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AI: Patients Included

“Clinical transformation with AI is easier without patients.” When Dr. Grace Cordovano heard this statement on a panel of physicians convening to share perspectives on the future of AI in health care held in early March 2024, the board-certified patient advocate felt, in her words, “insulted on behalf of the patient communities I know that are working tirelessly to advance AI that works for them.” “The healthcare ecosystem and policy landscape must formally recognize patients as end-users and co-creators of AI,” Cordovano wrote to me in an e-mail exchange. “Patients, their care partners, caregivers, and advocates are already utilizing AI

 

Hospital at Home: Prospects and Challenges, and Learnings from Best Buy Health

With the urgent need to identify more efficient and lower-cost health care delivery models, we look to growing evidence for digital health technologies that support the Hospital at Home (HaH) model, considered in a new review article published in late February in npj Digital Medicine, The hospital at home in the USA: current status and future prospects. Clinicians from Scripps Research and Johns Hopkins School of Medicine collaborated on this work, calling out the relatively fast adoption of HaH programs during the peak of the COVID-19 pandemic. In some parts of the world, such as Australia and Norway, “in-person at-home

 

How AI is Shaping the Patient and Clinician Experience – My Conversation with Microsoft

For change agents in health care, one of our True North paradigms is the Quintuple Aim. The five pillars of the Quint Aim grew from 3 goals of the Triple Aim: to improve patient experience, to drive better health outcomes, and to lower per patient costs. The Quadruple Aim added the goal of bolstering clinicians’ well-being (to address burnout, stress and depression), leading to the addition of health equity as the fifth objective. That happened in 2021, in the height of the COVID-19 pandemic which shined a bright light on health disparities, inequities, and risks in peoples’ social determinants of

 

The Wellness Market Shaped by Health at Home, Wearable Tech, and Clinical Evidence – Thinking McKinsey and Target

Target announced that the retail chain would grow its aisles of wellness-oriented products by at least 1,000 SKUs. The products will span the store’s large footprint, going beyond health and beauty reaching into fashion, food, home hygiene and fitness. The title of the company’s press release about the program also included the fact that many of the products would be priced as low as $1.99. So financial wellness is also baked into the Target strategy. Globally, the wellness market is valued at a whopping $1.8 trillion according to a report published last week by McKinsey. McKinsey points to five trends

 

Ethics for AI in Health – A View From The World Health Organization

For health care, AI can benefit diagnosis and clinical care, address paperwork and bureaucratic duplication and waste, accelerate scientific research, and personalize health care direct-to-patients and -caregivers. On the downside, risks of AI in health care can involve incomplete or false diagnoses, inaccuracies and errors in cleaning up paperwork, exacerbate differential access to scientific knowledge, and exacerbate health disparities, explained in the World Health Organization’s (WHO) report, Ethics and governance of artificial intelligence for health.             WHO has released guidance on the use of large multi-modal models (LMMs) in health care which detail 40+ recommendations for

 

The Trust-Innovation Gap – Welcome to the 2024 Edelman Trust Barometer

If it’s January, it’s Davos-time — that is the annual meeting of the World Economic Forum convening global experts and passionistas focused on big ideas and challenges facing us mere humans living on Planet Earth. Parallel with the WEF is the annual publication of the 2024 Edelman Trust Barometer, now in its 24th year, focusing on global citizens’ concerns that unite people around the world. For the 2024 study, Edelman’s team fielded the survey in November 2023, collecting input from over 32,000 people living in 28 countries. About 1,150 interviews (plus or minus) were done in each nation which included

 

A Tale of Two Houses: House Calls at #CES2024 with Amazon and AARP + Samsung

The growing movement of health care to the home is evident by a growing list of point solutions featured at CES 2024. Digital health has been a fast-growing category of consumer-facing devices at CES for over a decade. But with the growing ubiquity of connectivity, cloud computing, sensors and this year AI “everywhere,” a person’s home as their health-hub is an increasingly practical scenario.               I track many categories of products at CES each year, and this year added into my portfolio the smart kitchen and smart bathroom. We’ve had components of these two

 

Consumers’ Spending on Tech in 2024 Will Increase: CTA’s #CES2024 Forecast

2023 was a pretty lackluster year for consumers’ spending on technology: inflation, concerns  about global instability, and general household economic ennui caused consumers to ration spending on most electronic gadgets last year. Enter a more cash-positive mood for many consumers keener in the new year to acquire updated and upgraded tech, from computer hardware to wearable tech for health, according to the forecast released by the Consumer Technology Association (CTA) research team. The study results, announced on the first of two pre-conference Media Days, kicks off CES 2024 convening this week in Las Vegas. The bullish spending statistics reverse a two-year

 

The Consumerization of AI in Healthcare – The Early Days of AI-Trust

Most people in the U.S. are bullish on the role AI will play in health care in 2024, especially to lower access barriers to care and to diagnose and detect health conditions. Two new studies point to the consumerization of AI in healthcare, from Medtronic and Deloitte. This post weaves their findings together and suggests some planning points for 2024. Medtronic collaborated with Morning Consult to poll 2,213 U.S. adults in late September 2023 to gauge peoples’ perspectives on AI and health care.                   With such optimism among health consumers comes some

 

Accenture’s Great Expectations for a Decade of Deconstruction – the 2024 Life Trends Forecast

In the company’s 17th annual look into consumers’ “life trends,” Accenture finds that, top-line, “The harmony between people, tech and business is showing tensions, and society is in flux.” And these consumer-facing trends will also shape peoples’ attitudes about their health care, how they access and pay for it, and what kinds of services and support health consumers will expect in this era of “deconstruction.”           Taken together, the trends noted in Accenture’s 2024 report on Life Trends finds that one-half of consumers, globally, are changing their life goals, making their jobs and retirement stability more important than

 

AI is the New Health Literacy Challenge for Patients and the Health/Care Industry

Patients’ comfort in artificial intelligence is linked to familiarity with the technology, a consumer survey from GlobalData learned. Among patients unfamiliar with AI, 42% are uncomfortable, and another 50% feel neither comfortable nor uncomfortable with the technology. However, among patients familiar with AI, 60% feel comfortable with visiting a medical practice that uses AI. Welcome to the new health literacy challenge the health care sector will have to deal with, and soon: lack of patients’ awareness of AI, its promises and pitfalls.             “It is imperative to prioritize patient education regarding this technology,” Urte Jakimaviciute

 

“Healthcare Isn’t Healthy:” the Global Challenge of Health Equity, and Calls-to-Action

Discrimination in health care is reported by more people in the U.S. than in Germany, Spain, or the U.K., we learn in the research reported in The Intersection of Health Equity in Communities & Business Strategy: A Call-to-Action, from Omnicomm PR Group (OPRG) and Atlantic Insights.                          The study was conducted among 6,000 people living in Germany, Spain, the United Kingdom and the United States, fielding 1,500 interviews in each of the four countries in March 2023. The U.S. survey sample included 375 people identifying as Black, White, Hispanic, or

 

The Elevator, Trust and the Data Commons: Bart de Witte Makes the Case for Open AI for Health at WHO/Europe

“I’m in Berlin, and we don’t like walls,” Bart De Witte responded in a concluding Q&A session yesterday at the 2nd Symposium on the Future of Health Systems, convened by the World Health Organization (WHO) in Porto on 5th September.               Over two days, this meeting convened stakeholders focused on WHO’s European Region to support the Organization’s digital health action plan for 2023-2030 – which fosters cross-nation health planning covering the EU space. AI’s promise in health care to automate and streamline administration, and augment diagnosis and treatment, comes with accompanying risks that can

 

From Managing Healthcare Providers’ Costs to “Revolutionizing” Care – Bain Looks at the Short- and Long-Term for Generative AI

“Generative AI already has the power to alleviate some of providers’ biggest woes, which include rising costs and high inflation, clinician shortages, and physician burnout,” Bain & Company observe in Beyond Hype: Getting the Most Out of Generative AI in Healthcare Today. By the end of this paper, the Bain team expects that those health care leaders who are investing in generative AI today (to start small, to win big in the report’s words) will learn key lessons that will put them “on a path to eventually revolutionize their businesses.” Bain & Company surveyed U.S. health system leaders to gauge their

 

Patients Don’t Trust Big Tech with Personal Health Information Much Preferring Healthcare Providers as Data Stewards

Nearly all patients are concerned about their medical records getting leaked or breached, which is The State of Patient Privacy, the title of a consumer study from Health Gorilla with a headline finding that “Patients don’t trust Big Tech with their health data.”             With trust the “backbone” of health information exchange, Health Gorilla calls out, we have to face a big challenge here as health care enters its own sort of industrial revolution embedded AI and data analytics across the health/care ecosystem. How to re-build trust with the very technology that can help health care,

 

Technologies That Bolster Health Will Be Baked Into the Fourth Industrial Revolution: Listening to the World Economic Forum

The technologies that will drive the Fourth Industrial Revolution have health baked into most of them, based on the Top 10 Emerging Technologies of 2023, a flagship report from the World Economic Forum,                   Two of the ten technologies making up this forecast directly speak to health and health care” AI-facilitated healthcare, and The metaverse for mental health. But seven of the remaining eight all address health somewhere in their discussions, and even the tenth non-obvious tech — #3, sustainable aviation fuel — would resonate with many researchers working on the opportunity

 

My Health, My Data – Thinking Consumers, Privacy and Self-Care at HIMSS 2023

The Washington State legislature passed House Bill 1155, aka the My Health, My Data Act, last week. Governor Jay Inslee is expected to sign this into State law later this year. The bill expands privacy protections for Washington State’s health citizens beyond HIPAA’s provisions.           The My Health, My Data Act defines “consumer health data” as “personal information that is linked or reasonably linkable to a consumer and that identifies a consumer’s past, present, or future physical or mental health.”  The ethos of the name and the intent of this law is a perfect vision for

 

More Consumers Expect Health/Care Companies to Be Purpose-Ful Versus All Other Industries

If your organization serves health consumers, patients, and caregivers, and you’re asking them to spend money on your services or products, then you’ll do well to be clear on your values and sense of purpose. In the latest Ipsos look into the future of “Purpose,” we find that consumers look most to health and pharmacy companies for shared values, compared with other industries people patronize such as food and grocery, technology and banks.                   To understand where Ipsos is coming from on this aspect of ESG, we’ll start with their territory map

 

Patients Have AI-Disconnect When it Comes to Their Health Care – Pew Research Center Insights

Most U.S. health citizens think AI is being adopted in American health care too quickly, feeling “significant discomfort…with the idea of AI being used in their own health care,” according to consumer studies from the Pew Research Center.                  The top-line is that 60% of Americans would be uncomfortable with [their health] provider relying on AI in their own care, found in a consumer poll fielded in December 2022 among over11,000 U.S. adults. Most consumers who are aware of common uses of AI know about wearable fitness trackers that can analyze exercise and sleep

 

Hacking Health Care, Your Top Health-Tech Summer Read

“Tom Lawry reminds us that the health care industry can shift from glacial to warp speed when it needs to. Given the right tools, we can evolve from health systems to systems of health, baked with Responsible Intelligence to do good while embedded with respect, inclusion, and transparency. Health citizens deserve Tom’s vision to emerge,” I wrote in a quote on the back of Tom’s new book, Hacking Health Care: How AI and the Intelligence Revolution Will Reboot an Ailing System.                 Tom knows whereof he speaks and writes and opines: he has

 

The Retail Health Battle Royale, Day 4 – Tech Giants in Healthcare, U.S. Lessons from Europe

“Tech giants are the primary forces driving digital transformation forward,” and this is especially the case for health care systems re-imagining how health care services are delivered and “consumed.”           This observation comes from a new report, Tech Giants in Healthcare, written by four European-based experts in healthcare and bioethics. The 200-page paper details the activities of sixteen global technology companies in the health/care ecosystem, followed by a so-called “ethical analysis” of these companies’ work with health data. The report was published in Germany by Bertelsmann Stiftung, a not-for-profit think tank addressing broad  political, social and

 

Techquity: How Technology Can Help to Scale Health and Digital Equity, Live from VIVE 2022

The COVID-19 pandemic revealed long-systemic health disparities in the U.S. and in other parts of the world. Income inequality, sickly environments in homes and communities (think unclean air and water), lack of public transportation and nutritious food deserts combine to limit peoples’ health and well-being., Beyond the traditional social determinants of health, such as these, we’ve called out another health risk that became crucial for life in the coronavirus pandemic era: digital connectivity, Indeed, WiFi and broadband represent the newest social determinant of health to add to a growing list of risk factors that challenge health citizens’ health. Kudos to

 

A Nutrition Label for Health IT

“Shouldn’t we, as a society, demand a nutrition label on our algorithms?” asked Dr. John Halamka. Dr. Halamka, President of the Mayo Clinic Platform, was speaking at the HIMSS 2021 annual conference on the meeting’s digital channel. Artificial intelligence and health equity were two key themes discussed during #HIMSS21, and Dr. Halamka’s concerns echoed through the week-long event. To illustrate the need for a healthier approach to AI, he offered this scenario: “If I use a data set of one million Scandinavian Lutherans to create the most amazing EKG algorithm ever and then we decide to use it in Spain,

 

Regulation, Reimbursement, and Interoperability Block Health Systems’ Digital Transformation – The State of Healthcare in 2021 From HIMSS

There is no doubt that the COVID-19 pandemic motivated health care providers, payers, and patients to adopt digital tools and contact-less services, allowing people to deliver and receive medical care. Still, 18 months into the pandemic, now endemic and in its fourth wave of cases spiking around the world and in many parts of the U.S., some aspects of “digital transformation” seem not to have fully transformed American healthcare, we learn in HIMSS’s annual 2021 State of Healthcare Report. HIMSS collaborated with the organizations Trust  Accenture, The Chartix Group, and ZS on this year’s research. Nine in ten clinicians have recommended

 

Nurses Hacking for Health and Compassionomics

The hearts and minds of nurses are fertile and inspirational sources and engines for health care innovation. This past weekend, and for the second time, I had the privilege and opportunity to be a panelist for the perennial hackathon meet-up of Nurse Hack 4 Health, sponsored by Microsoft, Johnson & Johnson, Sonsiel, and DevUp. This round, the hackathon attracted hundreds of nurses from at least 20 countries and 30 U.S. states. Even a few students attended, a growing trend as academia recognizes the shortage of workers trained to solve thorny problems of the world. In health care, right here, right

 

Ensuring That Humanity Retains Control of Connected Things: A Message from Microsoft at CES 2021

Artificial intelligence (AI) has begun to play a role in health care for predictive analytics, personalization, and public health. On 26th January, I’ll moderate a tweetchat at 1 pm Eastern time, brainstorming the current and future state of and opportunities for AI in health care. I’ll be co-chatting with Microsoft’s AI leader, Tom Lawry (@TCLawry on Twitter). In advance of that discussion, I wanted to feature remarks shared by Brad Smith, Microsoft President, that I recently heard at CES 2021, the annual (this year, virtual) meeting convening the largest community of consumer electronics stakeholders globally Smith wove a crucial, impactful

 

Health Is Everywhere at #CES2021 – CTA’s CES 2021 Tech Trends to Watch

Spending on connected health monitoring devices in the U.S. will reach $845 million based on the forecast of the Consumer Technology Association, convening the annual 2021 CES this week in a virtual format. CTA unveiled the 2021 key trends we’ll see presented this week through the online exhibition hall and in educational sessions on the CES.Tech platform. Six major themes emerge at #CES2021: digital health, robotics and drones, 5G connectivity, vehicle technology, smart cities, and over all — digital transformation. All of these have applications in health and health care, especially accelerated in need by the COVID-19 pandemic which has

 

Home Is the Health Hub for Older People – Learning from Laurie Orlov

By April 2020, over one million Medicare members were receiving health care via telemedicine. The graph here shows you the hockey-stick growth for virtual care use by older Americans into the second month of the coronavirus pandemic. The COVID-19 public health crisis up-ended all aspects of daily living in America for people of all ages. For older Americans, avoiding the risk of contracting the tricky virus in public, and especially, in health care settings, became Job 1. The pandemic thus nudged older people toward adopting digital lifestyles for daily life, for shopping, for praying, and indeed, for health care. Laurie

 

Data Well-Being: A Pillar of Health Citizenship for US Consumers

In the COVID-19 era, most U.S. consumers believe they have an obligation to share personal health information to stop the spread of the coronavirus. However, only 44% would be willing to share their personal data with a national database, a MITRE study learned. Only one-third of Americans would be willing to share their temperature, 29% their location, and one-fourth information about their chronic conditions. The Harris Poll conducted the study among 2,065 U.S. adults 18 and over in mid-June 2020 to gauge peoples’ perspectives on health data and privacy. Three-quarters of people in the U.S. believe that data privacy “is a

 

Consumers’ Embrace of Digital Health Tech Stalls, and Privacy Concerns Prevail – Accenture’s 2020 Research

Millions of dollars and developers’ time have been invested in conceiving and making digital health tools. Yet with that bullish supply side of digital health,  there was a marked decline in peoples’ use of them in the past two years, found by Accenture in their latest health consumer survey, Digital is Transforming Health, So Why is Consumer Adoption Stalling? Use of mobile apps to track personal health activity fell from nearly 1 in 2 consumers to 1 in 3. Use of wearable tech nearly halved, from 33% to 18%, between 2018 and 2020. Some, but not necessarily a majority, of

 

Why CTA’s Shepherding AI Is Important for Re-Imagining Healthcare

The Consumer Technology Association (CTA), collaborating with industry stakeholders, has ushered in a standard for artificial intelligence in health care.   CTA is the membership organization for companies that innovate, manufacture and market consumer-facing tech like big-screen TVs, slick new autos, video games and voice assistants. So what’s an organization like CTA doing with AI and health care? Let me connect the dots. Check out this graphic taken from my book, HealthConsuming: From Health Consumer to Health Citizen. This shows the ten categories of tech I revisit each year at CES, CTA’s annual mega-conference of new-new things in consumer electronics

 

Will Trade Data for (Cheaper) Health Care – USC’s View of the Future

Patients are now front-line payors in the U.S. health care system. As such, American health consumers are wrestling with sticker shock from surgical procedures, surprise medical bills weeks after leaving the hospital, and the cost of prescription drugs — whether six-figure oncology therapies or essential medicines like insulin and EpiPens. To manage personal health finances, patients-as-payors are increasingly willing to face trade-offs and change personal behaviors to lower health care costs, based on research in The Future of Health Care Study from USC’s Center for the Digital Future. The Center analyzed the perspectives of 1,000 U.S. adults in August 2019 regarding

 

The Suicide Rate in America Increased by 40% between 2000 and 2017. Blue Collar Workers Were Much More At Risk.

The rate of suicide in the U.S. rose from 12.9 per 100,000 population to 18.0 between 2000 and 2017, a 40% increase. Those workers most at-risk for suiciding were men working in construction and mining, maintenance, arts/design/entertainment/sports/media, farming and fishing, and transportation. For women, working in construction and mining, protective service, transportation, healthcare (support and practice), the arts and entertainment, and personal care put them at higher risk of suicide. The latest report from the CDC on Suicide Rates by Industry and Occupation provides a current analysis of the National Violent Death Reporting System which collects data from 32 states,

 

Income Inequality is Fostering Mis-Trust, the Edelman 2020 Trust Barometer Observes

Economic development has historically built trust among nations’ citizens. But in developed, wealthier parts of the world, like the U.S., “a record number of countries are experiencing an all-time high ‘mass-class’ trust divide,” according to the 2020 Edelman Trust Barometer. For 20 years, Edelman has released its annual Trust Barometer every year at the World Economic Forum in Davos, recognizing the importance of trust in the global economy and society. Last year, it was the employer who was the most-trusted touch-point in citizens’ lives the world over, I discussed in Health Populi one year ago. This year, even our employers can’t

 

Dr. Roboto? Stanford Medicine Foresees Digital Doctors “Maturing”

Physicians are evolving as digital doctors, embracing the growing role of data generated in electronic health records as well as through their patients using wearable technologies and mobile health apps downloaded in ubiquitous smartphones, described in The Rise of the Data-Driven Physician, a 2020 Health Trends Report from Stanford Medicine Stanford Medicine interviewed 523 physicians and 210 medical students and residents in September and October 2019 to assess clinicians’ perspectives on digital health topics for this study. The study title citing the “data-driven physician” is based on the key survey finding that doctors are preparing to embrace data, from both traditional

 

Trust Is the Currency for Consumer Health Engagement – A Bottom-Line at CES 2020

There’s less talk about Bitcoin and cryptocurrency at #CES2020. The most important currency under discussion is Trust. We have begun a consumer electronics migration from the past decade of the Internet of Things to this next decade of the Intelligence of Things. The different “I’s” signal the transition from devices that have connected to the Internet and generated data from our everyday lives, to the next ten years of gathering that data, mashing it up for meaning, and feeding back intelligence to users in the form of advising, coaching, nudging — with potentially powerful feedback loops for health, wellness and

 

“Digital Health Is An Ecosystem of Ecosystems” – CTA’s 2020 Trends to Watch Into the Data Age

In CTA’s 2020 Consumer Tech Forecast launched yesterday at Media Day 1 at CES, Steve Koenig VP of Research, said that, “digital health is an ecosystem of ecosystems.” Health, medical and wellness trends featured large in the forecast, which brought together key trends for 5G, robotics, voice tech, AR/VR/XR, and the next iteration of IoT — which Steve said will still be called “IoT,” but in this phase will morph into the “Intelligence of Things.” That speaks to Steve’s phrase, “ecosystem of ecosystems,” because that’s not just “digital” health — that’s now the true nature of health/care, and what is

 

Most Health Consumers Expect Technology To Play a Larger Role As Tech-Angst & Privacy Concerns Grow

As technology continues to re-shape consumers’ experiences and expectations with health/care, retail, travel and work, peoples’ concerns about data privacy are also growing as observed by a 2020 consumer trends forecast from GlobalWebIndex, Connecting the dots. First, some overall context to the study. GlobalWebIndex “connects the dots” of consumers trends in 2020 including the topics shown in the first graphic including commerce and retail, gaming, travel, human touch, nostalgia, privacy and digital health — the first of these trends discussed in the report. Note that the data discussed in this post include responses from consumers residing in both the U.S.

 

Learning from Dr. Eric Topol, Live from Medecision Liberation 2019

“Bold thinking is great. Bold doing is better,” Dr. Eric Topol introduced his talk yesterday at Medecision’s Liberation 2019 conference. I have the opportunity, for which I’m so grateful, of not only attending this meeting but playing a role as a speaker, a sometimes stage “emcee,” and a keynote speaker. And as an attendee, I learn so much from other speakers, fellow attendees, and Medecision staff all sharing perspectives during breakouts and networking breaks. In mode of attendee (and self-confessed collegial-groupie of Dr. Topol’s), I took in his remarks taking notes as fast as I could thanks to Mom teaching

 

Listening to Osler Listening to the Patient – Liberating Health Care at Medecision Liberation 2019

“Listen to your patient; he is telling you the diagnosis,” Dr. William Osler is quoted to have said around the turn of the 20th century. Dr. Osler had been a strong advocate for the physician-patient conversation to inform the doctor’s diagnostic acumen and improve patient outcomes. This year is the centennial of Dr. Osler’s passing, so it’s especially timely that I introduce this post with his legendary assertion in the context of kicking off the 2019 Medecision Liberation conference. This meeting convenes the company’s clients, partners, and staff to share best practices, spark insights and learnings, and enable networking between

 

Prelude to Health 2.0 2019: Thinking Consumers At the Center of Digital Health Transformation

“Digital transformation” is the corporate strategy flavor of the moment across industries, and the health are sector isn’t immune from the trend. As this 13th year of the annual Health 2.0 Conference kicks off this week, I’m focused on finding digital health innovations that engage people — consumers, caregivers, patients, health citizens all. This year’s conference will convene thought leaders across a range of themes, and as is the Health 2.0 modus operandi, live demo’s of new-new things. As Health 2.0 kicks off today in pre-conference sessions, there is useful context described in a new report from the American Hospital

 

Health Care and Consumers in 2030: A Profile from KPMG

A “one layered delivery network through which patients can move seamlessly as they age and their needs evolve” will be the new health care platform to meet patients’ demands by 2030, according to a forecast from KPMG’s Healthcare and Life Sciences Institute. In Healthcare 2030: The consumer at the center, the KPMG team explores the demographic shifts and market drivers that will challenge the health care industry in the current U.S. delivery and financing system. The lens on that 2030 future is a consumer-centric delivery model that KPMG believes will be a solution to dealing with a demographic divide between

 

A Matter of Trust, Perception, Risk, and Uncertainty – The Big Issues Raised by the Acquisition of PatientsLikeMe and Other Patient Data Transactions

By Susannah Fox, Jane Sarasohn-Kahn and Lisa Suennen I’ve lived long enough to have learned The closer you get to the fire the more you get burned But that won’t happen to us Cause it’s always been a matter of trust           A Matter of Trust, by Billy Joel If you’re in health care and don’t live under a rock, you have probably heard that United Health Group (UHG) has acquired PatientsLikeMe (PLM).  After the announcement, there was a lot of sound and fury, some of which signified nothing, as the saying goes, and some which signified a lot.

 

Healthcare Just Got SMAC’ed – Accenture’s Post-Digital Era for Health

Social, mobile, analytics and the cloud now underpin the health care industry. We’ve been SMAC’ed, and Accenture’s Digital Health Tech Vision 2019 believes we’re in a post-digital era ripe with opportunity. Five trends comprise the Vision: DARQ Power, the acronym for Distributed ledger technology, Artificial intelligence (AI), extended Reality, and Quantum computing. Adopting these applications can help health care reduce costs, drive labor efficiency and support people-centered design and experience. Get to Know Me is the use of technology to develop and deepen relationships with people. As an example of this trend, Accenture points to Mindstrong which leverages AI and

 

Telehealth In 2030 – Notes From the Future At #ATA19 with Safavi, Holt, Bathina and Swafford

What will telemedicine look like in 2030?  imagined Kaveh Safavi, Accenture’s Senior Managing Director and Health of Global Healthcare Practice. Kaveh was brainstorming the future of telehealth a decade from “now,” with three innovators attending #ATA19: Deepthi Bathina of Humana, Matthew Holt of Catalyst Health (and Co-Founder of Health 2.0), and Kim Swafford of Providence St. Joseph. This week convened the ATA annual conference where healthcare industry stakeholders met up to deal with the current telehealth environment and imagine what the future prospects would/could be. As Kaveh invoked the futuristic theme, I couldn’t help thinking about Elroy Jetson, pictured here

 

Can AI Make Healthcare Human Again? Dr. Topol Says “Yes”

“The Fourth Industrial Age,” Dr. Abraham Verghese writes, “has great potential to help, but also to harm, to exaggerate the profound gap that already exists between those who have much and those who have less each passing year.” Dr. Verghese asserts this in his forward to Deep Medicine, Dr. Eric Topol’s latest work which explores the promise of artificial intelligence (AI), Big Data, and robotics — three legs of the Fourth Industrial Age stool. [If you don’t know the work of Dr. Verghese, and since you’re reading the Health Populi blog, you must get to know Dr. V now. Your

 

How Genomics Can Battle Killer Bacterial Infections in the Hospital – Talking With Philips at HIMSS19

When you think “genomics,” your mind probably pictures a human DNA strand. Well, my mind did, prior to meeting with Dr. Joseph Frassica and Dr. Felix Baader at HIMSS19 to discuss Philips’ approach to the tragic problem of healthcare-acquired infections that kill patients. Ever since that conversation, my mind’s eye is filled with images of MRSA cells like those shown here. At HIMSS19, Philips launched a solution that couples clinical informatics with genomic sequencing of bacteria to quickly identify and treat patients that are affected with tough-to-treat infections that, so often, result in death. Healthcare-acquired infections (HAIs) are a worldwide

 

Deep Human Interactions: The Antidote To More AI In Health Care – Learning From Philips’ CEO At HIMSS19

“The promise of AI is undeniable…could AI help clinicians deliver better and more humanistic care?” This question is asked and answered in a JAMA viewpoint published January 1/8 2019 titled, Humanizing Artificial Intelligence. This theme motivated a conversation held over a dinner convened by Philips hosted by Frans Van Houten this week at HIMSS19. To provide context Geoff Colvin, Fortune‘s Senior Editor, first talked about taking friction out of industries, as Lyft and Uber have done in the transport sector. “Taking friction out of industries challenges and changes business models,” Geoff noted. With Uber’s IPO valuation approaching $100 billion, I’d say that’s

 

Consumers Want Help With Health: Can Healthcare Providers Supply That Demand?

Among people who have health insurance, managing the costs of their medical care doesn’t rank as a top frustration. Instead, attending to health and wellbeing, staying true to an exercise regime, maintaining good nutrition, and managing stress top U.S. consumers’ frustrations — above managing the costs of care not covered by insurance. And maintaining good mental health and staying on-track with health goals come close to managing uncovered costs, Oliver Wyman’s 2018 consumer survey learned. These and other important health consumer insights are revealed in the firm’s latest report, Waiting for Consumers – The Oliver Wyman 2018 Consumer Survey of US

 

Loneliness, Public Policy and AI – Lessons From the UK For the US

There’s a shortage of medical providers in the United Kingdom, a nation where healthcare is guaranteed to all Britons via the most beloved institution in the nation: The National Health Service. The NHS celebrated its 70th anniversary in July this year. The NHS “supply shortage” is a result of financial cuts to both social care and public health. These have negatively impacted older people and care for people at home in Great Britain. This article in the BMJ published earlier this year called for increasing these investments to ensure further erosion of population and public health outcomes, and to prevent

 

In This Eroding Era of Trust, Consumers Look to Doctors Above Banks and Retailers for Trusted Sharing

In this moment post-Cambridge Analytica/Facebook, the launch of the GDPR, and the everyday-ness of data breaches, consumers most trust doctors for sharing personal information. I’ve mined, through my health economic lens, the U.S. data published in the insightful report, Data Privacy: What the Consumer Really Thinks, a global research study from Axciom and the Data & Marketing Association (recently acquired by the Association of National Advertisers) working with Foresight Factory. The report compares consumers’ personal views on privacy and trust in ten countries: Argentina, Australia, Canada, France, Germany, the Netherlands, Singapore, Spain, the UK, and the US. We learn that Americans

 

As Medical Cost Trend Remains Flat, Patients Face Growing Health Consumer Financial Stress

When it comes to healthcare costs, lines that decline over time are generally seen as good news. That’s how media outlets will cover the top-line of PwC’s report Medical cost trend: Behind the numbers 2019. However, there are other forces underneath the stable-looking 6.0% medical trend growth projected for 2019 that will impact healthcare providers, insurers, and suppliers to the industry. There’s this macro-health economic story, and then there’s the micro-economics of healthcare for the household. Simply put: the impact of growing financial risk for healthcare costs will be felt by patients/consumers themselves. I’ve curated the four charts from the

 

Doctors Say EHRs Are Good for Storage, But Risky for Patient Relationships and Burnout

Doctors have a complicated relationship with electronic health records (EHRs): two-thirds of primary care providers (PCPs) see value in digital records (EHRs), but at the same time believe the technology has weakened relationships with patients, detracted from clinical effectiveness, and lack streamlined user experience. That deficiency is, in three words, lack of interoperability; that challenge has required one-half of physician-users to use work-around’s to make their EHR investments more useful. These insights come out of a survey conducted among primary care providers by The Harris Poll for Stanford Medicine, published to coincide with the medical school’s convening of the EHR

 

How to Make Healthcare More Intelligent and Trustworthy: Accenture’s Digital Health Tech Vision 2018

“Do no harm” has been the professional and ethical mantra of physicians since the Hippocratic Oath was first uttered by medical students. The origins of that three-word objective probably came out of Hippocrates’ Corpus, which included a few additional words: “to do good or to do no harm.” The proliferation and evolution of digital technologies in health care have the potential to do good or harm, depending on their application. Doing good and abstaining from doing harm can engender trust between patients, providers, and other stakeholders in health. Trust has become a key currency in provider/patient/supplier relationships: 94% of health executives

 

How the Latest on Facebook and the “Deep State” Could Undermine Patient Data Sharing and AI

There’s a potential large obstacle that could prevent the full benefits of the current go-go, bullish forecasts for artificial intelligence (AI) to help make healthcare better: a decline in consumers’ willingness to share their personal data. Along with the overall erosion of peoples’ trust in government and other institutions comes this week’s revelations about Facebook, Cambridge Analytica, and the so-called Deep State. Three-fourths of Americans believe that some type of “Deep State” in the federal government exists, a new poll from Monmouth University published yesterday. I clipped the responses to three of the survey’s most relevant questions here. Not only

 

Health/Care Data Ecosystems E-merge at CES 2017

Digital health innovations were fast-proliferating at CES 2017. The bad news is there are so many of them, it’s dizzying and fragmented. The good news is that there are emerging health data ecosystems that will streamline consumers’ user experience so that people can derive knowledge, actionable advice and value out of using these tools. Walking miles of aisles in the Sands Convention Center in the first week of January 2017 can be a dizzying prospect, with hype and best-faces-forward in every single exhibitor at the show. In the health segment at CES, there’s a long list of digital tools to