This Fall, I am teaching a 4-week course on “How Epidemics Have Shaped Our World” at the President’s College at the University of Hartford. It is, of course a timely topic, but also personally unnerving as we complete a third year under the shadow of Covid-19.
Where does one begin on a topic such as this? Yale historian, Frank M. Snowden, in his book “Epidemics and Society: From the Black Death to the Present”, made his intentions obvious. He would begin with the plaque. Why? His answer, “The word ‘plague’ will always be synonymous with ‘terror’”, and especially references:
Virulence: “It strikes rapidly, causing excruciating and degrading symptoms, and, if untreated, achieves a high case fatality rate (CFR)…of at least 50%.”
Data-juggernaut LexisNexis® Risk Solutions is making a big data play in healthcare, launching a new capability that allows for unprecedented accuracy in the kind of de-identified data that payers, providers, and pharma are clamoring to use for everything from cutting admin expenses to improving patient outcomes and health equity.
Jeff Diamond, President & General Manager of The Health Care Business of LexisNexis® Risk Solutions and Andrea Green, Director of Healthcare Strategy, SDoH, drop in for a chat about all things VERY big data, including this concept of “next-gen tokenization” which leverages LexisNexis’s massive amount of consumer data as a way to connect data “personas” to create a much more accurate, actionable, and longitudinal view of a patient.
The thing to understand is just how much health data LexisNexis® Risk Solutions is working with and who they are working with it for: 90% of commercial payers in the US; 8 of the Top 10 pharma manufacturers; 10 of the Top 10 retail pharmacies; and hundreds of hospital systems.
So, how is this data “turned” into insightful and actionable information that appeals to this top-tier clientele? Jeff and Andrea walk through use case after use case that demonstrate the ‘business of healthcare’ applications of the LexisNexis data processing platform (think patient safety, risk stratification, claims analytics, provider directory, etc.) with special emphasis on how their new analytics suite, focused on Social Determinants of Health data, is helping with such clinical initiatives as improving diversity in clinical trials and providing predictive insights about patients who might need mental healthcare support. The data comes to life in this one. Watch now!
It turns out that I’ve been writing about Generative AI without even realizing there was something called Generative AI, such as articles about the robot artist Ai-Da, the AI image creator DALL-E, or patent protection for AI inventors. Generative AI refers to AI that strives not just to process and synthesize data but to actually be creative. It’s starting to both become more widespread and to attract serious attention from investors.
James Currier of investment firm NFX sees “Generative Tech” as the next big thing: “If crypto hadn’t happened, we’d probably be calling THIS Web3.” He distinguishes Generative AI from Generative Tech as:
Some have called it “Generative AI,” but AI is only half of the equation. AI models are the enabling base layers of the stack. The top layers will be thousands of applications. Generative Tech is about what will actually touch us – what you can do with AI as a partner.
He predicts Generative Tech will generate “trillions of dollars of value.” I’m hoping that healthcare is paying attention.
How is Salesforce thinking about the healthcare consumer? I had the chance to ask Salesforce’s SVP & GM of Health & Life Sciences, Amit Khanna, about it from both a product — and a lexicon – standpoint at Dreamforce 2022.
Words matter. So, Salesforce’s use of “customer” when talking about our usual “patients” or “health plan members” or “clinical trial participants” is a bit jarring at first, in the sense that it forces the issue of “patient centricity” to the extreme… to a “customer is always right” place, at least for me. I ask Amit about that terminology, its intentionality, and how he thinks his clients across the healthcare ecosystem are doing when it comes to embracing this new term and the new way of thinking it requires in order to truly activate it.
On the product side, we dive into Salesforce’s BIG launch this year: Salesforce Genie. This is cool in the Health & Life Sciences biz for a number of reasons, mostly because it is the manifestation of that consumerization idea. Real time data, a holistic “customer profile” (aka longitudinal patient record) – these are the things that consumers are used to across industries, says Amit, and the new product release focuses on integrating these for payers, providers, med tech companies, pharma and more. How could these features drive change in the healthcare ecosystem? Amit gives a glimpse of what Salesforce thinks is the ‘big win,’ specifically when it comes to that “wholistic customer profile” and the idea that an EMR and CRM can co-exist to serve different purposes in healthcare.
According to the old saying, sticks and stones may break your bones, but names can never hurt you. I’m not sure that still applies in a social media environment that can have real impacts on mental health of both teenagers and adults, but I have to note that healthcare seems to be pretty sensitive about who calls whom what.
I’ll start with a new study from The Mayo Clinic about whether patients addressed their physicians by their first name. It’s a tricky thing to get a gauge on; one could do surveys of both populations, or implant observers in exam rooms, but these researchers had the clever idea of examining how patients addressed their physician when using portal messaging. They looked at over 90,000 messages from nearly 15,000 patients, with about 30,000 messages from 15,000 patients including a physician’s name (first or last).
The researchers don’t seem to have provided an overall percent of patients using the doctors’ first name, but they did report:
Female doctors were twice as likely as male doctors to be called by their first name;
DOs were similarly almost twice as likely as MDs to have their first name used;
Primary care doctors were 50% more likely than specialists;
Female patients were 40% less likely to use first names when addressing their physician.
Gotta love a new name! Well Health, arguably one of the best-funded digital front door and patient communications startups you’ve never heard of (they’ve raised just under $100 million with little to no fanfare) is today announcing their new moniker, Artera.
Founder & CEO Guillaume de Zwirek breaks the news with us and talks about the strategy behind the name change from both a brand and a business standpoint. Artera is in the (still) hot health tech infrastructure space, selling a platform that health systems can easily integrate into their EMR systems, patient portals or other practice management software to easily send text messages, emails, or other communications to patients.
We get into the details about Artera’s business model, 500+ provider org client base (and what Gui is hearing about their current business challenges) and find our way into a big discussion about digital health funding, that whole bubble thing, health tech startup layoffs, and where Gui thinks the market is headed next. Bottom line: Some interesting comments here (starting around 18.30 mark) about how this might actually help healthcare in the long run.
This weekend I read a piece in The New York Times that put a slightly different slant on what burnout, in the case of physician burnout, is or is caused by. We have heard theories from being asked to do the wrong thing, like data entry, to “moral injury” to my favorite, “burnout skills“, when you keep trying to do the impossible because people praise you when you pull it off.
Tish Harrison Warren’s piece is a dialog between her and psychiatrist/author Curt Thompson. He focuses on isolation as a driver of burnout:
Assume that if you’re burned out, your brain needs the help of another brain. Your brain is not going to be OK until or unless you have the experience and opportunity of being in the presence of someone else who can begin to ask you the kind of questions that will allow you to name the things that you’re experiencing.
The moment that you start to tell your story vulnerably to someone else, and that person meets you with empathy — without trying to fix your loneliness, without trying to fix your shame — your entire body will begin to change. Not all at once. But you feel distinctly different.
I’m not as lonely in that moment because you are with me. And I sense you sensing me. That’s a neural reality.
At Dreamforce 2022, Salesforce’s big annual user conference, “real-time data” was THE topic of conversation as the tech company launched a brand-new platform across its lines of business to help make this type of data integration-plus-analytics “magically” easy. I caught up with Salesforce’s EVP & CRO of Global Health & Life Sciences, LaShonda Anderson-Williams, just after her division’s keynote to find out more about how the new platform (called Customer 360 for Health) is intended to impact what we can do with health data, particularly in the realm of improving health equity and access to care.
Never mind the actual new product features – telehealth integration, health scoring, longitudinal patient records, marketing integrations, etc. – the sum-total of their potential impact is intended to not only improve the way healthcare understands its patients as health consumers, but to also enable it to better meet their nuanced needs with more personalized “seamless” experiences.
LaShonda and I chat about how this type of work is already happening at CVS Health and Moderna – the two marquee customer stories shared during the keynote – as well as how other healthcare organizations can benefit from “putting data at the center” of their health equity initiatives. Her best advice for health and life sciences businesses as they work on improving health access for all? Tune in to find out!
The COVID pandemic was supposed to herald the end of the idea that a smaller government is a better government. The experts who desperately seek to be in charge of a sprawling bureaucratic state told us that it was only a powerful central authority that could do what was needed to safeguard individual liberties at a time when a highly contagious respiratory virus was spreading across the globe.
New Zealand may have imposed draconian policies that did not even allow its own citizens to return, but scenes of cheering unmasked New Zealanders stood in sharp contrast to empty seats in American stadiums when teams were allowed to play. If only US politicians possessed the iron will of New Zealand premier Jacinda Arden, Americans too could have ‘freedom’.
But in so many ways, the New Zealand example demonstrates the utter foolishness and shortsightedness of the central planners that seized control globally. A year after New Zealand took their victory lap COVID arrived in New Zealand and a very much masked Prime Minister noted that “very soon we will all know people who have Covid-19 or we will potentially get it ourselves”
We’re almost two weeks past Hurricane Ian. Most of us weren’t in its path and so it just becomes another disaster that happened to other people, but to those people most impacted it is an ongoing challenge: over a hundred people dead, hundreds of thousands still without power, tens of thousands facing a housing crisis due to destroyed/damaged homes, and estimated $67b in damages. It will take years of rebuilding to recover.
In the wake of a natural disaster like a hurricane – or a tornado, a flood, even a pandemic – it’s easy to shrug our shoulders and say, well, it’s Mother Nature, what can we do? There’s some truth to that, but the fact is there are choices — design choices — we can make to mitigate the impacts. A Florida community called Babcock Ranch helps illustrate that.
Babcock Ranch is located a few miles inland from Ft. Myers, which was devastated by Ian. It bills itself as “America’s first solar-powered town,” with an impressive array of almost 700,000 solar panels. More than that, it was built with natural disasters in mind: all utilities are underground, it makes use of natural landscaping to help contain storm surges, streets are designed to divert floodwaters, making use of multiple retaining ponds.
