I am all for it if someone can make the doctors use emails instead of faxes.
Big Tech Is Going After Health Care
51–60 of 206 posts
Re: Big Tech Is Going After Health Care
#52As someone who most recently worked in product at a healthcare startup I found the most difficult thing about innovation in the space is the cost of compliance/regulation. When you work in an industry that is so highly regulated, and assuming you are working at a company that follows the rule of law, how do you actually "disrupt" a set of problems in this industry when there is so little wiggle room for doing things…
so ELI5 why we shouldn't just get rid of HIPAA? from the way people talk, all HIPAA does is guarantee that things will always be awful(?) how does HIPAA help if it just keeps us in the past?
Re: Big Tech Is Going After Health Care
#53Good. I spent a few years working in a medical IoT startup, and the current state of the "mainstream" medical monitoring technology is not inspiring. During a brainstorming meeting, I asked one of our cofounders, a physician, to tell me about some of the problems he had seen in health. Don't try and solve it, just lets talk about problems. He said that by far one of the most common causes for re-hospitalization is co…
Interesting you bring up heart failure readmissions. Not saying they aren't a problem, but here is a fascinating study in JAMA that argues that places with lower readmissions have higher (worse) mortality. https://jamanetwork.com/journals/jamacardiology/article-abst...
Not sure we (I'm a physician) understand even what the problems we need technology to solve are. But yes, we need technology to help (find and) solve some major problems that will improve lives.
Re: Big Tech Is Going After Health Care
#54This article is pretty devoid of content, and really only mentions that the Apple watch can be used as a constant heart monitor. Big deal, you aren't going to get much information from measuring just your heart beat and knowing next to nothing else of whats going on in the rest of your body too. The real technological breakthrough will come when we have the ability to measure in real time what is going on in our vari…
Toto, the producer of fancy toilets in Japan, is believed to be developing some kind of back-end analytic system.
Re: Big Tech Is Going After Health Care
#55Yeah, nothing's going to happen. Compliance costs are too high for any of Silicon Valley's business models to work.
I'm with you on that. For reference I pulled up Google's announcement that "Google Health" is being shutdown. https://googleblog.blogspot.com/2011/06/update-on-google-hea... I could see Big Tech enter in other areas (Apple Watch and and their research app are promising)
The post doesn't say that they shut it down due to compliance costs. It says they shut it down because almost nobody found it useful.
Re: Big Tech Is Going After Health Care
#56There are some major hurdles for these SV companies to overcome if they want any level of success in this arena. EPIC and Cerner together hold over 50% market share of EHR systems in American hospitals. Their interoperability and patient facing applications are a joke. EPIC actively makes it difficult for third parties to build on top of their system. Sure, these SV companies have figured out how to build great tech…
Both Epic and Cerner are making at least some strides toward opening up their platforms (Epic with App Orchard, and Cerner with Ignite, SMART on FHIR etc.) Athena has MDP ("More Disruption Please.") I get the feeling these organizations have at least come to the realization that they need to open up--granted their denial up to this point leaves them with a lot of catching up to do. But access to the data that exists in those systems is a pretty big carrot for integration partners to help push adoption.
Re: Big Tech Is Going After Health Care
#57Good. I spent a few years working in a medical IoT startup, and the current state of the "mainstream" medical monitoring technology is not inspiring. During a brainstorming meeting, I asked one of our cofounders, a physician, to tell me about some of the problems he had seen in health. Don't try and solve it, just lets talk about problems. He said that by far one of the most common causes for re-hospitalization is co…
Interesting you bring up heart failure readmissions. Not saying they aren't a problem, but here is a fascinating study in JAMA that argues that places with lower readmissions have higher (worse) mortality. https://jamanetwork.com/journals/jamacardiology/article-abst... Not sure we (I'm a physician) understand even what the problems we need technology to solve are. But yes, we need technology to help (find and) solve…
Are there other examples of things you wish existed? Again, forget about if they could exist, just stuff you wish you had?
Re: Big Tech Is Going After Health Care
#58Earlier quoted context omitted.
I'm pretty sure email can be HIPAA compliant as long as you implement the system using the established guidelines.
Indeed it is as long as you’ve configured your email system to use TLS and not downgrade to no encryption if the handshake fails for mail systems where HIPAA-governed information is departing to. Source: Not a lawyer, not your lawyer. Sign off provided by non profit bio research orgs lawyer before I set it up.
This is my understanding as well. Additionally, I believe you can send encrypted attachments over an unencrypted connection. Furthermore, https://www.gpo.gov/fdsys/pkg/FR-2013-01-25/pdf/2013-01073.p... suggests that it's acceptable to send patients unencrypted PHI if they've explicitly agreed to accept the risks associated with that (although I'd be extremely cautious in those situations)
Re: Big Tech Is Going After Health Care
#59There are some major hurdles for these SV companies to overcome if they want any level of success in this arena. EPIC and Cerner together hold over 50% market share of EHR systems in American hospitals. Their interoperability and patient facing applications are a joke. EPIC actively makes it difficult for third parties to build on top of their system. Sure, these SV companies have figured out how to build great tech…
EPIC and Cerner are doing their best to, simultaneously:
1) Appear to be open, ready for innovation and playing fair (so hospitals don't replace them)
2) Maintain their position as gatekeepers, and use that position to extract as much revenue as possible. New startup wants to deploy tech at your hospital? Hospital probably will end up paying more to Cerner for the integration, than the new tech.
Re: Big Tech Is Going After Health Care
#60Earlier quoted context omitted.
I agree that his comment was not in good taste, but I think he must have simply misread or skimmed the parent comment, or misunderstood. Your comment is a great example of unnecessary escalation. He made a mistake, no need to pin all this angst about the disconnect between doctors and engineers on one mistaken comment on the internet. While I think the parent commenter should apologize, I think ideally you should too…
Fair enough, happy to go first. I hearby apologize for escalating, although the disconnect and it sources stand. What is sufficient remedy? Shall I delete my comments?
chill. I personally don't think you really escalated all that much, and outside of the casual misandry (hehe, couldn't resist piling on with another complaint) I got genuine value from reading your comment.