NerdMDs | Efficiency Unlocked

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

In this Father’s Day special edition episode this week. The episode provides a glimpse into the interests and perspectives of a young member of Generation Alpha, touching on topics of gaming, technology, and current slang terms:* Father’s Day Special: The episode is a Father’s Day 2024 edition of the “NerdMDs Efficiency Unlocked” podcast, featuring the host’s ten-year-old child, Ander, who has just completed fourth grade.* Introduction: Ander introduces themselves, mentioning their age and pronouns.* Gaming Interests: Ander discusses their favorite games, including Fortnite, Beat Saber, and Gorilla Tag, and explains the gameplay and appeal of each.* Virtual Reality: The conversation covers Ander’s experience with the Meta Quest VR headset, including an incident where their puppy destroyed the previous headset.* Use of Generative AI: Ander talks about using generative AI on Canva for school presentations, including a presentation about getting a tortoise.* Nerd Alert Round: The host asks Ander a series of questions about their favorite food, dream car, best places visited, and TV shows. They also discuss Gen Alpha slang terms like “Rizz,” “Sigma,” and “Ohio,” providing definitions and examples.* Closing Thoughts: The episode concludes with Ander sharing a message with the listeners and discussing plans for future episodes. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Here’s a summary of this podcast episode:* Background: Fern shares his background, including his marketing experience in Silicon Valley and how the rise of AI and economic changes impacted his business.* Adaptation: Discussing the need to adapt, Fern talks about transitioning to software development and learning from experienced professionals.* DeepCura’s Journey: Fern details the evolution of DeepCura, starting from a widget called “Hello, Alicia,” to partnering with an angel investor and focusing on healthcare.* AI Nurse: The concept of an AI nurse is introduced, which is not an actual nurse but a software tool designed to assist with medical documentation and patient interaction.* User Feedback: Fern emphasizes the importance of user feedback in shaping DeepCura’s features and innovations.* Efficiency in Healthcare: The discussion turns to how DeepCura aims to improve clinicians’ workflows and make their work more enjoyable.* Future of AI: Fern and Adam speculate on the future impact of AI on various industries, including healthcare.* Nerd Alert Round: A lighthearted Q&A session where Fern shares personal preferences and efficiency hacks, like using ChatGPT to summarize content. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Summary of this NerdMDs episode:* Introduction to Kahun Medical: The podcast begins with an introduction to Kahun Medical, highlighting its clinical oversight API solution and the proprietary Knowledge Graph.* Michal Katz MD’s Journey: Michal shares her journey from a tech background in the Israeli Defense Force to medicine, eventually co-founding Kahun Medical. Her experience as a pediatrician and a software engineer led her to create tools for more efficient and standardized medical practice.* Clinical Decision Support: The discussion delves into the importance of clinical decision support tools and how Kahun’s Knowledge Graph provides a transparent, evidence-based layer to generative AI, enhancing clinical decision-making.* Kahun’s Evolution: Michal explains Kahun’s evolution from its inception in 2018 to its current role in providing clinical oversight for AI solutions, ensuring safety and reliability in healthcare technology.* Future of AI in Healthcare: The conversation touches on the future of AI in healthcare, emphasizing the need for scientific oversight and explainability to gain physicians’ trust and improve patient care.* Kahun’s Global Impact: Michal highlights Kahun’s Israeli roots, its focus on the US market, and its partnerships with healthcare systems and tech companies to advance clinical decision support tools globally.* Call to Action: The podcast concludes with a call to action for health tech companies to consider the guardrails needed when adding clinical value to their solutions and for physicians to demand more from their tools to enhance patient care. Michal encourages listeners to reach out to Kahun for partnerships and collaboration. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe