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THCB Reader - Issue #25

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THCB Reader

October 3 · Issue #25 · View online
Everything you always wanted to know about the health care system. But were afraid to ask.

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On today’s edition of the THCB Reader: I am back with Part 2 of my Best Buy experience, and the story gets even better, with the crux of it being a consumer durable equivalent of a standard copy/paste error & an interoperability failure that happens all the time in health care; Kevin Wang argues that primary care needs to play a larger role in health care that doesn’t just treat symptoms or leaves patients feeling vulnerable, but care that seeks to engage and trust patients to create real behavior change is needed; and Luke Oakden-Rayner states that AI competitions, especially in health care, do not produce useful models to train systems to detect or diagnose disease. On this week’s episode of Health in 2 Point 00, Jess & I discuss Amazon Care, Echo raising $20 million for their smart stethoscopes, Bayer leading a $40 Million round for OneDrop’s blood glucose meter,  GoodRx buying the telehealth company HeyDoctor, and much much more! On WTF Health Show, Jess interviews Atul Butte, Chief Data Scientist for the University of California Health System, about how he believes that EMRs are not the problem, but the real problem is that health systems are not using the data they collect in a meaningful way. Also, be sure to give our HardCore Health Podcast episodes a listen below. Enjoy! -Matthew Holt

Oct 3, Matthew Holt
Those of you who remember my BestBuy washer & dryer installation saga from a couple of weeks back may want to gird your loins. Because the saga continues. And it has even more relevance for consumerism in health care. At its crux, this was the consumer durable equivalent of a standard copy/paste error & an interoperability failure that happen all the time in health care every day. I’m sure health care peeps can think of hundreds of examples of errors caused by persistence of the wrong data entered into the EMR!

Oct 2, Kevin Wang
Most of today’s primary care is, in retail terms, a loss leader — a well-oiled doorway to the wildly expensive sick care system. To improve health at individual and population levels, the system needs to be disrupted. Primary care needs to play a much larger role in healthcare, and it needs to be delivered in a way that doesn’t make patients feel isolated, neglected, or dismissed. Luckily, primary care is making a comeback with advanced primary care — the kind that doesn’t just treat symptoms, but sees trust, engagement, and behavior change as a path to health. 

Sept 27, Luke Oakden-Rayner
A huge new CT brain dataset was released the other day, with the goal of training models to detect intracranial haemorrhage. The dataset has been released for a competition, which obviously lead to the usual friendly rivalry on Twitter. As the discussion progressed, Luke realised that while we “all know” that competition results are more than a bit dubious in a clinical sense, but have never really seen a compelling explanation for why this is so. So, here it is: an explanation for why competitions are not really about building useful AI systems.
Livongo is working to #SilenceNoisyHealthcare. Visit livongo.com for more details.
Health in 2 Point 00, Episode 96 | Amazon Care, Echo, OneDrop & more
Health in 2 Point 00, Episode 96 | Amazon Care, Echo, OneDrop & more
The Most Expensive Data in the US & Why we’re NOT Using It | Atul Butte, UC Health
The Most Expensive Data in the US & Why we're NOT Using It | Atul Butte, UC Health
The Health Care Blog The Health Care Blog
In this series, Vince Kuraitis and Deven McGraw write about health data privacy & policy, and the legislation that impacts it
The Help@Hand Project is searching for the best tech solutions that address a county-shared need of increasing access to mental health services. A series of unique digital tools will be tested during a multi-year innovation project that will assess and pilot virtual mental health care services. Apply now to be part of an exciting pilot program hosted by The California Mental Health Services Authority (CalMHSA). Applications close on October 7th, 2019.
“Making Participatory Medicine Real” is the 3rd annual S4PM conference  10/15 in Boston, MA! Great organization, great conference, only $100! (with membership)! Check it out above!
We hope you enjoyed the pieces and videos we had for you today. As always, if you have a piece you would like us to consider, please email zoya@thehealthcareblog.com and if you are looking to reach 20K of the smartest people in health care on this newsletter, or 80-100K each month on the site, please think of sending some of your marketing $$$ our way! Here’s our prospectus.

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