esteemed journalist David Ewing Duncan

Afternoon Keynoter Carlos Bustamante of Stanford. Yikes!

An absolutely fabulous day.

Up next, save the date (same SF location): January 10th, 2018, WinterTech!

Health 2.0 WinterTech is back in 2018 during the nation's leading investment summit, JP Morgan Week, in San Francisco. WinterTech is the place for insider insights on investing trends in health care technology. By bringing together top tech companies, VCs, entrepreneurs, policy makers, and more, the fourth annual event will highlight the new and unique opportunities available in the fast-rising digital health landscape. Join us for a day packed full of insights with top CEO and VC interviews, and an exploration of the consumer landscape and the rapid rise of digital therapeutics…

apropos of WinterTech, a personal note: two years ago I mentioned the Northern Michigan startup "NeuroTrainer" launched by Dr. Jeff Nyquist (PhD, NeuroPsych, Vanderbilt).

Jeff is the husband of my dear niece April. I was recently thrilled to learn that they have secured a VC Seed Round (totally reputable yet low-profile SF firm), have leased an apartment in San Francisco, and are enroute overland as I write this. They should be here by December 21st.

I've told Jeff about WinterTech. Would love to have him attend. I'm also gonna see if I can help get him a demo slot at the 2018 AARP Innovation 50+ event.

It'll be interesting to see how their effort plays out. They have a fairly short "runway." Really glad they're coming out here, both for their business prospects and for family reasons.

ERRATUM

Finish one book, start right in on another.

"OH, AND, ONE MORE THING"

Been speed-reading (mostly keyword/phrase search driven) through the 1,097 pages of the House/Senate reconciled GOP tax cut bill that is likely to pass into law before Christmas.

How comforting. Is it too early to start drinking?

And then there's this doozy.

The George Carlin jokes just write themselves.
____________

More to come...

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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
___

"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
___

"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
___

"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
___

"'Solutions' exist only in mathematics."

- Karen Martin
___

"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
___

"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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Wednesday, December 13, 2017

Recapping the 2017 Health 2.0 Technology for Precision Health Summit

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