Category Archives for "Disruptive Innovation"

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

Mar 06

Meeting Dr Don Murphy #2 – Physical therapy as part of an integrated spine program

By admin | Clinical Pathways , Cultural Authority , Disruptive Innovation , Low Back Pain , Primary Spine Provider , Spine Care , Spine Pathway , Spine Related Disorders , Value-Based Healthcare , Videos

Following on from part 1 introduction to Dr Don Murphy’s Rhode Island Spine Centre, here is #2 where Dr Murphy takes us through to the larger room used for more extensive exercises and discusses the role of physical therapists in an integrated spine pathway. Sign up to take our PSP course online which covers these topics fully:

Meeting Dr Don Murphy #2 – Physical therapy as part of an integrated spine program

Following on from yesterday's intro video to Dr Don Murphy's Rhode Island Spine Centre, here is #2 where Dr Murphy takes us through to the larger room used for more extensive exercises and discusses the role of physical therapists in an integrated spine pathway. Sign up to take our PSP course online which covers these topics fully: https://www.spinecloud.org/courses/Some key questions that are answered here:What hi-tech equipment is used in the facility?What is the most important aspect (i.e.” the one thing”) of any PSP & pathway facility & services?Is there any animosity between Chiros and Physios in the program?How do they work together in this program? What is the baseline authority?

Posted by Spine Cloud International on Tuesday, March 6, 2018

Some key questions that are answered here:

  • What hi-tech equipment is used in the facility?
  • What is the most important aspect (i.e.” the one thing”) of any PSP & pathway facility & services?
  • Is there any animosity between Chiros and Physios in the program?
  • How do they work together in this program? What is the baseline authority?
Mar 05

Meeting Dr Don Murphy #1 – A private practice as part of an integrated spine program

By admin | Clinical Pathways , Cultural Authority , Disruptive Innovation , Low Back Pain , Primary Spine Provider , Spine Care , Spine Pathway , Spine Related Disorders , Value-Based Healthcare

In January, I met with Dr Don Murphy at his practice (Rhode Island Spine Centre) in Rhode Island.  His practice began as a chiropractic practice, grew in size and reputation, and at Care New England‘s invitation,  was embedded into a fully integrated, interdisciplinary spine care pathway/program, with Dr Murphy as Director of the Program.  He took me on a tour of his facilities, and I asked him a bunch of questions – see video below.  We expect to have Dr Murphy on upcoming webinars and mentorship sessions. Sign up for exclusive access!  Dr David Peyton, DC, South Africa.

Meeting Dr Don Murphy #1 – A private practice as part of an integrated spine program

In January, I met with Dr Don Murphy at his practice (Rhode Island Spine Centre) in Rhode Island. Rhode Island Spine Centre began as a chiropractic practice, grew in size and reputation, and at Care New England's invitation, was embedded into a fully integrated, interdisciplinary spine care pathway/program, with Dr Murphy as Director of the Program. He took me on a tour of his facilities, and I asked him a bunch of questions – see video below. We expect to have Dr Murphy on upcoming webinars and mentorship sessions. Sign up for exclusive access! https://www.spinecloud.org/membership –Dr David Peyton, DC, South Africa.

Posted by Spine Cloud International on Monday, March 5, 2018

  • What are the fundamentals of this approach?
  • Why have an integrated pathway- i.e. what is it that patients really want?
  • How does the patient flow work at this facility?
  • Who manages the patients?
  • What modalities does the primary spine practitioner use?
  • How much space is needed?

 

Mar 01

Spine & Health Info Platter (1 March ’18)

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

In this week’s platter we look at how AI looks at the eye to predict heart disease risk, then we pay attention to an interesting statistic related to EHR, we consider 3 insightful takeaways from the Healthcare Costs Innovation Summit, and we probe the true health risks related to the Brexit negotiations. Sign up for our newsletter on the left. Enjoy!

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The eye is no longer just the window to the soul, as it may actually now save your life

A new study by Google and its health-focused Alphabet-sibling, Verily Life Sciences, has shown that deep-learning algorithms can accurately predict heart disease by analyzing photographs of an individual’s retina.

Given that the algorithm could accurately predict risk factors, the scientists also trained the algorithm to predict the onset of a major cardiovascular event, such as a heart attack within five years.  The technical journal is found here 

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Study: In Family Practice Visits, EHR Time Exceeds Face-to-Face Patient Time

A Time-Motion Study reveals that primary care physicians in the US spent more time working in the electronic health record (EHR) than they spent in face-to-face time with patients in clinic visits.  This is in contrast to a recent study in the UK which found the inverse to be true.  There is a need for serious introspection here (read disruption…).

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3 thoughts that emerged from the Healthcare Costs Innovation Summit

The recent Healthcare Costs Innovation Summit sought to bring money to the forefront of the conversation by asking a central question: Why does healthcare cost so much and what can we do about it?

Here are three takeaways that came out of the summit.

  1. There’s a lot of unnecessary care that’s amping up costs
  2. Implementing value-based care is still a work in progress
  3. America’s broken political system is a threat to the future of healthcare

Simple yet insightful.

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When elephants fight, it is the grass that suffers – the case of Brexit as a healthcare risk…

Public health leaders have warned that health risks are being forgotten in Brexit negotiations, potentially delaying the availability of new medicines and imposing large costs on manufacturers.  According to this article, a ‘hard Brexit’ would pose the greatest disruption for the European healthcare sector and patients, particularly if there is no mutual recognition agreement on clinical trials, batch testing and diagnostics.

It is said that history repeats itself, but this unfortunately does not have the “undo” button.  This is definitely a development worth following closely….

Image Credit: Google

Feb 23

Spine & Health Info Platter (23 Feb ’18)

By Kanwal Sood | Artificial Intelligence , Big Data in Healthcare , Blockchain , Disruptive Innovation , Value-Based Healthcare

In this week’s platter, we consider some of the issues related to the migration towards value-based programmes; we look at an executive’s guide to AI; we learn about the FDA approval for AI-enabled stroke alert app; we learn about the deployment of DNA nanorobots in the fight against cancer; and, finally, a treatise of blockchain technology and what it means for healthcare and pharma. Enjoy…

Most healthcare execs say value-based programs led to positive financial results

HFMA and AAFP reports found that nearly three-quarters of executives surveyed said their organizations achieved positive financial results, including return on investment, from value-based payment programs. Despite the benefits associated with the fee-for-value payment models, the report found that barriers to value-based payments persist: such as lack of resources, inconsistencies among payers, lack of physician alignment and support, lack of staff time, lack of standardization of performance measures and uniform performance reports from payers.
The move into value-based payments is just beginning…

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An executive’s guide to AI

With the accelerating artificial-intelligence race, executives have to make nimble, informed decisions about where and how to employ AI in their business. Management consultant McKinsey & Co. present AI essentials for executives in this interactive guide.

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FDA OKs marketing of AI-enabled stroke alert for providers

We’ve seen the FDA approve prescription apps for substance abuse and digital pills that track when patients take it, and now we learn of the approval of clinical decision support software which analyzes brain scans and alerts clinicians if a patient is at risk of a stroke. During the FDA review, real world evidence was used to show that the app could alert a neurovascular specialist sooner than a clinician in cases where a large vessel blockage was seen. Incremental improvement, but improvement nonetheless…

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Power Source Inspired by Electric Eels to Energize Medical Implants

Last week we learnt about the development of spine-like battery to power flexible electronics. Here we learn of a power source inspired by electric eels to energize medical implants. This is a significant development as the power source would overcome the limitations of batteries: it will remain inside the body (no need to remove/replace), no need for the introduction of toxic materials into the body, and – stating the obvious – completely alleviate the need to use batteries for implants.

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Nanomachines Create Clots Inside Vessels Feeding Cancer Tumors

Researchers from Arizona State University and National Center for Nanoscience and Technology of the Chinese Academy of Sciences have developed a remarkable new way of killing tumors. They’ve developed robot-like nanoscale devices that cling to the walls of tumor vessels, release a clotting agent, and block the tumor from receiving nutrients. This article reports that the technology was applied to mice with a variety of tumors, including breast cancer, ovarian, melanoma, and lung cancer. It worked in all the tumor types, to different degrees, but quite well. Inasmuch as there is a lot of work still to be done even before clinical trials can begin, the expanding of the possibilities of this new technology is exciting…

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What Is Blockchain And What Does It Mean For Healthcare And Pharma?

This article presents a treatise on blockchain technology; and argues the immense potential in both healthcare and pharma.

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