Apr 26

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By John Ventura | Magnets

Get year-round practice support + learn & connect with spine experts & students. Even find a job! Join the premier global spine community – PSPN – today!

Apr 22

Spine & Health Info Platter (22 April ’18)

By Kanwal Sood | Artificial Intelligence , Blog , Disruptive Innovation , Spine Cloud Platter , Wearable Tech

In this week’s Spine & Health Info Platter, we look at an app which flags trip and fall hazards in real time; we consider smart clothing; and we look at why the Cambridge Analytica scandal is important to healthcare.

PeerWell Launches Augmented Reality Trip and Fall Hazard Detector for Smartphones

Meet the artificial intelligence-powered app which flags potential risks inside the patient’s home and enables patients to prepare their homes for recovery after joint replacement and spine surgery. See demo here.

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From smartwatches to smart clothing…

What if your t-shirt could monitor your heart health? A start-up has developed next-level smart clothing which tracks the wearer’s heart health using ECG tech. And yes, the t-shirt comes with a 16-hour battery; but that’s alright as most of us don’t wear the same garment for more than 16 hours per day anyways 
See catalogue of smart clothing here

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If Senators Don’t Understand Facebook, How Will They Make Sense of Digital Health?

The value of consumer data is on the rise, and some may argue that the biggest target yet is healthcare data. The data privacy scandal around Cambridge Analytica and Facebook raises all sorts of flags about regulation of data. Mark Zuckerberg’s testimonial in front of US lawmakers not only marks the significance of the data privacy scandal but also shows how partially policy-makers understand the operation of that social media platform. If their notion about such a massive part of the technology world is so incomplete, what can we expect when artificial intelligence, bioterrorism, robotic arms, exoskeletons or other elements of digital health will be put on the table?

And did you know: In 2017, there were 477 healthcare breaches reported to the U.S. Department of Health and Human Services?

Image Credit: www.yaabot.com

Apr 19

Putting the patient first: Choosing Wisely

By Kanwal Sood | Cultural Authority , Primary Spine Provider , Spine Care , Value-Based Healthcare

A call to action for the chiropractic profession

Choosing Wisely is a campaign of the American Board of Internal Medicine to educate patients about services that have the potential to be misused and overused, so that patients are comfortable opening dialogue with their providers about the most appropriate course of action to take.

The participation of the chiropractic profession in this program is a major leap forward in demonstrating professional maturity. Chiropractic participation is a definitive statement that chiropractors put the interests of the patients at the forefront of clinical decision-making.

We encourage you to share these links with your colleagues and most importantly, with your patients.

Choosing Wisely for Doctors

Choosing Wisely for Patients

Apr 16

‘Disruptive diagnostics’: How it’s changing healthcare.

By Kanwal Sood | Artificial Intelligence , Big Data in Healthcare , Blockchain , Disruptive Innovation , Spine Cloud Platter , Wearable Tech

In this week’s platter we pay attention to ‘disruptive diagnostics’; we look at an example of the novel use of technology to communicate with the deafblind; we consider 2 applications for cryptocurrency in healthcare; we look at what healthcare can learn from finance about data sharing; and, finally, we turn to insightful infographic on wearables. Enjoy!

What is ‘Disruptive Diagnostics’ and How is it Changing Health Care?

No keen observer of the healthcare sector can deny the massive innovation witnessed in various pockets of the health care value-chain in recent times – from the advent of all things digital to the shift in business models. Here we pay attention to innovation in disease diagnostics and we take a look at how far it has come in just a few years.

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Good Vibes – New app helps deafblind people communicate

How can deaf-blind people communicate with each other or with their care givers? Enter Good Vibes – a free app that uses haptic feedback and does not have a visible user interface. Developers say this is the “first time in history” that an effective tool has been created for two-way communication between those who are visually and hearing impaired. It can be downloaded for free on Google Play.

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Cryptocurrency’s digital health potential for data sharing, behavior incentives

Cryptocurrency has both advocates and critics in the financial sector. In digital health, the use of cryptocurrency is equally undefined, but it has a lot of potential. While the use of cryptocurrency in digital health is still in its infancy, some experts say this is only the beginning of a growing field. This article looks at 2 applications for cryptocurrency in healthcare – data for digital dollars and cryptocurrency as a behavorial incentive.

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What can healthcare learn from finance about data sharing

Both financial data and health data require the highest levels of security and privacy. But the experience of that safe and secure data exchange, between healthcare and finance, is dramatically different. Banks, credit card companies and other financial institutions are able to navigate these barriers to talk to one another, making it easier for customers to coordinate payments and understand their overall financial wellbeing. So why can’t patients, doctors, payers and insurance providers do the same for health data? … It is time redesign the way that healthcare ecosystems communicate…

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Infographic: Wearable Healthcare Technology

And finally, we pay attention to an infographic which provides examples of a wide range of healthcare wearables, the most popular types of healthcare apps and insight into healthcare wearable trends. Enjoy!

Image Credit: Vivian Abagiu/University of Texas at Austin

Apr 06

3 healthcare delivery problems will be solved by disruptive innovation

By Kanwal Sood | Big Data in Healthcare , Disruptive Innovation , Spine Cloud Platter , Value-Based Healthcare

In this week’s platter, we turn our attention to the indicators of true innovation in healthcare delivery, we look at arguments for the migration towards value-based payment model for providers; then we consider U.S. healthcare through an investor’s lens; and finally, we pay attention to Apple’s updated EHR solution. Enjoy!!! Let us know of your thoughts on our facebook page

Catching disruption in the act: 3 problems that innovation will solve in healthcare delivery

This brilliant article by Rebecca Fogg makes a clear distinction between sustaining innovations (which ultimately drive higher prices) and true disruptive innovations. The author lists 3 innovation design problems which market watchers keen to spot disruption in healthcare delivery should keep an eye on.

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3 reasons to let go of fee-for-service payment models

Health care payment models remain in flux, with the pace of movement from fee-for-service toward value-based payments continuing to be unclear in the context of changing federal and state policy decisions and significant local market variation. In the face of this uncertainty, health care providers can feel trapped, fearful of “having a foot in two canoes,” straddling the two divergent payment models.
In this article, Dr. Gary S. Kaplan presents 3 compelling reasons to why physician organisations should quit resisting payment model changes and embrace value-based payment.

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Understanding the Value-Based Reimbursement Model Landscape

Much is being said about the migration to value-based reimbursement – but what does this mean for providers and how do these options impact potential revenue?

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Health Care Is an Investment, and the U.S. Health Care Is an Investment, and the U.S. Should Start Treating It Like One

The U.S. invests billions of dollars each year in medicines, new technologies, doctors, and hospitals — all with the goal of improving health, arguably the most prized commodity. Yet, investments in the U.S. health care system woefully underperform relative to those made in health care in other countries. So if we want to see better outcomes, we need to start to think like investors…

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Apple Health Records Solution Spreads to 39 Health Systems

Just two months after Apple announced its Health Records solution that allows consumers to see their medical records right on their iPhone, 39 health systems have signed on to launch the feature, the tech giant announced this week.
The updated Health Records section helps consumers see medical information from various institutions organized into one view and receive notifications when their data is updated. This information can help patients better understand their health history, have informed conversations with physicians and family members, and make future healthcare decisions.
This is a beautiful product at the intersection of digital technology and customer centricity.

Mar 31

How could digital technology make an impact on primary care?

By Kanwal Sood | Artificial Intelligence , Big Data in Healthcare , Disruptive Innovation , Spine Cloud Platter , Wearable Tech

In this week’s platter, we look at what PCPs think of digital tech, we consider an innovative development in drug delivery; we look at wearables in the mouth; we consider a tele-ultrasound system; and, finally, we pay attention to stunning 3D insights of the human brain… Enjoy!

 

Managing back pain without addiction risk

Everybody occasionally experiences pain. Generally, pain is manageable with over-the-counter medications, or no medication at all. But when pain is acute and severe, such as after an injury or surgery, stronger pain medication may be required. And for chronic pain, such as from neck and back disorders, the long-term use of opioids to subdue pain can become addictive.
In light of the above, three University of Virginia researchers are working toward an innovative solution for treating lower back pain after surgery and for chronic back pain. They are developing drug delivery patches that would be worn on the skin, like a bandage, to deliver non-addictive pain medicine directly to the site of pain, rather than systemically via pills or injections.

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Tooth-mounted sensors track your diet and health from inside your mouth

High-tech wearables are everywhere, from our wrists to our pets to our … mouths?
Engineers at Tufts University have created tiny sensors that attach to teeth. It’s not a fashion statement, though it could very well someday become one! Instead, the wireless sensors are designed to monitor health and dietary habits, relaying data about sugar, salt, and alcohol intake to a wearer’s mobile device. It’s like a little nutritionist in your mouth that keeps tabs on every time you cheat on your diet.

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How Could Digital Technology Make An Impact On Primary Care?

Healthcare is on the verge of a paradigm shift due to digital technologies. Trends and research suggest that in the next few years, medicine will shift from a reactive to a proactive discipline. With the help of digital technologies, such as portable diagnostics, wearables, sensors, the patient will become the point of care instead of hospitals, clinical labs or other medical facilities. Moreover, artificial intelligence, nanotechnology, various targeted therapies and precision medicine place the individual in the center of care instead of large populations. But how does all this impact primary care?
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Philips Unveils First Live Tele-Ultrasound System

Philips, in a partnership with Innovative Imaging Technologies, a company out of Canada, is releasing the first telemedicine system that transmits live ultrasound images during scans performed by a paramedic or nurse to a physician’s smartphone, tablet, or computer. Audio and video are shared as well, allowing physicians to have a clear sense of the context, how the ultrasound is positioned and used, and what the on-site person is seeing.
This is very useful development, but let’s hope that those transmitting live images have ready access to broadband…

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New tissue technique gives stunning 3D insights into the human brain

Imperial researchers have helped develop a breakthrough imaging technique which reveals the ultra-fine structure of the brain in unprecedented detail. Enjoy!!!

Image Credit: EntrepreneurCountry Global

Mar 22

Full-body exoskeletons to minimise occupational injuries?

By Kanwal Sood | Artificial Intelligence , Big Data in Healthcare , Blockchain , Disruptive Innovation , Spine Cloud Platter , Videos , Wearable Tech

In this week’s platter, we get introduced to industrial exoskeletons; we look at UAE’s adoption of digital health solutions; we see the smartwatch come of age; and we pay attention to innovations in the pharma supply chain. Enjoy!

They say that prevention is better than cure – so let the robot lift…

Backaches as a result of poor lifting techniques may soon be a thing of the past.  Sacros Robotics, a global leader in the production of robots that combine human intelligence and dexterity with strength, is working with industry groups to identify key performance and safety requirements necessary to bring powered and quasi-passive, full-body industrial exoskeleton systems to the work force.  This will surely improve efficiency and reduce occupational injuries and especially the proverbial lower back pain (yay!!!).  See demonstration of this highly dexterous machine here and here.  Who wants to bet that we see surgical robots evolve to surgical exoskeletons…?

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Saved by the watch

The Apple Watch smartwatch has been found to be pretty accurate when it comes to detecting abnormal heart rhythms. A continuing study (see journal article here) on the potentials of wearables has identified that the watchOS device has a 97 percent accuracy rate in determining abnormal heart conditions.  We can be sure that the phone will inform your cardiologist before you even know it. This development is enough to make my heart skip a beat…

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UAE adopts virtualization of care through digital health solutions.

Residents in the UAE will soon be able to access real-time medical data, ascertaining the continuity of care when patients move from one hospital to another.

The project for unified medical records ‘Riayati’ will connect public and private sector healthcare providers across the country, in order to create a secure way to access and share the right health data with the right people in real time. That’s right – in real time… Complications arising due to unavailability of reliable medical information during emergencies will soon be a thing of the past.

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Robotics, A.I. and Blockchain Redesign The Pharma Supply Chain

Exoskeletons will aid pharma factory workers. 3D printing will allow pharmacies to produce drugs on the spot. Blockchain technologies will help fight counterfeit drugs. These are just bits and pieces, but the entire process of the pharmaceutical supply chain will be affected by disruptive technologies. Let’s look at a comprehensive overview of how innovations will make the supply chain more efficient, faster and cheaper than ever before.

Image Credit: Utah Business

Mar 21

Meeting Dr Don Murphy #4 – why your tertiary chiropractic / physiotherapy training is not enough

By admin | Disruptive Innovation , Primary Spine Provider , Spine Care , Spine Related Disorders , Value-Based Healthcare

Following on from Part 3, we continue with Dr Murphy at his practice, discussing the inadequacy of tertiary chiropractic & physiotherapy training to function as a Primary Spine Provider.

Keep training, learning, growing as a PSP – sign up at www.spinecloud.org/membership

Meeting Dr Don Murphy #4 – why your tertiary chiropractic / physiotherapy training is not enough

Meeting Dr Don Murphy #4 – why your tertiary chiropractic / physiotherapy training is not enough. Keep training, learning, growing as a PSP – sign up at www.spinecloud.org/membership

Posted by Spine Cloud International on Thursday, March 8, 2018

Mar 19

Meeting Dr Don Murphy #3 – Diagnostic acumen, communication & manual skills – functioning as a Primary Spine Provider

By admin | Disruptive Innovation , Primary Spine Provider , Spine Care , Spine Related Disorders , Value-Based Healthcare

Following on from Part 2, we continue meeting Dr Don Murphy in #3 – Diagnostic acumen, communication & manual skills – functioning as a Primary Spine Provider. Sign up to take our PSP course online (first month free): http://www.spinecloud.org/membership – Also review the original PSP publication – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154851/

Meeting Dr Don Murphy #3 – The most important skill as a Primary Spine Provider

Meeting Dr Don Murphy #3! Diagnostic acumen, communication & manual skills – functioning as a Primary Spine Provider. Sign up to take our PSP course online (first month free): http://www.spinecloud.org/membership – Also review the original PSP publication – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154851/

Posted by Spine Cloud International on Wednesday, March 7, 2018

Mar 14

What is the next big opportunity in healthcare?

By Kanwal Sood | Artificial Intelligence , Disruptive Innovation , Spine Cloud Platter , Value-Based Healthcare , Wearable Tech

In this week’s platter, we pay attention to the next big opportunity in healthcare; we consider strategies to prepare for the migration from fee-for-service to fee-for-value; we look at the application of design thinking in healthcare; and, finally, we look at the case for the return of the primary care physician. Enjoy.

The next big opportunity in healthcare lies at the intersection of women’s health and digital health

The signs were there – 80 percent of household healthcare spending is done by women; 50 percent of global healthcare customers are women; 80 of healthcare professionals are women – and intersect that with the rise of the “she economy” (the rising buying power of women), the increasing focus on gender-specific medicine and the ubiquity of digital health and you get…”femtech!” “Femtech” is software, diagnostics, products and services that use technology to improve women’s health. Although still believed to a niche sector (perhaps there is a need to redefine the word ‘niche’), “femtech” is tipped to be a $50 billion market by 2025. The overlap between women’s health and digital health is increasing by the day and it is imperative for companies to cater to unmet needs in the industry.

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Migration from volume to value – how does one prepare?

While most stakeholders agree the shift toward value-based care is imminent, the growth of physician participation in value-based payment models has been slow. This article presents five strategies leaders identified during the discussion to strengthen their organization’s financial operations to better position them for value-based care.

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Azar Emphasizes Administration’s Plan around Value-Based Care, Creation of “True Healthcare Market”

At a speaking event in Washington, D.C., Alex Aza, (the U.S. Department of Health & Human Services) Secretary, confirms that the value-based transformation of the entire healthcare system as one of the top four priorities for his department. He acknowledges that the transformation will present some challenges – some which will require “uncomfortable” federal intervention – but that there is no turning back to an unsustainable system that pays for procedures rather than value.
These are seismic reverberations which cannot be ignored…

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Design thinking in healthcare

Fueled by the desire to find human-centered solutions to healthcare problems, researchers from IDEO and Verily Life Sciences discuss the application of design thinking methodologies to generate and test lots of ideas to find more innovative, far-reaching solutions to healthcare challenges. In this article (podcast), they speak about the application of design thinking to a schizophrenia case and they conclude with a an analysis of three mindset shifts that are currently moving healthcare in a more human-centered direction.
For a short treatise on design thinking in healthcare, with an associated case study, see here.

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Contact Lenses That Deliver Drugs Directly To The Eye

In an attempt to improve patient compliance, a team from a Havard Medical School affiliate has developed contact lenses that deliver medications directly to the eye over days or weeks. Made from FDA-approved materials, the lens delivers medication in a controlled, sustained release and does not interfere with the wearer’s vision.
Eye drops are the traditional treatment method, but they can be ineffective, as the liquid drips out of the eye or patients may stop treatment. Moreover, the lenses can effectively deliver drugs to the back of the eye to treat macular degeneration, diabetic retinopathy, retinal vein occlusion, and other diseases that today require in-office injections.

‘No eye drops, no injections – just one lens’ -> this is design thinking…

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Why do we need help buying and using healthcare? It’s complicated.

This post laments the lack of support that today’s predominant care delivery paradigm affords to patients facing the myriad of complex and often expensive health improvement processes and clinical interventions and self-care regimes. The authors then argue for the return of the primary care physician (a.k.a “health coach”) to offer coordinated, multidisciplinary support throughout the care continuum. Well, look no further than our PSP programme to respond to this need. Sign up here.

Photo Credit: mathisworks, Getty Images

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