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PicnicHealth (YC S14) Stores Your Medical Records In One Place

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Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#21

Post by atmosx »

ejain wrote: post #20

One of the things that keeps me out of the healthcare space is that you could build the most amazing tool, yet it wouldn't catch on because no one has enough time or incentives to start using it (and you're not playing golf with the right people). That said, PicnicHealth looks nice, and I wish them best luck! The pricing seems a bit high for someone who doesn't have health issues and just wants to keep track of regul…

Another problem is that doctors and health in General is highly specialized. So a doctor needs a set of options while the next needs another, etc.

So it's kind of hard to fit everything in one basket. There is HL7 that should a sort of golden standard but many programmers on the field totally ignore it.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#22

Post by dr_ »

thetylerhayes wrote: post #17
rdxm wrote: post #7

how can you even consider launching a service like this without being fully audited for HIPPA and ISO 27001. all i see on their site is boiler plate sec that in no way addresses the reality of the business domain they want to operate in. you'd be insane to put your data into something like this without those controls in place. moreover, they are asking for serious regulatory trouble launching without it. this one bus…

Hey I don't work at Picnic but I do work at Prime. Picnic and Prime do similar things. I've met the Picnic team. They're great, and so is Picnic. They understand HIPAA. I'll let @nogaleviner speak to the specifics of their HIPAA considerations but I do want to clear up some general things up about HIPAA since we've (as has Picnic) been working on this for a year or two now. 1. It's HIPAA, not HIPPA. 2. The "P" in HIP…

Although they may not technically have to be HIPAA compliant, they certainly have to allow some of their clients - specifically medical providers - maintain HIPAA compliance.

In general, with respect any health tech startup that stores or transmits personal health information, if you try to tell a client that you don't technically have to be HIPAA compliant, it's gonna raise red flags. Assuming you are following the appropriate HIPAA rules, it's best to just say you are HIPAA compliant.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#23

Post by rcarrigan87 »

nogaleviner wrote: post #16
rcarrigan87 wrote: post #14

Earlier quoted context omitted.

Very true, people generally take their health for granted until they experience an adverse event. Expecting people to take it upon themselves to handle their own medical records is wishful. Large doctor practices sometimes have 2 or even 3 people just dedicated to fulfilling medical record requests. That's a huge expense. I help run a home health company that is constantly requesting medical records. We still receive…

Would love to talk offline and hear more about how you're handling this. I'm only just learning about home healthcare deals with this stuff. I'm noga at picnichealth if you have a minute to chat at some point.

sure rcarrigan87 at gmail. Drop me a line and we can chat.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#24

Post by thetylerhayes »

dr_ wrote: post #22
thetylerhayes wrote: post #17

Earlier quoted context omitted.

Hey I don't work at Picnic but I do work at Prime. Picnic and Prime do similar things. I've met the Picnic team. They're great, and so is Picnic. They understand HIPAA. I'll let @nogaleviner speak to the specifics of their HIPAA considerations but I do want to clear up some general things up about HIPAA since we've (as has Picnic) been working on this for a year or two now. 1. It's HIPAA, not HIPPA. 2. The "P" in HIP…

Although they may not technically have to be HIPAA compliant, they certainly have to allow some of their clients - specifically medical providers - maintain HIPAA compliance. In general, with respect any health tech startup that stores or transmits personal health information, if you try to tell a client that you don't technically have to be HIPAA compliant, it's gonna raise red flags. Assuming you are following the…

Yep.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#25

Post by Irene »

ejain wrote: post #20

One of the things that keeps me out of the healthcare space is that you could build the most amazing tool, yet it wouldn't catch on because no one has enough time or incentives to start using it (and you're not playing golf with the right people). That said, PicnicHealth looks nice, and I wish them best luck! The pricing seems a bit high for someone who doesn't have health issues and just wants to keep track of regul…

Besides, Comprehensive health records as well as yearly physicals are meaningless for healthy people.

I also found that people don't trust paid services either, when it comes to their health (at least when provided by companies other than their health provider)

I like the idea behind Zenobase. Aurametrix explored relationships between many different sources of data that could be related to health. It is not public now, but would be happy to share the insights.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#26

Post by angersock »

Pacabel wrote: post #15
angersock wrote: post #12

Earlier quoted context omitted.

You sound like a shill for Epic. This business challenge is only going to be solved by startups, because all of the existing players rely on it being such a fucked system. They're not going to fix anything.

This is absurd. So rdxm is a "shill" merely because he or she pointed out some very real and important issues surrounding this sort of technology, and then also pointed out the fact that established players are best prepared to handle such challenges? Huh? If you're going to make such accusations, or even just hint at them, please provide us with at least some real evidence to show that rdxm is being directly compens…

Eh, I'd expect somebody shilling for Epic or any of the other major vendors to sound the same way--which is exactly what I said, no more no less. I'm not going to apologize.

The problem with bandying about "HIPPA [sic]" and random ISO security standards is that it only serves to dampen enthusiasm for fixing the staggeringly pervasive issues of mismanagement and technological obsolescence.

Anybody can come up with a "no" or a problem--"but but but HIPAAaaaaa" is a common refrain from people who want to sound like they know something but who lack the talent or skill to fix the fucking thing.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#27

Post by angersock »

thetylerhayes wrote: post #17
rdxm wrote: post #7

how can you even consider launching a service like this without being fully audited for HIPPA and ISO 27001. all i see on their site is boiler plate sec that in no way addresses the reality of the business domain they want to operate in. you'd be insane to put your data into something like this without those controls in place. moreover, they are asking for serious regulatory trouble launching without it. this one bus…

Hey I don't work at Picnic but I do work at Prime. Picnic and Prime do similar things. I've met the Picnic team. They're great, and so is Picnic. They understand HIPAA. I'll let @nogaleviner speak to the specifics of their HIPAA considerations but I do want to clear up some general things up about HIPAA since we've (as has Picnic) been working on this for a year or two now. 1. It's HIPAA, not HIPPA. 2. The "P" in HIP…

Well put.

HIPAA is not a big deal, and even more entertainingly, mostly only covers identifying information:

http://www.hipaa.com/2009/09/hipaa-protected-health-informat...

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#28

Post by angersock »

atmosx wrote: post #21
ejain wrote: post #20

One of the things that keeps me out of the healthcare space is that you could build the most amazing tool, yet it wouldn't catch on because no one has enough time or incentives to start using it (and you're not playing golf with the right people). That said, PicnicHealth looks nice, and I wish them best luck! The pricing seems a bit high for someone who doesn't have health issues and just wants to keep track of regul…

Another problem is that doctors and health in General is highly specialized. So a doctor needs a set of options while the next needs another, etc. So it's kind of hard to fit everything in one basket. There is HL7 that should a sort of golden standard but many programmers on the field totally ignore it.

I hate HL7 with a passion.

As for docs, the main problem is that they've spent the last century or two training snowflake workflows and vocabularies. :(

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#29

Post by mkal_tsr »

angersock wrote: post #26
Pacabel wrote: post #15

Earlier quoted context omitted.

This is absurd. So rdxm is a "shill" merely because he or she pointed out some very real and important issues surrounding this sort of technology, and then also pointed out the fact that established players are best prepared to handle such challenges? Huh? If you're going to make such accusations, or even just hint at them, please provide us with at least some real evidence to show that rdxm is being directly compens…

Eh, I'd expect somebody shilling for Epic or any of the other major vendors to sound the same way--which is exactly what I said, no more no less. I'm not going to apologize. The problem with bandying about "HIPPA [sic]" and random ISO security standards is that it only serves to dampen enthusiasm for fixing the staggeringly pervasive issues of mismanagement and technological obsolescence. Anybody can come up with a "…

You sound like a shill for startups.

Re: PicnicHealth (YC S14) Stores Your Medical Records In One Place

#30

Post by nradov »

atmosx wrote: post #21
ejain wrote: post #20

One of the things that keeps me out of the healthcare space is that you could build the most amazing tool, yet it wouldn't catch on because no one has enough time or incentives to start using it (and you're not playing golf with the right people). That said, PicnicHealth looks nice, and I wish them best luck! The pricing seems a bit high for someone who doesn't have health issues and just wants to keep track of regul…

Another problem is that doctors and health in General is highly specialized. So a doctor needs a set of options while the next needs another, etc. So it's kind of hard to fit everything in one basket. There is HL7 that should a sort of golden standard but many programmers on the field totally ignore it.

HL7 isn't a single standard; it's a standards body which publishes many different standards each with multiple versions. And it's not really practical to fully implement them all. So if you want to interoperate with an external system first you have to find out which flavors of HL7 they support and then build around that.

Some people criticize HL7 for being overly complex. And there is some truth to that due to legacy issues. But the reality is that healthcare is tremendously complex and so that drives a certain level of unavoidable complexity in the standards.

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