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Erin Gilmer (@GilmerHealthLaw) | Twitter
Erin Gilmer @GilmerHealthLaw We tell our stories to be heard. Sometimes those stories free us. Sometimes they free others. When they are not told, they free no one. - Leve (No legal advice) Denver, CO healthasahumanright.wordpress.com/about/ Joined April 2012
#hc  #patient  #px  #critique 
7 days ago by phil_hendrix
The Empty Promise of Data Moats Andreessen Horowitz 20190509
The Empty Promise of Data Moats Data has long been lauded as a competitive moat for companies, and that narrative’s been further hyped with the recent wave of AI startups. Network effects have been similarly promoted as a defensible force in building software businesses. So of course, we constantly hear about the combination of the two: “data network effects” (heck, we’ve talked about them at length ourselves). But for enterprise startups — which is where we focus — we now wonder if there’s practical evidence of data network effects at all. Moreover, we suspect that even the more straightforward data scale effect has limited value as a defensive strategy for many companies. This isn’t just an academic question: It has important implications for where founders invest their time and resources. If you’re a startup that assumes the data you’re collecting equals a durable moat, then you might underinvest in the other areas that actually do increase the defensibility of your business long term (verticalization, go-to-market dominance, post-sales account control, the winning brand, etc). Treating data as a magical moat can misdirect founders from focusing on what’s really needed to win In other words, treating data as a magical moat can misdirect founders from focusing on what is really needed to win. So, do data network effects exist? How might a scale effect behave differently from the traditional network effect? And once we get past the hype of having to have them… how can startups establish more durable data moats — or at least figure out where data best plays into their strategy?
#strategy  #startups  #data  #asset  #critique 
13 days ago by phil_hendrix
Patients are using digital health apps to confess suicidal thoughts 20190325
As patients tell apps they’re feeling suicidal, digital health startups scramble to respond By REBECCA ROBBINS @rebeccadrobbins MARCH 25, 2019 Twitter Facebook LinkedIn Email Doximity Print EROS DERVISHI FOR STAT SAN FRANCISCO — Digital health apps, which let patients chat with doctors or health coaches or even receive likely medical diagnoses from a bot, are transforming modern health care. They are also — in practice — being used as suicide crisis hotlines. Patients are confessing suicidal thoughts using apps designed to help them manage their diabetes or figure out why they might have a headache, according to industry executives. As a result, many digital health startups are scrambling to figure out how best to respond and when to call the police — questions that even suicide prevention experts don’t have good answers to. “To be honest, when we started this, I didn’t think it was as big an issue as it obviously is,” said Daniel Nathrath, CEO of Ada Health.
#hc  #behavioralhealth  #suicide  #prevention  #digital  #apps  #chatbots  #critique 
19 days ago by phil_hendrix
What is storytelling in design? Jesse Weaver 20190328
II. Emotion in the way you present your work The skills required to effectively present and “sell” your work are arguably the most important skills you can build as a designer. In their book, The Leadership Challenge, authors Kouzes and Posner lay out five Practices of Exemplary Leadership. One of the most critical (and challenging) is to “Inspire a Shared Vision.” This is about envisioning the future and enlisting others into that vision. We focus heavily on building the hard skills of design, with a feeling that usable and aesthetically pleasing design is like a magnet that will just draw people in with awe and wonder. This, of course, is not the case. If you can’t get your stakeholders on board with your vision, you’re design skills mean very little. I’ve watched countless great ideas and excellent designs die because the designer couldn’t get anyone to care, and I’ve had my own ideas killed because I failed in that task as well.
#design  #critique  #storytelling  #ux  #advice  @JesseWeaver 
28 days ago by phil_hendrix
When Companies Question the Value of Design Alan Cooper Medium 20180703
When Companies Question the Value of Design
Designers get asked the value of their work all of the time. They never have a good answer.

There are good reasons for this. Often, designers don’t actually add value. They tweak colors and shapes of objects on the screen, or they move controls from one side to the other. They change the hamburger menu to a tossed-salad menu. When much of what passes for interaction design is really just visual tweaking, what quantifiable value does it provide? Not much.

But far and away, the reason design practitioners don’t add value is that their organizations prevent them from doing so.

If your boss is asking you to quantify the value of your work, you need to understand that your work indeed has no value. Not at that company. Not with that boss.
#design  #critique  #adoption  #enterprise  @AlanCooper  #value  #strategy 
28 days ago by phil_hendrix
Digital phenotyping: A revolution or a privacy breach? MedCity News 20190113
Digital phenotyping: A revolution or a privacy breach? In the digital era, researchers are working with tech companies to monitor how people interact with the digital world to better understand their mood, cognition, and behavior, but there are challenges, including ethical issues.
#digitalhealth  #apps  #privacy  #critique  @Mindstrong 
7 weeks ago by phil_hendrix
Integrated Automation: Why You’ve Been Doing It All Wrong | HFS Research 20190328
INTEGRATED AUTOMATION: WHY YOU’VE BEEN DOING IT ALL WRONG Mar 28, 2019 Phil Fersht Jamie Snowdon Saurabh Gupta Elena Christopher Over the last few years, intelligent automation (IA) has emerged as a catch-all term for various change agent technologies such as robotic process automation (RPA), artificial intelligence (AI), and smart analytics that are being deployed individually or in concert to help enterprises across the globe enhance the automation of their IT and business processes. Well-executed IA is the catalyst for digital transformation at the core of an organization, fundamentally changing how business operations are executed, connecting front and back offices, and helping develop new business models driven by hybrid digital and human workforces.   However, not unlike emerging technology-driven innovations, there’s still a gap between rhetoric and reality, and the world of IT and business operations is in dire need of adopting a definitive definition, impact, and future direction for IA.   HFS, in collaboration with KPMG International, investigated the pace of change this IA phenomenon is having on enterprises by assessing the rate of adoption of emerging IA technologies, the early successes and challenges, and changing directives from the C-Suite to reach desired goals and outcomes. We surveyed 590 business leaders including 100 C-level executives across six industries and thirteen countries. We supplemented this quantitative analysis with detailed qualitative interviews with IA leaders at global brands to contextualize the trends.
#automation  #analyst  #report  @HfS  #bestpractices  #critique 
8 weeks ago by phil_hendrix
Lerer Hippeau's Andrea Hippeau: The DTC market is overcapitalized Digiday 30290322
Lerer Hippeau’s Andrea Hippeau: The DTC market is overcapitalized MARCH 22, 2019 by Anna Hensel Andrea Hippeau, principal at seed and early-stage venture fund Lerer Hippeau, thinks direct-to-consumer brands need to now be prepared to pitch her on their strategies for selling on Amazon and through wholesale partnerships. “It’s no longer interesting if you come to us and say ‘I’m just going to sell DTC’,” Hippeau said during Digiday’s Retail Forum in New York City on Thursday. “I think we’re in the fifth inning of direct-to-consumer and what we’re really seeing now is omnichannel. Consumers need to see you across four or five different platforms before they make a buying decision.” Lerer Hippeau was one of the first investors in companies like Warby Parker and Casper. Before there were hundreds of other companies selling products DTC, these companies were able to acquire a large number of customers for relatively cheap by advertising on Facebook.
#dtc  #critique  #advice  #VC 
8 weeks ago by phil_hendrix
Choosing Between AI Health Assistants & Online Symptom Checkers 20180918
Choosing Between AI Health Assistants & Online Symptom Checkers 80% of adults have searched the internet when sick. Read about the perils of self-diagnosis and how A.I. health assistants can help you make educated decisions. Posted on September 18, 2018 by Buoy Editorial Team
#hc  #ai  #chatbot  #digitalassistant  @BouyHealth  #critique 
8 weeks ago by phil_hendrix
In defense of skepticism about deep learning Gary Marcus 20180114
In defense of skepticism about deep learning Gary MarcusFollow Jan 14, 2018 “All truth passes through three stages: First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as self-evident.” — Often attributed to Schopenhauer In a recent appraisal of deep learning (Marcus, 2018) I outlined ten challenges for deep learning, and suggested that deep learning by itself, although useful, was unlikely to lead on its own to artificial general intelligence. I suggested instead the deep learning be viewed “not as a universal solvent, but simply as one tool among many.” In place of pure deep learning, I called for hybrid models, that would incorporate not just supervised forms of deep learning, but also other techniques as well, such as symbol-manipulation, and unsupervised learning (itself possibly reconceptualized). I also urged the community to consider incorporating more innate structure into AI systems. Within a few days, thousands of people had weighed in over Twitter, some enthusiastic (“e.g, the best discussion of #DeepLearning and #AI I’ve read in many years”), some not (“Thoughtful… But mostly wrong nevertheless”). Because I think clarity around these issues is so important, I’ve compiled a list of fourteen commonly-asked queries. Where does unsupervised learning fit in? Why didn’t I say more nice things about deep learning? What gives me the right to talk about this stuff in the first place? What’s up with asking a neural network to generalize from even numbers to odd numbers? (Hint: that’s the most important one). And lots more. I haven’t addressed literally every question I have seen, but I have tried to be representative.
#dl  #critique  @GaryMarkus 
8 weeks ago by phil_hendrix
Securing Smart Homes and Buildings: Threats and Risks to Complex IoT Environments Trend Micro 20190305
Threats and Risks to Complex IoT Environments March 05, 2019 The evolution of smart homes and smart buildings into complex IoT environments reflects the continuing developments in home and industrial automation. Security should not be left behind as increased complexity also means new threats and risks. BY: TREND MICRO RESEARCH View Cybersecurity Risks in Complex IoT Environments One of the most enticing images of the future has been that of technology that allows ordinary objects to seemingly come to life to cater to our personal needs. A certain version of that future has already materialized in present time. The internet-of-things (IoT) has made possible a new kind of space where that future exists — complex IoT environments (CIE).
#IoT  #smarthome  #security  #risk  #critique  #analystreport  20190305 
9 weeks ago by phil_hendrix
Smart home complexity is its own security risk - Stacey Higginbotham 20190311
Smart home complexity is its own security risk MARCH 11, 2019 BY STACEY HIGGINBOTHAM LEAVE A COMMENT Trend Micro used Shodan, a search engine for connected devices on the public internet, to find examples of available home automation servers. If this is your server, you don’t want it showing up on Shodan. Quick, how many connected devices are in your home? If you have more than 10, then you are courting a level of complexity that will burden you rather than make your life easier, according to a new report from TrendMicro. For anyone with a plethora of connected devices in their home, this isn’t news, but it is part of a rarely discussed phenomenon that will affect how widely the market for smart homes can expand and the security of such products. Security firm TrendMicro took on the complexity of smart homes and issued a report this week that I think is a must-read for anyone in the industry. Such complexity also has implications for the folks deploying connected gear into an enterprise setting, although those staffers will have more resources to draw on. Let’s dig in.
#smarthome  #security  #risks  #analystreport  #critique  @StaceyHigginbotham 
9 weeks ago by phil_hendrix
Experiences of Medicaid Programs and Health Centers in Implementing Telehealth | RAND 201903
Experiences of Medicaid Programs and Health Centers in Implementing Telehealth by Lori Uscher-Pines, Kathryn E. Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer Related Topics: Health Care Access, Medicaid, Telemedicine Citation Embed Share on FacebookShare on TwitterShare on LinkedIn DOWNLOAD EBOOK FOR FREE Format File Size Notes PDF file 0.4 MB Technical Details » Research Questions What have the experiences of state Medicaid programs and FQHCs been in supporting telehealth and delivering telehealth services? How does Medicaid policy influence the delivery of telehealth services to underserved populations? Despite telehealth's potential to improve access to care, it is underutilized by safety-net providers, including Federally Qualified Health Centers (FQHCs), due to a range of policy, organizational, and logistical barriers. Research that facilitates state-to-state learning can inform both Medicaid and Medicare policies going forward and provide lessons learned for FQHCs interested in starting or expanding telehealth programs. The authors conducted telephone discussions with representatives of seven state Medicaid programs and 19 urban and rural FQHCs to address how FQHCs in selected states are using telehealth, how the delivery of telehealth services is structured, barriers and facilitators of telehealth, and how Medicaid policy influences telehealth implementation. Live video telehealth, typically telebehavioral health, was the most prevalent type of telehealth among FQHCs in the sample. Stakeholders highlighted several weaknesses of Medicaid policies in one or more states, including general lack of clarity regarding which services were allowed by Medicaid programs, ambiguity around telepresenter requirements, lack of authorization for FQHCs to serve as distant sites in the federal Medicare program and in select state Medicaid programs, and insufficient reimbursement. FQHC stakeholders also identified multiple barriers to telehealth implementation beyond reimbursement. Nonetheless, FQHC stakeholders generally believed they could overcome these various barriers to telehealth implementation, if reimbursement and the risk of losing revenue in offering telehealth services were improved. While diversity of experiences makes it difficult to generalize about implementation of telehealth in the safety net, the authors identified several common themes and associated considerations for policymakers, payers, and FQHCs.
#hc  #telehealth  #critique  #survey  #policy  #analystreport  @Rand 
9 weeks ago by phil_hendrix
Can Healthcare’s Internet of Things Move from Froth to Function? 20160330
Can Healthcare’s Internet of Things Move from Froth to Function? Can the healthcare industry use the Internet of Things to drive truly effective patient engagement without overwhelming providers? Source: Thinkstock For many consumers, there are few things more exciting than purchasing something electronic.  Dismantling the carefully thought-out packaging, peeling the tacky plastic off a screen unblemished by fingerprints, and seeing that well-known logo flash across the display for the first time can be a satisfying experience on several different levels. The simple delight of possessing something cutting edge certainly plays a part in it – thirty-nine million “unboxing” videos on YouTube can’t be wrong – but gadgets these days also affect their users in a deeper way.  The latest and greatest cell phones, tablets, fitness trackers, and smart watches help their users extend their capabilities and alter their interactions with the rest of the world.  With these new devices, users can access something, play something, manage something, or learn something that they couldn’t before. They can find information with the flick of a finger.  They can share their every moment through pictures or videos or updates with their friends.  They can listen to their heartbeats – or the heartbeats of their spouses hundreds of miles away.  They can open an app to watch their pets snoozing at home while they are stuck in the office all day.  They can turn on the air conditioning in their living rooms in anticipation of coming home from the gym. They can do more, know more, share more, and control more.  They become connected.
#hc  #IoT  #critique 
10 weeks ago by phil_hendrix
Finding the Value in the IoT, Patient-Generated Health Data 20170111
Finding the Value in the IoT, Patient-Generated Health Data The volume of patient-generated health data is growing by the minute, but can the ONC help providers find value in the Internet of Things?

Patient-generated health data (PGHD) is one of the most important sources of information for clinical decision-making, yet many healthcare organizations struggle to define the term, let alone to collect, analyze, and use the information for quality improvements and patient management.

While clinicians have always asked their patients to report on their latest symptoms or experiences between office visits, the rise of new technologies, new care strategies, and new financial pressures have radically altered the role of the patient – and the data he or she provides – in the process of delivering comprehensive, person-centered, value-based care.

The Internet of Things (IoT), including wearable devices, smartphone apps, and home monitoring equipment, is bringing potentially valuable data into the clinical environment, but developing the infrastructure and best practices to harness that value is a complex and daunting task.
#hc  #IoT  #status  #outlook  #critique  #sensors  @JenniferBresnick 
10 weeks ago by phil_hendrix
Unlocking Opportunities in the Internet of Things - Bain & Company 20180807
Unlocking Opportunities in the Internet of Things Vendors can improve the market by addressing customer concerns over security, integration and returns on investment. By Ann Bosche, David Crawford, Darren Jackson, Michael Schallehn and Christopher Schorling August 07, 2018 9 min read
#IoT  #status  #strategies  #projections  #critique  @Bain 
10 weeks ago by phil_hendrix
Why the Life-Insurance Industry Wants to Creep on Your Instagram | The New Yorker 20190226
Why the Life-Insurance Industry Wants to Creep on Your Instagram By Nathan HellerFebruary 26, 2019 Insurers are using customers’ social-media posts to determine premiums, inviting the potential for our digital lives to become disingenuous performances.Illustration by Pepa Prieto Puy Recent news that life insurers are now subject to a mild setback in the process for determining premiums might have been cheering if it didn’t come with a revelation that the actuaries of the world might be studying your Instagram feed. Last month, in a circular letter, the New York State Department of Financial Services, a major regulator, allowed that life-insurance companies can, in principle, use information gleaned from customers’ social-media posts and other “lifestyle indicators” when setting premiums. The catch—that the use of this information has to meet non-discrimination standards—brought, in theory, a cold wind of accountability. In practice, though, it simply served to highlight one more horrifying thing that we didn’t know was going on. As the Wall Street Journal explained it, in a report by Leslie Scism, insurers have already begun using algorithms to comb through “nontraditional” information sources to evaluate customers’ risk, so most of us would be prudent to flaunt our virtues online. “Post photos of yourself running,” the Journal advised, in
#data  #analytics  #privacy  #socialmedia  #discrimination  #critique  #practices  #insurance 
11 weeks ago by phil_hendrix

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