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.
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.
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.
China no longer dependent on U.S. for smartphone components
(TECH NEWS) Trump’s trade war, more specifically, the ban on shipping phone components, to China has begun to take a toll on chip manufacturing.
Once upon a time, the U.S. and China were buddies, exporting and importing from each other with ease. However, President Trump’s recent actions regarding trade with China is certainly putting a damper on things.
It seems that Chinese companies have moved past the need to import certain products, like smartphone chips, from the U.S. – something they previously relied heavily on by working with American companies like Qorvo, Inc. in North Carolina, Skyworks, Inc. in Massachusetts, Broadcom, Inc. in California, and Cirrus Logic in Texas.
Since the ban in May, Trump specifically barred shipments from the U.S. from companies like Qualcomm and Intel Corp to companies like Chinese tech conglomerate, Huawei Technologies Co. But much like the bans that came before the Trump administration, it didn’t last long. With tensions high, the U.S. actually recently started rolling back some aspects of the ban and started making exceptions that allow American tech companies to continue to work with Chinese companies like Huawei.
Of course, China’s lack of U.S. parts hasn’t stopped them from rolling out new and improved products. As a matter of fact, in September, Huawei unveiled its newest phone, the Mate 30, which boasts highly-desired features, such as a curved screen and a wide angle camera. This makes the phone a pretty solid competitor of Apple’s newest iPhone, the iPhone 11, of which China was sent 10 million of in September and October.
After Huawei’s announcement, investment and banking firm UBS, and Japanese technology lab Fomalhaut Techno Solutions, partnered up and took to their labs to analyze the phone’s components. Their analysis was simple and straightforward. They found that there were absolutely zero American components in the phone. In fact, the chips in the Mate 30 are actually from Huawei’s in-house chip design agency, HiSilicon. They also provided Huawei with WiFi and Bluetooth chips. With HiSilicon’s 20 + years experience in the industry, 200+ chipsets, and 8000+ patents, it’s no wonder U.S. chip companies are getting nervous. Qualcomm, for example, announced a 31-40% decrease in estimated chip shipments over the next year.
Although the chip ban has made a big impact on larger U.S. companies who make and supply chips to China, there are still many other businesses that have been affected in Trump’s trade war. As it happens, U.S. Commerce Secretary Wilbur Ross recently confessed that, since May, when the ban was put in place, the U.S. has received at least 260 requests, asking that they excuse them from the ban and be allowed to work with China as they previously had.
But really, at the end of the day, with so many American companies relying on China for both import and export, it’s probable that the ban will be short-lived and that exceptions won’t need to be made. As Americans, we can be hopeful that the end-result of this trade war will be a positive one, but only time will tell.
AI cameras could cut down traffic deaths, but there may be flaws
(TECH NEWS) Traffic accidents have plagued humanity since motor vehicles were created, can AI help cut down on text and drive incidents?
What if we told you Australian officials believe they have found a way to reduce driving deaths by almost 30% in just two years? It’s a pretty appealing concept. After all, Australia alone faces an average of over 3 deaths a day due to driving accidents. And Australia’s average death rate clocks in at just half of what we face in the United States.
There’s just one problem with Australia’s proposed solution: it’s basically Big Brother.
Basically, Australia plans to use AI cameras to catch people texting and driving. There are plenty of places that have outlawed texting and driving, but that rule is very hard to enforce – it basically means catching someone in the act. With AI cameras, hands free driving can be monitored and fined.
Australia has already started rolling out some of these systems in South Wales. Because this is a new initiative, first time offenses will be let off with a warning. The following offenses can add up quickly, though, with fines anywhere from $233 to $309 USD. After a six month trial period, this program is projected to expand significantly.
But there are real concerns with this project.
Surprisingly, privacy isn’t one of these worries. Sure, “AI cameras built to monitor individuals” sounds like a plot point from 1984, but it’s not quite as dire as it seems. First, many places already have traffic cameras in order to catch things like people running red lights. More importantly, though, is the fact these machines aren’t being trained to identify faces. Instead, the machine learning for the cameras will focus on aspects of distracted driving, like hands off the wheel.
The bigger concern is what will come from placing the burden of proof on drivers. Because machine learning isn’t perfect, it will be paired with humans who will review the tagged photographs in order to eliminate false positives. The problem is, humans aren’t perfect either. There’s bound to be false positives to fall through the cracks.
Some worry that the imperfect system will slow down the judicial system as more people go to court over traffic violations they believe are unfair. Others are concerned that some indicators for texting while driving (such as hands off the wheel) might not simply apply texting. What if, for instance, someone was passing a phone to the back seat? Changing the music? There are subtleties that might not be able to be captured in a photograph or identified by an AI.
No matter what you think of the system, however, only time can tell if the project will be effective.
DeepComposer: AWS’ piano keyboard turns AI up to 11
(TECH NEWS) Amazon has been busy with machine learning, which includes a camera, a car, and now DeepComposer that’s able to add to classics on the fly
Musicians, listen up, there’s a new kid in town, its name is DeepComposer and it’s coming to take your creativity and turn it up to 11.
Artificial Intelligence has taken a leap into what has long been considered the “pinnacle of human creativity”, as Amazon revealed what is said to be the world’s first machine learning-enabled keyboard capable of creating music.
Amazon unveiled its AWS DeepComposer keyboard Monday during AWS re:Invent, a learning conference Amazon Web Services hosted for the global cloud computing community in Las Vegas.
Demonstrating DeepComposer’s abilities, Dr. Matt Wood, Amazon’s VP of Artificial Intelligence, played a snippet of Beethoven’s “Ode to Joy” and then let the keyboard riff on it with drums, synthesizer, guitar, and bass, sharing a more rockin’ version of the masterpiece.
Generative AI, is considered by scientists at MIT to be one of the most promising advances in AI in the past decade, Wood told the crowd. Generative AI allows for a machine not only to learn from example, as a human would but to take it next level and connect the dots, making the next creative step to composing something completely new.
“It [Generative AI] opens the door to an entire world of possibilities for human and computer creativity, with practical applications emerging across industries, from turning sketches into images for accelerated product development, to improving computer-aided design of complex objects, Amazon said on its AWS re:Invent website.
How does it work? The Generative AI technique pits two different neural networks against each other to produce new and original digital works based on sample inputs, according to Amazon. The generator creates, the discriminator provides feedback for tweaks and together they create “exquisite music”, Wood explained.
A user inputs a melody on the keyboard, then using the console they choose the genre, rock, classical, pop, jazz or create your own and voila, you have a new piece of music. Then, if so desired users can share their creations with the world through SoundCloud.
This is the third machine learning teaching device Amazon has made available, according to TechCrunch. It introduced the DeepLens camera in 2017 and in 2018 the DeepRacer racing cars. DeepComposer isn’t available just yet, but AWS account holders can sign up for a preview once it is.
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