The KHIT Blog: Coming soon, the 2018 Health 2.0 Annual Conference

Tuesday, September 4, 2018

Coming soon, the 2018 Health 2.0 Annual Conference

Indu and Matthew, 2017 Conference

In my email inbox today.

Hello there!

With our flagship Fall Conference just three weeks away, we’re getting very excited to see you there! Health 2.0 is where accountability reigns and truth gets a platform. Our community of health care rabble rousers continues to raise the bar and create a global movement of innovation. With our signature candor, we promise to highlight the big ideas and untangle the tough questions. This year we’ll be asking each other and all of you…

1. Matthew: Is this the year the bubble bursts?

Indu: Maybe it’s not a bubble. Maybe this is exactly the level of investment we need to get to the change and real value creation we need. I’m bullish.

Matthew : Maybe to change a $3.5 trillion industry, it’s not enough….yet. Could use a few more IPOs though….

2. Indu: Is blockchain BS?

Matthew: Well my bitcoin is down 50% since I boasted to you how rich I was in January! But Deloitte says 75% of health care execs say their understanding of blockchain is “excellent,” 39% say it’s in their top 5 priorities but only 11% say they are deploying blockchain somewhere in their enterprise. I actually think that’s quite high!

3. Indu: Is everyone just giving value-based care lip-service? A survey by the American Medical Group Association in 2015 showed that payments from commercial payers were still heavily Fee for Service, 78%. And another 2016 survey showed that only 43% of physicians’ compensation is tied to quality or value!

Matthew: Well I did a survey on this very topic in 1997 at the height of the managed care revolution--only about 10% was NOT fee for service then. So we have seen some change.
Indu: Not enough.

4. Indu: Will Blue Button 2.0 move the needle forward?

Matthew: Still not sure what was wrong with Blue Button 1.0! But nearly 1,000 developers are using the CMS sandbox and insurers are participating in the CARIN Alliance. As Stephen Stills sang, "there’s something happening here…”

5. Indu: Is Seema Verma correct that the end of the fax machine is near?

Matthew: Not per my last experience with my kid’s pediatrician...but I’m hopeful. She did say 2020.

6. Matthew: Is Amazon’s health care takeover our golden ticket?

Indu: Depends on what you mean by “our?” I don’t think Amazon is going to kill the digital health tech market, if anything I think it enriches the market with new supply chains and a new standard for customer experience and competition. I do think it stands to hurt health systems. But health systems have had lots of lead time to respond and consolidation in that sector hasn’t helped cost structures or outcomes. So what else could they be doing? Come to the conference and find out ;)

Matthew: I agree with all that, but you did say “digital health”. Grrr.

7. Matthew: Will free medical school actually alleviate the global physician shortage and encourage the right kind of physician experience?

Indu: No, but it’s a start. We have to humanize the experience of training and practicing so clinicians don’t burn out.
Matthew: Like you did?

Indu: If I hadn’t left medicine, we wouldn’t be working together!

Matthew : So I’m responsible for humanizing you? Or hasn't that happened yet?

8. Matthew: Is the Opioid epidemic a data problem or a social one?

Indu: Yes. But seriously, we have an incredible segment on this on the Unacceptables. Basically complex problems require ecosystem solutions and technology can be the connective tissue here.

9. Matthew: How are the dinosaurs of old school care delivery adapting to tech disruptors?

Indu: They’re turning into birds!

10. Indu: Is digital health dead?

Matthew: The term digital health is the zombie I can’t quite kill!

We’re not new, and it takes a lot to impress us. Now in our 12th season, with a close eye on trends and a heavy hand in curation we’ve set the stage for another class of investments, partnerships, and launches to bring you into 2019 and beyond.

Join us this September 16-18 in Santa Clara. As a friend of ours, feel free to use the code VIP for $200 off! We can’t wait to see you there.

Indu Subaiya & Matthew Holt

DON'T FORGET TO SAVE THE DATES: SEPT 16TH - 18TH, 2018

THE Health IT event of the year.

I will miss you all this year. My post-op recovery is going along pretty well, but I doubt I'll be up to attending.
_____________

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
___

"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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Tuesday, September 4, 2018

Coming soon, the 2018 Health 2.0 Annual Conference

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