Category Archives for "Value-Based Healthcare"

Jul 13

Apple to help manage health records, & more

By Kanwal Sood | Artificial Intelligence , Big Data in Healthcare , Blog , Disruptive Innovation , Internet of Things , Machine learning , Spine Cloud Platter , Value-Based Healthcare

In this week’s platter we meet the world’s first AI psychopath; we look at the promise of the Apple iPhone Health App; we consider results that show that value-based care is bending the cost curve; and finally, we look at the internet of cosmetics and beauty in the bathroom of the future. Enjoy
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Meet Norman, the psychopathic AI

It is often said that when it comes to machines, it is “garbage in, garbage out”. Researchers at MIT have developed the world’s first AI psychopath as an experiment on the dangers of Artificial Intelligence gone wrong when biased data is used in machine learning algorithms. The experiment proves that AI trained on bad data can itself turn bad. As AI continues to feature more and more in decision making – clinical and otherwise – it is imperative to ensure that cognitive, social and other biases are eliminated and not perpetuated in the data that we feed it.

Managing Your Health Records Should Be As Easy As Managing Your Money – and Apple wants to make it happen

The essence of the article is summarized in this quotation: “If you think about it, we as a society would never sit down and accept a situation where our banking information was possessed by others [and] could be tapped by us only intermittently and with great effort … And yet somehow we’ve lived with the fact that health records and health information were possessed really in a paternalistic way.” It could not have been said better…

Value-based care is bending the cost curve

Change Healthcare commissioned a national research study with ORC International to investigate the maturity of payers’ active value-based care programs. On average, payers reported an impressive 5.6% medical cost savings from their value-based care strategies. The data is in. Successful value-based care initiatives are driving real change across the nation. It’s time to get on board.
Download the executive summary or the complete research report here.

The bathroom of the future

Smart mirrors might advise the clueless what to wear in the morning, skin scanners might find the most effective beauty products, toilets might eliminate urine tests, and bioprinting might help cosmetics companies discontinue animal testing. Technology will significantly re-shape our sanctuaries for hygiene, and to see how it will happen, we looked at the latest trends. Here’s an overview of what the bathroom of the future will look like

Jun 11

AI helps detect wrist fractures, & more

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

In this week’s platter, we look at blockchain technology and cyber-hygiene; we consider how AI in medicine is getting closer to making rounds; we pay attention to the development of 3D-printed corneas and, finally, we look at smart medical packaging. Enjoy…

What the health sector needs to know about cryptocurrency technologies, blockchain, and cryptojacking attacks

While blockchain technology could forever alter the digital landscape of the health sector, this blog post calls out attention to digital threats, cryptojacking and the necessity for cyber-hygiene especially in the healthcare sector.

Scientists 3D print human cornea for first time, a technique which could save millions from blindness

UK Scientists from Newcastle University say they’ve created the world’s first 3D-printed human cornea. They combine unique printing techniques, cornea stem cells and a new bio ink to create corneas in just 10 minutes. While the printed corneas will have to undergo several years of testing before they become a viable transplant option, this development could eventually help millions of people around the world suffering from corneal blindness.

AI in Medicine Gets Closer to Making Regular Rounds

On May 24, FDA gave the green light to an AI algorithm that uses machine learning techniques to analyze wrist radiographs (X-ray images) to assist clinicians in locating areas of distal radius fracturing. On its own, it’s not ground-breaking news, but it is a sign artificial intelligence in medicine is getting closer to making regular rounds (also see “Computer learns to detect skin cancer more accurately than doctors”).

Further to that, if this radiology AI technology can be shown to enable clear, clinical efficiencies in radiology practices, it does hold a particular promise in the gradual migration towards a value-based payment paradigm.

What’s so smart about medical device packaging?

Cambridge Consultants, operating out of one of the UK’s leading medtech clusters, has been working on a new concept which would use audio messaging to communicate instructions – with the prompts being triggered by touch-sensitive paper technology. The concept, dubbed AudioPack, delivers instructions via an avatar named Ana, who guides the patient through step-by-step use of their medical device – particularly useful for devices like autoinjectors. There’s potential here for use amongst patients who have cognitive difficulties as a result of their condition; thereby reducing patient harm harm and drug misuse because of poorly understood instructions.
Added value is all well and good, but if it can’t be achieved cheaply, it adds cost that some won’t be able to afford

May 28

9 weird predictions about the future of healthcare & more

By Kanwal Sood | Artificial Intelligence , Big Data in Healthcare , Blockchain , Disruptive Innovation , Machine learning , Spine Cloud Platter , Sub Category 1.3 , Value-Based Healthcare

In this week’s platter, we look at an AI-enabled digital platform which uses patient reported outcomes data to support patients through the recovery process; we consider the factors which indicate that Amazon may indeed dominate the healthcare sector; we consider the aspects which need to be developed before the mass adoption of blockchain in healthcare; we look at how Hurricane Harvey could be seen as a blessing in disguise for a Houston hospital; and, finally, we look take a peek at how healthcare may look like 100 years from now. Enjoy!

A Finnish startup founded by uni students has raised €4 million to revolutionise treatment

Already deployed in over 30 hospitals across across 5 countries in Europe, this digital platform ultimately seeks to reshape the whole healthcare system from being doctor-centred to patient-centred, and from transaction-based to value-based. This is achieved by combining patient-reported outcomes data and AI-assisted patient monitoring software to automate follow-up and support patients through treatment and recovery. Its algorithms screen for symptoms, alert care teams and trigger personalised instructions for patients. Future developments could even help to detect and treat additional health problems early on.

Why Amazon’s Jeff Bezos Might Just Dominate Another Trillion-Dollar Industry

Amazon this year announced a partnership with JP Morgan Chase and Berkshire Hathaway to cut healthcare costs, characterizing the initiative as a Herculean effort that would require “talented experts, a beginner’s mind, and a long-term orientation.” Approaching things with a “beginner’s mind and long-term orientation” is how technology leaders create companies of sustainable value. So, how do company founders learn to lead like Bezos?

Blockchain in Health Care – from evolution to revolution

Health care is complex and data intensive. The industry has lots of players. Health care transactions are slow, cumbersome, and expensive. Constraints on access to critical data sets limit progress in research. Data privacy is a big deal. Data security can be a life-or-death matter. So what now…? Blockchain technology can address all of these.
Inasmuch as blockchain technology has major disruption potential, it will not disrupt health care overnight—or even over the next few years. This article presents the technology aspects that need to be developed before blockchain reaches tipping point in adoption and impact.

How Hurricane Harvey spurred a Houston hospital to rethink emergency care

An often-referenced adage states: “Never let a good crisis go to waste.” This article details some the major interventions by the emergency department of a Houston hospital which permitted a sustained 7.5% surge in volume without increasing cost. Definitely worth close examination and replication.

 

9 weird predictions about the future of healthcare

This article shares the weirdest ideas about how healthcare might look a hundred years from now. Or even further down the road. Let’s peek into a dystopic future of healthcare.

May 14

Spine & Health Info Platter (7 May ’18)

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

In this week’s platter, we are reminded that digitizing processes doesn’t necessarily improve them; we look at why the migration to value-based payment model is pushing physicians away from private practice; and we consider whether medical virtual reality can make healthcare more pleasant. Enjoy!!!

Process before technology, even in healthcare

A lot of money has been spent on information technology in health care with little to show for it. When it comes to change, the technology is the easiest part. Most health systems in America have or are implementing the electronic health record (EHR), and the vendor processes for implementation have become very good. But simply making a poor process electronic by implementing an EHR doesn’t lead to better quality or cost – oops. This thinking is not new. Many industries from aviation to automotive to nuclear power have been applying this concept of “process before technology” for a long time. The safety and quality results in those industries are second to none. It’s about time health care catches up. Our lives may depend on it…

Healthcare experts cast doubts over Amazon-Berkshire-JPMorgan coalition

When Amazon, Berkshire Hathaway and JPMorgan Chase announced in January they would form an independent healthcare company for their U.S. employees, the news had some declaring it would be a gamechanger in healthcare. But nearly three months after the groups announced their venture, a majority of healthcare experts and large employers have their doubts. Some professionals have asserted that the aforementioned companies “have no idea what they’re getting into.” Well, time will tell….

Value-based pay a factor pushing docs to hospital work

More physicians, especially young doctors, are turning to hospitals for employment rather than running their own practice, spurred by the rise of value-based payments and population health. A potential downside to this trend: rising costs…

How Does Medical Virtual Reality Make Healthcare More Pleasant?

Medical virtual reality goes entirely against conventional beliefs about technology making healthcare less human, less empathetic and less caring. Virtual reality teaches empathy to med students, makes vaccination for children more sufferable, helps get rid of fears by treating phobias, relieves chronic pain or fulfills the last wishes of the dying. This article collected the best examples how the technology could make healthcare more pleasant.

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 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 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?
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