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Wednesday, March 2, 2016

#HIMSS16 Day 2


No HIMSS wifi, all day. The place was smartphone hot spot hell.

Every time I clicked "Select another network" the list got longer.

We're the Technology People.

Posting this from my sister-in-law's house prior to heading out to the conference. Hope it's fixed today.

Off-topic erratum: This is what I did Monday night. Wearing my other hat.


The Big-Data Quest to Treat Every Disease
Mar 02, 2016
Video by The Atlantic

When Sonia Vallabh and Eric Minikel discovered that Sonia had inherited the gene for a fatal neurodegenerative disease, they quit their jobs to dedicate themselves to finding a treatment. President Obama believes that the American people may be able to help. It cost $400 million to sequence a person’s genome in 2003. Now, the cost has plummeted to around $1,000. These maps of all of the genes in our bodies are now easily and quickly attainable, along with enormous amounts of other medical data. The singular question of modern medicine is what to do with this data, and how to use it effectively, efficiently, democratically, and responsibly to improve human health...


Saw a post about this book yesterday on SBM.

From the publisher:
How does life work? How does nature produce the right numbers of zebras and lions on the African savanna, or fish in the ocean? How do our bodies produce the right numbers of cells in our organs and bloodstream? In The Serengeti Rules, award-winning biologist and author Sean Carroll tells the stories of the pioneering scientists who sought the answers to such simple yet profoundly important questions, and shows how their discoveries matter for our health and the health of the planet we depend upon.

One of the most important revelations about the natural world is that everything is regulated—there are rules that regulate the amount of every molecule in our bodies and rules that govern the numbers of every animal and plant in the wild. And the most surprising revelation about the rules that regulate life at such different scales is that they are remarkably similar—there is a common underlying logic of life. Carroll recounts how our deep knowledge of the rules and logic of the human body has spurred the advent of revolutionary life-saving medicines, and makes the compelling case that it is now time to use the Serengeti Rules to heal our ailing planet...


 My comment:
Now that HHS is finally talking about "data standardization," use ONC's authority to require that all EHR vendors hand in their data dictionaries for data cross-mapping study -- like they SHOULD have done at the outset. [Link]

Dr. Carter has a new post up two days in a row.
This Week on Clinical Workflow Center

Moving from clinical workflow analysis and flowcharts to applications that use workflow technology to support clinical work is a big step.   Clinical process management (CPM), an approach to clinical processes that borrows from and builds on tools and methods from the field of business process management, is the subject of the most recent articles.  Enjoy!
See also his related If I was going to return to coding (I last wrote an "app" in 1991 in a lab in Oak Ridge, lol), I'd probably use Apple's Swift language, among other tools.

I continue to find Dr. Carter's work extremely important. Wish he was here at HIMSS16.




It's like NASCAR. HIMSS has sold ad space everywhere, even on escalators.
EPIC sculpture.

I am now in the maw of EPIC as a patient in the Muir system. Below, more exhibition hall ramble.

Yes, HL7, our current darling with FHIR and the Argonaut initiative. See here and here.

So, NaviSite invited me to a private after-hours event at RAVO. I have no idea why, but I am grateful. And, I have to sheepishly confess, I also had no idea who Jillian Michaels is.

One effusive, totally smart woman. She reminded me of my late wild-child fitness buff sportsmodel daughter Sissy.

Below, by far the best session I've attended thus far. HX360, "Data Liberation" featuring my humbling friends HHS CTO @SusannahFox and the equally crazy smart health care hacker @fredtrotter.

They tore it up. Fred demo'd some excellent interactive graphics derived from publicly released Medicare claims data.

The hope and expectation is that myriad private sector researchers will be able to effectively mine "liberated public data" in ways that HHS would never get around too.

HHS is lucky to have the smart, savvy, and humane Susannah Fox on board. If anyone can move the needle on Health IT innovation support inside HHS, it is Susannah. And, Fred! Dude is a walking diamond mine of raucous insight. I hope they video'd that session, and make it available.

Fred in 2012:


Susannah and Fred's session was captured on video.


Leaving the Venetian garage at dusk.

This was funny


More to come...

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