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The fascinating future of technology in healthcare

(TECH NEWS) Technology in the world of healthcare has been lagging but things are changing, and quickly.

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Tech in healthcare has been lagging

It’s undeniable that technology is playing a huge role in how we get around, how we interact with each other, and how we do business. But what about how healthcare is delivered and managed?

For many patients, interactions with the healthcare world can feel jarringly slow and disconnected, especially when it comes to communication between doctors and patients or between different healthcare providers.

Doctors and tech entrepreneurs acknowledge that in many ways, technology in healthcare has been lagging – but that’s about to change, and quickly. From the way hospitals are built to the way we visit doctors, get ready for some huge technology disruptions in the world of healthcare.

How patient data is shared

It may not seem like the sexiest part of the healthcare world, but it’s a critical aspect of how care is delivered: patient data.

“If you’re a patient, it’s difficult to track down your medical records,” says Kevin Grassi, MD, Chief Medical Officer and Co-Founder of PatientBank. “95% of medical info is exchanged by fax or by hand. In 2016 it’s ridiculous for faxing to be the main communication method, but faxing is HIPAA compliant, and it’s been the backbone of medical information exchange.”

Today, online fax services are the only easy way for patients to receive digital copies of their medical records.

There are health information exchanges in certain geographic areas, but they are limited to information like immunizations and prescriptions, Grassi says, and systems in different parts of the country aren’t set up to communicate with each other.

So if you’re a resident of New York who is seeing an oncologist in Texas, you’re on your own finding and conveying all the pertinent medical details, and you will likely have to navigate through several isolated patient portals.

That’s where Grassi hopes PatientBank will change things. PatientBank is a HIPAA-compliant service that can request medical records for you from multiple providers, and combines the information you choose to store into a summary that can be shared with doctors and family members.

Grassi hopes the technology will not only make it easier to safely share information, it will also increase patient engagement. That’s a crucial issue for doctors as well, since reimbursement models for physicians will change in 2017, from a fee-for-care model to a value-based system.

In an effort to improve patient outcomes, doctors will be required to do much more follow up care than they currently do.

“If a patient can give medical record access to their doctor, they’re empowered to look at that information, maybe even see where it isn’t correct – which is a big issue particularly in medication records,” Grassi says. “Engaged patients are healthier patients.”

It’s not just transmitting patient data that is difficult – sometimes just getting it in the first place is nearly impossible. That’s something Fahad Aziz, Co-Founder and CTO of CareMerge, learned firsthand when he got into a bicycle accident. He was treated in Seattle, then went back to San Francisco, where his doctor wanted to learn what had happened and how he’d been treated in order to give Aziz follow up care.

“I couldn’t get my medical records from the operation in Seattle. They put me in an endless loop of trying to get my records, and after two weeks I just gave up,” Aziz says. “That started me thinking differently about my company, and what we are doing.”

CareMerge builds coordination and communications technology specific to geriatric care that lets doctors share information with nursing homes and assisted living facilities.

If a doctor sends a patient from a hospital to a nursing care facility, for instance, that physician can use CareMerge to keep tabs on the patient’s progress and get alerts if there’s a change so that a doctor can visit at the nursing home.

That cuts down on patients being readmitted to hospitals, and improves patient outcomes, Aziz says. That’s a direction he sees a lot of healthcare technology going.

“There are close to 100,000 apps that area healthcare-related, but they are all isolated, none of them talk to each other,” Aziz says. “There’s been a lot of talk around building care coordination systems that talk to each other, but there wasn’t a driver to really make that take off until the shift to value-based reimbursements was finalized. All the entities responsible for providing patient care will have to talk to each other, and for the first time these systems are starting to get traction.”

Make way for AI

Aziz predicts that artificial intelligence (AI) is also going to lead to major changes in the healthcare industry.

“A lot of startups are working on technology that will read notes from your doctors, and based on intelligence like your own labs, or viral incidents in the area, will give you recommendations,” Aziz says. “That’s where the future is going to be. Five years from now, there is no doubt you and I will have an app that will give information about an episode happening to me, and what it means not just for me but for my whole family.”

That kind of machine learning will eventually replace many routine doctor’s visits, Aziz predicts.

AI will be able to coordinate data in a way that is currently not possible, he says, which could mean better, more coordinated treatment plans for complex health problems.

Smarter hospitals

That same unified coordination will also become a factor in the new hospitals being built.

Auron Priestley, MD, says that hospitals are under duress trying to solve the issues around patient handoff.

“Physicians today have no secure and efficient collaborative tool to share information at the end of shift changes,” Priestley says. “Believe it or not, they use Word documents to share information between each other at the end of shifts. Often written in short code and when physicians are exhausted, some information may be missed. Miscommunication in hospitals currently results in 80% of preventable patient deaths in the U.S. 250,000 preventable patient deaths occur each year.”

To combat this, Priestley worked with the American College of Surgeons (ACS) to create Kolkin SOS, a HIPAA-compliant app that makes it easy for doctors to collaborate on clinical workflow in real-time. It can work with or without Internet connectivity, and allows physicians to share clinical protocols and best practices. The ACS is working on getting the app integrated into hospital IT systems.

Grassi also thinks that technology in hospitals will change around the customer experience: remote checking in that can eliminate waiting rooms, or kiosks that will help shorten wait time.

In Austin, Texas, the new Dell Seton Medical Center is under construction, and will include smart screens in each patient room so that healthcare teams can access patients’ medical history and monitor their condition in real time. Because it is a teaching hospital, there will also be cameras in operating rooms, which will allow medical students to observe procedures from offsite.

Whether it’s sharing notes between doctors or more efficiently monitoring patients, technology in hospitals will streamline communications, something physicians hope will save time and improve safety and patient outcomes.

Conclusion:

Cutting edge technology has already led to huge advances in how our health care is delivered, from robotic surgery to advances in prosthetics. Now physicians and tech entrepreneurs are making inroads in how medical data is shared, both between patients and their providers and between physicians.

For physicians involved in piloting new technology, the hope is that those innovations could mean more efficient doctor’s visits, fewer medical errors, and greater patient satisfaction. With evolving challenges in the U.S. like aging and disease, that’s certainly welcome news to healthcare providers and patients alike.

#MedTech

Leo Welder is the founder of ChooseWhat.com, which guides entrepreneurs through the process of starting a business. Using How-To's, Comparisons, "STARTicles," and a community forum, the site gives people a detailed road map to support them through their entrepreneurial journeys.

Tech News

Making Slack actionable makes you productive

(TECHNOLOGY) Slack is an amazing productivity tool, but of course can add more to your plate – this feature puts you back on track.

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You know when you’re using Slack and you’re having a conversation with your teammate about whether or not you should grab lunch or go to Soul Cycle, but before you can answer, your editor Slacks you about deadlines and your design partner messages you proofs and suddenly you snap back to reality and remember that you’ve been working on a blog post for an hour and your concentration is completely shattered? You know, the exact moment when your productivity is officially derailed?

Well, Slack now offers Actions to help make sure that doesn’t happen. Your day may get busy, but at least nothing will slip through the cracks, work-wise.

Integrated with project management tools like Asana, Zendesk, and Jira, Actions allows users to create and comment on tasks, tickets or issues within conversations. That means no clicking through tabs or apps until you can no longer remember why you started clicking in the first place. More importantly, Actions keeps track of the work you need to do and when you need to do it.

So, how do Actions work?

1. Need to create a deadline or set up an appointment? Anything you see in Slack that needs a follow-up can be turned into an action when you click the ••• icon and choose an “action.”

2. When you’ve completed an action, a message appears in your Slack channel and lets your team know you’ve flagged it for follow-up.

3. Whichever app you’ve integrated with will alert Slack at which point you and your team can determine the next steps.

Bottom-line, Actions help keep your workflow moving. While it may not stop the onslaught of Slack messages from breaking your concentration, at least you’ll know what you should to be concentrating on.

If you’re curious to know more about Actions, the company has ample info on their API pages for your perusal.

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Tech News

Quickly delete years of your stupid Facebook updates

(SOCIAL MEDIA) Digital clutter sucks. Save time and energy with this new Chrome extension for Facebook.

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When searching for a job, or just trying to keep your business from crashing, it’s always a good idea to scan your social media presence to make sure you’re not setting yourself up for failure with offensive or immature posts.

In fact, you should regularly check your digital life even if you’re not on the job hunt. You never know when friends, family, or others are going to rabbit hole into reading everything you’ve ever posted.

Facebook is an especially dangerous place for this since the social media giant has been around for over fourteen years. Many accounts are old enough to be in middle school now.

If you’ve ever taken a deep dive into your own account, you may have found some unsavory posts you couldn’t delete quickly enough.

We all have at least one cringe-worthy post or picture buried in years of digital clutter. Maybe you were smart from the get-go and used privacy settings. Or maybe you periodically delete posts when Memories resurfaces that drunk college photo you swore wasn’t on the internet anymore.

But digging through years of posts is time consuming, and for those of us with accounts older than a decade, nearly impossible.

Fortunately, a Chrome extension can take care of this monotonous task for you. Social Book Post Manager helps clean up your Facebook by bulk deleting posts at your discretion.

Instead of individually removing posts and getting sucked into the ensuing nostalgia, this extension deletes posts in batches with the click of a button.

Select a specific time range or search criteria and the tool pulls up all relevant posts. From here, you decide what to delete or make private.

Let’s say you want to destroy all evidence of your political beliefs as a youngster. Simply put in the relevant keyword, like a candidate or party’s name, and the tool pulls up all posts matching that criteria. You can pick and choose, or select all for a total purge.

You can also salt the earth and delete everything pre-whatever date you choose. I could tell Social Book to remove everything before 2014 and effectively remove any proof that I attended college.

Keep in mind, this tool only deletes posts and photos from Facebook itself. If you have any savvy enemies who saved screenshots or you cross-posted, you’re out of luck.

The extension is free to use, and new updates support unliking posts and hiding timeline items. Go to town pretending you got hired on by the Ministry of Truth to delete objectionable history for the greater good of your social media presence.

PS: If you feel like going full scorched Earth, delete everything from your Facebook past and then switch to this browser to make it harder for Facebook to track you while you’re on the web.

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Tech News

Are we really ready to be under constant video surveillance?

(TECHNOLOGY) Facial recognition technology is happening, now. What does it mean, who does it benefit, and who makes the rules?

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Facial recognition technology is growing quickly. More and more applications are asking for a look at your face as the ultimate in security. What does that mean, and what are the consequences?

You’re a digital-enabled human. That means, in all likelihood, some combination of Apple, Facebook, or Google knows everything about you that matters. ‘Tis the nature of the Almighty Cloud.

At the moment, the cloud(s) consist(s) of data you gave it voluntarily. If facial recognition were to become standard, to replace user IDs and credit card numbers as identification the way those things replaced signatures, it would link your physical self to that data.

In theory, anyone with the dough for a security camera or point-of-sale machine could buy the knowledge of what you’re doing and when you’re doing it, anywhere, anytime, so long as you were in eyeshot of a networked device.

Also in theory, fraud would be impossible, no criminal would go free, and no innocent person would ever be convicted of a crime. Right. Riiight.

Faces are unique, there’d be a camera on everything, and first in line to buy themselves some Every Breath You Take benevolent stalker gear would be the police. After all, if you’ve got a driver’s license, a residency card, a passport, or about nineteen other governmental thingamajigs, the Powers That Be already have your face. They’re just trusting humans to identify it. Robots might be better!

They also might not be (remember when police robots couldn’t tell the difference between a picture of sand dunes and a butt?).

Which is it? Who’s to say? Who gets to say?

The Verge recently asked that very question of a panel of very smart people. The result was a continuum of views on regulation of facial recognition technology, which is to say, at least 1 of these 5 people has probably correctly guessed how you’ll be interacting with technology for the next 50 years.

Listen up.

Lots of people are pro-regulation, but not always for obvious reasons.

First, as always, are the philosophers. Philosophers have been fretting about tech for so long one of the cave glyphs at Lascaux probably translates to “Fire: Is Society Ready?”

But philosophers are by no means always wrong, and in this case several have correctly noted that facial recognition technology is being marketed before the discussion of its limits has even begun.

Right now, all the decisions on what the tech can and can’t do are being made by people who stand to benefit if it sells well.Click To Tweet

More moderate voices, ironically, speak to what could be even more serious concerns. Algorithms remain badly flawed when used in human-facing roles (remember Salter’s Law: for every person you replace putting AI in a customer-facing job, you will have to hire at least two more to handle the fallout when it screws up) and notoriously tend to perpetuate societal failings.

Current facial recognition software, for instance, has white guys down pat, but struggles to differentiate between people of color, women, children and the elderly. Likewise, it has an ugly habit of identifying innocent people as criminals if they happen to belong to the same minority group. The data we collect as a culture reflects our cultural biases, and all an algorithm can EVER do, is parse that data.

This is enough of a problem that many facial recognition companies are in favor of regulation, seeking to set development parameters from “go” in order to keep from perpetuating old ills.

On the anti-regulation side, shockingly, are early adopters who jumped in headfirst without triple-checking the consequences, and a bunch of people who sell facial recognition technology would quite like to have all the money, now, please.

They also have an extremely important point. The plain fact is that regulation cannot keep up with innovation.

Culture moves too quickly for laws to catch up now, and legislators are notoriously not tech-savvy. The people best qualified to understand exactly how facial recognition technology works, and therefore, to determine what limitations are necessary, are the people making it.

Opponents of regulation also point to the successes of facial recognition as implemented to date. Facial recognition has been used successfully in fields ranging from law enforcement to device security to shortening lines at the airport. Don’t know about y’all, but we at AG are all for improving all of those things.

So as of today, you are being surveilled. That’s fact.

If you’re in the States, over the course of your day, you will likely be surveilled by several different private entities. Including us, by the way. Hi! We call it “consumer data,” but it’s surveillance. If you’re in China, Russia or the UK, there’s an excellent chance your primary voyeur is the government instead, since they have the most active state-run surveillance systems. It’s the price of the Digital Age; someone is watching. How much are you willing to let them see?

In China, citizens are used to (therefore fine with) the government watching their every move on camera, but Americans aren’t historically open to Big Brother watching.

So, we’re really asking – is effortless, contactless shopping, travel and tech worth surrendering your face to the Omniscient Eye? Or is inefficiency a price worth paying for holding onto just that much of your privacy?

It bears repeating: facial recognition is happening, now. Decide quickly.

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