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I'm a doctor - help me disrupt healthcare

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Re: I'm a doctor - help me disrupt healthcare

#62
post #50

Earlier quoted context omitted.

If you gain 10 minutes/week for every surgeon in USA, then you've done more healing than you could by simply being a great surgeon for your whole life.

This guy has one shot at learning medicine, his residency. If he wants run a trivial startup, so be it. But his first responsibility, at this time, in his training, (no he is not really a doctor yet) including his residence and fellowship.

His first responsibility is to whatever he wants to make with his life, not neccessarily his training. If he wants to run a medical startup that you call trivial, it's just as good (if not better) way to go as focusing on his residence and fellowship.

The default career directions for anyone, including medical residents, are just that - simply defaults, not some oath or moral obligation to follow that exact career choice 'till death do us part'.

Re: I'm a doctor - help me disrupt healthcare

#63

Here is one question. How will you do with all the tape? This creates a potential lawsuit point in case of failure (or even in case of blamestorming, when the software worked correctly but a scapegoat is needed). So you will need some form of insurance or regulatory approval. I can create a very few extremely simple solutions in my mind that will be quite precise. You don't even need much coding. In the worst case OC…

He'll need to carry E&O insurance if he ever gets a client. He'll need to keep that insurance while the product is in use.

Re: I'm a doctor - help me disrupt healthcare

#64
post #48

As a physician of 15 years in internal medicine all I have to say is residency must have become ridiculously easy if you have time to start a company.. For me, 100 hours a week made that impossible so I waited until I was done. Your idea is an old one. It's been deliberated and contemplated. You forget that you're writing code that is essentially a medical tool that potentially affects peoples lives. You will need ma…

I would think automating it would vastly reduce the likelihood of error vs. manual entry.

It's a different type of error that's possible, though.

Manual entry errors happen at predictable rates, and with good processes you can get them down quite low.

Software error rates are not so predictable (unless you have full control over all variables... and that's surprisingly hard to get). You could deploy this software in the context of a slightly different version of the radiology software which used a different font in PDFs (or whatever) and find that all 8's are now read as 3's; no human would do that.

If a human started getting input that wasn't sufficiently readable, they'd talk to someone about it. Could the software do that?

Re: I'm a doctor - help me disrupt healthcare

#65
post #8

My unsolicited advice: rather than being "fairly certain" that you can make $500/mo with your idea so that you would prefer to start a company first, I suggest that you reverse the order of operations. First, be certain that you can make $500/mo by building it yourself and get the hospital paying $500/mo. Then, if the opportunity looks good, start organizing (aka building an organization, a company) around that. You'…

I'd suggest instead talking to the people who actually make buying decisions, and find out what other purchases they have approved recently (and how many other people needed to give approval -- e.g., the IT department), and why. Unfortunately I suspect the news will be discouraging.

Don't just try selling something that interacts with medical data unless you have serious quality control (you may need various ISO certifications in place) and a good grasp of privacy law. That's what many of the frustrating hospital purchasing rules are trying to ensure.

The reason that the healthcare world has so many problems with obvious software fixes that haven't been fixed is because they're very rightly paranoid about using unsafe software, because sometimes it kills people even when it's designed by a corporation with lots of quality control (cough cough THERAC-25), and not just a side-business with a doctor and a hired coder.

Re: I'm a doctor - help me disrupt healthcare

#66
post #19

Two pieces of advice from a very drunk technologist. One, never approach a community that lives and breathes startups using words such as "fairly certain," and "try." They have no power here. Two, start the company, make a respectable business plan, and then whore yourself out. No one is going to be interested in a joint venture with a few paragraphs of information to go on. You don't have to be perfect, nor do you e…

can't agree more

Re: I'm a doctor - help me disrupt healthcare

#68

Founder of a SF-based healthcare-related startup here. Emailed you. I'm not looking for a job but happy to help how I can. EDIT: To anyone in the Bay Area (or really anywhere) also thinking about joining this industry, feel free to reach out to me too. My cofounders and I have learned way more than we want to know over the past few months about the healthcare industry + the startup side of things and are happy to pas…

Hi, what's your email? I'm a recent college grad who deferred my med school for admission for a year to learn Rails. Both of my parents are physicians and I've been working in a clinical setting since the age of 15. I'm seeing many opportunities to build tools that help improve physician workflow and I would love to reach out to you for advice. Please let me know if you're available for a short chat. My email is fato…

My email's in my profile. Just shot you an email.

Re: I'm a doctor - help me disrupt healthcare

#69
post #44
post #43

Earlier quoted context omitted.

Isn't technology meant to make our lives easier? If this can increase the productivity of doctors, I reckon it's a good thing. That way they can spend those full 70 hours a week perfecting their skills, instead of wasting 20 hours to enter and retrieve data every week.

Why don't doctors have clerical staff to do the data entry?

They do. Both do. No one is immune to data entry in the medical world.

Re: I'm a doctor - help me disrupt healthcare

#70
post #36

I've done some work in clinical research and I can tell you that you might need a legal cofounder more than a technical one! I had ways to automate dozens of employees jobs away just by integrating data systems, but in the eyes of the hospital it was too risky. They didn't want to violate HIPPA. I wrote a little thing about it for The Scientist: http://www.the-scientist.com/?articles.view/articleNo/35249/... I'd love…

I would generally recommend against getting a legal cofounder, even in the medical world. They're not contributing nearly as much as the other cofounders in the beginning, especially when you're building a tech-focused startup.

Make friends with a lawyer. Read up on everything legal you can. Pay your lawyer friend when you need lawyer advice and lawyer action. But don't give them not only full-time, but founder, level status unless they are truly a full-time founder.

Plenty of others share their early-stage lawyer advice freely so startups don't need to get in this situation. Check out:

* http://startuplawyer.

* http://rockhealth.com/resources/startup-elements/hipaa-compl...

* http://rockhealth.com/resources/startup-handbook/

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