One of the more interesting guys in health tech is Dale Sanders who’s been data geek/CIO at multiple provider organizations (InterMountain, Northwestern, Cayman Islands), was in the nuclear weapons program in the US Air Force back in the day, and now is the product visionary at Health Catalyst. Health Catalyst is a very well-backed date warehousing and analytics company that has Kaiser, Partners, Allina and a host of other providers as its customers and investors (and has been a THCB sponsor for a while!). I’ve interviewed CEO Dan Burton a couple of times (here’s 2016) if you want to know more about the nuts and bolts of the company, but this chat with Dale at HIMSS17 got a tad more philosophical about the future of analytics–from “conference room analytics” to “embedded decision support.” I found it great fun and hope you do too!
- Does Arnold Schwarzenegger Deserve Better Care Than Our Veterans? by Karen Sibert MD
- The Black List Part II (Features Which Should Be In Every EHR, But For Some Reason Aren’t) by Hayward Zwerling, MD
- An Epidemic of Septicemia? by Al Lewis
- In Silico Medicine by Nicole Van Gronigen, MD
- All Risk is Local by Jeff Goldsmith
- The Team Sport of Diagnosis: A Culture Shift Can Reduce Missed Diagnoses By David Newman-Toker
- Confession of a Liberal by Margalit Gur-Arie
- Confusion over HIPAA Causes Grief in Orlando by Art Caplan & Craig Konnoth
- Men, Women and Health Care Pricing Theory: Speaking Different Languages by Jeanne Pinder
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THCB is pleased to introduce the 2016 Healthcare Town Hall, a special online feature brought to you in partnership with Health Catalyst. This is an experiment. The idea is to open up an ongoing dialogue around the issues that are transforming healthcare in the second decade of the 21st Century.
We’re kicking things off with an online panel featuring THCB Editor John Irvine and the HealthCatalyst leadership including Dale Sanders, John Haughom and Bryan Oshiro.
John Irvine: Let’s start with the recent decision at CMS to transition from the Meaningful Use the program to a new program that will be a component of MACRA. A lot of people were extremely surprised with the news that Meaningful Use is going away. The follow up development, of course, is that CMS has agreed in principle to a new set of core clinical quality measures that will change the way doctors are evaluated. I’m hearing a lot of positive feedback about the Meaningful Use decision. Reactions?
Dale Sanders: I was surprised, yes. As I think you know, I’ve spent a lot of time in Washington. I know how government works. People in government generally do not reverse themselves, unless it is very clear that there is no other available option. That’s Washington 101. Read into that what you will. It’s far easier to allow a program to keep on going than to admit that something isn’t working or that it has outlived it’s usefulness. I think a lot of people are missing the fact that It took political courage to do that. I will say that I was one of the first to publicly call for the suspension of Meaningful Use, and you guys posted the blog that I wrote about it. At Northwestern, we published a one page policy entitled, “Principles of EMR Utilization” that was written and endorsed by our physicians, facilitated by me when I recognized that our EMRs were being used for little more than a multi-million dollar word processor. That one-page document is all we needed to achieve the same concepts as Meaningful Use. The last time I counted, the Meaningful Use regulations totaled over 350 pages. In typical fashion, the government turned a good concept into a mess. So, I’m cautiously optimistic that we are going to return to common sense.
- More on MACRA, Interoperability and the Post-Meaningful Use World by Andy Slavitt
- Silicon Valley’s Healthcare Problem by Rachel Katz
- Ransomware, Interoperability, Power Outages, Natural Disasters, Oh My! by Merle Bushkin
- Will Feeding Watson $3 Billion Worth Of Healthcare Payment Data Improve Its Decisions? by Ross Koppel and Frank Meissner, MD
- Electronic Health Records: From Ebola to Zika, Fighting the Last War by Shira Fischer
- Love and Measurement by Westby Fisher, MD
- Data Socialism by Saurabh Jha, MD
- Data Parasites by David Shaywitz, MD
- The Patient-Centered Health Record by Peter Elias, MD
“This is Major Tom to Ground Control
I’m stepping through the door
And I’m floating in a most peculiar way
And the stars look very different today
Am I sitting in a tin can
Far above the world
Planet Earth is blue
And there’s nothing I can do”
Health 2.0’s WinterTech conference is today January 13. It features leaders from Venrock, Canvas, Grand Rounds, Doximity, Livongo, Omada Health, Maverick Capital, GE Ventures, Kaiser Permanente and more. It’s the only event dedicated to health tech and investing during the health investment mecca, JP Morgan Week, WinterTech will bring together the top tech companies, investors, entrepreneurs, policy makers, and more to explore investing in the health tech landscape.
Online sales are sold out but we have released a few seats that you can buy on site.
Key sessions will address New Clinical Tools and Platforms, the Convergence of Life Sciences and Health Tech, the New Consumer Health Ecosystem and more. Additionally, there will be exclusive one on one interviews with top influencers such as Vinod Khosla, Founder, Khosla Ventures; Bryan Roberts, Partner, Venrock; Owen Tripp, CEO, Grand Rounds; Glen Tullman, CEO, Livongo Health; Sean Duffy, CEO, Omada Health and Rebecca Lynn, Co-Founder & Partner, Canvas with “her” CEO Jeff Tagney, Doximity along with a keynote from Jonathan Bush– CEO and Co-Founder, athenahealth.
Along with key speakers, Health 2.0 is famous for its incredible selection of LIVE demos, and this year you’ll see; Redox; Bigfoot Biomedical; Propeller Health; Lyra Health; Outset Medical; LifeQ; Accordion Health; dacadoo; physIQ & Jiff
Top investors will join us to discuss business models, examine trends, and explore portfolios and meet startups. This year we will have:GE Ventures; Novartis dRx Capital; Maverick Capital Ventures; Ziegler; World Bank Group/IFC Venture Capital; Kaiser Permanente Ventures; and many more.
We hope to see you there!!
Every year (well almost) I write a letter to friends and contacts about which charities I give to and which issues I support, and recently I’ve been posting it on THCB–hey I own the joint so who’s going to stop me!. Here’s this end/start year edition–Matthew Holt
Yes another year with a Matthew issues letter nearly missed but not quite. I’m poolside in Maui winding down as much as possible when on a vacation with little kids and I’ve missed getting this out for end 2015 but because of the weekend 2016 isn’t really here yet, and I’m finally hammering out my end of year news, gossip, charities and issues letter. A couple of weeks ago someone asked me how the new year was shaping up, and I told them I was about ready for 2012….and I still feel the same way. I seem to spend more time reading articles on the habits of productive people than actually being one …thanks Buzzfeed!
Finally Coco’s first pediatrician, the amazing Nadine Burke Harris just got a big grant to study the impact of Adverse Childhood Events.. Worth checking out some information about that here (no donation required!)
Making a decision requires you to compare tests/treatments that have been contrasted in researh studies to see if one over another results in improved chances of good outcomes. In a sense, medical decision making is a competition. To assess the competition, you compare the chances of outcomes, or results from groups of people taking different options. The comparison is a simple subtraction in the amounts of outcomes that occur in each studied group.
Subtracting results in a difference that is either a benefit (if better for you) or a harm (if worse for you). For nearly all decisions, however, the test/treatment that is better for disease outcomes (benefit) is worse for complications (harm). Comparing, then, results in the following possibilities:
The chances of outcomes associated with the condition you have and the tests/treatments available will be the same for all options. In this case, chose the cheapest option.
The chance of outcomes associated with the condition you have will be less with one option. That option provides added benefit
The chance of a complication caused by the test/treatment that adds benefit for the disease outcomes will be greater (harm).
Since the test/treatment that is better for you in terms of the disease you have will be, simultaneously, worse for you in terms of complications caused by that test/treatment, a trade-off of benefit and harm is required.
Hence, the definition of “works” is that:
A test/treatment works when you feel there is more to gain from the greater chance of better disease associated outcomes than there would be to lose from suffering the complications caused by your chosen treatment.
So, medical-decision-making is a competition between options and there is always some good to be balanced against some bad.
The balance of good and bad from your perspective is what makes one treatment work over another.
Robert McNutt, MD is a board certified internist in Clarendon Hills, Illinois. He is a Professor at Rush Medical College of Rush University.
Fall is when I attend to charitable contributions. It is the season for writing all those checks in a timely fashion so that I’ll receive the paperwork needed to garner tax credits. My wife and I want to do what we can to soften the hardships of those whose ability to do for themselves is compromised. It is a moral obligation, explicit in the Old Testament: The giving of charity is a duty for the advantaged and the receiving of charity a right, even an obligation according to Maimonides, of the needy. Alms-giving is one of the Five Pillars of Islam. Pope Francis embodies the Christian tradition.