Tuesday, April 22, 2014

Patent filing reveals Google may be developing a contact lens camera - FierceMobileHealthcare

Patent filing reveals Google may be developing a contact lens camera - FierceMobileHealthcare: "Patent filing reveals Google may be developing a contact lens camera"



'via Blog this'



report on Google patents claims the search titan may be making a contact lens featuring a computerized camera along with a sensor and an integrated, thin silicon chip.
"One of Google's many patent applications regarding future smart contact lenses generally relates to systems and/or methods for capturing image data representing a scene in a gaze of a viewer via a thin image capture component integrated on or within a contact lens, processing the image data, and employing the processed image data to perform functions locally on the contact lens or remotely on one or more remote devices," states the patent report.
The camera component can track and generate image data of an image of a scene corresponding to the gaze of the wearer, without obstructing the wearer's view, notes the report. 


Augmedix gets $3.2 million to bring Google Glass to doctors

Augmedix gets $3.2 million to bring Google Glass to doctors



Augmedix gets $3.2 million to bring Google Glass to doctors

By: Brian Dolan | Mar 24, 2014     43   51   6

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AugmedixDoctor2San Francisco-based Augmedix, which has developed a Google Glass clinical documentation offering for physicians raised $3.2 million last week in a round led by DCM and Emergence Capital Partners. Other investors included Great Oaks Venture Capital, Rock Health’s LPs (Kleiner Perkins, Mohr Davidow Ventures, and Aberdare), and various angels. Emergence had previously invested in Doximity and Welltok, while Great Oaks is also an investor in Healthtap.
Augmedix, founded in 2012, now has 36 employees. Its CEO and co-founder Ian Shakil told MobiHealthNews that Augmedix software is already deployed at “numerous different sites”, including one “top five national health system”.
“We are going after one of the biggest pain points in healthcare: The fact that doctors spend 30 or 40 or 50 percent of their day on the computer documenting the EHR — toiling away — pushing and pulling information,” Shakil said. “They often do it right in front of the patient — back turned — and typing. Then when the patient leaves even more type, type, type — feeding the beast.” 
Shakil said Augmedix will help outpatient clinic doctors reclaim that clinical documentation time and improve their patients’ overall experience by helping them have more time to care for patients.
“When doctors use Augmedix and Google Glass, they don’t spend 30 or 40 or 50 percent of their day on this they spend about 1 percent of their day at the computer,” Shakil said. “In the process we have re-humanized the doctor-patient interaction and it, actually, believe or not, yields better patient records in terms of clinical documentation quality.”
While Shakil won’t yet explain how Augmedix goes about automatically capturing information during a patient visit, he framed the experience of using Augmedix it from the physician’s perspective.
“We can’t go too terribly deep on this but I can unveil a few layers of this onion,” he said. “It really boils down to the doctor wearing Google Glass, going into the clinic, interacting with the patient and having that humane, high touch conversation that they always wanted to have. At the end of the visit, all of the structured data, all of the EHR information, is in the EHR where it belongs. The way he wants it. Following a visit, doctors [go to their computer] and check that the information entered into their EHR doesn’t need any edits and then click confirm.”
Shakil said while pushing structured data to the EHR is Augmedix’s core offering, it also helps doctor’s call up information from a patient’s record, too. The doctor might ask Glass to find the patient’s last three blood pressure readings from their record and Glass will present them in the heads up display.
Of course, Augmedix users are not sending these requests via Google, Shakil’s company has “carved out” much of the off-the-shelf features of Google Glass for when it is in “healthcare” mode. Its healthcare facility customers have also required it to offer various mobile device management features so that administrators can track, for example, where each and every Augmedix-powered Google Glass is in its facility.
“All the audiovisual stream capture is not going through Google’s infrastructure, it is going through HIPAA-compliant infrastructure that we have certified with our doctor customer groups,” Shakil said.
Augmedix customers pay monthly subscriptions per physician in exchange for the modified Google Glass unit, Augmedix software, support, and the HIPAA-compliant infrastructure. Shakil says that Augmedix is, in effect, a reseller of Google Glass.
The patients who visit a clinic where physicians use Augmedix’s offering are given information about the Google Glass units their doctor might wear during the visit. The front desk provides them with information about the security and privacy aspects of Augmedix and then are given the option to request that their doctor not use the device during their visit if they aren’t comfortable.
“So far, Glass stays on 99 percent of the time — at least,” Shakil said. “And we have replicated this test with so many sites, including right here in San Francisco and in the middle of nowhere Texas. It goes well beyond Glass just staying on – patient satisfaction scores actually go. That’s true for young and old patients as well as rural and urban areas.”
In addition to better eye contact with their doctors and fewer visit where doctors are entering data on their computers with their backs to them, patients get more out of the Augmedix-enabled doctor visit.
“There is also the sense that your doctor is on the cutting edge and an early adopter of technology,” Shakil said, “which even further improves those perceptions scores. I think those will fade away once people are more used to seeing Glass or hearing about it.”

Saturday, April 19, 2014

Respite from the ACA

It’ Time for a new Hot Topic for the Media

The Ukraine and Vladimir Putin now will share the stage with Tax Reform.



Policy makers will shift from health reform to Tax Reform.  Media is already filling up column space with articles about the American  tax  system.

“To Tax the Community for the advantage of a class is not protection, it is plunder” -Benjamin Disraeli

“People who complain about taxes can be divided into two classes: men and women”-unknown

“The hardest thing in the world to understand is the income tax”-Albert Einstein,physicist



What comes next?  My best bet is reforming the tax code, and restructuring the IRS.  Not much will occur until President Obama is out of office. There have been many Congressional committees examining the code, that have made recommendations, including one by G.W.H.Bush that  quietly disappeared

The Healthcare portion of the GDP is said to be about 16-18%, prior to the ACA. In 12 months or at the calculation of GDP what will the healthcare GDP look like. Will it go up, stay the same, or decrease.?

The Federal and State tax portions of the GDP is It differs from state to state, however it hovers at about 15-16% of the GDP, an amazingly similar number as the Healthcare GDP. Tax reform following the affordable care act may be the perfect storm to reduce costs.

Any consideration of a repeal or major amendments to the code are overshadowed by pervasiveness of taxes, deductions, credits designed to stimulate business growth, and stimulate mortgages and home-ownership.  An entire industry feeds on the complexities of tax law.

“Income tax has made more liars out of the American people than golf” -Will Rogers, humorist

Thursday, April 17, 2014

What's New in The News after ACA ? TAXES

It’ Time for a new Hot Topic for the Media

The Ukraine and Vladimir Putin now will share the stage with Tax Reform.



Policy makers will shift from health reform to Tax Reform.  Media is already filling up column space with articles about the American  tax  system.

“To Tax the Community for the advantage of a class is not protection, it is plunder” -Benjamin Disraeli

“People who complain about taxes can be divided into two classes: men and women”-unknown

“The hardest thing in the world to understand is the income tax”-Albert Einstein,physicist



What comes next?  My best bet is reforming the tax code, and restructuring the IRS.  Not much will occur until President Obama is out of office. There have been many Congressional committees examining the code, that have made recommendations, including one by G.W.H.Bush that  quietly disappeared

The Healthcare portion of the GDP is said to be about 16-18%, prior to the ACA. In 12 months or at the calculation of GDP what will the healthcare GDP look like. Will it go up, stay the same, or decrease.?

The Federal and State tax portions of the GDP is It differs from state to state, however it hovers at about 15-16% of the GDP, an amazingly similar number as the Healthcare GDP. Tax reform following the affordable care act may be the perfect storm to reduce costs.

Any consideration of a repeal or major amendments to the code are overshadowed by pervasiveness of taxes, deductions, credits designed to stimulate business growth, and stimulate mortgages and home-ownership.  An entire industry feeds on the complexities of tax law.

“Income tax has made more liars out of the American people than golf” -Will Rogers, humorist

HEALTH LEADERS MEDIA

HealthLeadersMedia is a less known publication to physicians. The April print edition arrived on my desk, Monday.  The cover story is titled, “Physicians at the Crossroads”

Doctors face critical decisions that will affect their future role in healthcare delivery,especially when it comes to developing care and payment models.  What remains critical is the continuing engagement of clinicians in the process, which has become more difficult with increasing regulations, incentives and penalties driving change for the sake of change rather than applying proven models for increasing quality of care.

What people have underestimated is the complexitiy of workflow in healthcare in general and particularly in outpatient and primary care. The patient flow and variability of work require extreme flexibility for an outpatient clinic. This frankly is not assembly line production. Assembly line production is very modlable; you can calculate changes. The workflow that comes into doctor’s offies is a lot more complicated.

As health care administration has become more complex, more physicians seek and gain hospital or integrated health system employment.  Hospitals and providers alike now recognize that employment does not guarrantee effective integrated care, nor coordinated care.  Typically each hospital environment has had it’s own medical-politic of referrral relationships and services to it’s community.  This is often based upon decades of community involvement, and development.  This trend colors the new relationship between providers and inpatient facilities.

Integrated health systems, although growing. develop a silo mentality and are competitive, some times in the same or surrounding location.  While they are individual business and medical entities, the Health Information Exchange serves to bind them together overcoming regional competitive issues. At the same time the HIX also serves to strengthen the internal workings of the integrated health system.

THE MEDICARE DUMP

No I don’t mean the claims that are denied or returned due to an error in a code, ,or a mismatched diagnosis and procedure code…

The dump of which I speak is the release of 2012 CMS payments to individual providers according to CPT  code.

The reactions are as predicted, whether true or false,

CMA-“MDs upset by Medicare’s release of payments”
U.S. CTO Todd Park puts it an “unprecedented” opportunity for transparency. But what will researchers--and ultimately seniors and taxpayers--be able to actually learn from it?
Consumer’s Watchdog- “Doctors fighting physician accountability to Public get paid millions by Public via Medicare: Most dangerous docs lead pack
And down to the ridiculous from MDigital Life- “Doctors who tweet aren’t ones who bill Medicare for millions”.

In case you had not heard HHS Secretary Kathleen Sebelius resigned. Her parting words were; “ And I thought being a Governor was tough Try being an administrator”. Sebelius served as the sounding board and magnet for opposition even before the health benefit exchange suffered it’s startup meltdown.

Can Doctors speak their minds without getting into trouble?

Will the new Secretary of HHS, Sylvia Matthews Burwell, the President’s pick to head HHS be able to carry out the implementation of the ACA, in the face of intense opposition which continues as when the ACA was first passed.

Health Train Express opines that the release of this data is good, very good for providers, especially those in the top 5% of payments. Further information may reveal high costs for drugs, and  equipment for specialty practices such as neurosurgery, ophthalmology, cardiology, radiology and others.  Contrary to many opinions someone making a lot of money is not necessarily a felon, greedy, or lumped in with terrorists or pediophiles.  Chances are Obama will use this information to ‘spread the wealth’ by decreasing payments to the most productive MDs and give it to those most deserving...and needed...pediatricians, psychiatrists and some primary care providers.

Patients (taxpayers) now will be informed where their tax money goes, besides defense, and other branches of the government. Ir might even turn out to one-up-manship. (My doctor makes more money than yours, so he must be better)

As most charts and tables that are published there is much to be seen in the footnotes, which this document does not include.  

It gives me a warm feeling to know that we are supporting more algos to analyze this ‘BIG  DATA”

Whatever happened to that Federal law designed to reduce paper?

Proponents of an initiative seeking more public accountability for California physicians said the federal government's posting online of Medicare payments to specific physicians puts California Medical Association leaders in an uncomfortable position.
And finally--In other news John Lynn asks, “Are you optimistic or pessimistic about healthcare?”

Answer- “About the same as for the general state of America”

#medicare #health #healhcare #data #hhs #sebelius #cmsdata  




What MDs should know about Security on the Internet and using the cloud for your EHR



Although providers are not information technology
experts, it is essential that they understand some aspects of security on the internet. We already know it is a complex process involving multple layers of privacy beginning with passwords, and encryption. In additon to these layers the operating systems for the internet include built in safe guards.

When it comes to security threat severity, the Heartbleed bug doesn't miss a beat. That's according to Phil Lerner, chief information security officer at Beth Israel Deaconess Medical Center, who, on a scale from 1 to 10, ranks the bug a solid "high priority" at 7.5.

For those of you familiar with the recent discovery of the bug named Heartbeat you know that this affects a major component of web site security allowing unauthorized intrustion into an otherwise secure system.  SSL is the eponym for secure socket layer, which appears in  your internet setting of your browser. It affects all browser.  A patch has been released which is supposed to cure the problem.  The ‘bug’ was in the wild for several weeks before it was discovered.

This particular version of SSL is ‘open source’, which means the computer code is open and readily available. Open source is used in many programs for developers to use, as opposed to proprietary source codes such as used by Microsoft, Apple and many others.  Google uses open source in Android and their Chrome browser.

Website owners can find if the bug is present on their system. Estimates are that 2/3rds of web sites are effected.

The idea of using an open source seems anathema to developing a secure socket layer. However, the internet is designed to be an open network of which SSL is a basic commodity. Proprietary  SSLs would create more isolation of diverse providers and web sites.

The original SSL was developed in the late 1990s by a non-profit concern that contracted with the U.S. Government. I plays an essential role for management of domain names such as .com .net and .org.  Many new domains have been issued in the last several years--.med .fr .za .bus .tv and others.  The organization that issues domain names is currently based in California, (ICANN) Internet Commission Assigning Names and Numbers.  The organization was set up as an international non-governmental organization and allow for an agency completely free from government interference.  

Many potential changes are forseen, among them the U.S. withdrawing from ICANN.  ICANN will be assigned the task of evaluating and making policy for domain names, and then handing it off to anothe agency to manage the technical aspects.