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Can Community Health Organizations Pave the Way for Local Technology Adoption

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One of my favorite patient calls advisers that Kim Martin (right) on the plate ran on Health 2.0 has a new job in one of the most interesting patient counseling companies. This is his story! Matthew Holt

Let me ask you two questions.

On a scale of 1-10, how would you rate the quality of patients' "real world" visions your team brings to your media, and work with mission critical life change?

Is it clear about the needs and trends and the challenges faced by the patients they are trying to serve?

Why listen to me


Over the past four years, I have listened to hundreds of health leaders to discuss patient issues from their perspective as doctors, technicians, researchers, academics and administrators.

While I am grateful for these leaders to work feverishly on my behalf, as a patient, I do not think the end point of their patient.

Why there would not be a surprise. Often leaving patients up for negotiations on services and products designed to improve their



Dependency Insurance: Teamwork Nightmare of America

Across the country and the confrontations that occur among Republican lawmakers who have promised to cancel Obamacare and Americans who are not afraid to lose their health coverage. Demonstrators are understandable concerns. The cost of medical services can be devastating. It was an important selling point for Obamacare, ensuring coverage for medical exchanges and expanding, will protect the vast majority of Americans. The main difficulty faced by Republicans in canceling Obamacare is a widespread concern that tens of millions of people can be thrown off the menus.

Clashes are the result of the inevitable dilemma of collective action. The dilemma is this: To achieve a good collective results, the government has to often prevent people from doing what they think is best for them. Individually, and you may want to be free to dump the trash in the most convenient place, to pollute water and sky sewage, fishing and hunting without limits, drink and drive, or use the property of others And your property without your permission. Millions of people may want these same freedoms. But on the whole, we are all much better than when we are restricting each other's freedom to do these things. One of the benefits of government is that people can be prevented from acting in a way that is individually rational, but when it is practiced on a large scale and collectively we are made worse off.

In the field of health care, the dilemma is derived from teamwork of the fact that extensive coverage and Ooni all forms of third party payment, including Medicare and Medicaid, as well as private sector insurance the main driver of cost Of health care that has gone unchecked since the mid-1900s in a downward spiral.
The proposed amendment

My series of interviews from HIMSS17, one continues with Robert Armstrong, CEO Appstem. Appstem is one of the companies that accumulates more of these silent mobile apps everywhere described by health care programs, pharmaceutical companies and a large number of companies as well. It is an example of hyper-specialization passing on technology, start-up companies with even well-funded companies to use said Appstem-based APIs and build their partner's portfolios. Interesting skylight and one that is much more important than you think, it pays to listen to Robert for more information.
The proposed amendment

I heard what Forbes said about his "setback" in Anderson. I've also heard rumors spin HIMSS that maybe it's "too soon" You have to be in the health care field. At first I thought, "That serves right." There was a lot of noise that could barely be recognized.

Then I realized that, somehow, we are all guilty. Scientific journalists, vendors, and researchers, and data - each and every one of us try to make you popular in health care. I think things just sort of ran out of control.

You have to believe me when I say we mean it too. We wanted people to see how special you really are. The set of "30 years of clinical research and thousands of published studies" was not working. Apparently, the evidence is cold only with friends of their own research.

So he gave me a makeover. Fresh children in marketing has given new titles. People have started rumors about all these crazy things they were doing. Suddenly, after years of being the invisible learning machine was talking about the city. Not heard, automatic learning that is now going through Artificial Intelligence! The treatment of cancer of Artificial Intelligence! I heard the big volumes of data and put the doctors back! Does this mean automatic learning? I do not know, but I've heard Cognitive Computing created the latest fashion trend!

In reality, everything was too much for any set of ways to live up to.

But this does not change who you are and what you are capable of doing. Yes, concierge, panels are much more common. But we did not catch up constantly living in the past as they do. Certainly, traditional statistics of its prestige. But they both know it can be a bit short-sighted at times. And dozens of risk ... I do not even mean a lot of risks.

You are different. This is a good thing.

I personally have not seen is taken into account that millions of different data points - even free text notes - falls immediately in hospitals, and prevent the acceptance of elderly patients, and how people with mental illness Severe for the specific intervention of before. It is not necessary to be a doctor. Because you can make doctors more able to take care of yourself.

Can Community Health Organizations Pave the Way for Local Technology Adoption

It's 6:00 and Anna's alarm goes off. She has a busy day for her, starting to take her kids to school, on her way to fix the doctor and take double shifts at her part-time job. We are on a tight budget, and find it difficult to match work and children. At the top of her often stressful situation at home, Anna suffers from type 2 diabetes, and flooded with medical bills. Even though I do not have a computer, I gave your doctor to the smartphone application to help keep track of your glucose levels and communicate with your care team if you need medical assistance.

Millions of people in the United States have experience with one side at least in the situation that I am. As a nation, the United States spends less money on social services and more on healthcare.1,2 However, it can be attributed to a large majority of those who make us sick to social determinants of health (SDOH) -factors such as The social and economic situation, and the availability of resources, employment and access to health care. While the use of technology to address social factors in disadvantaged areas has generated momentum, which is an area of ​​health care and Digital Health, which stands out with the passage of the reaction to an assistance Health.

This was followed by a recent bout when tumors and an expert in cardiology evidence-based medicine and an important test for the development of coronary stents all took place. What began with an extensive article in Propublica that included coronary stents for stable coronary artery disease as a brilliant example of a procedure that is without evidence to back it up into a fiery Twitter this exchange between Drs. Kirtane (heart disease) and Prasad (tumors).
The essence of the debate revolves around the development of stents in the coronary arteries of patients with stable coronary disease. Stable coronary artery disease refers to a narrowing of artery plaque buildup that occurred slowly over time. Coronary artery disease is unstable refers to the rotations that occur inside the vessel when the plaque breaks down coronary, and quickly conducts vessel patents to be completely occluded or occluded approx. Coronary artery disease is unstable, and coronary syndrome has also been noted as acute, as in emergency situations requiring urgent intervention by skilled operators (interventional heart disease) who should race against time to abort the process may lead to Death or serious damage if the heart muscle is not controlled.
/ Acute coronary syndrome Figure 1. Unstable angina

It is not considered stable coronary artery disease, on the other hand an emergency, but may result in patients suffering from present symptoms due to contraction of blood flow through the culprit artery. Angina is a descriptor used to describe chest pain related to a mismatch between the needs of the heart muscle blood flow and what is happening. This is the case that angina in stable coronary artery disease caused by activities such as physical or emotional stress, which require a greater flow of blood through the narrow artery can almost always provide.

A Great Leap Forward (Or Backward) For the National Health IT Agenda

At HIMSS, I have listened carefully to payers, providers and patients, developers and researchers. The following is a summary of what I've heard from thousands of interest groups.

He does not favor or criticize the work of anyone in industry, government or the academic world. It reflects the lessons learned from the last 20 years of the implementation of health care information technology and policy development. Finding out where we are now and where we want to be, here are 10 guidelines.

1. Stop Health is designed according to the list


Through a certification program for her, Lance draw features, functionality and design of electronic medical records. As a result, technology developers spend most of the resources on development to meet government requirements, rather than innovation to meet the demands of the market and doctors. Created a culture of compliance in the industry is prepared for innovations that are based on the data certification program. Lanza has made the role of information technology health sensation industry for eight years when they adopt in the field of health care information has lagged far behind technology and all other sectors, but today's certification program hampers Labor market and must be reformed

Imagine Ransomware, For Your Body

Wired article about "medical devices are a next security nightmare." It's all about the vulnerability of the devices almost all of these implantable devices and measuring are hospitalized, with, legacy operating systems unpatchable and open ports, all of it.

Let's think about this. Imagine someone special implanted piracy defibrillator or an insulin pump.

Wait. It is not necessary. Imagine just getting a letter saying that they had penetrated it. They have keys to boost the body. And they want something in exchange for not turning it off.

"We were given a credit card and bank accounts for your information - ... All now or we will start screwing up your body, little or a lot, and whenever we feel like it, take all the insulin in the bloodstream to Same time or only gives one heart

New “kid” on specialty ACO block –Chuck Saunders, Integra Connect

It was one of the most amazing announcements in HIMSS17 (or anywhere so far this year) that the company known to some health technology veterans directed both invested a lot of money, and was off the ground for some time , While it is very quiet on this subject. Contact Integra is a company and its company of technology and services that offers services of Aku / MAP / astute / MIPS type of high cost attention specialty (think cancer). The CEO Chuck Saunders in Healthagen Aetna Group (and before Broadlane / extended / EDS and others I forget) and president (and the source of most of the funding) is Raj Mantena who built many of the companies in space Assigned Pharmacy (company ION and Oncoscripts). Contact Integra already has more than 1,000 employees and various groups of doctors, large clients and spoke with Chuck about the (high cost and very large) niche they are in and how we work.
Yes, Mr. President, complex health care.

So glad that I now understand this. But, um, within 24 hours of the recognition of that complexity, he made a speech before Congress that withdrawal.

It is, said ACA again annuls and replaces the legislation "expand options, increase access and reduce costs, while providing better health care," even at the time, which noted ideas and proposals that, Fact, it is not easy to achieve any Republican of those goals, according to independent analyzes.

He also said: "The way to make health insurance affordable for everyone is to reduce the cost of health insurance, and that is what we are going to do."

It was an achievement that was earnestly desired, if by reducing health costs and prices. And if so, making the insurance smaller or through higher discounts and co-payments, and not so well.

Kyruus “load balancing” health care — Julie Yoo Interview

The continuation of my interviews with the different actors of the HIMSS17 health technology, may be Julie Yu MD and one of the most brilliant people in health information technology. She and her colleague Graham Gardner Kyruus set out to deal with one of the most complex in the area of ​​health problems. The issue of access to appropriate doctor / provider patients, which amounts to a certain point of getting everyone on the right plane to get the right vacation (or, on the computer speak "budget"). While this sounds simple it is a very complex issue with all the huge problem of data (track and what doctors do and do) and the question of rationalization is available (what the patient needs what). Julie explains the problem and how it works with the Kyruus system vendor to solve it.
I give the floor to give insurance companies the possibility to sell insurance in other proposed cockroach states.

As bad as it is, you can not kill the damn thing!

Last night, President Trump appears again this idea in his speech before Congress and one of the points of his health care to speak.

Any candidate who proposes a system only shows how naive and that he and his advisers when it comes to understanding how insurance markets really work - or can operate.

He gave a speech to 750 health insurance brokers and consultants in the capital last week.

When selling health insurance across state borders, something Trump and a number of other Republican candidates to the presidency have paid, and reminded the public literally laughed. That's what health insurance professionals spend their days on the market that I think of!

This is as silly as "reform" as the idea of ​​a safe never suggests.

This is no more than an attempt to eliminate the market back to the risky days of cherry picking - learn to sell unique healthy people policies. If this was your age you will never, only lead to the confusion of healthy people in one group of health insurance, sick policies to another, which leads to deterioration of health costs and instead will only be paid up to patients - And achieves nothing costs radically for the cheapest insurance.
Last week was HIMSS17, the largest health information technology conference and as usual I found myself conducting interviews with several technicians. We will release these interviews over the coming days and weeks, Matthew Holt

Even the first show is fun time neighborhood done with the medical director of the Managing Director of Cirrus Blake McKinney. Cirrus MD is a player specializing in telesale space, and spent the last few years building tool in text that is now in Colorado and Texas. How does it work in practice? Well, oddly enough, you happened to have a medical condition that should be examined by a doctor. So here is the real experimental impromptu, which show how it works and gives a good idea of ​​the user experience.

Paying Doctors For Outcomes Makes Sense in Theory. So Why Doesn’t it Work in the Real World

Over the decades, and the escalation of health care costs in America without similar improvements in quality. This is the central paradox of the American system, which exceeds the cost size of no other part of the developed world, and despite health outcomes are rarely better, and often worse.

In an attempt to provide the most powerful of improving incentives for care, federal policies, especially the past to model "performance pay" became "quality" doctors receive specific care standards bonuses to meet These can range from pretending Which have been done by the procedures that must be part of the physical (blood) pressure to produce positive results for health (profitability objective, such as reducing cholesterol, for example).

Economists say these financial incentives motivate doctors to improve their performance and increase their income. In theory, this should improve patient outcomes. But in practice, and pay for performance simply does not work. Worse than that, and the best evidence reveals that doctors give extra money to do what they are trained to do so can be counterproductive in ways that are detrimental to the health of patients.
There is growing evidence that hospital merger operations lead to higher prices for consumers, employers, insurance and government. It is necessary to educate patients and legislators on how to unify hospitals and clinics to raise costs, reduce access, and eliminate jobs, and ultimately lead to reduced quality of care. Attention as a result. And lawmakers should focus on the "first pillar" of cost control, as they go to the drawing table.

In 2010, there were 66 merger operations of hospitals in this country. Since Act of affordable care came into force the hospital unification rate increased by 70 percent. By creating incentives for physicians and health professionals to coordinate with the auspices of responsible organizations (ACOS), ACA hindered the ability of regulators to prevent hospital operations from merging while stimulating the hospital's merger.
News from last week that the MD Anderson Cancer Center has removed the stopper in its association for two years with IBM Watson led many critics to wonder aloud if learning the revolution machines is in trouble, and if large data can Be on the verge of becoming the latest industry word-of-mouth technology to die a deserved death. It's more complicated than that, HealthCatalyst Dale Sanders says in this offer not to be missed. Problems with Anderson-Watson's collaboration could say more about the "big data industry," now the current developments in IBM as they do about technology. However, there are important lessons you can learn from this episode.


Calling all New York City begins! Digital health market is back

The fourth delivery of the digital health market, sponsored by the New York City Economic Development Corporation, in collaboration with Health 2.0, a neighbor! Digital health market contacts buyers and sellers of health technology through a combination of coordinated assistance to facilitate the rapid adoption of technology, and the marketing of competitive awards to stimulate experimentation and purchase a new technology of Digital health in New York City.

The last three classes have provided a digital health market at $ 2M in the New York City business awards Emerging innovative health technology and health care pilot partners chosen by self-organization. This year, a total of $ 250,000 is available to fund pilot health technology in New York City.

Program help to create interest and health care, employers such as hospitals and health systems (health technology "buyers"), and take the risk of their investments in new technologies by simplifying the search process Of ready-to-market solutions. At the same time, the program to shorten the sales cycle to start work (health technology "sellers") by linking it with relevant and prospective requirements. Buyers and matching marketers will draw on the areas of interest that have identified the needs or abilities of psychology and labor once applied to "look for the partner partner." Buyers get a list of sponsoring emerging companies to choose to meet one-on-one during the Half-Day Wheel event on the April 6, 2017 New York Genome Center.

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