Faces of Digital Health

In the broadest possible sense, patient centricity is a mental shift from WHAT is done for the patient in the healthcare system, to HOW things are done. The HOW may include the used technology but also includes the environment. Walter Werzowa - Austrian composer, producer, and owner of LA-based music production studio Musikvergnuegen, and prof. dr. Klaus Laczika - An Austrian specialist in Emergency Medicine, Anaesthetics and Pediatrics, have been researching the effect of music on patients in the ICU for the last decade. They share their insight into the meaning of the environment in the care setting.  The next indispensable piece of equipment will have to be earphones.  Denise Silber, on the other hand, has been working for more than 20 years in the area of patient centricity and how to raise the patient-includedness in the healthcare system. She and Raquel Correia, a Paris based GP and an advisor to digital health startups share their views on what needs to be changed to prevent doctor burn-outs and enable them the basic conditions to offer their patients time and empathy in treatment.

This episode is a recap of a few talks at 2018 Exponential Medicine. You will hear thoughts on interoperability, practical use of AI in enterprises, some bold ideas about the future medicine thanks to digital innovation by Vinod Khosla, and lucid thoughts regarding the affordability of novel digital health solutions and how we should reframe our thinking about management and leadership to improve global health. Speakers in episode 22: Shannon Sartin, Executive Director of the US Department of Digital Service at Health and Human Services, Lonnie Rae, the founder of a healthcare startup MEDAL, which is working on gathering patient data from various sources such as faxes, paper, and EHR system, Rajeev Ronanki, SVP & Chief Digital Officer, Anthem, Vinod Khosla, Founder of Khosla Ventures, Dr. David Bray, Executive Director for the People Centered Internet coalition. Other speakers from Exponential Medicine, featured in other episodes of this podcast: Shafi Ahmed - F018 Can Bolivia become the global digital health role model? https://www.podbean.com/media/share/pb-ei4fi-9a22c0 iTunes: https://itunes.apple.com/si/podcast/f018-can-bolivia-become-global-digital-health-role/id1194284040?i=1000420000966&mt=2  Shawna Butler - How are nurses shaping healthcare? https://www.podbean.com/media/share/pb-fzgvh-96c074 iTunes: https://itunes.apple.com/si/podcast/f017-how-are-nurses-shaping-healthcare-shawna-butler/id1194284040?i=1000417338206&mt=2 Walter Greenleaf - F011 Will VR decrease drug expenditure? https://www.podbean.com/media/share/pb-jexte-9151db iTunes: https://itunes.apple.com/si/podcast/f011-will-vr-decrease-drug-expenditure-walter-greenleaf/id1194284040?i=1000411634982&mt=2 Rasu Shrestha - F006* Rasu Shrestha at SXSW: “Healthcare shouldn’t be about survival but about thrival” https://www.podbean.com/media/share/pb-i7hfx-8d4b05 iTunes: https://itunes.apple.com/si/podcast/f006-rasu-shrestha-at-sxsw-healthcare-shouldnt-be-about/id1194284040?i=1000406445223&mt=2 Ashish Atreja - 020 USA Healthcare Leaders - How Far From Collaboration First, Competition Later Relationship…? (Rasu Shrestha - UPMC; Mitesh Rao - Stanford; Ashish Atreja - Mount Sinai) https://www.podbean.com/media/share/pb-z627w-7e395f iTunes: https://itunes.apple.com/si/podcast/020-usa-healthcare-leaders-how-far-from-collaboration/id1194284040?i=1000394079542&mt=2   Recap of all the episodes: https://medium.com/faces-of-digital-health

In 2017 media started reporting on promising blockchain projects inside the US Center for Disease Control (CDC). The hopes are that blockchain could help decrease the burden of reporting of epidemics, antibiotic prescriptions and the opioid crisis in the USA. In this episode, health IT specialist Jay Jemal talks about what potentials of blockchain were recognized by the Center for disease control in the USA. Jay Jemal is a solutions architect with the CDC, who is exploring how emerging technologies for data collection and analysis could benefit public agencies. In the past few years, he helped design collection systems for outbreaks such as Ebola, anthrax, E.coli. Recap of this episode: https://medium.com/faces-of-digital-health/f021-what-is-the-cdc-doing-with-blockchain-36c15dac3603 More on blockchain in healthcare:  F020 Blockchain, value of data, and the role of legislation with adoption (Ray Dogum, Health Unchained) - https://medium.com/faces-of-digital-health/f020-blockchain-value-of-data-and-the-role-of-legislation-with-adoption-ray-dogum-health-80919d909e97  iTunes: https://lnkd.in/g9sbdnp Podbean: https://tjasazajc.podbean.com/e/f020-blockchain-value-of-data-and-the-role-of-legislation-with-adoption-ray-dogum-healthcare-unchained/  More on blockchain in healthcare: If you’re a regular listener of this show, you’ve heard quite a few episodes on blockchain in healthcare by now - The basics of what blockchain technology is and how it could be used in healthcare, misconceptions around blockchain, and it’s actual potential around interoperability, I recorded a panel at SXSW where various speakers talked about blockchain in pharma, personal health records and identity management with blockchain. Here are the direct links to the episodes: Episode 14 of Medicine today on digital health - What is blockchain and how fast could it be applied in healthcare: iTunes: https://itunes.apple.com/us/podcast/014-blockchain-in-healthcare-how-how-fast-could-it/id1194284040?i=1000389721696&mt=2 Podbean: https://www.podbean.com/media/share/pb-na6nf-7e3965   Episode 23 of Medicine today on digital health - Misconceptions about blockchain: iTunes: https://itunes.apple.com/us/podcast/023-misconceptions-around-blockchain-what-it-will-not/id1194284040?i=1000397151361&mt=2 Podbean: https://www.podbean.com/media/share/pb-3s9bh-7efd59   F007 The hype and the hope around blockchain (SXSW panel discussion): iTunes: https://itunes.apple.com/us/podcast/f007-hype-hope-blockchain-in-healthcare-michael-dillhyon/id1194284040?i=1000407073820&mt=2 Podbean: https://www.podbean.com/media/share/pb-vimnn-8db4e0   F008 How do sex, blockchain and medical anthropology go together: iTunes: https://itunes.apple.com/us/podcast/f008-how-do-sex-blockchain-medical-anthropology-go/id1194284040?i=1000408108683&mt=2 Podbean: https://www.podbean.com/media/share/pb-ew3f9-8e8f7a

An update on the current landscape of healthcare blockchain projects, when can we expect practical implications, what the role of legislation will be, and how genomics research, AI and blockchain make a good combination. Intrigued? Listen to Ray Dogum - the host of Health Unchained - podcast focused on blockchain projects and implementation in healthcare. His background is in Health Sector Management and currently is a project manager at American Well, a telehealth company in Boston.   More on blockchain in healthcare: If you’re a regular listener of this show, you’ve heard quite a few episodes on blockchain in healthcare by now - The basics of what blockchain technology is and how it could be used in healthcare, misconceptions around blockchain, and it’s actual potential around interoperability, I recorded a panel at SXSW where various speakers talked about blockchain in pharma, personal health records and identity management with blockchain.   Here are the direct links to the episodes:   Episode 14 of Medicine today on digital health - What is blockchain and how fast could it be applied in healthcare: iTunes: https://itunes.apple.com/us/podcast/014-blockchain-in-healthcare-how-how-fast-could-it/id1194284040?i=1000389721696&mt=2 Podbean: https://www.podbean.com/media/share/pb-na6nf-7e3965   Episode 23 of Medicine today on digital health - Misconceptions about blockchain: iTunes: https://itunes.apple.com/us/podcast/023-misconceptions-around-blockchain-what-it-will-not/id1194284040?i=1000397151361&mt=2 Podbean: https://www.podbean.com/media/share/pb-3s9bh-7efd59   F007 The hype and the hope around blockchain (SXSW panel discussion): iTunes: https://itunes.apple.com/us/podcast/f007-hype-hope-blockchain-in-healthcare-michael-dillhyon/id1194284040?i=1000407073820&mt=2 Podbean: https://www.podbean.com/media/share/pb-vimnn-8db4e0   F008 How do sex, blockchain and medical anthropology go together: iTunes: https://itunes.apple.com/us/podcast/f008-how-do-sex-blockchain-medical-anthropology-go/id1194284040?i=1000408108683&mt=2 Podbean: https://www.podbean.com/media/share/pb-ew3f9-8e8f7a Unity Stoakes interviews: From the StartupHealth Festival, with Esther Dyson and Steven Krein:  https://medium.com/faces-of-digital-health/f-002-is-it-possible-to-to-improve-the-health-and-wellbeing-of-everyone-in-the-world-9f37553371d5 iTunes: https://itunes.apple.com/us/podcast/f002-is-it-possible-to-to-improve-health-wellbeing/id1194284040?i=1000400746280&mt=2 Podbean: https://www.podbean.com/media/share/pb-ghm4h-853c2e   Episode 003 of Medicine today on digital health - How did a digital health vision end up in the oval office iTunes: https://itunes.apple.com/us/podcast/003-how-did-digital-health-vision-end-up-in-oval-office/id1194284040?i=1000380325225&mt=2 Podbean: https://www.podbean.com/media/share/pb-xp5r5-7e3972

The key topic of today’s episode is pharmacy related robots, which will be presented by Lea Dias - a pharmacist by profession, who now works predominately as an advisor for international hospitals looking to implement robotic hardware and EHR software solutions to improve patient care. She comes from Australia, so we also touched upon the latest big digital health project in Australia - the digitization of medical records of all Australians.

In 2014, Shafi Ahmed removed a tumor from the liver and bowel of a patient in what was the first operation streamed live online using Google Glass. The procedure to remove was watched live via computer or mobile phone by 13,000 surgical students, healthcare professionals and members of the public in more than 100 countries. Two years later Shafi performed an operation on a British cancer patient using virtual reality technology, again with a large global online audience. He is undoubtedly a driver of change in healthcare with his next big project of leading the First-Ever Fully Digital Hospital in Bolivia. You heard it right, Bolivia - the South American country with 12 million people, where only 6.3% of the GDP goes to healthcare. Can a country like this become the global digital health leader?

Shawna Butler in an entrepreNURSE. She had a wide range of experiences in emergency medicine, cardiac, critical care, international medical flight transport, and workplace wellness. She is part of the Exponential Medicine where the focus is on the opportunities presented by robotics, AI, VR, machine learning, supercomputing, genetic sequencing, blockchain, 3D printing, drones. With her curiosity and drive towards a better health she has shaped and launched various initiatives: the EntrepreNURSE-in-Residence role in the Netherlands, an enterprise-wide digital radiology solution, an international emergency medicine training rotation between a US medical school and a New Zealand hospital system, and the Cancer XPRIZE focused on early detection.  Listen also to episode 16 with Rebecca Love, the co-founder of hirenurses.com.   Recap of the topic: https://medium.com/faces-of-digital-health/f016-why-arent-nurses-included-in-innovation-process-more-2a24ffc94e68

Nurses and midwives account for nearly 50% of the health workforce. While being an important group of healthcare stakeholders, they are often overlooked, especially when talking about innovation. However, they are very innovative and creative. According to Rebecca Love, an experienced Nurse Entrepreneur, nurses do around 27 workarounds per shift. This means 27 times per day they use technology or care differently from the innovator's expectation. But to be efficient and deliver the best care possible this is a must. Questions addressed: What are the difference between doctors and nurses regarding salary and liability?How can entrepreneurship be encouraged among nurses?Where can nurses be most entrepreneurial?If nurses get a seat at the table, what power shift could that bring?Hirenurses.com is a mother-daughter company. How does that collaboration look like?

Esther Wojcicki is an accomplished journalist and a teacher with a very successful family. Her husband Stanley is Stanford University professor of physics and together three daughters: Susan (CEO of YouTube), Janet, a Fulbright-winning anthropologist, epidemiologist and an Assistant Professor of Pediatrics and researcher, and Anne (co-founder of 23andMe). In the short discussion during the Webit festival in Sofia, Bulgaria, Esther talked about how we learn, changes in the way we interact due to technology, the role of parents in education and of course 23andme, a little bit of politics and how the US healthcare system affects society. Esther holds an honorary doctorate from Palo Alto University (2013) and from Rhode Island School of Design (RISD) 2016. Among many many other things she is the founder of the Moonshots in Education Movement (MiE). Learn more: http://www.moonshotsedu.com

John Nosta has been holding a strong position as the number one influencer in the digital health space for quite a few years. His career started in a research lab at Harvard Medical School, until he redirected his creative energy into marketing. About six years ago John founder of NostaLab — a think tank helping life sciences companies navigate change by addressing their problems through unconventional thinking and leveraging creativity. Before that he worked for MedTech and Pharma companies to help them communicate the right idea to the right audience. Some questions addressed:  Are we losing control over the data?What’s the potential of voice recognition software? Can we avoid data gathering today? What are companies doing wrong when communicating their vision? Can innovation be born in large clinical institutions or do they mostly work as echo chambers?