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The Health Data Goldilocks Dilemma | Vince Kuraitis & Deven McGraw

By JESSICA DaMASSA, WTF HEALTH

Which is better: sharing access to all health data across platforms so that interoperability is achieved, or protecting some data for the sake of privacy? Health data privacy experts Vince Kuraitis, founder of Better Health Technologies, and Deven McGraw, Chief Regulatory Officer at Ciitzen, are crowdsourcing opinions and insights on what they are calling The Health Data Goldilocks Dilemma. How much data protection is ‘juuuust right’? What should be regulated? And, by whom? The duo talks through their views on the data protection conversation and urge others to join in the conversation via their blog series called, “The Health Data Goldilocks Dilemma,” on The Health Care Blog.

Filmed at the HIMSS Health 2.0 Conference in Santa Clara, CA in September 2019.

Prehab Tool and AI Win Big at the 2019 RWJF Live Pitch

SPONSORED POST

By CATALYST @ HEALTH 2.0

Six finalists competed in an exciting live pitch for the Robert Wood Johnson Foundation’s 2019 Innovation Challenges at the 2019 Health 2.0 Annual Conference. They demoed their technologies in front of an audience of health care professionals, investors, provider organizations, and members of the media. The Home and Community Based Care Challenge sought technologies that support the advancement of at-home or community based care. The Social Determinants of Health Innovation Challenge called for solutions that increase access to services related to social determinants of health.

During the 3-day Conference, Jessica DaMassa, Executive Producer & Host of @WTF_Health, spoke with the finalists about their experience competing in the RWJF Innovation Challenges, their personal highlights, and what’s next!

Home and Community Based Care Innovation Challenge Finalists

First Place:

Ooney’s home-based web-app for older adults, Prehab Pal, delivers individualized prehabilitation to accelerate postoperative functional recovery and return to independence after surgery.

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The FDA has approved AI-based PET/MRI “denoising”. How safe is this technology?

By LUKE OAKDEN-RAYNER, MD

Super-resolution* promises to be one of the most impactful medical imaging AI technologies, but only if it is safe.

Last week we saw the FDA approve the first MRI super-resolution product, from the same company that received approval for a similar PET product last year. This news seems as good a reason as any to talk about the safety concerns myself and many other people have with these systems.

Disclaimer: the majority of this piece is about medical super-resolution in general, and not about the SubtleMR system itself. That specific system is addressed directly near the end.

Zoom, enhance

Super-resolution is, quite literally, the “zoom and enhance” CSI meme in the gif at the top of this piece. You give the computer a low quality image and it turns it into a high resolution one. Pretty cool stuff, especially because it actually kind of works.

In medical imaging though, it’s better than cool. You ever wonder why an MRI costs so much and can have long wait times? Well, it is because you can only do one scan every 20-30 minutes (with some scans taking an hour or more). The capital and running costs are only spread across one to two dozen patients per day.

So what if you could get an MRI of the same quality in 5 minutes? Maybe two to five times more scans (the “getting patient ready for the scan” time becomes the bottleneck), meaning less cost and more throughput.

This is the dream of medical super-resolution.

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ACCESS Act Points the Way to a Post-HIPAA World

By ADRIAN GROPPER, MD

The Oct. 22 announcement starts with: “U.S. Sens. Mark R. Warner (D-VA), Josh Hawley (R-MO) and Richard Blumenthal (D-CT) will introduce the Augmenting Compatibility and Competition by Enabling Service Switching (ACCESS) Act, bipartisan legislation that will encourage market-based competition to dominant social media platforms by requiring the largest companies to make user data portable – and their services interoperable – with other platforms, and to allow users to designate a trusted third-party service to manage their privacy and account settings, if they so choose.”

Although the scope of this bill is limited to the largest of the data brokers (messaging, multimedia sharing, and social networking) that currently mediate between us as individuals, it contains groundbreaking provisions for delegation by users that is a road map to privacy regulations in general for the 21st Century.

The bill’s Section 5: Delegation describes a new right for us as data subjects at the mercy of the institutions we are effectively forced to use. This is the right to choose and delegate authority to a third-party agent that can manage interactions with the institutions on our behalf. The third-party agent can be anyone we choose subject to their registration with the Federal Trade Commission. This right to digital representation by an entity of our choice with access to the full range of our direct control capabilities is unprecedented, as far as I know.

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Health System Digital Transformation, Aussie Style | Michael Walsh, Queensland Health

By JESSICA DAMASSA, WTF HEALTH

Transitioning to the digital age of healthcare can be difficult for an already well-established health system. Michael Walsh, the Director General for Queensland Health, which is the state’s largest health system whose 100,000 employees serve 5 million patients, knows all too much about how to facilitate a health system into the digital world. What makes Michael and Queensland Health unique is their willingness to include clinicians into the conversation. In fact, clinicians have configured their EMR system and ultimately have the final say. Now, how can startups with digital health solutions join forces with large health systems? Hear Michael’s answer to get the scoop on what large health systems are looking for in partnerships.

Filmed in the HISA Studio at HIC 2019 in Melbourne, Australia, August 2019.

Jessica DaMassa is the host of the WTF Health show & stars in Health in 2 Point 00 with Matthew HoltGet a glimpse of the future of healthcare by meeting the people who are going to change it. Find more WTF Health interviews here or check out www.wtf.health.

YTH Live 2020

By ERIN MCKELLE

There are many public health conferences that focus on young people, or that center around youth issues, but very few that actually include the young people’s voices that we are claiming to uplift as public health professionals.

There are also very few conferences that emphasize innovation in healthcare, that are pointed towards solutions rather than discussing problems at length without clear ways of solving them.

These core issues are at the heart of the annual YTH Live conference. Each year (we’re on our twelfth!), we showcase the boldest technologies in health and cutting-edge research in all facets of youth health and wellness. We also have attendees that range from IT professionals to high school students, with over 25% of last year’s attendees and speakers being young people themselves.

YTH’s Communications Coordinator Erin McKelle has first-hand experience of this. “I first attended YTH Live when I was a senior in high school. It was the first conference I ever spoke at and all of my fears about being the only young person in the room were quickly put to rest, once I saw that YTH plans a youth conference that actually centers around youth voices,” she says. “I’m proud to now be working for the organization years later, after serving on the Youth Advisory Board, paying the mission of youth empowerment forward to the next generation of youth leaders.”

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Health in 2 Point 00, Episode 99 | (Reverse) Takeover Edition with Bayer G4A

Today on Health in 2 Point 00… hold on, where’s Jess? On Episode 99, I do a reverse takeover with Priyanka Kashyap and Sophie Park at Bayer’s office in Berlin. Priyanka tells us about what Bayer G4A is doing these days with the 5 startups in their Advance Track: Blackford Analysis in radiology; Carepay and RelianceHMO improving affordability and access for patients in Africa; NeuroTracker, which is in the neuro space but is working with the oncology team at Bayer; and Prevencio, a diagnostic solution in the cardiovascular space. Sophie also gives us a rundown of the 6 startups in the Growth Track at G4A: Wellthy, a digital therapeutics company out of India; Litesprite, for mental health; BioLum, a pulmonology startup working on detecting nitric oxide levels in the blood; Upside Health with its chronic pain management software; and finally Visotec and Okko Health in ophthalmology. —Matthew Holt

Health Tech in Africa | Nnamdi Oranye, Disrupting Africa Encyclopedia

By JESSICA DAMASSA, WTF HEALTH

Nnamdi Oranye literally wrote the encyclopedia on African startups and tech solutions that will be disrupting the future of health. Titled “The Disrupting Africa Encyclopedia” the work catalogs African entrepreneurs and innovators as well as provides details on the investment ecosystem and strategic infrastructure being put in place to expand their growth. Where does Africa excel in terms of digital health technology? Nnamdi says mobile healthcare apps, like those that can help detect cataracts and malaria or provide remote care are leading the way on the mobile-forward continent. Watch now for more key discoveries from his research into Africa’s tech scene.

Filmed in the HISA Studio at HIC 2019 in Melbourne, Australia, August 2019.

Jessica DaMassa is the host of the WTF Health show & stars in Health in 2 Point 00 with Matthew HoltGet a glimpse of the future of healthcare by meeting the people who are going to change it. Find more WTF Health interviews here or check out www.wtf.health.

Another MCQ Test on the USMLE

By BRYAN CARMODY, MD

One of the most fun things about the United States Medical Licensing Examination (USMLE) pass/fail debate is that it’s accessible to everyone. Some controversies in medicine are discussed only by the initiated few – but if we’re talking USMLE, everyone can participate.

Simultaneously, one of the most frustrating things about the USMLE pass/fail debate is that everyone’s an expert. See, everyone in medicine has experience with the exam, and on the basis of that, we all think that we know everything there is to know about it.

Unfortunately, there’s a lot of misinformation out there – especially when we’re talking about Step 1 score interpretation. In fact, some of the loudest voices in this debate are the most likely to repeat misconceptions and outright untruths.

Hey, I’m not pointing fingers. Six months ago, I thought I knew all that I needed to know about the USMLE, too – just because I’d taken the exams in the past.

But I’ve learned a lot about the USMLE since then, and in the interest of helping you interpret Step 1 scores in an evidence-based manner, I’d like to share some of that with you here.

However…

If you think I’m just going to freely give up this information, you’re sorely mistaken. Just as I’ve done in the pastI’m going to make you work for it, one USMLE-style multiple choice question at a time._

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Climate Change is not an ‘Equal Opportunity’ Crisis

Sam Aptekar
Phuoc Le

By PHUOC LE, MD and SAM APTEKAR

In the last fifteen years, we have witnessed dozens of natural disasters affecting our most vulnerable patients, from post-hurricane victims in Haiti to drought and famine refugees in Malawi. The vast majority of these patients suffered from acute on chronic disasters, culminating in life-threatening medical illnesses. Yet, during the course of providing clinical care and comfort, we rarely, if ever, pointed to climate change as the root cause of their conditions. The evidence for climate change is not new, but the movement for climate justice is now emerging on a large scale, and clinicians should play an active role.

Let’s be clear: there is no such thing as an “equal opportunity” disaster. Yes, climate change poses an existential threat to us all, but not on equal terms. When nature strikes, it has always been the poor and historically underserved who are most vulnerable to its wrath. Hurricane Katrina provides an example of how natural disasters target their victims along racial and socioeconomic lines even in the wealthiest nations. Writes TalkPoverty.org, “A black homeowner in New Orleans was more than three times as likely to have been flooded as a white homeowner. That wasn’t due to bad luck; because of racially discriminatory housing practices, the high-ground was taken by the time banks started loaning money to African Americans who wanted to buy a home.” Throughout the world, historically marginalized communities have been pushed to overcrowded, poorly-built, and unsanitary neighborhoods where natural disasters invoke much greater harm.

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