Thursday, April 23, 2015

#DHIC @Tigerlabsco My #BlueButton Presentation from today

Here is my presentation from Digital Health Innovation in Context:

http://2.healthca.mp/1aW2cle

To find out more come to http://2.healthca.mp/1DCCU7o in Washngton DC on May 30th, 2015

[category News, BlueButton, Health]

[tag health, cloud, BlueButton, bigdata, opendata]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1DFhvWG

#DHIC Patient , Beneficiary and Consumer Engagement

More from Digital Health in Context: 2015….

Judith Sheft Moderates:

Dick Talens – Co-founder: Fitocracy
Matt Loper – Co-Founder & CEO: Wellth
Hans Raffauf – Co-Founder & COO, Clue

Clue tracks fertility cycles. It is not a patient app. It is a consumer app.

Matt L: Focus on driving behaviors. Extrinsic and Intrinsic factors.

Dick T: Points give a dopamine hit but it doesn’t last. ie. Gamification only gets you started.
Social kicks in and sustains. Accountability in your social circle worksuntil habitual activity kicks in.

Hans: The data set is very private. data is de-coupled from user information. 1M active users.
Developing a forum to help address the questions that the users have.

Dick T: Education, Mindfulness and habit are the most important factors.The issue is creating a positive Feedback loop. It can take time and depends on the individual.

User Experience/User interface is critical. Activity has to be quick and easy. Make it easy for users to do things.

[category News, BlueButton, Health]

[tag health, cloud, BlueButton, opendata]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1DFhvWC

#DHIC Leo Nicacio of @FlatironHealth – Tackling Cancer

More from Digital Health In Context 2015….

Leo Nicacio, MD of Oncology at Flatiron Health.

Fighting cancer is incredibly disjointed.

Th best data comes from Clinical Trials but only 4% of patients are in clinical trials.

Data is in clinical health care organizations and is often siloed.

Unleashing data is linked to our ability to set data free.

Data Liquidity is right data to right person at the right time.

80% of cancer clinic have implemented EMRs.

Interoperability is a barrier! There is a Lack of Standards.

Interoperability assumes we can structure all of the data using a standard vocabulary. However most data is in unstructured notes.

80% of the value comes from unstructured data.

Structured and Unstructured data need to be combined. It drives completion of information and filling of data gaps.

Very few EMRs are cloud-based. Most are locked in closets or maybe data centers.

Medscape Survey: 35% believe EMR improved Patient Services
34% believe it made it worse.
67% believe it reduced Face-to-face time.

The realities of unleashing data:
– It is raw
– It is interdisciplinary
– It is cumulative

Advancement will come from the integration of Science, Institution and Technology.

“Software as a drug”

We need to build an Engine/ Platform and not a tool.

R = G
N = 1

C.K. Prahalad – _ The New Age of Innovation: Driving Cocreated Value Through Global Networks

[category News, BlueButton, Health]

[tag health, cloud, BlueButton, bigdata, opendata]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1DEOV82

#DHIC Cognitive Computing and Predictive Analytics – Stephen DeAngelis @EnterraCEO

More from Digital Health Innovation in Context: 2015

Stephen DeAngelis – CEO / Co-Founder Enterra Solutions

Enterra’s platform ingests:
– unstructured data.
– Corporate Information (rules, logic and best practice)

A lot of logic is learned by machine.

Then use AI, Semantic Reasoning and Advanced Math calculations.

Enterra: Sense -> Think – > Act -> Learn

Learning creates observed results that lead to refinement of rules.

This automates the functions of Statistical expert and Data Programmer and makes them available to the Business Domain Expert.

Enterra has been applied to Healthcare to look at how clinical and drug pathways affect cost. The target was hypertension.

  • Create Hypotheses
  • Identify subsets of data
  • Use Representational Learning Machine to develop models.

RLM identified outcome impacts:

  • Comorbidity
  • Provider
  • Drug Treatment Pathways

Global Manufacturing Supply Chain Management Platform:

System of Connectivity -> System of Insight -> System of Record (Corporate Value Chain and Digital Path to Purchase)

Cognitive Computing is ill-defined. IBM is probably the most well known solution in the space. Watson is a large search and analytics engine.
Enterra brings inference engines. (Non-brittle Ontologies) that connect to math engines.

[category News, BlueButton, Health]

[tag health, cloud, BlueButton, bigdata, opendata]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1d554OD

#DHIC Data is the New Asset

More from Digital Health in Context 2015:

Data is the New Asset

Moderator: Kathleen Coviello – Director NJ EDA Technology Division

Stuart Henderson – Managing Directo, Accenture

Drew Schiller – Co-Founder Validic

Jason Wang – Founder TrueVault

Members of the audience are using a variety of devices: Fitbit, Healthkit, Jawbone

Personally I use: Fitbit, iPhone MyFitnessPal, Lumo Lift and Qardio.

Validic is focusing on Data Liquidity.

Stuart H: Using Liaison Technologies to help move and transform data.

Wearables and medical devices will make evaluation easier. How does the FDA balance quantity of data and quality of data.

Jason W: Truevault clients are often in the Internet of Things world and are using the platform to capture the original data. In the past six months Healthcare organizations are switching focus from HIPAA compliance to data security.

Stuart H: Everything in technology is fallible. You have to judge the risks and effort that makes sense. There is no HIPAA Certification. So Hi-Trust is used.

Drew S: Being HIPAA Compliant doesn’t mean you are secure. Only store the data you need to store.

FDA: Deals with Medical Devices
Office of ONC: Medical Data – HIPAA and Omnibus Act
FTC: Everything else. eg. Consumer protection for wearable devices. Consumer access to their data.

Stuart H: FDA recently published 4 guidelines. A difference between motivational devices through to regulated medical device.

These are the areas the FDA is concerned with:
1. If it connects to another device.
2. If it turns a mobile device in to a regulated device.
3. Provides patient specific analysis and advice.

The Biostream of information will improve the quality of care.

Drew S: Validic is a class 1 (low risk) platform. Apple with their Watch has helped the FDA realise that the FDA may not need to concern themselves with these devices and platforms.
Class 2 and 3. will require close regulation.

If you are building a device check up front about regulatory requirements. The FDA are there to help and advise.

Jason W: Healthcare is catching up with finance and PCI Compliance. Health information is much more valuable (10-20x) than financial information.

Q: Is anyone building a Pandora bracelet for health?
A: Vyzen (NJ)

[category News, BlueButton, Health]

[tag health, cloud, BlueButton, opendata]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1blO3yd

#DHIC The Investment Panel

More from Digital Health In Context 2015….

Ian Goldstein moderates a panel comprising:

  • Coline Beirne – Two Sigma Ventures
  • David Drahms – Osage Venture Partners
  • Evan Nicholas – Susquehanna Growth Equity

Osage focuses on early stage (Series A) B-2-B operations on the East Coast. Typical investment is in the region of $2M.

Susquehanna focuses on Healthcare investments that deal with existing processes. They avoid behavior change. Very focused on Consumer side of business. US, Europe and Israel investing in businesses with $5-75M Revenue.

Biotech requires specialist investment experience and large capital funds. B-2-B and Software is an easier proposition.

Evan Nicholas “ Healthcare technology is cheap” to invest in.

Most of the top 10 investors (at HIMSS) are non-traditional investors. A lot of innovation is coming in to Healthcare.

Change is happening – despite regulatory constraints.

Evan – Real data driven cost and transparency solutions will emerge.

Patients are becoming consumers.

David D – Providers being reimbursed on outcomes will change the interaction with patients. This will also drive the infrastructure layer. Bring Your Own Device, Mobility and other factors raise the cost of operation and need to be addressed.

Colin B – Healthcare has been remiss in not monitoring results and testing new hypothesis outside of the hospital and research setting.

Ian G – what are the roadblocks to freeing the data?

Colin B: HIPAA – Security. The volume of hacks are increasing. Security needs to be embedded from day one.
David D: Technologies that allow data extract. People do what they are incentivized to do.
Evan N: Providers don’t know what they want from the data. Change in the payments model will force change. The data has always been there.

David D: Instamed in PA. Providing real-time payment adjudication and processing. Giving patients visibility to costs. Providers process payments more quickly and Payers reduce back office administration costs.

Colin B: Symcat (Baltimore) Translates symptoms, searches databases and helps rank the potential causes. They also follow up and use the outcomes to improve the search algorithms.

Evan N: Telemedicine suites are too limited. Solutions need to extend beyond traditional telehealth. Pager (NY) Triages via registered nurse. results could be a Telehealth visit, a prescription, an in-house visit (within 30 minutes) or a visit to the ER. In home care should not be as expensive as concierge medicine has been.

Q: What has been the effect of the Affordable Care Act?

David D: It has caused massive investment and lots of innovation.
Even repeal will see effects stay such as High Deductible Plans.

Colin B: The main impact of repeal would be confusion and delay.

[category News, BlueButton, Health]

[tag health, cloud, BlueButton, opendata]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1K986fo

#DHIC – Sherpa, data and utilization

Cheryl Swirnow, CEO of Sherpaa.

85% Engagement

60% utilization in 12 month period

-6.5% Healthcare renewals

Sherpaa is an employer provided healthcare delivery solution.

It is an ALL online solution. http://2.healthca.mp/1QnOk48

30% of contacts result in referrals. The Sherpaa doctors curate the care process.

People are comfortable with an email-like experience. Only 2% use phone calls. Video is not used.

Doctors: Acute medical care to everyday questions
Guides: Benefit consultants and healthcare advocates
Insights: Analytics

Business Model is employer-based Per Employee Per Month. $30/Employee/Month.

Sherpaa maintains a profile but Sherpaa is not trying to be an EMR. There is no connectivity with EMRs or hospitals.

50% of the working population will be millennials within a few years. The Millennial generation is entirely comfortable handling medical issues online.

Texas has put a block on Telehealth.

In the traditional system an average doctor visit is 7 minutes long.
Sherpaa allows patients to fill out details in their online request.

Notifications pull patients back to the platform when there is something to act on.

The interaction between Doctor and Patient invovles a back and forth through a series of questions and answers. This is asynchronous. Response time is 2 hours or less.

Every member gets an ID Card online.

[category News, BlueButton, Health]

[tag health, cloud, BlueButton, bigdata, opendata]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1ySShII

@tigerlabsco #DHIC 2015 #BlueButton – Digital Health Innovation in Context: Big Data kicks off

Today I am at the Tiger Labs Digital Health in Context2015 Conference looking at Big Data. Later in the day I will be presenting and will be talking about #BlueButton and my plans at CMS for a BlueButton on FHIR platform for Medicare beneficiaries.

The conference is being held at the Crowne Plaza in Princeto, NJ. The facility is impressive. A very picturesque setting and the conference Wi-Fi is free! Kudos to Crowne Plaza for that.

[category News, BlueButton, Health]

[tag health, cloud, BlueButton, opendata, bigdata]

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Blog: http://2.healthca.mp/1b61Q7M
email: mark
Stay up-to-date: Twitter @ekivemark

Disclosure:
I am currently HHS Entrepreneur-in-Residence working on an assignment to update BlueButton for Medicare Beneficiaries.

The views expressed on this blog are my own.

I am also a Patient Engagement Advisor, CTO and Co-Founder to Medyear.com. Medyear is a powerful free tool that helps you collect, organize and securely share health information, however you want. Manage your own health records today.
Medyear: Less Hassle, Better Care.



via WordPress http://2.healthca.mp/1Dmu1ez

Tuesday, April 21, 2015

#Health Articles saved on Delicious by @ekivemark

It’s Tuesday, April 21, 2015 at 09:00AM
and time to bring you some Delicious #Health posts




via WordPress http://2.healthca.mp/1E6cHOE

Tuesday, April 14, 2015

#Health Articles saved on Delicious by @ekivemark

It’s Tuesday, April 14, 2015 at 09:00AM
and time to bring you some Delicious #Health posts




via WordPress http://2.healthca.mp/1aqXg7N