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How is HISA Expanding Digital Health in Australia? | David Hansen, CSRIO e-Health Research Centre

By JESSICA DAMASSA, WTF HEALTH

The Health Informatics Society of Australia (HISA) is Australia’s leading organization for digital health, health informatics, and all things health information technology. Chairman of the Board, Dr. David Hansen, gives us an overview of the current projects on HISA’s docket, including the work the organization is doing to help shape policy within the Australian government, support workforce development initiatives, and develop best practices and standards in areas like cybersecurity in health, precision medicine, healthcare UX design, and more. Also the CEO of the Australian e-Health Research Centre, which is CSIRO’s e-Health Research Program, David gives us the scoop on what’s happening in Australia’s booming digital health community.

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.

EMR Euphoria: All New Zealanders Have Digital Health Records | Kevin Ross, Orion Health

By JESSICA DAMASSA, WTF HEALTH

Nearly ALL of New Zealand’s population of 4.5 billion people have digital health records, many of which hold 10-20 years of patient data. Is this EMR euphoria?! Kevin Ross, Director of Research for Orion Health and CEO of Precision Driven Health, dishes about all the cool things you can do when everyone’s patient data is available to analysis at the population level. Some projects already in the works? A calculator to determine readmission risk and a tool to assist prioritization for triage doctors.

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.

A Patient Advocate’s Tips for Creating Equity | Gillian Mason, University of Newcastle

By JESSICA DAMASSA, WTF HEALTH

Imagine working full-time, finding health services, visiting multiple clinicians a week, and coordinating your health information. This is the reality of patients with one or more serious health conditions. Patients can have a lot on their plate, and sociocultural factors are often the cause to why patients may not follow their doctor’s orders. That’s why Gillian Mason, patient advocate and physio-rehabilitation researcher at the University of Newcastle, emphasizes looking from the patient perspective. How does she think we can better enable patients’ access to health services? Is the answer from Australia (and its nationalized healthcare system) DIFFERENT than it is when you ask patients in the U.S.? Tune in to find out!

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.

Healthcare’s ‘Copernican Moment’, Value-Based Health & The Future| Lucien Engelen, Transform.Health

By JESSICA DAMASSA, WTF HEALTH

Is a de-centralized, democratized tech-enabled health system closer than we think? Lucien Engelen, CEO of Transform.Health and Fellow for Deloitte Center for the Edge, talks about the Copernican moment in healthcare: when the industry realizes the world revolves around the patient and NOT the health system. How are the Big Tech companies like Apple, Amazon, and Google (who are sooo good at giving us what we want, when we want it, from the palm of our hand) helping to shift this reorientation of universal order and better empower health consumers? Listen in to find out….

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.

A Change Management Guru’s Guide to Working with Clinicians | Dr. Margaret Kennedy, Gevity Inc.

By JESSICA DAMASSA, WTF HEALTH

One of the biggest challenges clinicians face in delivering good care is keeping up with today’s up-and-coming revolutionary health technology. Dr. Margaret Kennedy, Chief Nursing Informatics Officer at Gevity Consulting, is often charged with helping health systems change clinicians’ perspectives when it comes to digital health and tech. So, what has she learned? Among other things, it turns out that some clinicians are more inclined to accept technological change than others. Are there certain traits these ‘early adopters’ have in common? Or does it have to do with the way the healthcare organization sells the tech’s value prop? Hint, hint: You can never go wrong when you can appeal to a clinician’s desire to provide better care.

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.

AI competitions don’t produce useful models

By LUKE OAKDEN-RAYNER

A huge new CT brain dataset was released the other day, with the goal of training models to detect intracranial haemorrhage. So far, it looks pretty good, although I haven’t dug into it in detail yet (and the devil is often in the detail).

The dataset has been released for a competition, which obviously lead to the usual friendly rivalry on Twitter:

Of course, this lead to cynicism from the usual suspects as well.

And the conversation continued from there, with thoughts ranging from “but since there is a hold out test set, how can you overfit?” to “the proposed solutions are never intended to be applied directly” (the latter from a previous competition winner).

As the discussion progressed, I realised that while we “all know” that competition results are more than a bit dubious in a clinical sense, I’ve never really seen a compelling explanation for why this is so.

Hopefully that is what this post is, an explanation for why competitions are not really about building useful AI systems.

Continue reading…

WTF are Digital Therapeutics? | Digital Therapeutics Alliance Executive Director, Megan Coder

By JESSICA DaMASSA, WTF HEALTH

Digital therapeutics has exploded as the new hot buzzword in digital health. But how are digital therapeutics different from digital health applications, applied health signals, or m-health technologies? The Digital Therapeutics Alliance was formed to answer that exact question. DTA Executive Director Megan Coder sets the record straight, hint: it involves software algorithms.

Filmed at JP Morgan Healthcare in San Francisco, CA, January 2019.

Jessica DaMassa is the host of the WTF Health show & stars in Health in 2 Point 00 with Matthew Holt.

Get 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

The Opportunity in Disruption, Part 2: The Shape of Today’s System

By JOE FLOWER

The system is unstable. We are already seeing the precursor waves of massive and multiple disturbances to come. Disruption at key leverage points, new entrants, shifting public awareness and serious political competition cast omens and signs of a highly changed future.

So what’s the frequency? What are the smart bets for a strategic chief financial officer at a payer or provider facing such a bumpy ride? They are radically different from today’s dominant consensus strategies. In this five-part series, Joe Flower lays out the argument, the nature of the instability, and the best-bet strategies.

Healthcare CFOs must look at the environment in which their system lives: Since 2007 the actual costs for the average middle-class family for many of the basics of life have decreased in real terms, while their actual costs for healthcare have risen 25%, or even more counting co-pays, deductibles, and out-of-pocket expenses. This long, continuing rise in the costs along with the continuing and increasing unreliability of the healthcare system (“Will it actually be there for me when I need it? Will it bankrupt me?”) create unyielding disruption.

Instability: Omens

I am no fortune teller, but here are some things we can see right now that give us a sense of what’s coming.

  • Political shift: Public opinion has shifted. When polled about actual policies, healthcare has been cited repeatedly as the top concern of voters across the country. Voters’ top concerns are cost, the risk to patient protections in the ACA, and threats to “reform” Medicare by weakening it. The popularity of “single payer” proposals is a direct result of the cost and uncertainty of healthcare, a simple cry to “Do something!” Under this pressure we are more likely to see drastic solutions proposed and passed at the federal and state level or embodied in regulatory changes and lawsuits against industry practices.
  • Degradation of American life: With the opioid epidemic, the rise in suicides, the actual regression in life expectancy, and the increasing income and wealth divide, people increasingly feel that the healthcare industry is just not helping. They feel it is in fact part of the problem. The feeling that there is no one there to help us adds to the desperation of many parts of American society and heightens the political cost of the healthcare issue.
  • Public awareness: Healthcare is intensely personal, visceral. It’s crazy-making. Surprise bills, balance bills, other bills slipped through loopholes in the fine print or even in unwritten industry practices—what the industry considers standard operating procedure, the customers view as shocking, aggressive, and financially crushing.
  • The rebellion of the buyers: The percentage of buyers—such as employers, unions, and pension plans—telling various polls that healthcare costs represent a major problem for their business has more than doubled in the last five years and is now a majority. Buyers are pushing for choices to control costs and manage quality. They are beginning in greater numbers to demand reference pricing tied to Medicare rates, direct access to competitive bundled prices, and price transparency through centers of excellence, high performance networks and accountable care organizations. Some 65% of employers plan on implementing direct primary care in onsite or near-site clinics by 2020. Buyers are increasingly willing to take their beneficiaries elsewhere if your business can’t meet their demands.
Continue reading…

Health in 2 Point 00 Episode 92, Takeover Edition | Louise Schaper, HIC 2019 Australia

Today on Health in 2 Point 00, we have another takeover edition! On Episode 92, Jess talks to Louise Schaper, CEO of the Health Informatics Society of Australia (HISA) at HIC 2019. Louise’s key takeaway from the conference is that health tech in Australia is focused on humanity and improving outcomes for all people. Jess also asks Louise about the Australian Digital Health Agency’s MyHealthRecord, an online summary of individuals’ health information. It’s got a great participation rate with 90% of Australians opted in, but it’s not being utilized as much as it could be. Finally, Louise debunks some of the chatter around HealthEngine’s data scandal in which they were caught sharing health data with law firms. The thing is, the press has sold it as if they have full access to your medical data and has sold that, but that’s not the case.

What will REALLY Bring Down the Cost of Healthcare (i.e.NOT Consumerization) | Peter Orszag, Lazard

By JESSICA DAMASSA, WTF HEALTH

From Obama’s budget guy to the CEO of Financial Advisory at Lazard (which recently consulted on the CVS-Aetna merger), Peter Orzag is more than qualified to weigh in on what can be done to bend the $3.5 trillion dollar healthcare cost curve in the US. This interview kicks off with Orzag confessing that he’s skeptical that the “consumerization’ of healthcare – the idea that shopping around for care – is going to be enough to do it. Is vertical integration like that CVS-Aetna merger the answer then? Tune in for one (really smart) economist’s take…

Filmed at Health Datapalooza in Washington DC, March 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.

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