#COEHITR Gordon Gao talking CHIDS

Center for Health Information and Decision Systems - CHIDS

Founded in 2005. Looking at issues of integrating information and decision systems in to health care.

Everyone wants information from a Health Information Exchange - but no one wants to give information.

The vision for HIEs seems broken. There is no patient but the Patient is the de facto HIE.

The Center has also done research on Doctor Ratings in Social Media.
3-5% of docs are unfit to practice. Good luck finding out which 3-5%

Increasing number of Doctor ratings sites (40+). 1 in 6 US Adults have referred to these sites.

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Leaving - Steve Jobs' Greatest gift to Apple

Brian Ahier pointed to this Smithsonian interview with Steve Jobs. from 1995. One section stood out for me given yesterday's sad news of Steve's passing:

"I've always felt that death is the greatest invention of life. I'm sure that life evolved without death at first and found that without death, life didn't work very well because it didn't make room for the young. It didn't know how the world was fifty years ago. It didn't know how the world was twenty years ago. It saw it as it is today, without any preconceptions, and dreamed how it could be based on that. We're not satisfied based on the accomplishment of the last thirty years. We're dissatisfied because the current state didn't live up to their ideals. Without death there would be very little progress."

While Steve Jobs was busy building great products he also set about building a great company. He seems to have followed his beliefs and by leaving Apple he has avoided the risk of Apple slipping in to stasis. 

He would not have wanted to be a figurehead chairman. Instead he has got out of the way and given Apple the opportunity to create more great products and services.

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October 5th 2011 - A Sad Day as we lose a visionary genius RIP Steve Jobs

As I sat down on my Mac Laptop and took a look at Google Plus Robert Scoble's post stopped me in my tracks. ABC was reporting that the visionary genius of Apple, Steve Jobs has been lost to us. It is a sad day. For those of us in Technology this is like losing Elvis and Michael Jackson on the same day.
Steve Jobs was a visionary. A genius with insight and focus. He built Apple, not once, but twice. He stuck to his guns and created the most valuable company in the world. Whether it was Technology, Music or Movies Steve touched the lives of so many people on this planet. His vision has shaped not just technology but entire industries.

Steve bought a discipline and a sense of elegance to technology. Something that set Apple apart from just about every other company. Whether you carry an iPhone or a music player or any other modern smartphone in your pocket your life has been touched by this man's genius. Before Steve Jobs introduced the iPhone we were at the mercy of the wireless carriers and had to battle with our Smartphones. Steve made technology accessible. He made companies like Google, RIM and Microsoft rethink their approach.

Yes, it is a truly sad day in the history of technology. The day after the launch of a new iPhone Steve trumps everyone in a way none of us wanted. People may have been underwhelmed by the Apple announcements yesterday but these were just steps in the evolution of a great product line. As I blogged earlier today. Yesterday's announcement was about putting in place the building blocks for the next step forward. The iPhone 4 is in the middle of it's life cycle. The 4S with Siri will astound us. Once more Steve has changed the game.

Yes, Apple and the world has lost a true visionary but I am confident that Apple will continue to thrive. If there is one thing Steve Jobs accomplished, it was to build a great team at Apple that understood his vision. There may not be one individual that can match Steve, but as a team they bring a world beating capability that can steer Apple to success in the years ahead.
Steve Jobs - R.I.P. you will be missed by so many. Thank you for all you have given us.

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#Siri -This is your Personal Assistant: HealthCare sit up. Take notice. @Drchronos are you ready to embed Siri?

Paul Miller posted a great assessment of Siri on the new iPhone 4S on the "This is My Next" Blog. http://thisismynext.com/2011/10/04/siri-work/

The message for me is one I have been thinking about for a long time. 5 years ago when I was writing for AOL I was pointing out that the context provided by mobiles added incredible context to search. Siri really confirms this. By having access to our Calendar, our reminders, Our Address Book, our messages and our location We can deduce a lot more from the context of a conversation. This is where Siri strikes a home run.

Now imagine that this capability was applied to HealthCare. Imagine a doctor on their rounds in a hospital. If their phone, or tablet (yes - surely we can expect Siri to arrive in the iPad3) knows where they are and can match that to the room or bed and patient they are attending to suddenly a deep new layer of context is added to the Doctor's interaction with their phone or tablet.  

I can't wait for tablet EMRs like DR Chronos to gain access to the Siri API and for HealthCare companies to build a HealthCare cognizant lexicon for Siri. A doctor could interact with Siri to update a patient's health record. Siri might prompt to make sure all the relevant checks and balances are completed during the session with a patient with a copy of the record being sent via the Direct Project (The Rainbow Button Initiative's White Button) to the patient at the conclusion of an appointment.  

If you want to think about transforming HealthCare - Now you are talking!

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#Apple #iPhone 4 or 4S Can you Spot the difference? It's all under the skin

Jonathan Richman's Tweet made me smile today. He like many others seem underwhelmed by the Apple announcements yesterday.  But this could be a classic Apple move. 

Siri is the big game changer in yesterday's news. We knew it was coming but we didn't know how smooth Apple would make the integration. Know we know - very smooth.  Yesterday was the culmination of many threads of development for a 1.0 launch with some beta (Siri) included. In that regard the iPhone 4S makes total sense.

Apple have: 

- Optimized the iPhone's internals

- Launched iOS 5 which is a major upgrade and we can expect a series of updates as the software gets heavy real world use.

- Launched Siri as a beta assistant

- Maximized the profitability of the design cycle by getting another 12-15 months value out of the original iPhone 4 design.

This will really help to drive the profitability of the iPhone product line.

What it does do is give some interesting pointers for the iPad 3. They packed all of this goodness in to the iPhone and extended the battery life. This points to the ability to reduce the weight of the iPad 3 while increasing to a Retina style display.

It also makes the most sense for the iPhone 5 next year. Apple will take the experience of millions of users of the iPhone 4S and optimize the integration of iOS 5, Siri and iCloud and deliver that in a sleek new design that people will no doubt lust after. 

This is Apple evolutionary design in practice. 

See the full gallery on Posterous

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So thats the Answer:New @FitBit Ultra( healthca.mp/fitbit ) Now counts stairs climbed. Nice

I love the Fitbit (check it out via the links at http://healthca.mp/fitbit ). I am currently comparing it to the Bodymedia armband. I must admit I prefer the passive nature of the Fitbit and the immediate feedback from the OLED display. I will take a look at the steps I have done during the day. I know it changes my behavior immediately. If I have not walked much that day I will grab my iPhone and go for a walk while I catch up on emails or make a few calls.

I also prefer the FitBit's more open architecture. The API is a cool feature. I hacve successfully imported Fitbit data to a Google spreadsheet. I alos like that I can export my fitbit data to my Personal Health Record (I was using Google Health but now that is dead - as of January 1, 2012 - I am now exporting the data to Microsoft HealthVault.) This is the way it should be. I don't want to create more islands of health data and Bodymedia seems to be it's own walled garden. 

Anyway, I was looking at the Fitbit site yesterday and noticed a reference to steps climbed. I was intrigued. However, the answer is simple. There is a new FitBit in town. The Ultra. Not only does it come in multiple colors. Don't get too excited - it is just the inside of the clip that comes in a different color. But the FitBit Ultra counts steps climbed thanks to a new built-in altimeter. All this for the same price of $99.99.

I was lucky enough to win a Bodymedia armband at Social Health and have been promised a years subscription to the Bodymedia service. I am going to keep at it and see if my views change but at the moment Fitbit offers enough information for me. The mobile app is good for tracking weight and calories consumed. The immediate feedback on steps, miles and level of activity is a real positive and I don't have to have a device strapped to my arm. 

I am also really confused with the BodyMedia activity manager. I have the iPhone App installed and use Bluetooth to sync the data from the armband to my phone. Yes, that is a neat feature, so I can get updates through out the day by just opening the app on my phone and pressing the button on the armband. But what really confuses me is the online Activity Manager. If I go to my laptop and go in to the Activity Manager at the Bodymedia.com web site the Activity Manager there doesn't seem to see the data that has been synced to the iPhone app. It does see the calorie data I have logged in to the iPhone app but if I have synced the armband with the phone that data does not seem to be uploaded to the web based activity manager. To me that seems plain stupid and confusing. So I am assuming I have to connect my armband via the USB cable and it will sync with the SYNC software and update the web Activity Manager. I much prefer the simplicity of the FitBit where I just have to walk within 15 feet of my computer at home and the charging base wirelessly uploads any data from my Fitbit.

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@lygeia of ONC brands me as a HealthCare Disruptor at #Health2con Thanks to @cindythroop for great pics/cc @reginaholliday @adrane @mindofandre

Cindy Throop catches Lygeia Ricciardi, Chief Consumerista at ONC, painting me in to the Health Disruptor panel of the Mural that Regina Holliday created with the help of many friends at the recent 2011 Health 2.0 Conference.

	Hi ekivemark! 59861198@N00.jpg?1154355069#59861198@N00" border="0" height="24" width="24" /> ekivemark (Mark Scrimshire) shared ThroopCat's Flickr set with you. Lygeia Paints Mark Scrimshire A set by ThroopCat » You can also view all 6 items as a slideshow

I also added Alex Drane and the unmentionables to the same disruptor panel. 

Here are the 3 panels showing the disruptors on the left with traditional Health 1.0 on the right meeting in the middle at Health 2.0.

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