The KHIT Blog: Up next, Health 2.0 in Santa Clara

Sunday, September 21, 2014

Up next, Health 2.0 in Santa Clara

That's one of my pics of Indu, from day one of the 2012 Conference. A byline would have been nice; they didn't ask permission. That's just life online, though. After my friend Michael Grimm won America's Got Talent, bootleg "autographed" photos I'd taken of him started showing up on eBay for sale, asking about 100 bucks each. Like, 'whatever?' I let it pass. Some of my friends who me alerted to the pilfered pics were aghast, but, as a practical matter, chasing the perps down would not have been worth my time, and I doubt that anyone banked any serious coin from the scams. Michael didn't know anything about them.

I've covered Dr. Topol before, e.g., at HIMSS13.

My conference M.O. is to do a lot of photography, in order to give readers/viewers a visually vivid sense of what attending is like. The traditional Healthcare / Health IT press are always there in droves covering a lot of topical content in text-only detail. I've yet to see anyone doing what I do (I have no way to know, but I guess I'm doing something right; organizers keep inviting me back). I've seriously thought about getting a GoPro camera to do some walking-around video. There are a gazillion "videographers" at these conferences any more -- all of them doing standard "talking heads" stuff out in the halls. Anyone with a DSLR with HD video and an iMovie or Final Cut app is now a "Video Producer."

I'm scheduled for MGMA (Vegas) and the IHI Forum (Orlando) later this year. Maybe I'll pop for a GoPro.
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Registration and agenda are here. Some of what will be going on is cited in a recent TCHB post:

The Must-See Digital Health Startups of 2014

Ten new digital health companies will demo their products for the first time in the Launch! session during the Health 2.0 8th Annual Fall Conference being held in Santa Clara, CA on September 21-24. Launch! is a contest held at 12:00 p.m PDT on Wednesday, September 24th, where the technology is demoed in three and a half minutes. At the end, the audience votes for their favorites. Previous Launch! winners have included Castlight Health, Basis, and OM*Signal. This year’s finalists:

Symptify helps the user navigate a series of questions to narrow down the cause of their symptoms while also helping them find a nearby medical facility.

Open Source Health MyAVA, uses Open Source health IT for a collaborative patient – physician educational and informational sharing platform for women. Advocating everything from female health, fertility, to healthy aging.

Intake.Me is a communication and patient engagement product that allows patients to check-in for their doctor’s visit from anywhere and attach medical records stored in their own virtual private health cloud.

Livongo Health introduces the brand new InTouch, which is a diabetes monitor, advisory and coaching service, community, and communications tool—all rolled into one. The concept is so exciting that it’s got Glen Tullman out of his post Allscripts “retirement” and back into the startup game.

DaVinci.io builds apps with a mission – introducing a PHR that consolidates existing health records onto the user’s mobile device.

Hale Health’s founder Anna Larsonn left Apple to develop a new communication platform where patients can digitally connect, talk, and message directly with their doctors.

Curve Tomorrow is in partnership with the Murdoch Childrens Research Institute in Melbourne, Australia, launching Sonny. It uses the XBOX Kinect to more accurately track the progress of physical rehab treatment.

InpharmD helps physicians make more informed decisions by digitizing the literature search experience. Supervised pharmacy students respond to their inquiries and help them practice according to the latest evidence.

ChatrHealth’s Cascadia is set of iPad-based modules that adapt the checklist functionality used by airline pilots to improve safety in in clinical situations, starting with anesthesia and surgery, and moving to other medical procedures.

ThriveOn uses a series of personality-based steps to help people take the small steps towards more balanced mental health. Interventions like “cooking dinner for friends” or “going for a healthy walk” are accompanied by the support of a live mental health professional.

While Launch! is in its 7th year of showing brand new technologies, T raction is a brand new competition focusing on the business plans of already successful companies, which are on the verge of raising Series A rounds of $2-$15M. The companies are mentored by experts and judged by a hard nosed panel of venture capitalists who will determine which can scale most quickly...

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BTW: in addition to my cameras, I'm bringing my audio gear.

If you want to hook up and chat one-on-one for podcast publication, let me know. In addition to the obvious tech stuff, my interests run to all manner of healthcare improvement issues, ranging from clinical science (including medical education pedagogy) to workflow processes to empirical analytics to public policy to healthcare workforce "psychosocial health" -- i.e., "Just Culture."

See you in Santa Clara. Oh, yeah, in addition to my cameras and audio gear, I'm bringin' my own half and half. :) Rice milk? Soy milk? Seriously?

Bringing my axe too. Even after 55 years on it, I still need to practice every day.
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ERRATUM

Courtesy of THCB:

In this brilliantly fun mockumentary from German filmmaker Till Nowak, a man named Dr. Nick Laslowicz from the Institue for Centrifugal Research (ICR) recounts his “achievements in the realms of brain manipulation, excessive G-Force and prenatal simulations,” stating unequivocally that “gravity is a mistake.” What follows is a series of increasingly terrifying and equally absurd roller coasters that fling passengers into the sky in an attempt to theoretically improve their cognitive function. Pulling no stops, the fictional ICR has a fully active Facebook page and website, though in reality the film has won numerous awards in screenings around the world in the last year. (via the creators project, swissmiss)

Well, OK...
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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
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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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Sunday, September 21, 2014

Up next, Health 2.0 in Santa Clara

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