NerdMDs | Efficiency Unlocked

Summary: NerdMDs Podcast host Adam Carewe MD demonstrates Google NotebookLM, highlighting its capabilities as a study guide and content generator, including creating AI-hosted podcasts. Watch this one on the NerdMDs Substack or YouTube Channel! He uses a Elion Briefing newsletter on large language models in healthcare as an example.Introduction (0:00 - 1:30):* Overview: Adam introduces Google NotebookLM, explaining its purpose as a study guide and content generator.Using NotebookLM (1:31 - 5:00):* Features: Adam shows how to feed different sources into NotebookLM, including lecture documents, web sources, and more.* Example: He uses a newsletter from Alien Briefing on large language models in healthcare.AI-Generated Podcast (5:01 - 10:00):* Podcast Creation: Adam demonstrates how NotebookLM can create a podcast with AI hosts using the provided sources.* Content: The AI hosts discuss the potential and challenges of large language models in healthcare.Healthcare Applications (10:01 - 15:00):* Deep Dive: The AI hosts delve into the practical applications of large language models in healthcare, including personalized treatment plans and the importance of accuracy and reliability.Ethics and Transparency (15:01 - 20:00):* Concerns: Discussion on the ethical implications, transparency, and accountability of using AI in healthcare.Conclusion (20:01 - End):* Final Thoughts: Adam wraps up by emphasizing the importance of collaboration between doctors and AI developers and the need for responsible implementation of AI in healthcare. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Summary: Craig Limoli, founder of Wellsheet, discusses his journey from IBM Watson Health to creating Wellsheet, a platform designed to streamline clinical workflows and improve efficiency for healthcare providers. He highlights the importance of predictive data, seamless EHR integration, and the impact of generative AI on their solutions.Podcast Summary:Introduction and Background (00:00:01 - 00:03:02)* Craig Limoli’s Journey: Craig shares his background, including his time at IBM Watson Health, where he identified the need for better clinical technology, leading him to found Wellsheet.* Founding Wellsheet: He discusses his decision to leave IBM and pursue an MBA at Wharton, where he launched Wellsheet to address the frustrations clinicians faced with existing technologies.Wellsheet’s Core Functionality (00:03:02 - 00:06:47)* Chart Review Focus: Wellsheet aims to consolidate all necessary patient information onto one sheet, reducing the need for clinicians to navigate multiple screens.* Predictive Data: The platform uses predictive algorithms to highlight the most relevant information for clinicians, improving decision-making efficiency.Integration and Scalability (00:06:47 - 00:11:26)* EHR Integration: Craig explains how Wellsheet integrates with major EHR systems like Epic, Cerner, and Athenahealth, providing a seamless user experience across inpatient and outpatient settings.* Scalability: The platform’s ability to scale across different healthcare settings and its lightweight deployment process are highlighted.Impact of Generative AI (00:11:26 - 00:14:39)* AI Integration: Craig discusses the integration of generative AI to automate and enhance clinical workflows, such as generating documentation and discharge plans.* Trust and Verification: Emphasis on the importance of having source data available for verification to build trust among clinicians.User Experience and Feedback (00:14:39 - 00:19:56)* Clinician Feedback: Craig shares anecdotes about the positive feedback from clinicians who have found Wellsheet to be a valuable tool in their daily workflows.* Operational Efficiency: The platform’s impact on reducing chart review time, EHR time, and improving overall operational efficiency is discussed.Future Directions and Use Cases (00:19:56 - 00:28:14)* Expanding Functionality: Craig talks about future plans for Wellsheet, including more advanced AI features and broader use cases.* EHR Transitions: The platform’s role in easing transitions between different EHR systems is highlighted as a significant benefit for health systems.Conclusion and Contact Information (00:28:14 - 00:40:50)* Key Takeaways: Craig summarizes the key benefits of Wellsheet, including trustworthiness, scalability, and ROI.* Contact Information: Listeners are encouraged to visit Wellsheet’s website or contact Craig directly for more information.Nerd Alert Round (00:40:50 - 00:43:05)* Personal Insights: Craig shares personal preferences and insights, including his favorite movie and what he would be doing if he weren’t leading Wellsheet. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

In this episode, Dr. Yair Saperstein from Avo discusses the evolution of clinical decision support tools, the journey from being a physician to a tech entrepreneur, and how Avo aims to improve clinician workflows and patient outcomes through innovative technology.Podcast SummaryIntroduction [00:00:07]* Hosts Introduction: Adam Carewe and Dale Gold introduce the podcast and the guest, Dr. Yair Saperstein.* Guest Background: Dr. Saperstein shares his background, including his medical education and early tech interests.Early Medical Tools and Technology [00:00:29]* Medical School Memories: Discussion about the heavy reliance on physical books and early electronic devices like Palm Treo and BlackBerry.* Transition to Digital: The shift from physical books to digital tools and the challenges faced during this transition.Evolution of Clinical Decision Support [00:02:20]* Current Tools: Mention of tools like UpToDate and the evolution from dictation to AI scribing.* Future Vision: Dr. Saperstein’s vision for integrating AI and digital tools seamlessly into clinical workflows.Founding Avo [00:03:04]* Inspiration and Journey: Dr. Saperstein’s journey from physician to entrepreneur, meeting his co-founder PJ, and the initial concept of Avo.* Building the Team: The importance of aligning stakeholders and the support received from the medical community.Avo’s Impact and Functionality [00:14:13]* Digital Front Door for Clinicians: How Avo aims to provide a comprehensive digital tool for clinicians, integrating EHR data and guidelines.* Clinical Examples: Practical examples of how Avo can streamline workflows and improve efficiency in clinical settings.Technical Details and Customization [00:24:00]* Backend Builder: Explanation of the no-code customizable backend builder for creating tailored workflows.* Integration with EHR: How Avo integrates with existing EHR systems to provide seamless support without additional burden on IT.ROI and Use Cases [00:33:16]* Return on Investment: Discussion on the significant time savings and improved metrics achieved by using Avo.* Success Stories: Specific examples from Pediatric Care and other health systems demonstrating the effectiveness of Avo.Conclusion [00:36:09]* Final Thoughts: Hosts and Dr. Saperstein discuss the future of clinical decision support and the potential for further innovation.* Encouragement: Dr. Saperstein encourages clinicians to embrace new technologies to improve patient care and clinician well-being. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Nicole Bocskocsky discusses her journey in healthcare, her role in founding Elaborate, and how the company aims to solve the in-basket problem for clinicians by providing proactive solutions to patient inquiries, and other things that land in a clinicians EHR in basket.Introduction [00:00:01]* Welcome and Introduction: Adam and Dale welcome Nicole to the podcast and express their excitement about having her on the show.Nicole’s Background and Journey [00:00:44]* Career Path: Nicole shares her background in consulting and her transition to healthcare, highlighting her work with Oscar Health and Parsley Health.* Passion for Problem-Solving: She emphasizes her love for solving complex problems in healthcare and her mission to improve care delivery.Founding Elaborate [00:04:30]* Inspiration and Challenges: Nicole talks about the inspiration behind starting Elaborate, the initial hurdles, and how her personal experiences influenced the company’s mission.* Elaborate’s Mission: The company aims to eliminate the in-basket problem by addressing patient and practitioner needs upfront.Elaborate’s Approach and Technology [00:09:27]* Proactive Solutions: Nicole explains how Elaborate’s technology works by using a deterministic algorithm to provide personalized summaries of lab results, reducing the need for follow-up messages.* Integration with EMRs: The solution integrates seamlessly with EMRs like Epic, providing immediate and contextualized lab result summaries to patients.ROI and Adoption [00:23:37]* Measuring Success: Nicole discusses how Elaborate measures ROI, including reductions in in-basket volume and improvements in patient satisfaction.* Patient and Practitioner Benefits: She highlights the positive feedback from both patients and practitioners, emphasizing the reduction in follow-up messages and improved understanding of lab results.Patient Experience [00:30:06]* User Interface: Nicole describes how the patient experience is enhanced through detailed and personalized lab result summaries available in patient portals or custom apps.* Longitudinal Health Tracking: The platform provides a comprehensive view of a patient’s health history and trends over time.Closing Thoughts and Lightning Round [00:34:51]* Favorite Aspects of the Job: Nicole shares her favorite part of her job, which is solving problems daily.* Dream Job: She humorously mentions that if she weren’t doing her current job, she would love to be involved in high-stakes event planning like the Met Gala. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

In this episode, Dr. CT Lin discusses the transformative role of AI in healthcare, the importance of storytelling in medical informatics, and the collaborative efforts to improve patient care through technology. He shares insights from his journey in informatics and highlights the impact of predictive AI and ambient documentation on clinical practice.Dr. CT Lin’s Background [00:01:16]* Storytelling Importance: Dr. Lin emphasizes the role of storytelling in healthcare.* Medical Errors: He discusses the potential for patients to help identify medical errors in their records.AI in Healthcare [00:02:05]* AI Applications: Dr. Lin talks about AI’s role in reducing mortality rates at UCHealth.* Predictive AI: He explains how predictive AI has saved lives by improving response times to patient deterioration.Journey into Informatics [00:05:02]* Early Career: Dr. Lin shares his journey from being a “chief complainer” about hospital systems to becoming a leader in informatics.* Challenges and Changes: He reflects on the rapid changes in healthcare technology and the need for adaptability.Future of Informatics [00:10:03]* Short-Term Planning: Dr. Lin discusses the shift from long-term to short-term planning in healthcare due to rapid technological advancements.* Generative AI: He speculates on the future capabilities of generative AI in healthcare.Regional Collaboration [00:16:36]* Rescue Conference: Dr. Lin talks about the upcoming Rescue Conference, aimed at fostering collaboration among healthcare systems.* Sharing Knowledge: The importance of sharing ideas and innovations to improve healthcare.Storytelling in Informatics [00:19:28]* Open Notes: Dr. Lin recounts his 16-year journey to implement Open Notes, emphasizing the power of storytelling in driving change.* Patient Engagement: He highlights the benefits of transparency and patient involvement in their own care.AI Use Cases at UCHealth [00:27:34]* Predictive AI Success: Dr. Lin shares success stories of predictive AI at UCHealth, including significant reductions in sepsis-related mortality.* Generative AI: He discusses the implementation of generative AI for drafting patient messages and notes, highlighting both successes and challenges.Risks and Benefits of AI [00:34:13]* Productive Friction: Dr. Lin talks about the potential loss of critical thinking if AI takes over note-writing.* Maintaining Quality: He stresses the importance of maintaining the quality and accuracy of medical documentation. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

In this episode, Elad Walach, CEO and co-founder of Aidoc, discusses the evolution and impact of AI in healthcare, focusing on clinical AI applications, the challenges of AI integration, and the future potential of AI in improving patient care and healthcare workflows.Episode Summaries with Timestamped Sections:Elad’s Background [00:00:45 - 00:02:20]* Career Path: Elad talks about his transition from the Israeli Air Force to healthcare, driven by a passion for technology and its impact on people’s lives.* Influence: He mentions his father’s influence, who played a key role in IBM’s Watson Health.Founding Aidoc [00:02:20 - 00:04:57] * Company Origin: Elad explains the founding of Aidoc in 2016, focusing on addressing care gaps and AI fragmentation in healthcare.* Initial Challenges: He discusses the challenges of scaling AI solutions and the importance of building a robust platform.AI in Clinical Use [00:04:57 - 00:10:56] * Precision AI: Elad differentiates between precision AI for clinical use and administrative AI, emphasizing the need for accuracy and validation.* Generalizability: He highlights the current limitations of AI in generalizability and the importance of human oversight.AI-Driven Care Pathways [00:10:56 - 00:16:33] * Examples: Elad provides examples of AI-driven care pathways, such as detecting pulmonary embolism and aortic aneurysm, and their impact on patient outcomes.* Integration: He discusses the integration of AI solutions across different departments to improve care coordination.Platform Development [00:16:33 - 00:25:29] * Building the Foundation: Elad talks about the importance of investing in a scalable platform to support AI solutions.* Customer Success: He shares success stories from customers like the University of Miami and Yale, highlighting significant improvements in care follow-up rates.Future of AI in Healthcare [00:25:29 - 00:30:04] * Complexity of Care: Elad discusses the challenges of managing complex care and the potential of AI to streamline clinical workflows.* Change Management: He emphasizes the need for effective change management to implement new AI-driven workflows.Consumer-Facing AI [00:30:04 - 00:34:37] * Patient Interaction: The hosts and Elad explore the potential and risks of consumer-facing AI in healthcare, stressing the importance of reliability and education.* Use Cases: They discuss potential use cases for AI in patient care navigation and the need for careful implementation.Differentiation and Impact [00:34:37 - 00:38:03] * Strategic Approach: Elad highlights Aidoc’s unique approach of combining scalable platforms with point solutions.* Urgency: He expresses a sense of urgency to deploy AI solutions widely to improve healthcare outcomes.Closing Remarks [00:38:03 - 00:39:32] * Contact Information: Elad provides his contact information and encourages listeners to reach out for further discussions.* Nerd Alert Round: The hosts transition to a fun segment with personal questions for Elad. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Below is the summary of the podcast episode featuring Ian Shakil from Augmedix, hosted by Drs Adam Carewe and Dale Gold:Episode SummaryIan Shakil, founder of Augmedix, discusses the evolution and impact of ambient scribing technology in healthcare, highlighting the company’s journey, innovations, and future directions. Additionally, recently announced Augmedix will be acquired by Commure, a large health tech company, to expand their capabilities and accelerate innovation in the ambient documentation space. This partnership aims to combine resources and offer a suite of solutions to healthcare systems, enhancing the overall efficiency and effectiveness of clinical documentation.Section Summaries* Introduction and Background: Ian Shakil shares his background and the founding story of Augmedix, emphasizing the inspiration behind creating ambient scribing technology to alleviate clinician burdens.* Evolution of Technology: Ian explains the transition from using Google Glass to smartphones for ambient scribing, detailing the technological advancements and the shift from human-assisted to AI-driven documentation.* Service Lines and Innovations: Augmedix offers three service lines: Augmedix Live (human-assisted), Augmedix Go (AI-driven), and Augmedix Go Assist (hybrid). Ian highlights the benefits and scalability of these services.* Bidirectional Ambient Capabilities: Ian discusses the development of bidirectional ambient capabilities, which provide real-time guidance and reminders to clinicians, enhancing workflow and patient care.* Challenges and Future Directions: The conversation covers the challenges of implementing ambient technology in chaotic environments like emergency departments and the potential future applications and innovations in the field.Please share this post and episode with others Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Christopher Fitzgerald and Nicholas Van Landschoot, co-founders of APIGen, discuss their journey from high school debate partners to startup founders (but they are still only 18 years old,) highlighting the challenges and innovations in API development. They emphasize the importance of debate skills in their entrepreneurial success and explain how APIGen simplifies API creation for non-developers.Don’t miss any episodes! To receive new posts in your inbox, consider becoming a free or paid subscriber.Conversation Summary:* Introduction and Background: Christopher and Nick share their backgrounds, meeting in high school debate, and how their debate experiences helped them develop skills crucial for pitching and starting their company, APIGen.* APIGen’s Mission and Functionality: They explain APIGen’s mission to simplify API creation for non-developers by allowing users to generate APIs from natural language prompts. They highlight the platform’s ability to handle both the design and internal logic of APIs.* Technical Challenges and Solutions: The co-founders discuss the technical challenges they faced, such as integrating various libraries and ensuring accurate code generation. They also mention their strategies for overcoming these obstacles.* Market Research and Validation: Christopher and Nick talk about the market need for their product, citing statistics on API development and their experiences pitching to the Rocky Mountain AI interest group. They emphasize the growing market for API management.* Future Applications and Innovations: They share exciting future applications of their technology, including controlling drones with APIs and expanding into the IoT market. They also discuss the potential for their platform to handle more complex medical device integrations.* Personal Insights and Advice: The episode concludes with personal insights from the co-founders, including their favorite pieces of advice, superpower wishes, and historical figures they’d like to meet. They also express their appreciation for the supportive environment in Boulder, Colorado. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Some of our affiliate links below may earn us a small commissionRewskidotcom | Adam Carewe MD is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.In this insightful episode, Dr. Natalie Davis shares her journey from a small-town upbringing to becoming a pioneering force in healthcare innovation, emphasizing the importance of personalized care and technology in transforming patient outcomes.Podcast Summary:* Introduction: Dr. Natalie Davis, Chief Medical Officer of PreventScripts, discusses her background, including her family’s health-conscious lifestyle and her decision to pursue medicine over music.* Medical Journey: Dr. Davis shares her experiences in medical school, her mentors, and her early career in pediatrics, highlighting her transition from a traditional practice to entrepreneurship.* Entrepreneurship and PreventScripts: She explains the inception of PreventScripts, driven by her perfectionism and desire to improve patient care, and how it addresses rural healthcare challenges through technology and behavior change interventions.* Rural Healthcare Challenges: Dr. Davis delves into the unique issues faced in rural healthcare, such as food deserts and lack of exercise, and how PreventScripts helps providers stratify patients based on their readiness for behavior change.* Efficiency in Primary Care: The discussion covers how PreventScripts enhances efficiency in primary care by enabling remote monitoring and goal setting, and the importance of transitioning to value-based care models.* Personal Insights and Future Plans: Dr. Davis shares her hobbies, favorite books (see below), and upcoming travel plans, including a trip to Paris and a trade show in Dubai, reflecting her optimism for the future of healthcare.* Recommended Books Mentioned in this episode:* Innovative State by Aneesh Chopra* Good Energy by Casey Means MD* Legacy by Dr. Blackstock* Magic Pill by Johann Hari* Ravenous by Henry DimblebyThank you for reading Rewskidotcom | Adam Carewe MD. This post is public so feel free to share it. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Our guest for this episode is Brendan Keeler. Brendan is the Portland-based Practice Lead for Interoperability at HTD Health. He previously worked at Flexpa, Zus Health, Redox, and Epic and serves as advisor to Flexpa, Elion, Revero, and RevelAi Health. He is the author of Health API Guy, a newsletter deciphering the complexities of interoperability, APIs, and regulation in healthcare, and loves tweeting about those topics.Here’s a summary of the podcast episode:* Guest Introduction: Brendan shares his journey from growing up in a medical family to working in healthcare IT, his roots at Epic and moving through various roles and companies.* Interoperability in Healthcare: Brendan discusses the current state and future of healthcare interoperability, including the role of TEFCA and the challenges of connecting different systems.* Epic’s Integration Evolution: Insights into Epic’s integration history, the transition from App Orchard to Vendor Services, and the importance of APIs. Specific resources mentioned: fhir.epic.com - Epic’s FHIR Hubopen.epic.com - Epic’s Interoperability Hub* Future of EHRs: Brendan, Adam, and Dale talk about the future of EHRs and the potential of headless EHRs and the impact of AI on healthcare workflows, envisioning a future where data is seamlessly integrated and accessible. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe