The document provides an overview of a keynote presentation about architecting medical devices for outcomes-focused healthcare in a Big Data world. It discusses how healthcare is shifting from treating infectious diseases to managing chronic conditions, and how this change and the rise of Big Data are impacting medical device design. Specifically, it outlines how devices need to integrate data to provide diagnostic and predictive analytics, involve care teams, and enable automated diagnostics to support value-based payments.
HxRefactored: Stop dreaming about fluid data interoperability and start focus...Shahid Shah
This was presented at Health 2.0's HxRefactored 2014 Conference in Brooklyn.
Background:
* Many enterprise apps are being built these days, but most are designed to work as a stand alone system similar to consumer apps
* Healthcare-specific software engineering and integration tools are going to do more harm than good (industry-neutral is better).
Key Takeaways:
* Any enterprise app which acts like a consumer app that doesn’t integrate well into hospital or ambulatory systems and workflows is doomed
* There’s nothing unique about health IT data that justifies complex, expensive, or special technology.
* There’s a lot unique about healthcare workflows that require common technologies to be adapted properly.
Reasons Why Health Data is Poorly Integrated Today and What We Can Do About ItShahid Shah
Presented at the 3rd Annual Open Source EHR Summit - Key takeaways:
* Any enterprise app which acts like a consumer app that doesn’t integrate well into hospital or ambulatory systems and workflows is doomed
* There’s nothing unique about health IT data that justifies complex, expensive, or special technology.
* There’s a lot unique about healthcare workflows that require common technologies to be adapted properly.
Building safety-critical medical device platforms and Meaningful Use EHR gate...Shahid Shah
This is an in depth technical presentation delivered at OSCon 2012 on how to define, design, and build modern safety-critical medical device platforms and Meaningful Use compliant EHR gateways. The talk starts with a quick background on comparative effective research (CER) and patient-centered outcomes research (PCOR) and the kinds of data the government is looking to leverage in the future to help reduce healthcare costs and improve health outcomes. After defining why data is important, the workshop will cover the different techniques for collecting medical data – such as directly from a patient, through healthcare professionals, through labs, and finally through medical devices; the presentation will cover which kinds of data are easy to collect and what are more difficult and how technical challenges to collection can be overcome.
After covering the data collection area the workshop will dive deep into a modern medical device platform architecture which the speaker calls “The Ultimate Medical Device Connectivity Architecture” – providing an in-depth overview and answering questions around architecture, specifications, and design or modern (connected) medical devices.
Presentations of open source software and other inexpensive design techniques for implementing connected architectures will be covered. Finally, the talk will cover details about medical device gateways, what new Meaningful Use rules might require when connecting EHRs to gateways, and how to design and architect gateways that can stand the test of time and be interoperable over the long haul.
How to Use Open Source Technologies in Safety-critical Digital Health Applica...Shahid Shah
Presented at 3rd Annual Open Source EHR Summit - Key Takeaways:
* Outcomes driven care (vs. fees for service or volume driven care) is in our future
* Because outcomes now matter more than ever, open source digital health solutions are even more important
* There are new realities of patient populations driving open source even faster
* How to use open source reliably and and securely in a safety-critical environment like medical devices
The biggest opportunities in digital health for Turkey's Medical Sector Shahid Shah
This was presented at the Digital Health Summit Turkey 2014 in Istanbul. It is an American healthcare expert's viewpoint on what should matter to Turkey based on lessons from the USA. Designed for a mixed audience of providers, pharma, and bio entrepreneurs and executives.
Med Device Vendors Have Big Opportunities in Health IT Software, Services, an...Shahid Shah
If you’re in the medical device manufacturing or hardware sales business your revenue growth (CAGR) is under pressure like never before. You’re being asked to do more with less but you’re probably going to find that hard to accomplish because of one or more of the following challenges:
* Longer product development timelines caused by more FDA and other government regulations
* Increased demand by customers to have your devices deliver user experiences that are more like “consumer” devices such as cell phones and tablets
* Lower margins as a reaction to commodity competition (your sensor hardware business will be commoditized faster and faster over time)
* More complex and longer sales cycles because devices are now being approved for sale not by facilities and clinical executives alone but increasingly by CIOs and IT teams
* Increased cost of risk management and compliance caused by connectivity requirements
Any one of these challenges is difficult to meet but these days you’re probably being asked to meet more than one simultaneously. The solutions are not simple but the good news is that medical device manufacturers have many revenue generation opportunities today that can fund the new strategic imperatives you’ll need to put into place to meet the challenges listed above.
This briefing, presented by Netspective CEO Shahid Shah, describes some of the opportunities and how device vendors can take advantage of them.
OSEHRA Summit 2012 Lunch Keynote: Current health IT systems integrate poorly ...Shahid Shah
OSEHRA Summit 2012 Lunch Keynote - The Myth of Health Data Integration Complexity. This is an opinionated look at why current health IT systems integrate poorly and how it’s a big opportunity for the OSEHRA Community.
Background:
* A deluge of healthcare data is being created as we digitize biology, chemistry, and physics.
* Data changes the questions we ask and it can actually democratize and improve the science of medicine, if we let it.
* While cures are the only real miracles of medicine, big data can help solve intractable problems and lead to more cures.
* Healthcare-focused software engineering is going to do more harm than good (industry-neutral is better).
Key takeaways:
* Major opportunity for systems integrators
* Applications come and go, data lives forever. He who owns, integrates, and uses data wins in the end.
* Never leave your data in the hands of an application/system vendor.
* There’s nothing special about health IT data that justifies complex, expensive, or special technology.
* Spend freely on multiple systems and integration-friendly solutions.
HxRefactored: Stop dreaming about fluid data interoperability and start focus...Shahid Shah
This was presented at Health 2.0's HxRefactored 2014 Conference in Brooklyn.
Background:
* Many enterprise apps are being built these days, but most are designed to work as a stand alone system similar to consumer apps
* Healthcare-specific software engineering and integration tools are going to do more harm than good (industry-neutral is better).
Key Takeaways:
* Any enterprise app which acts like a consumer app that doesn’t integrate well into hospital or ambulatory systems and workflows is doomed
* There’s nothing unique about health IT data that justifies complex, expensive, or special technology.
* There’s a lot unique about healthcare workflows that require common technologies to be adapted properly.
Reasons Why Health Data is Poorly Integrated Today and What We Can Do About ItShahid Shah
Presented at the 3rd Annual Open Source EHR Summit - Key takeaways:
* Any enterprise app which acts like a consumer app that doesn’t integrate well into hospital or ambulatory systems and workflows is doomed
* There’s nothing unique about health IT data that justifies complex, expensive, or special technology.
* There’s a lot unique about healthcare workflows that require common technologies to be adapted properly.
Building safety-critical medical device platforms and Meaningful Use EHR gate...Shahid Shah
This is an in depth technical presentation delivered at OSCon 2012 on how to define, design, and build modern safety-critical medical device platforms and Meaningful Use compliant EHR gateways. The talk starts with a quick background on comparative effective research (CER) and patient-centered outcomes research (PCOR) and the kinds of data the government is looking to leverage in the future to help reduce healthcare costs and improve health outcomes. After defining why data is important, the workshop will cover the different techniques for collecting medical data – such as directly from a patient, through healthcare professionals, through labs, and finally through medical devices; the presentation will cover which kinds of data are easy to collect and what are more difficult and how technical challenges to collection can be overcome.
After covering the data collection area the workshop will dive deep into a modern medical device platform architecture which the speaker calls “The Ultimate Medical Device Connectivity Architecture” – providing an in-depth overview and answering questions around architecture, specifications, and design or modern (connected) medical devices.
Presentations of open source software and other inexpensive design techniques for implementing connected architectures will be covered. Finally, the talk will cover details about medical device gateways, what new Meaningful Use rules might require when connecting EHRs to gateways, and how to design and architect gateways that can stand the test of time and be interoperable over the long haul.
How to Use Open Source Technologies in Safety-critical Digital Health Applica...Shahid Shah
Presented at 3rd Annual Open Source EHR Summit - Key Takeaways:
* Outcomes driven care (vs. fees for service or volume driven care) is in our future
* Because outcomes now matter more than ever, open source digital health solutions are even more important
* There are new realities of patient populations driving open source even faster
* How to use open source reliably and and securely in a safety-critical environment like medical devices
The biggest opportunities in digital health for Turkey's Medical Sector Shahid Shah
This was presented at the Digital Health Summit Turkey 2014 in Istanbul. It is an American healthcare expert's viewpoint on what should matter to Turkey based on lessons from the USA. Designed for a mixed audience of providers, pharma, and bio entrepreneurs and executives.
Med Device Vendors Have Big Opportunities in Health IT Software, Services, an...Shahid Shah
If you’re in the medical device manufacturing or hardware sales business your revenue growth (CAGR) is under pressure like never before. You’re being asked to do more with less but you’re probably going to find that hard to accomplish because of one or more of the following challenges:
* Longer product development timelines caused by more FDA and other government regulations
* Increased demand by customers to have your devices deliver user experiences that are more like “consumer” devices such as cell phones and tablets
* Lower margins as a reaction to commodity competition (your sensor hardware business will be commoditized faster and faster over time)
* More complex and longer sales cycles because devices are now being approved for sale not by facilities and clinical executives alone but increasingly by CIOs and IT teams
* Increased cost of risk management and compliance caused by connectivity requirements
Any one of these challenges is difficult to meet but these days you’re probably being asked to meet more than one simultaneously. The solutions are not simple but the good news is that medical device manufacturers have many revenue generation opportunities today that can fund the new strategic imperatives you’ll need to put into place to meet the challenges listed above.
This briefing, presented by Netspective CEO Shahid Shah, describes some of the opportunities and how device vendors can take advantage of them.
OSEHRA Summit 2012 Lunch Keynote: Current health IT systems integrate poorly ...Shahid Shah
OSEHRA Summit 2012 Lunch Keynote - The Myth of Health Data Integration Complexity. This is an opinionated look at why current health IT systems integrate poorly and how it’s a big opportunity for the OSEHRA Community.
Background:
* A deluge of healthcare data is being created as we digitize biology, chemistry, and physics.
* Data changes the questions we ask and it can actually democratize and improve the science of medicine, if we let it.
* While cures are the only real miracles of medicine, big data can help solve intractable problems and lead to more cures.
* Healthcare-focused software engineering is going to do more harm than good (industry-neutral is better).
Key takeaways:
* Major opportunity for systems integrators
* Applications come and go, data lives forever. He who owns, integrates, and uses data wins in the end.
* Never leave your data in the hands of an application/system vendor.
* There’s nothing special about health IT data that justifies complex, expensive, or special technology.
* Spend freely on multiple systems and integration-friendly solutions.
CHC Briefing: OSEHRA is a great business opportunity for healthcare IT ISVs a...Shahid Shah
An opinionated look at why current health IT systems integrate poorly and how it’s a big opportunity for the OSEHRA Community
Topics Covered:
* An overview of VA, VHA, VistA, and OSEHRA
* The macro healthcare environment and why OSEHRA is am important participant
* What’s needed by the industry that OSEHRA can provide
Key takeaways:
* OSEHRA is major business opportunity for ISVs and systems integrators
* There’s nothing special about health IT data that justifies complex, expensive, or special technology
The shift from Fee for Service to Outcomes-Driven care means huge opportuniti...Shahid Shah
I presented this opinionated look at why the Medicare Shared Savings plans, ACOs and other outcomes-driven payment models are being promoted over fee for service (FFS) models and what that means for service providers and integrators. Evidence driven healthcare is required to help reduce costs and data drives evidence – the problem is that institutions are having trouble pulling together all the data they need. Current health IT systems integrate poorly and anyone that can improve that data integration to help with pricing transparency, cost transparency, care coordination, and population health management will have work for years.
Open Source is a great opportunity for EHR, Digital Health, and Health IT Int...Shahid Shah
Presented at the OSEHRA Summit 2014, this talk focused on:
* OSEHRA is major business opportunity for ISVs and systems integrators
* Open source software and associated business models can satisfy most needs.
* There’s nothing special about health IT data that justifies complex, expensive, or special technology.
How to emrace risk-based Security management in a compliance-driven cultureShahid Shah
This lecture was presented at the IEEE ITPC at the Trenton Computer Festival on March 16.
Security and Regulatory Compliance aren’t the same thing – but they’re often confused. When you’re working in a government, healthcare, or financial environment there’s a tendency to think that if you’re FISMA-compliant or HIPAA-compliant or any other X-compliant that you must have good security.
However, sophisticated risk management and real security don’t have much to do with compliance and you can actually great security and be non-compliant with regulatory requirements as well be fully compliant but not secure. This talk, led by Security guru Shahid Shah, will talk about how make sure risk-based security management is properly incorporate into compliance-driven cultures.
How to Use Open Source Technologies in Safety-critical Medical Device PlatformsShahid Shah
There is a great deal of fear and angst in the medical device vendor community about the use open source in safety-critical products. This presentation provides advice on why the fear is misplaced and how to proceed with using open source in safety-critical medical devices.
How medical devices help fill EHRs with clinically useful data for comparative effectiveness research and data interoperability. This talk was given at the IEEE Baltimore Section EMB Society
Reasons why health data is poorly integrated today and what we can do about itShahid Shah
Presented at StrataRX 2012: http://strataconf.com/rx2012/public/schedule/detail/25953
While the entire healthcare community, for decades, has been clamoring for, cajoling, and demanding integration of its IT systems, we’re actually in a pretty elementary stage when it comes to useful, practical, health IT systems integration beyond on-premise and in-building hospital software. Our problem in the industry is not that engineers don’t know how to create the right technology solutions or that somehow we have a big governance problem; while those are certainly issues in certain settings, the real cross-industry issue is much bigger – our approach to integration is decades old, opaque, and rewards closed systems.
For decades, starting in the 50’s through the mid 90’s before the web / Internet came along, systems integration meant that every system had to know about each other in advance, decide on what data they would share, engage in governance meetings, have memoranda of understanding or contracts in place, etc. After the web came along, most of that was thrown out the window because the approach changed to one that said the owner of the data provides whatever they decide (e.g. through a web server) and whoever wants it will be provided secure access and they can come get it (e.g. through a browser or HTTP client). This kind of revolutionary approach in systems integration is what the health IT and medical device sectors are sorely lacking and something that ONC can help promote.
Specifically, the following things are holding us back when it comes to poor integration in healthcare and what future EHRs can do about it:
• We don’t support shared identities, single sign on (SSO), and industry-neutral authentication and authorization. Most health IT systems create their own custom logins and identities for its users including roles, permissions, access controls, etc. stored in an opaque part of their own proprietary database. ONC should mandate that all future EHRs use industry-neutral and well supported identity management technologies so that each system has a least the ability to share identities. Without identity sharing and exchange there can be no easy and secure application integration capabilities no matter how good the formats are. I’m continually surprised how little attention is paid to this cornerstone of application integration. There are very nice open identity exchange protocols, such as SAML, OpenID, and oAuth as well as open roles and permissions management protocols such as XACML that make identity and permission sharing possible. Free open source tools such as OpenAM, Apache Directory, OpenLDAP, Shibboleth, and many commercial vendors have drop-in tools to make it almost trivial to do identity sharing, SSO, and RBAC.
Life expectancy is increasing and what used to kill humans 100 years ago is very different than what kills humans today and that patients need to be empowered more to improve their own health. This talk was given at the IEEE Baltimore Section EMB Society
OSEHRA is a Great Business Opportunity for Systems IntegratorsShahid Shah
This is an opinionated look at why current health IT systems integrate poorly and how it’s a big opportunity for the systems integrators to profit from supporting the OSEHRA Community.
Background:
* EHRs are not the center of the healthcare data ecosystem.
* Applications come and go, data lives forever. He who owns, integrates, and uses data wins in the end.
* Never leave data in the hands of the application only.
Key takeaways:
* OSEHRA is major business opportunity for ISVs and systems integrators
* There’s nothing special about health IT data that justifies complex, expensive, or special technology.
Revenue opportunities in the management of healthcare data delugeShahid Shah
Healthcare data is hard to deal with and getting even harder and more expensive. In this presentation, Shahid Shah covers why:
* Healthcare data is going from hard to nearly impossible to manage.
* Applications come and go, data lives forever.
* Data integration is notoriously difficult, even in the best of circumstances, and requires sophisticated tools and attention to detail.
And, then talks about how new techniques are needed to store and manage healthcare data.
The Myth of Health Data Integration ComplexityShahid Shah
At Health:Refactored (San Francisco) I presented a practical and technical look at why current health IT systems integrate poorly and how we can fix it.
Achieve Internet VP of Operations Marc Hermsmeyer and Dexcom Inc., Senior Marketing Manager Tom Hall speak about technology solutions for the Healthcare Industry using Open Source software, such as Drupal.
The Government is forcing technology innovation within the Healthcare industry yet there are very few solutions out there that are tailored for the specific requirements and needs of the Healthcare market. In past experiences with Dexcom and other Healthcare clients Achieve has leveraged the power of Drupal to create powerful solutions that drive patient outcomes, improve workflows, and remain compliant with rigorous regulatory requirements.
This presentation shines a light on the technology needs of the Healthcare market and how Drupal can meet those needs.
Big Data Analytics for Healthcare Decision Support- Operational and ClinicalAdrish Sannyasi
Splunk’s data analytics platform could be utilized to solve many high impact business problems in healthcare delivery systems to reduce cost, improve patient outcome and safety, and enhance care coordination experience. Analyze observed behavior from healthcare event data and metadata to discover patterns, monitor compliance, and optimize the workflow. Furthermore 80% of healthcare data is unstructured (clinical free text and documentation), or semi-structured and many new data sources are such as tele health, mobile health, sensors, and devices are getting integrated in many healthcare systems specifically in the area of chronic disease management. So, one need analytics software that can harvest, interpret, enrich, normalize, and model diverse structured and unstructured data and analytics approaches that embrace the “data turmoil” by relying less on standardized data items and more on the capability to process data in any format.
What’s next for healthcare information technology innovation?Shahid Shah
This is a summary of a talk I gave at the Vanderbilt Healthcare Conference 2012 in Nashville.
It focused on answering a couple of key questions:
* What does innovation in healthcare mean?
* Where are the major areas in healthcare where innovation is required?
And had a few key takeaways:
* Understand health tech buy fallacies
* Understand PBU: Payer vs. Benefiter vs. User
* Understand why healthcare businesses buy stuff so you can build the right thing
Mergers, acquisitions, and partnerships dramatically reducing it consolidati...Health Catalyst
Please join Dale Sanders, President of Health Catalyst Technology, in this webinar as he explains his experiences, observations, and advice about the use of an EDW or DOS to reduce the costs of IT integration in healthcare M&A and rapidly increase the value proposition of the new organization. Dale has a diverse background in complex data environments and decision support, spanning three decades in the US Air Force, National Security Agency, and as a CIO in healthcare.
Creating Interoperable Medical Devices that fit into Hospital Enterprise IT E...Shahid Shah
Creating connected medical devices is challenging but doing so in an interoperable manner that can easily and flexibly fit into modern hospital IT environments is even more difficult. This presentation provides sage advice on how to design connected life-critical medical devices so that they work well within modern hospital environments.
The EMR/EHR and Health IT Landscape for Sales ProfessionalsShahid Shah
This presentation was made to multiple national sale force teams who are selling EHRs and other health IT products.
Topics covered:
* Where do EMRs / EHRs fit and why?
* What are the most important considerations for customers?
* What are their top problems?
* How to approach customers with marketing messages that matter.
* How to cut through sales clutter.
CHC Briefing: OSEHRA is a great business opportunity for healthcare IT ISVs a...Shahid Shah
An opinionated look at why current health IT systems integrate poorly and how it’s a big opportunity for the OSEHRA Community
Topics Covered:
* An overview of VA, VHA, VistA, and OSEHRA
* The macro healthcare environment and why OSEHRA is am important participant
* What’s needed by the industry that OSEHRA can provide
Key takeaways:
* OSEHRA is major business opportunity for ISVs and systems integrators
* There’s nothing special about health IT data that justifies complex, expensive, or special technology
The shift from Fee for Service to Outcomes-Driven care means huge opportuniti...Shahid Shah
I presented this opinionated look at why the Medicare Shared Savings plans, ACOs and other outcomes-driven payment models are being promoted over fee for service (FFS) models and what that means for service providers and integrators. Evidence driven healthcare is required to help reduce costs and data drives evidence – the problem is that institutions are having trouble pulling together all the data they need. Current health IT systems integrate poorly and anyone that can improve that data integration to help with pricing transparency, cost transparency, care coordination, and population health management will have work for years.
Open Source is a great opportunity for EHR, Digital Health, and Health IT Int...Shahid Shah
Presented at the OSEHRA Summit 2014, this talk focused on:
* OSEHRA is major business opportunity for ISVs and systems integrators
* Open source software and associated business models can satisfy most needs.
* There’s nothing special about health IT data that justifies complex, expensive, or special technology.
How to emrace risk-based Security management in a compliance-driven cultureShahid Shah
This lecture was presented at the IEEE ITPC at the Trenton Computer Festival on March 16.
Security and Regulatory Compliance aren’t the same thing – but they’re often confused. When you’re working in a government, healthcare, or financial environment there’s a tendency to think that if you’re FISMA-compliant or HIPAA-compliant or any other X-compliant that you must have good security.
However, sophisticated risk management and real security don’t have much to do with compliance and you can actually great security and be non-compliant with regulatory requirements as well be fully compliant but not secure. This talk, led by Security guru Shahid Shah, will talk about how make sure risk-based security management is properly incorporate into compliance-driven cultures.
How to Use Open Source Technologies in Safety-critical Medical Device PlatformsShahid Shah
There is a great deal of fear and angst in the medical device vendor community about the use open source in safety-critical products. This presentation provides advice on why the fear is misplaced and how to proceed with using open source in safety-critical medical devices.
How medical devices help fill EHRs with clinically useful data for comparative effectiveness research and data interoperability. This talk was given at the IEEE Baltimore Section EMB Society
Reasons why health data is poorly integrated today and what we can do about itShahid Shah
Presented at StrataRX 2012: http://strataconf.com/rx2012/public/schedule/detail/25953
While the entire healthcare community, for decades, has been clamoring for, cajoling, and demanding integration of its IT systems, we’re actually in a pretty elementary stage when it comes to useful, practical, health IT systems integration beyond on-premise and in-building hospital software. Our problem in the industry is not that engineers don’t know how to create the right technology solutions or that somehow we have a big governance problem; while those are certainly issues in certain settings, the real cross-industry issue is much bigger – our approach to integration is decades old, opaque, and rewards closed systems.
For decades, starting in the 50’s through the mid 90’s before the web / Internet came along, systems integration meant that every system had to know about each other in advance, decide on what data they would share, engage in governance meetings, have memoranda of understanding or contracts in place, etc. After the web came along, most of that was thrown out the window because the approach changed to one that said the owner of the data provides whatever they decide (e.g. through a web server) and whoever wants it will be provided secure access and they can come get it (e.g. through a browser or HTTP client). This kind of revolutionary approach in systems integration is what the health IT and medical device sectors are sorely lacking and something that ONC can help promote.
Specifically, the following things are holding us back when it comes to poor integration in healthcare and what future EHRs can do about it:
• We don’t support shared identities, single sign on (SSO), and industry-neutral authentication and authorization. Most health IT systems create their own custom logins and identities for its users including roles, permissions, access controls, etc. stored in an opaque part of their own proprietary database. ONC should mandate that all future EHRs use industry-neutral and well supported identity management technologies so that each system has a least the ability to share identities. Without identity sharing and exchange there can be no easy and secure application integration capabilities no matter how good the formats are. I’m continually surprised how little attention is paid to this cornerstone of application integration. There are very nice open identity exchange protocols, such as SAML, OpenID, and oAuth as well as open roles and permissions management protocols such as XACML that make identity and permission sharing possible. Free open source tools such as OpenAM, Apache Directory, OpenLDAP, Shibboleth, and many commercial vendors have drop-in tools to make it almost trivial to do identity sharing, SSO, and RBAC.
Life expectancy is increasing and what used to kill humans 100 years ago is very different than what kills humans today and that patients need to be empowered more to improve their own health. This talk was given at the IEEE Baltimore Section EMB Society
OSEHRA is a Great Business Opportunity for Systems IntegratorsShahid Shah
This is an opinionated look at why current health IT systems integrate poorly and how it’s a big opportunity for the systems integrators to profit from supporting the OSEHRA Community.
Background:
* EHRs are not the center of the healthcare data ecosystem.
* Applications come and go, data lives forever. He who owns, integrates, and uses data wins in the end.
* Never leave data in the hands of the application only.
Key takeaways:
* OSEHRA is major business opportunity for ISVs and systems integrators
* There’s nothing special about health IT data that justifies complex, expensive, or special technology.
Revenue opportunities in the management of healthcare data delugeShahid Shah
Healthcare data is hard to deal with and getting even harder and more expensive. In this presentation, Shahid Shah covers why:
* Healthcare data is going from hard to nearly impossible to manage.
* Applications come and go, data lives forever.
* Data integration is notoriously difficult, even in the best of circumstances, and requires sophisticated tools and attention to detail.
And, then talks about how new techniques are needed to store and manage healthcare data.
The Myth of Health Data Integration ComplexityShahid Shah
At Health:Refactored (San Francisco) I presented a practical and technical look at why current health IT systems integrate poorly and how we can fix it.
Achieve Internet VP of Operations Marc Hermsmeyer and Dexcom Inc., Senior Marketing Manager Tom Hall speak about technology solutions for the Healthcare Industry using Open Source software, such as Drupal.
The Government is forcing technology innovation within the Healthcare industry yet there are very few solutions out there that are tailored for the specific requirements and needs of the Healthcare market. In past experiences with Dexcom and other Healthcare clients Achieve has leveraged the power of Drupal to create powerful solutions that drive patient outcomes, improve workflows, and remain compliant with rigorous regulatory requirements.
This presentation shines a light on the technology needs of the Healthcare market and how Drupal can meet those needs.
Big Data Analytics for Healthcare Decision Support- Operational and ClinicalAdrish Sannyasi
Splunk’s data analytics platform could be utilized to solve many high impact business problems in healthcare delivery systems to reduce cost, improve patient outcome and safety, and enhance care coordination experience. Analyze observed behavior from healthcare event data and metadata to discover patterns, monitor compliance, and optimize the workflow. Furthermore 80% of healthcare data is unstructured (clinical free text and documentation), or semi-structured and many new data sources are such as tele health, mobile health, sensors, and devices are getting integrated in many healthcare systems specifically in the area of chronic disease management. So, one need analytics software that can harvest, interpret, enrich, normalize, and model diverse structured and unstructured data and analytics approaches that embrace the “data turmoil” by relying less on standardized data items and more on the capability to process data in any format.
What’s next for healthcare information technology innovation?Shahid Shah
This is a summary of a talk I gave at the Vanderbilt Healthcare Conference 2012 in Nashville.
It focused on answering a couple of key questions:
* What does innovation in healthcare mean?
* Where are the major areas in healthcare where innovation is required?
And had a few key takeaways:
* Understand health tech buy fallacies
* Understand PBU: Payer vs. Benefiter vs. User
* Understand why healthcare businesses buy stuff so you can build the right thing
Mergers, acquisitions, and partnerships dramatically reducing it consolidati...Health Catalyst
Please join Dale Sanders, President of Health Catalyst Technology, in this webinar as he explains his experiences, observations, and advice about the use of an EDW or DOS to reduce the costs of IT integration in healthcare M&A and rapidly increase the value proposition of the new organization. Dale has a diverse background in complex data environments and decision support, spanning three decades in the US Air Force, National Security Agency, and as a CIO in healthcare.
Creating Interoperable Medical Devices that fit into Hospital Enterprise IT E...Shahid Shah
Creating connected medical devices is challenging but doing so in an interoperable manner that can easily and flexibly fit into modern hospital IT environments is even more difficult. This presentation provides sage advice on how to design connected life-critical medical devices so that they work well within modern hospital environments.
The EMR/EHR and Health IT Landscape for Sales ProfessionalsShahid Shah
This presentation was made to multiple national sale force teams who are selling EHRs and other health IT products.
Topics covered:
* Where do EMRs / EHRs fit and why?
* What are the most important considerations for customers?
* What are their top problems?
* How to approach customers with marketing messages that matter.
* How to cut through sales clutter.
Healthcare Innovation Technology Group MeetingDavid Voran
Presentation to a Kansas City Healthcare Innovation Technology Group Meeting on June 28, 2011.
Describes Innovation processes, needs, some examples and advice for those creating innovative technology products to be used in Healthcare.
The third webcast in this series focuses on ways to meet your health system’s specific needs and achieve a 360-degree view of your patients, processes, physicians, and costs without purchasing multiple, disparate solutions, and creating information silos.
Our speakers discuss their collective experience in working with organizations to create tailored platforms that provide convenient access to data collected by, and stored in, disparate clinical information systems and enabling that data to be securely used by users throughout the broader healthcare community. Actionable data – available to all users when they need it – serves as a foundation for analysis and decision-making aimed at improving how care is delivered.
You can find it online at http://www.informationbuilders.com/webevents/online/24637#sthash.RnwoH27x.dpuf
How COVID-19 is Accelerating Digital Transformation in Health and Social Care?NUS-ISS
Without a doubt, COVID-19 has become the unexpected driver for digital transformation. It is accelerating the transformation, especially in the health and social care space, as we are forced to adapt to the new norm brought about by the crisis. Join us as we discuss the trends and what might be the new health and social care landscape in Singapore after 2020.
Big data in the real world opportunities and challenges facing healthcare -...Leo Barella
The Healthcare system will be target of major disruption more than any other industry in the next 10 years.
The Digital economics and increasing demand by consumers for more real time information in order to make better decisions on who they want to "hire" to perform services for them or in their behalf will be the driver of this disruption. Analytics, Big Data and Machine Learning will lay the foundation for the next generation of healthcare yet there are still many challenges to truly revolutionize the healthcare system end to end (Providers, Pharma, Payers)
In this digital era, the healthcare sector is going through a remarkable revolution enabled by sophisticated technologies. Amongst these advancements, web development has been particularly instrumental in enhancing the industry's capabilities.
2016 IBM Interconnect - medical devices transformationElizabeth Koumpan
Emerging technologies such as Internet of Things, 3D Printing are driving the creation of new business models and forcing the Industry for transformation. The product centric model where the Industry main objective was to develop the device, is moving to software and services model, with the focus on Big Data & Analytics, Integration and Cloud.
The maturation of technologies such as social, mobile, analytics, cloud, 3D printing, bio- and nanotechnology are rapidly shifting the competitive landscape. These emerging technologies create an environment that is connected and open, simple and intelligent, fast and scalable. Organizations must embrace disruptive technologies to drive innovation
Top 10 Mobile Healthcare App Development Trends 2022.pdfGroovy Web
With the support of technology and advancement, the healthcare industry is also growing rapidly just like other industries. The arrival of appearing app trends
GCC-HIMSS Webinar "What’s next for healthcare information technology innovati...Shahid Shah
My Greater Chicago Chapter of HIMSS webinar on “What’s Next for Healthcare Information Technology Innovation?” The screencast with audio is available here: https://www4.gotomeeting.com/register
The Barriers to Military Healthcare Technology Innovation and What We Can Do ...Shahid Shah
This briefing was presented at the Military Electronic Healthcare Records Symposium in Washington DC. It answers the following questions:
* Is disruptive innovation in military healthcare technology possible?
* What does innovation in military healthcare mean?
* Where are the major areas in military healthcare where innovation is required?
In this presentation, I tried to succinctly discuss the future technology trends and explain how they can impact the healthcare industry. Also Business Transformation, as a key to tackle, has been discussed.
Improving Life With Connected Medical DevicesAryanRaj496746
IoT and 5G has bring a technological reform in every field. Healthcare sector is one such field which got most benefitted with these technologies. In this document, we have discussed about benefits of IoT in medical and advantages of connected medical devices. We have also discussed about market prospective and future opportunity of this technology in healthcare taking reference from Delvens' market analysis report of global medical device connectivity market.
Big Data and its Impact on Industry (Example of the Pharmaceutical Industry)Hellmuth Broda
While we bemoan the ever increasing data tsunami new technologies allow to harvest the gold nuggets in the hay stack.
Using the example of the Pharmaceutical Industry some of the possible business uses for Big Data Analitics are outlined.
Similar to Architecting, designing and building medical devices in an outcomes focused Big Data world (20)
Healthcare New Media Marketing Conference KeynoteShahid Shah
Keynote presentation by Shahid Shah and Joel Selzer delivered at the Healthcare New Media Conference in Chicago, June 14th 2010. This deck looks back on the impact social media has made across the patient and provider landscape, examining specific examples over the past year, and offers a vision of what the future may hold.
We walk through how hospitals, patient communities, physician networks, pharmaceutical manufacturers, the federal government and private innovators have managed the opportunities and challenges social media provides.
What do Secure, HIPAA Compliant, Clouds Mean to SOA in Healthcare?Shahid Shah
Technical discussion about service oriented architecture (SOA) and HIPAA compliant clouds. This talk was presented at the Object Management Group's (OMG) SOA in Healthcare working group in the Summer of 2011. It covered the following major topics:
* What does HIPAA mean in the cloud?
* Are cloud providers covered by HIPAA?
* Cloud safeguards that can meet HIPAA requirements
* Healthcare SOA In the cloud
Do’s and Don’ts of Risk-based Security management in a Compliance-driven CultureShahid Shah
Security and Regulatory Compliance aren’t the same thing – but they’re often confused. When you’re working in a government, healthcare, or financial environment there’s a tendency to think that if you’re FISMA-compliant or HIPAA-compliant or any other X-compliant that you must have good security.
However, sophisticated risk management and real security don’t have much to do with compliance and you can actually great security and be non-compliant with regulatory requirements as well be fully compliant but not secure. This talk, led by Security guru Shahid Shah, will talk about how make sure risk-based security management is properly incorporate into compliance-driven cultures.
A recording of this presentation is available at: https://www.brighttalk.com/webcast/288/62133
Differentiating your products and services at the HIMSS 2013 ConferenceShahid Shah
Provide actionable advice on how to make the HIMSS Conference experience more effective and learn how to have your marketing and sales messages rise above all the noise. We covered the following major subjects:
* Describe the expectations of attendees and why they attend
* Provide suggestions for how to clearly differentiate your products and services
* Explain some of the common mistakes exhibitors make
* Plan what to do before, during, and after the conference
If you'd like to hear it with audio, please visit www.influentialnetworks.com/himss-2013-conference-services/
Getting Beyond the Hype of “Disrupting Healthcare” and Focusing on Actionable...Shahid Shah
This was a Keynote Address I gave at Healthcare Unbound 2013 and focused on what’s needed for healthcare technology innovation in a value- and outcomes-driven model.
There’s a ton of hype surrounding disruptive technology innovation in healthcare but nothing is truly making a dent in the healthcare sector the same way as disruptions have occurred in other major segments of our economy. The slow but sure march from Fee For Service Based Care to Outcomes Driven Care has certainly started but it’s neither fast enough nor substantial enough to bend the cost curve or improve value to patients in the short term.
This presentation discusses how we can get beyond the hype by focusing on actionable innovation. Specifically, I answered the following questions:
* What does innovation in healthcare mean?
* Where are the major areas in healthcare where innovation is required?
Important takeaways this session included:
* Understand PBU: Payer vs. Benefiter vs. User
* Understand why healthcare businesses buy stuff so you can build the right thing
The future of empowered patients is in wireless capable medical devices with ...Shahid Shah
This presentation was given at the Tenth Annual Healthcare Unbound Conference in Denver. It covers the following topics:
* Things that kill and harm human beings today are very different than just 100 years ago
* Health policy and payments are shifting to deal with new realities
* Marketplace and industry challenges for device vendors
* Why wireless connectivity is good business
* Why wireless connectivity is a disruptive innovation
Key takeaways include:
* Wireless is a business enabler but there’s a lot to consider.
* Hardware, sensors, and software are transient businesses but data lives forever. * He who owns, integrates, and uses data wins in the end.
* Data from devices is too important and specialized to be left to software vendors, managed service providers, and system integrators.
JMeter webinar - integration with InfluxDB and GrafanaRTTS
Watch this recorded webinar about real-time monitoring of application performance. See how to integrate Apache JMeter, the open-source leader in performance testing, with InfluxDB, the open-source time-series database, and Grafana, the open-source analytics and visualization application.
In this webinar, we will review the benefits of leveraging InfluxDB and Grafana when executing load tests and demonstrate how these tools are used to visualize performance metrics.
Length: 30 minutes
Session Overview
-------------------------------------------
During this webinar, we will cover the following topics while demonstrating the integrations of JMeter, InfluxDB and Grafana:
- What out-of-the-box solutions are available for real-time monitoring JMeter tests?
- What are the benefits of integrating InfluxDB and Grafana into the load testing stack?
- Which features are provided by Grafana?
- Demonstration of InfluxDB and Grafana using a practice web application
To view the webinar recording, go to:
https://www.rttsweb.com/jmeter-integration-webinar
Accelerate your Kubernetes clusters with Varnish CachingThijs Feryn
A presentation about the usage and availability of Varnish on Kubernetes. This talk explores the capabilities of Varnish caching and shows how to use the Varnish Helm chart to deploy it to Kubernetes.
This presentation was delivered at K8SUG Singapore. See https://feryn.eu/presentations/accelerate-your-kubernetes-clusters-with-varnish-caching-k8sug-singapore-28-2024 for more details.
Generating a custom Ruby SDK for your web service or Rails API using Smithyg2nightmarescribd
Have you ever wanted a Ruby client API to communicate with your web service? Smithy is a protocol-agnostic language for defining services and SDKs. Smithy Ruby is an implementation of Smithy that generates a Ruby SDK using a Smithy model. In this talk, we will explore Smithy and Smithy Ruby to learn how to generate custom feature-rich SDKs that can communicate with any web service, such as a Rails JSON API.
LF Energy Webinar: Electrical Grid Modelling and Simulation Through PowSyBl -...DanBrown980551
Do you want to learn how to model and simulate an electrical network from scratch in under an hour?
Then welcome to this PowSyBl workshop, hosted by Rte, the French Transmission System Operator (TSO)!
During the webinar, you will discover the PowSyBl ecosystem as well as handle and study an electrical network through an interactive Python notebook.
PowSyBl is an open source project hosted by LF Energy, which offers a comprehensive set of features for electrical grid modelling and simulation. Among other advanced features, PowSyBl provides:
- A fully editable and extendable library for grid component modelling;
- Visualization tools to display your network;
- Grid simulation tools, such as power flows, security analyses (with or without remedial actions) and sensitivity analyses;
The framework is mostly written in Java, with a Python binding so that Python developers can access PowSyBl functionalities as well.
What you will learn during the webinar:
- For beginners: discover PowSyBl's functionalities through a quick general presentation and the notebook, without needing any expert coding skills;
- For advanced developers: master the skills to efficiently apply PowSyBl functionalities to your real-world scenarios.
The Art of the Pitch: WordPress Relationships and SalesLaura Byrne
Clients don’t know what they don’t know. What web solutions are right for them? How does WordPress come into the picture? How do you make sure you understand scope and timeline? What do you do if sometime changes?
All these questions and more will be explored as we talk about matching clients’ needs with what your agency offers without pulling teeth or pulling your hair out. Practical tips, and strategies for successful relationship building that leads to closing the deal.
DevOps and Testing slides at DASA ConnectKari Kakkonen
My and Rik Marselis slides at 30.5.2024 DASA Connect conference. We discuss about what is testing, then what is agile testing and finally what is Testing in DevOps. Finally we had lovely workshop with the participants trying to find out different ways to think about quality and testing in different parts of the DevOps infinity loop.
State of ICS and IoT Cyber Threat Landscape Report 2024 previewPrayukth K V
The IoT and OT threat landscape report has been prepared by the Threat Research Team at Sectrio using data from Sectrio, cyber threat intelligence farming facilities spread across over 85 cities around the world. In addition, Sectrio also runs AI-based advanced threat and payload engagement facilities that serve as sinks to attract and engage sophisticated threat actors, and newer malware including new variants and latent threats that are at an earlier stage of development.
The latest edition of the OT/ICS and IoT security Threat Landscape Report 2024 also covers:
State of global ICS asset and network exposure
Sectoral targets and attacks as well as the cost of ransom
Global APT activity, AI usage, actor and tactic profiles, and implications
Rise in volumes of AI-powered cyberattacks
Major cyber events in 2024
Malware and malicious payload trends
Cyberattack types and targets
Vulnerability exploit attempts on CVEs
Attacks on counties – USA
Expansion of bot farms – how, where, and why
In-depth analysis of the cyber threat landscape across North America, South America, Europe, APAC, and the Middle East
Why are attacks on smart factories rising?
Cyber risk predictions
Axis of attacks – Europe
Systemic attacks in the Middle East
Download the full report from here:
https://sectrio.com/resources/ot-threat-landscape-reports/sectrio-releases-ot-ics-and-iot-security-threat-landscape-report-2024/
Essentials of Automations: Optimizing FME Workflows with ParametersSafe Software
Are you looking to streamline your workflows and boost your projects’ efficiency? Do you find yourself searching for ways to add flexibility and control over your FME workflows? If so, you’re in the right place.
Join us for an insightful dive into the world of FME parameters, a critical element in optimizing workflow efficiency. This webinar marks the beginning of our three-part “Essentials of Automation” series. This first webinar is designed to equip you with the knowledge and skills to utilize parameters effectively: enhancing the flexibility, maintainability, and user control of your FME projects.
Here’s what you’ll gain:
- Essentials of FME Parameters: Understand the pivotal role of parameters, including Reader/Writer, Transformer, User, and FME Flow categories. Discover how they are the key to unlocking automation and optimization within your workflows.
- Practical Applications in FME Form: Delve into key user parameter types including choice, connections, and file URLs. Allow users to control how a workflow runs, making your workflows more reusable. Learn to import values and deliver the best user experience for your workflows while enhancing accuracy.
- Optimization Strategies in FME Flow: Explore the creation and strategic deployment of parameters in FME Flow, including the use of deployment and geometry parameters, to maximize workflow efficiency.
- Pro Tips for Success: Gain insights on parameterizing connections and leveraging new features like Conditional Visibility for clarity and simplicity.
We’ll wrap up with a glimpse into future webinars, followed by a Q&A session to address your specific questions surrounding this topic.
Don’t miss this opportunity to elevate your FME expertise and drive your projects to new heights of efficiency.
Builder.ai Founder Sachin Dev Duggal's Strategic Approach to Create an Innova...Ramesh Iyer
In today's fast-changing business world, Companies that adapt and embrace new ideas often need help to keep up with the competition. However, fostering a culture of innovation takes much work. It takes vision, leadership and willingness to take risks in the right proportion. Sachin Dev Duggal, co-founder of Builder.ai, has perfected the art of this balance, creating a company culture where creativity and growth are nurtured at each stage.
Elevating Tactical DDD Patterns Through Object CalisthenicsDorra BARTAGUIZ
After immersing yourself in the blue book and its red counterpart, attending DDD-focused conferences, and applying tactical patterns, you're left with a crucial question: How do I ensure my design is effective? Tactical patterns within Domain-Driven Design (DDD) serve as guiding principles for creating clear and manageable domain models. However, achieving success with these patterns requires additional guidance. Interestingly, we've observed that a set of constraints initially designed for training purposes remarkably aligns with effective pattern implementation, offering a more ‘mechanical’ approach. Let's explore together how Object Calisthenics can elevate the design of your tactical DDD patterns, offering concrete help for those venturing into DDD for the first time!
Connector Corner: Automate dynamic content and events by pushing a buttonDianaGray10
Here is something new! In our next Connector Corner webinar, we will demonstrate how you can use a single workflow to:
Create a campaign using Mailchimp with merge tags/fields
Send an interactive Slack channel message (using buttons)
Have the message received by managers and peers along with a test email for review
But there’s more:
In a second workflow supporting the same use case, you’ll see:
Your campaign sent to target colleagues for approval
If the “Approve” button is clicked, a Jira/Zendesk ticket is created for the marketing design team
But—if the “Reject” button is pushed, colleagues will be alerted via Slack message
Join us to learn more about this new, human-in-the-loop capability, brought to you by Integration Service connectors.
And...
Speakers:
Akshay Agnihotri, Product Manager
Charlie Greenberg, Host
UiPath Test Automation using UiPath Test Suite series, part 4DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 4. In this session, we will cover Test Manager overview along with SAP heatmap.
The UiPath Test Manager overview with SAP heatmap webinar offers a concise yet comprehensive exploration of the role of a Test Manager within SAP environments, coupled with the utilization of heatmaps for effective testing strategies.
Participants will gain insights into the responsibilities, challenges, and best practices associated with test management in SAP projects. Additionally, the webinar delves into the significance of heatmaps as a visual aid for identifying testing priorities, areas of risk, and resource allocation within SAP landscapes. Through this session, attendees can expect to enhance their understanding of test management principles while learning practical approaches to optimize testing processes in SAP environments using heatmap visualization techniques
What will you get from this session?
1. Insights into SAP testing best practices
2. Heatmap utilization for testing
3. Optimization of testing processes
4. Demo
Topics covered:
Execution from the test manager
Orchestrator execution result
Defect reporting
SAP heatmap example with demo
Speaker:
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
Securing your Kubernetes cluster_ a step-by-step guide to success !KatiaHIMEUR1
Today, after several years of existence, an extremely active community and an ultra-dynamic ecosystem, Kubernetes has established itself as the de facto standard in container orchestration. Thanks to a wide range of managed services, it has never been so easy to set up a ready-to-use Kubernetes cluster.
However, this ease of use means that the subject of security in Kubernetes is often left for later, or even neglected. This exposes companies to significant risks.
In this talk, I'll show you step-by-step how to secure your Kubernetes cluster for greater peace of mind and reliability.
Securing your Kubernetes cluster_ a step-by-step guide to success !
Architecting, designing and building medical devices in an outcomes focused Big Data world
1. Architecting, designing and building medical
devices in an outcomes-focused Big Data world
Day 4 Keynote
By Shahid N. Shah
www.HealthcareITGuy.com
2. NETSPECTIVE
Who is Shahid?
• 20+ years of software engineering and multisite healthcare system deployment experience
• 12+ years of healthcare IT and medical
devices experience (blog at
http://healthcareguy.com)
• 15+ years of technology management
experience (government, non-profit,
commercial)
• 10+ years as architect, engineer, and
implementation manager on various EMR and
EHR initiatives (commercial and non-profit)
Author of Chapter 13, “You’re
the CIO of your Own Office”
www.netspective.com
3
4. NETSPECTIVE
What’s Big Data all about?
“Normal Data” is about getting things done
www.netspective.com
“Big Data” is about answering big questions
5
5. NETSPECTIVE
What you’ll learn in this keynote
Wireless capable medical devices with significant software and data integration are the future
Topics
Key takeaways
• Things that kill and harm human beings
today are very different than just 100
years ago
• Health policy and payments are shifting
to deal with new realities (move from
20 percent to 50 percent of payments
will be value-based within the next 3-5
years)
• Marketplace and industry challenges
for device vendors
• How consumerization of devices will
disrupt you and what to do about it
• “Connected EHRs”, device
interoperability, and “Accountable
Tech” are the future of med devices
• Hardware, sensors, and software are
transient businesses but data lives
forever. He who owns, integrates, and
uses data wins in the end.
• Data from devices is too important
and specialized to be left to software
vendors, managed service providers,
and system integrators.
www.netspective.com
6
6. NETSPECTIVE
Bacteria used to kill us the most…
Per 100k population, Historical Statistics of the United States, Millennial Edition
www.netspective.com
7
7. NETSPECTIVE
Infectious diseases used to kill us…
…but what’s left seem only to be “manageable” not easily “curable”
Top killers in 1900
Pneumonia
and influenza
TB
Diarrhea and
enteritis
Top killers today
Heart disease
Cancer
Chronic lower
respiratory
diseases
Per 100k population, Historical Statistics of the United States, Millennial Edition
www.netspective.com
8
8. NETSPECTIVE
From cures to management…
…young people don’t dye of diseases often now
Death by age group, 1900
Death by age group, Today
http://siteresources.worldbank.org/INTHSD/Resources/topics/Health-Financing/HFRChap1.pdf
www.netspective.com
9
9. NETSPECTIVE
Patient populations need different devices
Prevention
•
Education
•
Health Promotions
•
Healthy Lifestyle Choices
•
Health Risk Assessment
Management
•
•
Obesity Management
Wellness Management
•
•
•
•
•
•
•
Assessment – HRA
Stratification
Dietary
Physical Activity
Physician Coordination
Social Network
Behavior Modification
•
•
•
Diabetes
COPD
CHF
•
•
•
•
•
Stratification & Enrollment
Disease Management
Care Coordination
MD Pay-for-Performance
Patient Coaching
•
•
•
•
Physicians Office
Hospital
Other sites
Pharmacology
•
Catastrophic Case
Management
Utilization Management
Care Coordination
Co-morbidities
•
•
•
26 % of Population
35 % of Population
35 % of Population
4% of Population
4 % of Medical Costs
22 % of Medical Costs
37 % of Medical Costs
36 % of Medical Costs
Source: Amir Jafri, PrescribeWell
www.netspective.com
10
10. NETSPECTIVE
Market trends that smart device manufacturers are following
Major market and regulatory trends that are causing customers to buy differently and competitors to shift designs
You must learn and be able to talk to customers about all these terms
PPACA
ACO
PCMH
“Affordable Care
Act”
“Accountable
Care Org”
“Medical
Home”
Switch from FFS
to value based
payments
www.netspective.com
mHealth
MU
“Meaningful Use”
PCPCC
“Patient Centered
Care”
11
11. NETSPECTIVE
Customers are struggling with interoperability and filling EHRs
Everything your device does to make their life easier will mean more sales and better margins
Source: Jan Whittenber, Philips Medical Systems
www.netspective.com
12
12. NETSPECTIVE
Customers are struggling with Accountable Tech
Everything your device does to help answer important questions below means more sales and better margins
Cost per patient per
procedure / treatment
going up but without
ability to explain why
Cost for same
procedure / treatment
plan highly variable
across localities
Unable to compare
drug efficacy across
patient populations
Unable to compare
health treatment
effectiveness across
patients
Variability in fees and
treatments promotes
fraud
Lack of visibility of
entire patient record
causes medical errors
www.netspective.com
13
13. NETSPECTIVE
Opportunities for incremental or new revenue
Fill clinical
documentation
into EHRs
Improve alarm
notification
Review and
perform complex
event processing
Add signal/data
processing for new
parameters
Remotely upgrade
and service
equipment
Automate clinical
workflows
Remote
surveillance
Gateways and
interoperability
appliances
www.netspective.com
14
14. NETSPECTIVE
The tech trends that must influence your device design efforts
Commodity
components can be
put together cheaply
to create new
solutions using PCs,
tablets, phones, and
software.
www.netspective.com
Can your device be
replaced a mobile
phone or other
consumer device?
Sensors built into
next generation
phones will be
clinically useful and
may not require FDA
approvals due to
broad intended use.
Workflow Automation
How much of what’s
special in your device
has or will become a
commodity?
Consumerization
Commoditization
Ignore these and you’ll be disrupted out of existence
Can your device fit
into agile clinical
workflows?
Workflows will
change faster in an
outcomes-focused
world than in a fee
for service world.
15
15. NETSPECTIVE
The data trends that must influence your device design efforts
Customers are
seeking to build a
programmable world
where devices can
coordinate and
cooperate their data
collection efforts.
www.netspective.com
Can your device fill
electronic health
records (EHRs)?
Billions are being
spent for these
software systems
and buyers are
looking to connect
their devices to
them.
Accountable Tech
Can your device
connect into the
existing IT
ecosystem?
Connected EHRs
Device Interoperability
Ignore these and you’ll be disrupted out of existence
Can your device pay
for itself based on
diagnostic,
therapeutic or other
outcomes?
Customers in new
outcomes-based
payment models
needs ways of
proving efficacy of
treatments.
16
16. NETSPECTIVE
Smart buyers are evolving hardware purchase decisions
Consumerization of Devices
Language in new RFIs, RFPs, etc. indicate preference to purchase
devices with more virtualization.
Thick Devices
Thin Devices
Virtual
Devices
Sensors Only
with Built-in
Wireless
Sensors on
mobile
phones,
platforms
www.netspective.com
17
17. NETSPECTIVE
Smart buyers are purchasing more software-centric devices
Consumerization of Apps
Language in new RFIs, RFPs, etc. indicate preference to purchase
devices with more software customization capabilities.
Software for
algorithms
www.netspective.com
Software for
functionality
Software for
connectivity
Software
only
18
18. NETSPECTIVE
Smart buyers require device connectivity
Consumerization of IT
Few people buy these when other choices exist
Stand-alone
and
monolithic
www.netspective.com
Connectivity
within own
organization
Multi-vendor
connectivity
System of
Systems
(SoS)
19
19. NETSPECTIVE
Smart buyers require advanced integration
Changes in Practice Models
These won’t be bought if other
choices exist
Single-purpose
devices
standalone
Multi-purpose
standalone
Multi-purpose
with
documentation
connectivity
Multi-purpose
with cooperating
connectivity
Multi-purpose with
analytical
connectivity
www.netspective.com
20
21. NETSPECTIVE
Data changes the questions we ask
Simple visual facts
www.netspective.com
Complex visual facts
Complex computable
facts
22
22. NETSPECTIVE
Data can change medical science
The old way
The new way
Identify problem
Identify data
Ask questions
Generate questions
Collect data
Mine data
Answer questions
Answer questions
www.netspective.com
23
23. NETSPECTIVE
Data is getting more sophisticated
Social Interactions
Biosensors
Admin
Phenotypics
Since 1970,
pennies per
patient
Since 1980s,
pennies per
patient
• Business focused data
• Retrospective
• Built on fee for service models
• Inward looking and not focused
on clinical benefits
www.netspective.com
• Must be continuously collected
• Mostly Retrospective
• Useful for population health
• Part digital, mostly analog
• Family History is hard
Genomics
Since 2000s,
started at $100k
per patient, <$1k
soon
• Can be collected infrequently
• Personalized
• Prospective
• Potentially predictive
• Digital
• Family history is easy
Proteomics
Emerging
• Must be continuously collected
• Difficult today, easier tomorrow
• Super-personalized
• Prospective
• Predictive
24
24. NETSPECTIVE
Unstructured phenotypic patient data sources
Patient
Source
Self reported by
patient
Health
Professional
Labs &
Diagnostics
Medical Devices
Biomarkers /
Genetics
Observations by
HCP
Computed from
specimens
Computed realtime from
patient
Computed from
specimens
Uncommon
Uncommon
Errors
High
Medium
Low
Time
Slow
Slow
Medium
Reliability
Low
Medium
High
Data size
Megabytes
Megabytes
Megabytes
Data type
PDFs, images
PDFs, images
PDFs, images
Availability
Common
Common
Common
www.netspective.com
25
25. NETSPECTIVE
Structured phenotypic patient data sources
Patient
Source
Self reported by
patient
Health
Professional
Observations by
HCP
Labs &
Diagnostics
Specimens
Medical Devices
Real-time from
patient
Biomarkers /
Genetics
Specimens
Errors
High
Medium
Low
Low
Low
Time
Slow
Slow
Medium
Fast
Slow
Reliability
Low
Medium
High
High
High
Kilobytes
Kilobytes
Kilobytes
Megabytes
Gigabytes
Gigabytes
Gigabytes
Uncommon
Uncommon
Discrete size
Streaming size
Availability
www.netspective.com
Uncommon
Common
Somewhat
Common
26
26. NETSPECTIVE
The new world order
General
Wellness
Specific
Prevention
Self Service
Physiologics
Self Service
Monitoring
Healthcare
Professional
Monitoring
Care Team
Diagnostics
Care Team
Monitoring
Self Service
Diagnostics
Healthcare
Professional
Diagnostics
Hospital
Monitoring
Hospital
Diagnostics
www.netspective.com
27
27. NETSPECTIVE
Smart buyers looking for poly-connectivity
REST
DDS
Option 1 (no cellular access or hospital IT integration required)
Device
Wireless
Bluetooth,
WiFi, Zibee, etc.
Wired
Hospital
Network
Corporate
Gateway
Could be a Home
Network, too
HL7
MPEG-21
External
Cloud
Hospital
Systems
X.12
Option 2 (cellular access and no hospital IT integration required)
Device
DDS
REST
MPEG-21
Wireless, Cellular
www.netspective.com
External
Cloud
28
28. NETSPECTIVE
Don’t give up data to others without a fight
Software vendors, systems integrators, and others don’t have your best interest in mind
Device
Teaming
Cloud
Services
Patient
Self-Management
Platforms
SSL VPN
Patient Context
Monitoring
BaaS Gateway
(DDS, XMPP ESB)
,
Device
Data
Data Transformation (ESB, HL7)
Remote
Surveillance
Management
Dashboards
HIT
Integration
Report
Generation
Device reimbursement
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Enterprise Data
RCM, Financials,
EHRs
Device
Management
Cross Device
App Workflows
Device Utilization
Device profitability
Alarm
Notifications
Device Inventory
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29. NETSPECTIVE
Key regulatory questions
Will the FDA accept
networked safetycritical systems?
Are connected
devices safe enough
for medical devices?
Yes
Yes
but you must prove it
The best regulatory strategy is to abstract
design specifications to minimize sustaining
engineering:
• Intended use
• Predicate device(s)
• Design approach and how OTS
• components are used
• Design input specifications
• Risk and hazard analysis
Abstract Specifications:
• Remove dynamic characteristics
• Manufacturer, model, version
• Performance specifications
• Clock speed
• Memory
• Storage
• Industry standards
• Third party certifications
Source: Tim Gee, MedicalConnectivity.com
www.netspective.com
30
30. NETSPECTIVE
Regulatory Strategy
“The Device”
510(k) PMA,
Class 3, Class 2,
etc.
510(k)
Class 2
Class 1
“Data Bridges”
MDDS
Unregulated
EHR or others
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“Everything else”
Customer registry
Patient registry
Patient profile
Study Management
Billing
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31. NETSPECTIVE
Key design questions
Regulatory
approach?
Wait for
standards?
Hardware
Design?
Software
Design?
IT
Infrastructure
Design?
Component based
separation and
task-based
approach
No, use what’s
available and
make yours the
standard
Follow mobile
phone designs
Buy or build a
BaaS, M2M, or IOT
Solution
Interface-based
flexibility over
defined certainty
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32
32. NETSPECTIVE
Key marketing & product management questions
Can your sales
team sell it?
Yes, if they’re
incentivized and
trained
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Can customer
manage the
technology?
They need a good
IT and test
environment to
ensure reliability
Does customer
have the existing
infrastructure?
Can you deliver
after you build it?
Can your
solutions team
customize it?
They need reliable
power, broadband
coverage, and
good WiFi
You need
installation,
provisioning,
testing, and
remote support
infrastructure
Yes, if you build for
customization
33
33. NETSPECTIVE
Key human capital questions
You can’t go it alone, get help now
Do we have strategy
expertise?
Do we have
development
expertise?
Do we have unit
and internal testing
expertise?
Do we have systems
and customer
environment testing
expertise?
Do we have
regulatory
expertise?
Do we have
certification
expertise?
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34
36. NETSPECTIVE
Needed: care team involvement
PATIENT/
CONSUMER
HEALTHCAR
E PROVIDER
Care Team
FAMILY
CAREGIVER
CALL CENTERS AND
REMOTE SUPPORT
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HOSPITAL
ALTERNATE
SITE OF
CARE
37