ekivemark: pre-blogspot

#HIMSS12 Innovation Summit w/@reginaHolliday WillYu and others.

Wed, 22 Feb 2012 16:57:59 -0800

I am here at HIMSS12 to speak tomorrow. I just arrived and dived in to the Innovation Summit.

Will Yu revealed that 8,000 letters of intent for the CMS Innovation Grant were received and by the January deadline around 3,000 applications were received.

The challenge for the innovation challenge is to identify projects that lead to better healthcare and lower costs.

At the same time the volume of applications demands that the assessment process is speeded up.

CMS has 11 years of data that can be used. It is updated monthly.Let's create a standard set of data to allow comparative analysis.
Using Quality measures to drive down costs.
Commercial payors are an important part of the process.Incentives are an important aspect - Don't discount their impact.

We have to make incentives transparent and accessible to providers and patients.

Should we be crowd sourcing our data?

How do we overcome the defensive nature of many data sources?

Regina Holliday suggested we need to get visible at the DMV.
I recommended that we reclassify our health data as one of our organs and have it covered by the organ donation declaration when people fill out the driving license application.

Let's focus on practical and tangible actions that can make a difference. We need to move quickly.

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#smwhealth @gigi_peterkin group covered realistic regulatory requirements

Wed, 15 Feb 2012 15:22:17 -0800

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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#smwhealth @shwen w/what content should be responsible for

Wed, 15 Feb 2012 15:18:08 -0800

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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#smwhealth #smw12 Our ideas for the FDA regulation of social media

Wed, 15 Feb 2012 15:17:29 -0800

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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#smwhealth what responsibility to correct misinformation on third party sites

Wed, 15 Feb 2012 15:16:44 -0800

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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#SMWHealth - Technology and Beauty @didigluck @abmarkman @susanyara

Wed, 15 Feb 2012 13:02:17 -0800

Only 4% of women believe they are beautiful. Why are so many intimidated? @DidiGluck: Are Americans perfectionists?

Is the saturation of media across so many channels driving this lack of confidence?

The vast majority of americans believe they are above average

Here is the session details: http://socialmediaweek.org/event/?event_id=1609

Social media is changing the perception of beauty. There is no longer one media dictated definition of what is a beautiful woman.

Social media is driving more acceptance of alternative definitions of beauty.

There is a beauty in imperfection. We want asymmetry.

Bloggers are pushing the bottom line for many brands.

Social Media is creating a place to go and ask questions on issues (e.g. plastic surgery). Before Social Media you had to make an appointment with a professional to get information.

There is a perceived notion that bloggers are experts. Some are and some aren't but the fact is that bloggers generate trust from their dedicated core of readers.

Pinterest is a major driver of subscriptions for real simple. Pinterest is a virtual inspiration board. It creates communities of people that share a common viewpoint.

People on Pinterest tend to be nice. That may be due to that fact that you only have options to Like or Re-pin.

Technology used to be a push mechanism. Brands started using Social Media as a push technology. Now the opportunity is to JOIN the community and engage in the CONVERSATION.

Engage in Conversation rather than constant advertising.

Quantify the value of establishing a relationship.

Listening = learning. Social Media catches people in the wild and provides valuable insights.

Social media lets industries listen to their markets and their competition.

Social Media is the road test coming to life.

Brands have to develop a personality. It may not resonate with everyone but if it is authentic it will find an interested community.

If you are a direct sales consultant. - think beyond the immediate sale and cultivate the relationship. That takes time to create the relationship. Social media allows you to develop the relationship without having to maintain direct face to face in person contact.

Traffic is not the best measure of engagement. Negative news drives more traffic than good news. Just look at the recent Komen-Planned Parenthood firestorm.

People are being deluged with information but they will become more selective so keep an expert tone that supports your credibility and authenticity.

The next leap in social media is real two-way engagement. Drawing experts in to your community.

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Curing chronic conditions via the enforcer #smwhealth Behaviors governed by emotion

Wed, 15 Feb 2012 11:15:24 -0800

I am at Social Media Week Health. I am listening to Dr. Micheal Rozen from the Cleveland Clinic

When the health care differential grew to 8% in 2000 we lost our manufacturing jobs. If the differential gets to 28% we will lose our Services jobs. We are currently at 20% and projected to reach 28% before the end of the decade.

Chronic disease is a major cost driver. e.g 91% of prescriptions driven by Chronic disease.

We could wipe out our budget deficit if we could manage our chronic disease conditions. Health care costs are america's only problem.

The whole world is getting fatter but the USA is far out in front of the rest of the world.

The route to wellness:

Walk 10,000 steps per day

Eat 5 fruit and vegetables each day

Quit smoking

Eliminate 5 foods from your diet

- Saturated fat

- Trans fat

- Simple carbohydrates

- Simple sugars

- Syrups

- Meditate for 10 minutes at the start and end of each day.

90% of US kids have plaque in their arteries. this is up from 10% in the 1980's.

Wellness is the fourth pillar to solve health issues. (Health Care, Research and Education are the first 3 pillars).

You shouldn't need a magnifying glass to find healthy food in the grocery store

Social Media helps to reduce stress.

Cleveland Clinic have made 52 environmental and social media changes to improve wellness. 43,000 employees in the wellness program.

There is a 17 year lag between occurrence of obesity and Type II diabetes.

Emotion drives the change but you need social media, environment and support groups to sustain the change in behavior.

Gluten-Free diet?

1 in 250 people have celiac disease

1-2% have gluten allergies

Gluten intolerance may be as high as 10% of the population.

Steering away from Gluten will help people feel healthier.

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Off to #smwhealth part of social media week NYC

Wed, 15 Feb 2012 05:35:03 -0800

I am heading up to New York to work with Marc Monseau and some other leading social media thought leaders to crowd source social media guidelines for the FDA. If we want to unleash the inherent knowledge and expertise in the health care world we need a set of guidelines that allow pharma and other health companies to actively engage in the conversations in social media. In taking this step we need to create a level playing field where consumers understand the source and perspectives of company representatives. At the same time we need to avoid onerous regulation that would only serve to actively discourage participation in valuable health conversations, that might promote heavy censorship of content and drive a demand for only copyright owned content to be allowed by health companies on their social media pages.

It is time to get engaged in this conversation and share your wisdom. Let's empower the healthcare conversation.

If you are coming to the FDA event at 4:30 today come and say hi. I am easy to spot - I will be wearing my leather HealthCamp jacket that was created for #thewalkinggallery by the wonderful @reginaholliday

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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A smaller iPad?

Tue, 14 Feb 2012 07:57:27 -0800

The Late Steve Jobs dismissed the idea of a smaller iPad. But rumors seem to be circulating of a small format device. The Wall Street Journal indicates this in a recent report:

Apple, Suppliers Test Tablet With Smaller Screen

There is one option that people don't seem to have considered. The timing of these rumors could point to a potential launch later in the year. That would fit with the iPod refresh cycle. What if Apple is considering a Maxi iPod Touch. Basically a media consumption device that expands the iPodTouch line.

While I am on the subject of Media Consumption I wish Apple would expand iBooks to allow reading on laptops. How about a cloud based iBooks service that allows us to use a web browser to read iBooks. That would further strengthen the iCloud ties. It could be an extension of the work Apple has done with iWork in the cloud.

My contention is that there is a category of books - text books and programming manuals where being able to read the content on a computer has advantages such as when you want to cut and paste code samples or content to use in something you are working with. If Apple expands the availability of iBooks across all screens they would eliminate one of the advantages of Kindle.

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Social Media explained with donuts

Tue, 07 Feb 2012 06:32:00 -0800

I found this on Pinterest...

So wrong and yet so right....

Source: 999thepoint.com via S on Pinterest

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Python/Django unittesting and formsets

Fri, 03 Feb 2012 08:51:40 -0800

In recent months I have been getting to grips with Python/Django. It all started back at the Health 2.0 Developer Challenge when I worked with Alan Viars of Videntity to build the Rainbowbutton.com. We built the application using Python/Django and ran it on Amazon's cloud.

Now I am working on writing a series of Unit Tests for an application. It has been going pretty well but now I am hitting a road block and wonder if anyone else has had similar experience (and hopefully solutions).

I am tring to test a web page that uses multiple sections to the page and also uses formsets.

I get the error:

u'ManagementForm data is missing or has been tampered with'

when I try to post to the page using the UnitTest framework.

I have read various solutions on StackOverflow.com but I am still hitting that wall.

I have looked through the source of the page and extracted field names (there are hundreds in the whole form - you know what government forms are like!)

The test I am trying to perform is to submit an incomplete form and test for an error message. However, the unittest bombs with the ManagementForm Data error.

Here is the data I am submitting (HIPAA disclaimer - all data is fictitious):

post_parameters = {'medication_assistance':"on",

'food_stamps':"on",

'ida':"on",

'tanf_gc':"on",

'coinhabitants-0-last_name':"First",

'coinhabitants-0-middle_name':"",

'coinhabitants-0-first_name':"Arthur",

'coinhabitants-0-applying_for_this_person':"YES",

'coinhabitants-0-gender':"MALE",

'coinhabitants-0-date_of_birth_month':"1",

'coinhabitants-0-date_of_birth_day':"1",

'coinhabitants-0-date_of_birth_year':"1940",

'coinhabitants-0-age':"72",

'coinhabitants-0-ssn':"123-45-1234",

'coinhabitants-0-us_citizen':"YES",

'coinhabitants-0-relation_to_you':"self",

'coinhabitants-0-eat_together':"YES",

'coinhabitants-0-TOTAL_FORMS': u'1',

'coinhabitants-0-INITIAL_FORMS': u'0',

'coinhabitants-0-MAX_NUM_FORMS':u'2'

}

I found this explanation of the problem on Stackoverflow.com:

Every Django formset comes with a management form that needs to be included in the post. The official docs explain it pretty well. To use it within your unit test, you either need to write it out yourself. (The link I provided shows an example), or call formset.management_form which outputs the data.

[Provided by Bartek]

What is not clear to me is how to include the management_form data.

Can anyone shed any light on what might need to be in the post parameters?

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Great EMR Infographic - Top 20 EMRs - Thanks Capterra

Thu, 02 Feb 2012 15:10:00 -0800

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The future of Health is Mobile+ Kaiser Permanente now has a mobile optimized web site for 9M members.

Tue, 31 Jan 2012 13:35:29 -0800

This afternoon I am joining Kaiser Permanente to learn about their Mobile App for members. Kaiser Permanente is a major forward thinking health care provider. It is great to see them embracing Mobile. I have being saying for a long time that the patient/member is often not at a computer when they are receiving service in the health care system. The device they do have to hand is typically their cell phone.

What is needed is a Mobile+ solution. A desktop based solution doesn't work in isolation, neither does a Mobile only solution. You can see this when you look at the emerging consumer wellness sensor market. The Bodymedia device has a website and a mobile application. But the two platforms aren't connected. The new Jawbone UP is a neat wristband but it only has an iOS app. That may be fine for on the go data entry but deeper analysis just cries out to work on a desktop browser. Fitbit remains my favorite tool for wellness. The immediacy of the on device readout is great. I don't need an app to get immediate feedback on my level of activity, the stairs I have climbed or the steps I have taken. However, the mobile app allows me to enter data and get a quick snapshot, as of the last sync event. If I go to the web browser on my laptop I can get an immediate update of anything entered in to the mobile app. It is this Mobile+ approach that health system developers need to embrace.

Mobile is not the panacea. It is a part of a complex puzzle. Patients/Members/Consumers will choose the access method that works for them, and that may change based upon their situation.

Anyway.... time for me to get off that little soap box. Let's take a look at what Kaiser Permanente has been up to...

So KP is launching a mobile app to support 9M members. This is a massive roll-out of a mobile health platform.

The major components of the App:

- Medical Record

- Pharmacy Center

- Appointment Center

- Message Center

- Location Finder

KP.org is now mobile-aware. If you sign on with your smartphone or tablet it will present a mobile friendly format.

The authentication for the app leverages the same mechanisms used for the standard web app.

The Medical Record on mobile gives access to:

- Allergies

- Reminders

- Health Summary

- Immunizations

- Ongoing health conditions

- Past visit history

- Test Results

Some of the most popular features are therefore available from a smartphone such as:

- Message Center

- Appointments

- Test Results

KP promises a two day turn around for messages but the typical practice is to provide a same day response.

15% of traffic is currently coming from mobile devices. This helped drive KP to produce a mobile friendly site.

The Mobile App is available on Android and iOS.

Bill Marsh: The transition to mobile is positively transforming the trusted relationship between patient and physician. Mobile amplifies the relationship in real time.

in Colorado 40% of support is currently delivered virtually. Mobile will expand this further.

HealthConnect is being tested on tablets and mobile devices. They are heading in that direction but it is not widely deployed yet.

@healthyThinker asked about use of lab results. Everything that is accessible online is also available on mobile.

The vast majority of routine tests are auto-released. Only those that are sensitive or regulated by state regulations not autoreleased.

Per @epatientdave "This is what everything should be in health care"

The mobile platform allows more accessible access to care. People are shifting away from using their desktop/laptops and switching to mobile.

Expect to see geo-location and other mobile specific services to be incorporated as the mobile platform is developed.

The truth is that the KP web site has always been accessible from a smartphone with a good browser (think iOS, Android or Palm). The latest development is to optimize the experience on mobile devices. This is obviously the first step to enhancing for mobile.

The plethora of standards for video are barriers to implementation. Then add in security to the mix. KP is already testing solutions. Facetime (form Apple) has already been identified as HIPAA compliant. Since Apple built Facetime using industry standard protocols we really need to see other developers producing cross platform versions of Facetime "clones". It would be great to have a Facetime on Windows and Linux devices.

KP is producing a family of mobile apps. The mobile optimized web site will launch the KP Locator app to help members find a local KP facility. Expect to see more apps join this family.

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Curing US HealthCare… Coding reform and payment reform go hand in hand

Sun, 29 Jan 2012 09:54:43 -0800

This week I took part in the Care Innovations Summit in Washington DC. On Wednesday I was at the Kaiser Permanente Center For Total Health for a pre-Summit networking day. It was great to work with Danielle Cass and Ted Eytan from Kaiser to facilitate a day long event that I heard people describe as "The Best Networking Day. Ever"

The day was a mix of networking exercises, fireside chats with people that are shaping the future of health care and panel discussions that really made people think. If you get chance to spend time with Jack Cochran, MD, Executive Director, The Permanente Federation, Kaiser Permanente grab the opportunity. He has a life history that would make a great movie and his views on the future of health care and how to improve health are worth listening to and he takes his energy and relentlessly applies it to achieving that aim of better care.

Joe Smith, MD, PhD, Chief Medical and Science Officer, The West Wireless Health Institute is equally vocal about improving our health care system. While Joe didn't get on stage at the Summit itself, he was one various panel discussions at the pre-summit. You really need to listen to his ideas. West Wireless Health Institute is doing great things to promote new approaches to health care. Joe is one of the people shaping the future.

The themes that kept surfacing at the pre-networking event where two fold: Coding Reform and Payment reform. The two need to go hand in hand. As the industry is about to go through a transition that multiplies the number of CPT codes in use complexity is going to try to drive another nail in the coffin of transparency. We can't let this complexity win. If we are not careful we will become so focused on diagnosing exactly what is wrong with a patient that we will forget that it would have been better to have avoided the patient having to come in for a diagnosis in the first place.

If CPT Coding stays focused on minutely identifying an action or condition it risks missing the big picture and enabling preventative actions by physicians. Yet prevention is the big win in healthcare. It is something that has been lost in the Pay for Volume model that is the lot of the vast majority of US Health Care - with certain notable exceptions - like Kaiser Permanente.

When I look back at this week I wish Daniel Palistrant (of Sermo and Par8o) had been at the pre-networking event. His would have been an interesting voice to add to the discussion. He has a provocative article on his blog this week that complimented the CPT and Payment reform discussion. Check out his latest blog post:

"I Know Cancer When I See It"

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Here is the full Tweet Reach report for #CISummit - Provided by HealthCamp as a service to Health Innovators everywhere

Fri, 27 Jan 2012 06:23:41 -0800

I was asked by someone at CMS if I could get a copy of the Tweets from the Care Innovations Summit (#CISummit). So here as a service to the Innovation Community is a copy of the report from TweetReach - both the old style report and the jazzy new version.

Old Style Report:

TweetReach_cisummit_or_hcidc_org-OldStyle.pdf Download this file

New Style Report:

TweetReach_cisummit_or_hcidc_org-NewStyle.pdf Download this file

If you want to show some love for this service you can always head over to HealthCa.mp and make a small token donation.

It was a great event and I am looking forward to a repeat next year. We should all thank West Wireless Health Institute and the Centers for Medicare & Medicaid Services for putting together a great event. Thanks should also go to Kaiser Permanente for working with West Wireless to host the pre-event networking day at the Kaiser Permanente Center For Total Health. The feedback we have had from that high energy event has been fantastic. I heard understated comments like: "Best Networking Event. Ever!" The only downside of the networking day was the complaint from people that they had heard great reports about the event but didn't hear about before hand so that they could take part.

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#CISummit Don Casey wraps up the summit

Thu, 26 Jan 2012 14:53:40 -0800

Don Casey:

CMS gets very little positive feedback. They took a risk and engaged with a passionate audience.
Let's thank CMS for all their efforts.

1200 people at the event.

2400 people listened to web cast for extended periods.

Invest in putting the patient at the center - this is the path to better outcomes at lower cost.

Can we engineer a jailbreak for HealthCare. The question is how quickly.

Talk is cheap - what are you doing?

We need to take action quickly.

Westhealth Policy Center working on a fellowship program to create research with actionable outcomes.

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#CISummit - Key points and quotes - Part 2 adds memorable quotes from the afternoon session

Thu, 26 Jan 2012 14:47:38 -0800

Don Casey: Don Casey says healthcare costs are 17.9% of the GDP and may reach north of 30% if left unchecked. This could cripple the economy.

Dr. Atul Gawande: Health Care (cost) is destroying the American Dream

We forget the bell curve of impact and cost. The two curves do not match. This gives us hope. We want the positive deviants.

HealthCare today is like driving a car with a speedo that tells what speed we were traveling 4 years ago. Data is the key!

Rick Gilfillan: "No one went to school to provide fragmented, expensive care"

@Todd_Park: Data is rocket fuel for innovation

@Todd_Park: There is no problem America can't innovate its way out of - apply the innovation mojo!

Dr. Brian Prestwich - The EMR of today is completely inadequate for the family doctor. They need to be connected. They need knowledge from the patient. They need population information for comparison. (Lots of applause)

Dr. Brian Prestwich: Make it simple to reduce the cognitive workload

David Kirchhoff - Obesity is a lifestyle issue. Difficult and messy.

Lonny Reisman: Technology is essential but not sufficient

Farzad Mostashari: Data as oxygen for innovators.

Aneesh: Has ONC just put forward the idea of OpenTable for Health Care?

After lunch:

Ken Coburn: No part of health system can stand apart. We need collaborative models.

Debbie James: Short term risk is short term thinking about costs

Will Shrank - Medication Non-Adherence - Americas other drug problem

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#CISummit - Wrap up in the Innovation Hot Tub

Thu, 26 Jan 2012 14:47:26 -0800

5:15-
5:45pm

Fireside chat with Susan Dentzer

Editor-in-Chief, Health Affairs

Jonathan Blum

Deputy Administrator and Director for the Center of Medicare at the Centers for Medicare and Medicaid Services (CMS)

Cindy Mann

Deputy Administrator Director Centers for Medicare & Medicaid Services

Rick Gilfillan, MD

Director, Center for Medicare & Medicaid Innovation ("CMS Innovation Center")

Susan Dentzer suggests that a hot tub is a more appropriate metaphor since there is no fireplace.

Innovation is doing! Like cooking.

Payment is an important part of the innovation soup.

Secret sauce is Culture Change

Scaling for Culture is hard to do.

Technology and Data is key.

Data is an enabler and the rocket fuel of innovation.

Evidence is key.

We need to Share.

How do we move forward:

Jonathan Blum: What does it take to be a high performing doctor or technician.

Best practice audits to review top performing plans and learn what the secret sauce is. Then communicate this information to others to apply.

[ED:]Scaling Positive Change is the same challenge as patient medication adherence. We can package it like a pill but medication is not the only part to a cure. People have to want to get better. If providers don't buy in to new processes they will not perform at the same level as the top performers.

Rick Gilfillan: We (the Feds) don't have to build a new delivery system. The care services in their local communities will build what works.

[ED: The challenge is to provide the payment systems that enable innovative methods of care to be implemented.

Looking in the upcoming CMS Challenge for ideas that engage people/patients in these new models.

Cindy Mann: our doors are open . Come forward with ideas.

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#CISummit - Cancer Care.

Thu, 26 Jan 2012 14:12:26 -0800

4:00-
5:15pm

Panel 3

Cancer: Journey Toward Better Health, Better Care and Lower Costs Case Study

Moderator: Simmi P. Singh

Senior Advisor, Health Innovation, Office of the Secretary, Department of Health and Human Services

Amy Abernethy, MD

Associate Professor, Division of Medical Oncology, Duke University School of Medicine and Medical Director of Oncology Quality, Outcomes and Patient-Centered Care in Duke University Health System

Amy Berman, RN

Program Officer, John A. Hartford Foundation

Jeffrey Elton, PhD

Co-Founder and Board Member, Kew Group, Inc.

Bruce Johnson, MD

Head of Thoracic Oncology, Dana Farber Cancer Institute

Chris Olivia, MD

Board Member, Eviti, Inc.

Simmi Singh

Cancer is 4th leading cause of death.

Cancer = uncontroled cell reproduction.

Bruce Johnson - Dana Faber Cancer Institute

- How the Human Genome project has influenced cancer treatment.

- The past decade - what have we learned

The human genome was sequenced at the cost of $1B.

We can now sequence an individuals genome for $1,000.

Lung cancer is the most common form of cancer death. (156,940 in 2011 in USA)

85% of patients die.

Using the lessons from genome research is allowing pills targeting specific sub sets of cancer. This replaces chemo therapy or infusion with a simple pill that works for longer.

Jeffrey elton - Kew Group

Personalized Oncology Management in the community.

Quality based reimbursement+ Molecular diagnostics + Clinical Research

This is precision medicine.

Chris Olivia - Eviti

50% of cancer diagnostics are wrong.

32-40% of treatments deviate from guidelines.

45% of patients don't take medications as prescribed.

Cancer has seen an explosion in data requirements to support cancer decision making.

Eviti can reduce approvals for treatment from days or weeks to 15m

Amy Abernathy - Duke University

Rapid Learning HealthCare - IOM in 2007 (but nothing happened.....)

Patient reported outcomes have been discarded as unreliable - how do we improve that so they can be relied upon.

Community oncologists are at the forefront of using patient reported outcomes.

Sequentially Link data connect disparate datasets.

Data needs to be re-purposable.

Amy Berman - Hartford Foundation

Talking about her story about the diagnosis of her inflammatory breast cancer.

The message is that we have to consider the patient and their quality of life.

Amy has chosen to not do the high cost, high impact procedures and instead preserve quality of life.

The patient needs to be able to make informed choices and the medical community needs to place value of the patients set of values.

The Discussion

20% of research pipeline in pharma and elsewhere is going in to oncology.

We spend $150-$200B on Cancer Treatment.

The increased specialization of cancer treatment raises issues in running clinical trials and treatment.

Chris Olivia gives a hats off to the work of CMS to unleash data and drive innovation to effect change.

BJ - we may need to come up with different method of practicing as we unravel the secrets of cancer in the genome. Let's hope our payment systems of the future don't prevent this adaptation.

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#CISummit Ignite Talks - Part 3

Thu, 26 Jan 2012 13:09:14 -0800

3:45-
4:00pm

Ignite Talks: Rapid Fire Innovation Pitches

Facilitated by Joe McCannon

Senior Advisor to the Administrator, Centers for Medicare and Medicaid Services (CMS)

Will Shrank, MD

Director, Rapid Cycle Evaluation Group, Centers for Medicare & Medicaid Services (CMS)

David Eddy MD, PhD

Co-Founder, Archimedes

Joe McCannon - Asked the question:

- Who would you most like to meet?

- What innovation has captured your imagination?

I know I want to learn more about the Allscripts challenge.

Will Shrank - Rapid Cycle Evaluation Group - CMS

Medication Non-Adherence - Americas other drug problem

$0.5T problem due to medication non-adherence.

No magic bullet. But....

Better education and communication

Pharmacists are potent communicators

Benefit design to remove payment barrier.

Simple reminders

Better labeling and packaging

HIT is the backbone of any adherence initiative. Social Networks are powerful tools.

Engage family and friends.

Tom Lee - One Medical Group

Entrepreneur behind epocraties

Redesigned primary care service at lower cost. Same day appointments. More time with patients.

Not a concierge model.

Ideas are cheap. It is putting them in to practice that takes effort.

There is waste in the system. First concentrate on internal waste. Started looking at support staff. Typical practice has 4.5 FTE's per MD.

But that depends on handling many, many patients.

Dropped it to 1.5 FTE per MD

Classic People - Process - Technology challenge.

Instituted email. - what a concept!

Simple systems. Email, web forms, simple EHR

Don't specialize

What was learned:

- The bar is low.

- Expectations are rising.

Creativity is thinking new things - Innovation is doing new things.

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ekivemark: pre-blogspot

#HIMSS12 Innovation Summit w/@reginaHolliday WillYu and others.

#smwhealth @gigi_peterkin group covered realistic regulatory requirements

#smwhealth @shwen w/what content should be responsible for

#smwhealth #smw12 Our ideas for the FDA regulation of social media

#smwhealth what responsibility to correct misinformation on third party sites

#SMWHealth - Technology and Beauty @didigluck @abmarkman @susanyara

Curing chronic conditions via the enforcer #smwhealth Behaviors governed by emotion

Off to #smwhealth part of social media week NYC

A smaller iPad?

Social Media explained with donuts

Python/Django unittesting and formsets

Great EMR Infographic - Top 20 EMRs - Thanks Capterra

The future of Health is Mobile+ Kaiser Permanente now has a mobile optimized web site for 9M members.

Curing US HealthCare… Coding reform and payment reform go hand in hand

"I Know Cancer When I See It"

Here is the full Tweet Reach report for #CISummit - Provided by HealthCamp as a service to Health Innovators everywhere

#CISummit Don Casey wraps up the summit

#CISummit - Key points and quotes - Part 2 adds memorable quotes from the afternoon session

#CISummit - Wrap up in the Innovation Hot Tub

5:15-5:45pm

Fireside chat with Susan Dentzer

Jonathan Blum

Cindy Mann

Rick Gilfillan, MD

#CISummit - Cancer Care.

4:00-5:15pm

Panel 3

Cancer: Journey Toward Better Health, Better Care and Lower Costs Case Study

Moderator: Simmi P. Singh

Amy Abernethy, MD

Amy Berman, RN

Jeffrey Elton, PhD

Bruce Johnson, MD

Chris Olivia, MD

#CISummit Ignite Talks - Part 3

3:45-4:00pm

Ignite Talks: Rapid Fire Innovation Pitches

Facilitated by Joe McCannon

Will Shrank, MD

David Eddy MD, PhD

5:15-
5:45pm

4:00-
5:15pm

3:45-
4:00pm