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Hacking Health in Hamilton Ontario - Let's hear that pitch!

What compelled me to register for a weekend Health Hackathon? Anyway, I could soon be up to my ears in it. A pubmed search on Health Hack...

Showing posts with label Eric Topol. Show all posts
Showing posts with label Eric Topol. Show all posts

Thursday, March 26, 2020

digital health initiatives in the wake of COVID-19


6. 17-year-old builds a website to closely track the Coronavirus epidemic and now millions are using it:https://www.democracynow.org/2020/3/13/meet_the_17_year_old_behind

7. Flatten the Curve. Volunteer engineers and clinicians big data real-time heatmap of potential and confirmed COVID-19 cases: https://flatten.ca/

8. Ontario, Alberta, etc., billing codes for primary virtual visits: https://ontariomd.news/

9. Wildly Popular South Korean covid-19 tracker app: https://www.marketwatch.com/story/wildly-popular-coronavirus-tracker-app-helps-south-koreans-steer-clear-of-outbreak-areas-2020-03-18

10. South Korean coronavirus tracking apps: https://www.businessinsider.com/coronavirus-south-korea-photos-apps-location-outbreak-where-2020-3#the-app-collects-data-from-public-government-info-including-the-korea-centers-for-disease-control-to-show-the-date-a-patient-was-diagnosed-with-covid-19-along-with-the-persons-nationality-age-gender-and-where-they-visited-2

11. WeDoctor - free consultation from medical clinicians: https://promo.guahao.com/en/global/pneumonia

12. Donate PPE in Canada: https://togetherwecandothis.ca/

13. National Emergency Library - Free books online: http://www.openculture.com/2020/03/the-national-emergency-library-makes-nearly-1-5-million-books-free-to-read-right-now.html

14. MIT Emergency Ventilator Project: https://e-vent.mit.edu/

15. Canadian MD Ventilator Hack 1 ventilator for 9 people: https://www.upworthy.com/canadian-doctors-brilliant-evil-genius-hack-turns-one-ventilator-into-nine

16. Nobel Laureate Leads Push for Made in Canada Ventilator: https://www.theglobeandmail.com/canada/article-nobel-laureate-leads-push-for-simple-made-in-canada-ventilator/

17. Medical Futurist - COVID-19 Was Needed for Telemedicine to Finally Go Mainstream: https://medicalfuturist.com/covid-19-was-needed-for-telemedicine-to-finally-go-mainstream/

18. Project Northern Lights - Groups of Canadians using Slack to hack projects for COVID:  https://www.theglobeandmail.com/canada/article-canadians-use-crowdsourcing-to-produce-medical-supplies-for-health/

19. SECDEV looking for Cybersecurity IT Professionals to volunteer to protect healthcare centres from disinformation, ransom ware attacks, etc:https://www.secdev.com/

20. FutureLoop - Pandemic Edition: https://futureloop.com/register/coronavirus/












32. How is my Flattening?  includes vaccination percentages for Ontario

33. Canada's Public Health Data Meltdown - MacLeans article by Justin Ling


35. ProMed - International Society for the Infectious Diseases









Friday, November 15, 2019

eHealth news, feeds, business and intelligence sources

There is a lot of information about ehealth and health informatics. I am not talking specifically about academic research journals - that is a whole other sort of information. Sometimes it is difficult to sort out information about healthcare in general from information that is specific to ehealth, as both are so intertwined. I have been following ehealth news sources for over a decade. My inner ehealth journalist would feed on these sources for material - as would a blogger.

Here are "some" of the main sources of information that I have been receiving:

1. Blogs
2. Healthcare Technology Newsletters
3. Health Informatics Association Newsletters
4. Twitter and Facebook
5. Google News
6. Journal subscriptions
7. Business Intelligence

Blogs
Healthcare Technology Newsletters

Health Informatics Association Newsletters
Twitter and Facebook
Business Intelligence
Google News
  • Set a search criteria on "Health Informatics" in favourites



Saturday, December 16, 2017

The Future of eHealth

A Health Research Methology graduate course in the MSc eHealth program at McMaster University has a class on the future of ehealth. It was one of my favourite classes when I was a student 8 years ago, and I was asked to be the tutorial facilitator for it for the past several years. Part of the course content was a video scenario of what a future patient physician encounter will look like.  I will embed the video I just found on Youtube:

The encounter is very humanistic in spite of the technology and involves a lot of artificial intelligence in the form of voice interaction. There is also plenty of newer user interfaces - transparent augmented reality medical records - and instant appointment and medical record searching.

Another article to read for that class is by Vannevar Bush called "As We May Think", written in July 1945. Dr. Bush was the Director of Scientific Research and Development for the United States Government. He writes about something he calls a "memex" which would be very much like the computers we are using today.  At that time, there was an explosion of scientific knowledge around the world but there was no way to organize that knowledge or search on it. It is an interesting article to read if you try to imagine what someone writing the article today would have to say about technology or medicine 70 years from now, and actually coming to close to painting an accurate picture about it. If technology is changing exponentially, will that even be possible?

The explosion of knowledge has continued since then and we collect, distribute and analyze it daily as it arrives in our twitter and facebook feeds. A lot of the information that can be gleaned about the future of eHealth is thus kind of "grey literature" and not something that you can search and find on PubMed. These days I find viewing video stories on futurism.com the best ways I know to become excited about the future. "The pull of the future is greater than the push from the past" - I am still trying to find out which famous philosopher or scientist said that.

Here are just a few of the sources suggestive of the future of eHealth that I have been following with interest.  The first is Ray Kurzweil and his Accelerating Intelligence website.  Ray is a computer scientist and inventor who believes in transhumanism and indefinite life extension.  His group is always following the latest scientific advances and inventions of all kinds, and not just ones related to health technology. For example, I just read today a story they posted about a new kind of RFID tag for patients. This tag:
The RFID tags measure internal body motion, such as a heart as it beats or blood as it pulses under skin. Powered remotely by electromagnetic energy supplied by a central reader, the tags use a new concept called “near-field coherent sensing.” Mechanical motions (heartbeat, etc.) in the body modulate (modify) radio waves that are bounced off the body and internal organs by passive (no battery required) RFID tags.

The modulated signals detected by the tag then bounce back to an electronic reader, located elsewhere in the room, that gathers the data. Each tag has a unique identification code that it transmits with its signal, allowing up to 200 people to be monitored simultaneously.

A recent news feed I have been following is the Medical Futurist, Dr. Bertalan Mesko. Recently Dr. Mesko has had some involvement consulting with the Government of Canada, as you may read in his article: "Canada Brings Automation to Healthcare: An Example for Governments to Follow". Really worth following on Twitter or Facebook.

Another group that is interesting, but they are more about the current state and the breaking trends of Medicine and eHealth, is the Exponential Medicine group lead by Dr. Daniel Kraft- a part of the Singularity University. Similarly, there is the ongoing work and research of Dr. Eric Topol. Most of the students in my eHealth class that I was facilitating hadn't even heard of Dr. Topol so I was a bit taken aback.

In short, if you are not interested in the future of eHealth, I don't think there is any way that one would appreciate the changes that are currently going on.  In fact, the guest lecturer at the McMaster future of eHealth class, Dr. Ted Scott, Vice President Research & Chief Innovation Officer, did not talk about the future so much as he did about current innovations that are starting within the Hamilton Health Sciences. And this just made me think of something I learned when I was a student of anthropology many years ago, that yesterday's pseudo-science and magic is todays science.


Friday, September 1, 2017

NIH’s All of Us Research Issues Initial Research Protocol

NIH’s All of Us Research Issues Initial Research Protocol

August 8, 2017
by Heather Landi
The National Institute of Health’s All of Us Research Program, previously called the Precision Medicine Initiative, released its initial research protocol, or research plan.
The All of Us Research Program’s 61-page protocol includes information on consent forms, the ethical issues associated with the project and explanations for how participants will be able to provide secure access to their electronic health records (EHRs).

The goal of the All of Us Research Program is to gather health-related information from one million or more diverse participants to detect association between genetic and environmental exposures and a wide variety of health outcomes.

The NIH states that longitudinal tracking of health outcomes through EHRs is an important component of the program. Through a consenting process, participants will be asked to authorize linkage of their EHR information. EHR data may be sent directly by the participant’s health care providers to the DRC or sent by the participant to the program through Sync for Science.

Access to EHR data will be repeated regularly throughout the life of the program. The initial data types to be included are demographics, visits, diagnoses, procedures, medications, laboratory tests, and vital signs, but may be expanded to all parts of the EHR, including health care provider notes. The feed may include mental health data, HIV status, substance abuse and alcohol data, and genomic information stored in the EHR

Participants may need to complete and sign a separate informed consent module to authorize access to their complete EHRs.

“We will create an informatics infrastructure to clean and standardize data from disparate EHR systems across the United States; this broadly applicable system will be a key contribution of the All of Us Research Program to health informatics research efforts nationwide. For participants enrolled by their health care provider organization, the site will extract data from the participant’s EHR, format it according to the DRC’s data model (based on the Observational Medical Outcomes Partnership [OMOP] Common Data Model version 5, and transfer it to the DRC using secure protocols,” NIH stated in a press release.
And, the NIH states that although obtaining EHR data from direct volunteers presents unique challenges, early pilot studies have demonstrated feasibility of such an approach. “For example, the Sync for Science (S4S) project launched by NIH and the Office of the National Coordinator for Health IT is creating a technology that aims to make it easy and safe for people to securely share their EHR data for research. S4S has been adopted by the All of Us Research Program and initially will be enabled in a small pilot for DV participants at S4S-enabled direct volunteer sites,” the NIH states.

All of Us Research Program direct volunteer participants who have enrolled at one of these pilot sites will be able to sign into their healthcare provider’s patient portal using the S4S workflow and authorize sharing their EHR data with the program. Their health care provider’s system will provide a secure application program interface (API), which is used by the research program, rather than the provider sending out data, and transmitted to the Us of All Research program.

And, NIH notes that this is just the first version of its protocol. In future versions, NIH intends to include plans to pilot test wearable devices for real-time data collection.
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Wednesday, November 23, 2016

eHealth Medical Fiction - "Cell" by Robin Cook

I just finished a page turner by Robin Cook called "Cell". I knew from the beginning that it was an eHealth type of medical fiction. It features a smartphone app called iDoc that promises almost to take over the role of the personal physician. I suspected while reading the influence by Eric Topol, who must be one of the greatest champions for spearheading the medical smartphone revolution.

I was not too surprised to find that Robin Cook does acknowledge Topol at the end of the book. For a while I was concurrently reading Topols' "The Patient Will See You Now" and "Cell".  Robin Cook wrote "Cell" in 2014 and he credited Topols' "The Creative Destruction of Medicine".  Reading the medical fiction is  just a diversion. If you really want to learn about how the smartphone will revolutionize medicine - read Topol.

Medicare should be a major department for all Americans, just like Education and Defense. The author appears to argue like this in the book as he alludes often to the Affordable Care Act and Obamacare. The villain is a Health Insurance Company bent on making billions with the miracle app. The iDoc app is wonderful as the algorithms on the smartphone help to prevent illness and conditions. Health advice is immediate and always accessible.

Unfortunately, the app takes a turn for the worse and the "heuristics" start killing off patients in the alpha testing.  That involves what I think is the only science fiction element in the story - a nano-chip implanted in diabetes patients that is remote controlled by wireless radio signals releasing doses of insulin.  In real life the FDA has approved an "artificial pancreas" of sorts - a network of devices - that automagically monitors and controls blood sugar levels - it just doesn't work on the nano scale.

Just saw over at the Geek Doctor blogspot there is a guest blog by Seth Berkowitz, MD about  Apple’s CareKit and ResearchKit frameworks and the HealthKit API being used at BIDMC. Engaging patients in their health like that is a step towards a kind of iDoc.
  


Wednesday, September 14, 2016

Medical smartphone apps need research and evaluation

So I finally did start reading a book by Eric Topol - The Patient Will See You Now: The Future of Medicine is in Your Hands - and this book is an eHealth classic! So much of the focus is on how the smartphone is becoming the major medical instrument of choice, it often makes me think that the smartphone for medical applications is already the TriCorder. Smartphones with visual heart rate monitors are replacing stethoscopes for first year medical students! Seeing the heart is better than hearing the heart?

From a health informatics perspective it really made me think that we need research and evaluation on all the apps that are being used for medical purposes. Just looking around the WWW a little and indeed there are organizations and research about this:

http://www.imedicalapps.com/about/#

https://iprescribeapps.com/

 http://www.jmir.org/2016/8/e222/