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The Father of FHIR 🔥 & Healthcare’s Big Chance at Interoperability | Grahame Grieve

By JESSICA DAMASSA, WTF HEALTH

A few weeks ago, WTF Health took the show on the road to Australia’s digital health conference, HIC 2019. We captured more than 30 interviews (!) from the conference, which is run by the Health Informatics Society of Australia (hence the HISA Studio branding) and I had the opportunity to chat with most of the Australian Digital Health Agency’s leadership, many administrators from the country’s largest health systems, and a number of health informaticians, clinicians, and patients. I’ll be spotlighting a few of my favorites here in a four-part series to give you a flavor of what’s happening in health innovation ‘Down Under.’ For much more, check out all the videos on the playlist here.  

I’d like to kick off the series with my interview on all things interoperability with arguably the most famous Australian in health tech, Grahame Grieve. 

Grahame Grieve, “the Father of FHIR” architected healthcare’s best shot at EMR data interoperability when he founded HL7’s Fast Healthcare Interoperability Resources (FHIR), but have you heard what prompted Grahame to pursue creating a common standard for electronic health data exchange in the first place? Grahame shares the surprisingly personal and emotional story and weighs in how he thinks FHIR adoption is going so far. If your business has anything to do with health IT, EMR, or healthcare’s play in big data, be sure to tune in to find out what’s next for FHIR, whether or not Big Tech’s new role in healthcare can help speed up adoption, and if Grahame thinks we’ll ever finally solve healthcare’s interoperability problem.

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

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.

Health in 2 Point 00, Episode 97 | Walmart and Fertility

Today on Health in 2 Point 00, Jess is in Berlin for the Bayer G4A Signing Day where they’re announcing which startups are going to get deals and Glen Tullman is doing a fireside chat with Eugene Borukhovich. In Episode 97, Jess and I talk about Walmart and fertility. Fertility benefits startup Progyny files for IPO and I’m blown away by this relatively new company. Another startup—Halle Tecco’s Natalist—raises $5M to send care boxes to help women get pregnant. Finally, Jess has a conspiracy theory, noticing that Walmart is sneaking into all aspects of health tech… Walmart is expanding Grand Rounds, partnering with Doctor On Demand and HealthSCOPE to offer telehealth to their employees, Sam’s Club is offering $1 telehealth visits to members, and they just announced a partnership with Embold Health for employees in the southeast. Finally, I’ll be at Society for Participatory Medicine next week in Boston—see you all there. —Matthew Holt

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…

The Most Expensive Data in the US & Why we’re NOT Using It | Atul Butte, UC Health

By JESSICA DAMASSA, WTF HEALTH

When you ask the ‘big data guy’ at a massive health system what’s wrong with EMRs, it’s surprising to hear that his problem is NOT with the EMRs themselves but with the fact that health systems are just not using the data they’re collecting in any meaningful way. Atul Butte, Chief Data Scientist for University of California Health System says interoperability is not the big issue! Instead, he says it’s the fact that health systems are not using some of the most expensive data in the country (we are using doctors to data entry it…) to draw big, game-changing conclusions about the way we practice medicine and deliver care. Listen in to find out why Atul thinks that the business incentives are misaligned for a data revolution and what we need to do to help.

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 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

Announcing Winners for the RWJF Innovation Challenges

SPONSORED POST

By CATALYST @ HEALTH 2.0

Three finalists for the Robert Wood Johnson Foundation Home and Community Based Care and Social Determinants of Health Innovation Challenges competed live at the Health 2.0 Conference on Monday, September 16th! They demoed their technology in front of a captivated audience of health care professionals, investors, provider organizations, and members of the media. Catalyst is proud to announce the first, second and third place winners.

Home and Community Based Care Innovation Challenge Winners

First Place: Ooney 

Second Place: Wizeview

Third Place: Heal 

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

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