Smarter, Better, And Faster
I’ve always been easily bored, and what bores or annoys me most is when things are done in unnecessarily complicated ways. When I run into something that in my opinion doesn’t work right, I automatically start thinking about why something is done the way it is and how this could be done smarter, better or faster. So, for me everything starts with “why” and this is also why I think helping people to understand “why” is one of the most important things in leadership. Understanding gives everything a purpose and that inspires people and help them align with the goals.
The Challenge in Healthcare
Healthcare is lagging behind other sectors in terms of adapting to technical possibilities, i.e., seizing opportunities. There are several good reasons for this; patient safety, information security, and regulations are among the most defendable ones. The future hurts only once but resisting it hurts forever. And if you resist, you are not among the ones shaping the future so resisting leaves you worse off when the future catches up. This is especially true with AI and machine learning.
Don’t be scared of technology and the future but be realistic. Don’t plan too much in detail—start small but start somewhere—for example supporting current operations with new technology. Support successful change and kill off less successful initiatives quickly. After all, augmented intelligence where man and machine work together usually render much better results than just man or just machine.
The Journey to a Better Health
I’m easily irritated by suboptimal processes, and healthcare has felt overly complicated forever. It’s very doctor-centric and siloed.
The start for me and Etsimo was three things happening at once; (1) I had three small children that needed medical care now and then, always in the middle of the night, (2) my wife got ill with a rare and life-threatening disease, and it took 2,5 years for the professionals to diagnose her correctly and even then it happened by coincidence, and (3) I was presenting an information discovery technology to the largest hospital district in Finland, and they gave me feedback that changed my thinking. All these together got me thinking that healthcare should be fixed, and I realized we could do it, we have the required skill sets and technology. So, I talked with my team and these discussions led to us start building our current offering.
We provide a platform with the infrastructure that enables our customers to get started on the journey towards being a data-driven company utilizing AI in their operations. It utilizes medical data and makes it possible for our customers to transfer from reactive to personalized and preventive care. For the consumer, the above translates into an improved customer experience with 24/7 access to healthcare and an easy-to-use fully digital care experience. For the provider and payer, it reduces the costs of the care process with automated triaging and care path assignment. This enables optimization of the use of human care resources and analytics on the care process.
Keeping People Healthy
At Etsimo, we believe in keeping people healthy instead of treating sick people. To accomplish this, through prediction and prevention, you need to be patient-centric and have a continuous flow of medically credible data from the patient. For this to work, we need a user experience that is part of your day-to-day life, but in a non-intrusive way—a way that doesn’t bother you with continuous data update needs and irrelevant alerts. It utilizes the data from your patient history and the data you generate with your wearables to track of you in the background and requires actions from you only when it’s absolutely needed. Getting healthcare and wellbeing to be a continuous activity enables us to fulfill our mission to keep people healthy.
Top 50 Healthcare Technology CEOs Of 2020
AI to help kids struggling with ADHD, PDD-NOS and other ASD’s
By Stephane Bourles, CIO at Brain Balance
AI to help kids struggling with ADHD, Autism, Asperger Syndrome , PDD-NOS and other ASD’s
Left Brain or Right Brain?
In a properly functioning brain, both hemispheres communicate equally and at lightning speed, millions of times per minute. In a poorly functioning brain, the left and right sides of the brain only impart partial information, causing frequent miscommunication. This is called Functional Disconnection and is the root of many types of learning, behavioral and social problems found in children. The Brain Balance program puts the left and right brains back in sync using sensory motor exercises, academic skill building, and nutrition guidelines.
How does the Assessment Work?
The assessment consists of sensory, motor, and academic testing of more than 900 functions. The outcome of this assessment is a highly customized report providing parents with a complete understanding of their child’s behavioral, social, and academic skill levels.
We use AI to determine which brain hemisphere we believe to be stronger or weaker. The Machine Learning algorithm used for the assessment is not always accurate, which we know based on the feedback from our staff—yes we let them disagree with the system, which is intended as a tool to help them support their own assessment, but not to necessarily force them into a decision they don’t agree with.
But as valuable as an individual observation based on years of experience is, it still remains just the view of one individual. That is why we look at Artificial Intelligence as a new solution combining neural network architectures with massive computing power to enable our solution to learn a pattern from large datasets and make statistical predictions based on test results and feedback we already have for tens of thousands of students.
What is next?
Thanks to many product releases with different Machine Learning models we tested, we were able to improve our assessment accuracy and achieve precision, recall and F1 scores over 0.95. The limitation of this AI model is it is not 100% accurate and you don’t know for sure the source of truth. Since AI is a “black box” which can’t explain its prediction for most models, you have to trust your staff first.
Similar to clinical decision support systems helping healthcare practitioners, we believe this fast growing dataset about children, combined with new Artificial Intelligence models such as Explainable AI, will help our staff improve a child’s initial assessment, which will then improve our overall program’s results.
The importance of information to empower health-app users
By Liz Ashall-Payne, CEO, ORCHA
Shining a light between the rock and the hard place: The importance of information to empower health-app users
Apps, and their use for the promotion of health and wellbeing, are the subject of increasing interest and enquiry; particularly in light of the NHS’ Long Term Plan, and ever-increasing pressures on scarce NHS resources. But finding and downloading effective, engaging, and most importantly, safe health-apps, is a significant challenge. While many have suggested that health-apps could be a ‘silver-bullet’, aimed at quashing the woes that stem from decreasing funding and increasing demand for incumbent NHS services, it is important to tread with caution.
Unlike pharmaceuticals, over the counter remedies, talking therapies, physiotherapy or surgery, health-apps can not only be sought, but readily obtained in absence of gatekeeping and safeguarding. The result is that you or I can download upwards of 200,000 health-apps today, with as little as a click of a button on the app-store. While this can be argued as the unique value-proposition of app-based health technologies, a lack of guarantees regarding the quality and content of such apps, means that this open-access feature of apps also represents the chief concern; and is likely limiting the enthusiasm with which healthcare professionals engage and promote their use.
The number of apps labelled as ‘pranks’ or for ‘illustration purposes only’ has been subject to year-on-year growth. But for those looking for convenient, easily accessible, and often cost-free support; or for those who are either vulnerable or impressionable; such technologies can pose significant health risks, beyond those that are apparent and conveyed (if at all) in the short description within the app store. An app that misleadingly claims to monitor blood pressure or blood sugar for example, may result in either (1) misleading information, (2) modifications to disease management not representative of true disease status (including the use of insulin or warfarin), or (3) serious adverse events including hypoglycaemia or stroke. One such app for monitoring blood pressure has been downloaded upwards of 1,000,000 times on the Android Google Play app store, while boasting a review rating of 4.3/5.
This raises questions regarding the utility of both the subjective user review score (which is inherently limited in only capturing both very positive or very negative views) and the number of prior downloads of an app, as potential surrogates for app quality. Recent research into apps targeted at chronic insomnia disorder conducted by the Organisation for the Review of Care and Health Applications (ORCHA) confirmed this. In this analysis, which is now available in the journal BMJ: Evidence-Based Mental Health, it was demonstrated that both user review scores, and the number of prior downloads of a health-app, were not only unreliable as proxies for quality, but in fact were inversely related; and as these metrics increased, the objectively measured quality of apps decreased (as assessed by presence of clinical evidence, data privacy policies etc.) This has left a considerable void regarding where reliable indicators of the safety and quality of app-based health technologies can be found, something which at least in part, has been tackled by the National Health Service (NHS).
Courtesy of the NHS’s digital assessment questionnaire (DAQ), and the NHS apps library (beta version), the number of ‘accredited’ and NHS-approved health-apps is increasing, albeit at a leisurely pace, with approximately 50 apps accredited so far. While a step in the right direction, the rigour with which such reviews are conducted comes at the expense of speed, and an estimated review time of 6-8 weeks, limits the possibility of such initiatives being conducted at scale. As such, the difference between the total number of health-apps available (~300,000), and those which have been quality-tested and approved by regulators or accreditation bodies (~50); is if anything, increasing; leaving little or no information regarding the validity, efficacy, and most importantly the safety, of 99.99% of health-apps available today; which to date have been downloaded by potential users upwards of 50million times.
This is where the Organisation for the Review of Care and Health Applications (ORCHA) aim to transform the process of health-app research and information provision. Positioned as an open-access, free of charge and publicly facing repository regarding the user experience, clinical efficacy, and data privacy of thousands of health-apps, ORCHA’s aim is simple; to empower and inform potential users of health-apps regarding potential risks and benefits, prior to committing to use. Through a structured, objective and peer-reviewed assessment, consisting of 160 question areas, answered on a ‘yes’ or ‘no’ basis, ORCHA provides information to the 99% of users of health-apps, which are yet to be formally assessed by health technology assessment bodies, and in doing so, ORCHA removes the information asymmetry that is currently clouding the health-app market in, distrust, disbelief, and uncertainty. Publishing a new review of a health-app every 30minutes on average, ORCHA pull in information for all 300,000+ apps available on both iOS and Android Google Play, organise these into medically approved sub-categories (including diabetes, mental health and diet and exercise), and then order these apps from the most to the least downloaded.
Barbara Howard, MD to Receive the 2019 C. Anderson Aldrich Award
By Karen Gauthier Sales & Marketing Coordinator, Total Child Health
August 20, 2019
The American Academy of Pediatrics (AAP) Section on Developmental and Behavioral Pediatrics announced that Barbara Howard, MD will receive the 2019 C. Anderson Aldrich Award.
The C. Anderson Aldrich Award is bestowed by the Section on Developmental and Behavioral Pediatrics of the American Academy of Pediatrics to honor professionals who have made outstanding contributions to the field of child development. Its earlier recipients include some of the world’s most famous pediatricians, such as Benjamin Spock and T. Berry Brazelton; child psychiatrists, such as Anna Freud, and Sir Michael Llewellyn Rutter and child psychologists, such as Erik Erickson.
Howard is a Developmental-Behavioral Pediatrician who trained with Dr. T. Berry Brazelton at Harvard University. Dr. Howard is probably the most popular and beloved teacher and recognized care innovator of developmental and behavioral aspects of pediatrics in the United States. She has been a frequently invited national speaker over the past several decades and at one point was noted by the AAP as the highest-rated speaker of any specialty in pediatrics.
Pediatricians also have had access to her wisdom about practical approaches to developmental and behavioral aspects of pediatrics through a regular column in the free Pediatric News over the past two decades. Many pediatricians have attended the free monthly case conferences through a federal grant she has had continuously for thirty years, first in person and in recent years as a national webcast. Pediatric residents at Hopkins, Duke, Sinai, and U Mass have benefited and she also co-directed a fellowship program to train developmental and behavioral pediatricians as a faculty member at Johns Hopkins, where she continues a faculty role.
In recent years, Barbara has used an innovative online “clinical process support system”, called CHADIS to provide “moment of care” education to pediatricians specifically related to their own patients via pre-visit questionnaires, reaching 3,000 pediatricians for over 2 million of their patients.
Dr. Howard was past President of the Society for Developmental and Behavioral Pediatrics. She was a contributing author for Bright Futures™, Diagnostic and Statistical Manual for Primary Care (DSM-PC) and Bright Futures in Practice: Mental Health and has served on national committees of the American Academy of Pediatrics. Dr. Howard has also made contributions by leading thirteen NIH and CDC funded research programs in areas such as autism, ADHD, asthma, infant mental health and current grants for Social Determinants of Health, teen depression and substance use prevention. These research programs have made contributions to the literature and also evidence to support modules in CHADIS that continue to teach and guide pediatricians family medicine doctors and now branching out to mental health providers and adult medicine.
Howard will receive the award during the 2019 AAP National Conference & Exhibition in New Orleans, LA on Saturday, October 26, 2019.
The mission of Total Child Health, Inc. is to provide products and services that improve mental and physical health. In particular, the company focuses on the development and distribution of CHADIS (CHADIS.com).