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realselfblog · 7 years ago

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How to Make Healthcare More Intelligent and Trustworthy: Accenture’s Digital Health Tech Vision 2018

“Do no harm” has been the professional and ethical mantra of physicians since the Hippocratic Oath was first uttered by medical students. The origins of that three-word objective probably came out of Hippocrates’ Corpus, which included a few additional words: “to do good or to do no harm.”

The proliferation and evolution of digital technologies in health care have the potential to do good or harm, depending on their application.

Doing good and abstaining from doing harm can engender trust between patients, providers, and other stakeholders in health. Trust has become a key currency in provider/patient/supplier relationships: 94% of health executives say treating customers as partners is important to gain trust, according to the Digital Health Tech Vision 2018 from Accenture.

Accenture’s vision this year is built on five pillars:

Citizen AI

Extended Reality

Data Veracity

Frictionless Business, and

The Internet of Thinking.

Together, these factors can bolster personalization and improve consumers’ experience in healthcare, but also have the power to invade, disrupt, and encroach on peoples’ physical and intimate lives in unwelcome ways.

The first trend is Citizen AI. Artificial intelligence, AI, is fast becoming part of the workflow across all industries. AI enables enterprises to take in a lot of data and make sense of it, with the power of better informing decisions. “The more data an AI is given, the better its predictions become,” Accenture notes.

But there’s a data stewardship role that’s crucial when an organization takes in peoples’ personal information: 81% of health executives agree that organizations aren’t prepared to deal with societal and liability issues that AI-based decisions may raise. How to be responsible, equitable, transparent as a good AI citizen? That’s part of “doing no harm” with data in healthcare. And the more good AI behavior will lead to greater adoption and more trust, in a virtuous cycle of data-sharing, data-using, greater productivity, and better health outcomes. That’s why 73% of health executives told Accenture they plan to develop internal ethical standards related to the use of AI to bolster responsible use of patients’ personal health information.

Extended reality here covers three forms of technology “realities:” virtual reality (VR), augmented reality (AR), and extended reality (XR). Together, these three concepts blur lines across physical and simulated, immersive worlds. For healthcare, these platforms enable virtual and telehealth in new ways that transcend bricks-and-mortar settings, getting care and new forms of it to people where they live, work, and play. Accenture classifies XR’s potential in three ways: as,

Distance to people, so “patients can enjoy the removal of distance when it comes to their care,” extending telehealth and virtual care to people regardless of that distance.

Distance to information and insights, bringing patients’ information to clinicians’ fingertips wherever that clinician is located.

Distance to experiences, enabling virtual reality that helps both clinicians and patients gain insights and empathy for healthcare – for example, how the progression of Alzheimer’s disease might feel, or what PTSD seems like. 83% of health executives believe that XR will provide a new foundation for interaction, communication and information, Accenture learned, and most agree that XR will impact every industry over the next five years.

Data veracity speaks to the old adage, “garbage in, garbage out.” The quality of data is more important than its volume of “Big”-ness. “Inaccurate data leads to corrupted insights and skewed decisions,” Accenture warns. One in 4 health care executives say they’ve been the target of AI bad behaviors like falsified location data and bot fraud more than once. Unsurprisingly, then, 3 in 4 health execs aren’t ready to deal with the “impending waves” of corrupted insights as faked data comes into healthcare databases.

The solution calls for “data intelligence,” which is a must-do as more artificial intelligence is adopted as a normal course of business. Here, blockchain may be a valuable tactic to underpin cybersecurity and manage risks.

Frictionless business is the vision for streamlining healthcare and lubricating the value-chain for healthcare collaborators. As organizations come together from different parts of the healthcare ecosystem, there’s the potential for the partnerships to become cumbersome and complicated. “Legacy systems weren’t built to support this kind of rapid and robust expansion” we expect to help improve healthcare, so Accenture points to two approaches to deploy that can address friction: blockchain and microservices.

The microservices mindset looks at a program, project, or service in a modular way so that solutions can be created more nimbly. Consider the use of APIs (application programming interfaces) that help to make data more liquid from one application to another.

Why is this trend so important? Because the use of data exchanged between health/care ecosystem partners will increase in the next two years, Accenture learned from 9 in 10 health executives. These technologies will be key for healthcare stakeholders who want to collaborate, cross-business, and more quickly and effectively scale solutions.

Finally, the Internet of Thinking rounds out Accenture’s five themes in the 2018 Health Tech Vision. Consider the “Internet of Things” morphing to the “T” of “Thinking” (IoTh). In healthcare, this IoTh envisions embedded intelligent tools “everywhere,” and especially “at the edge.” I’m not talking about U2’s outstanding lead guitarist and songwriter, David Howell Evans, but the phenomenon that doing healthcare better requires data accessed where patients and people “are.” Data can be processed and stored at the edge or in the cloud.

This concept is important because bandwidth, storage and computational power costs resources, and healthcare is notoriously cost-constrained. But healthcare decisions can be better informed through AI, and AI requires a lot of data to feed the analytics process. Consider “the edge” as a strategic asset will help healthcare organizations engage with greater intelligence, Accenture believes. The report discusses the opportunity-example for an Alexa-like device to alert a person, living and aging at home, of an elevated heart rate (or it could be blood glucose other medical metric) and alert the patient to sit, rest, eat, or phone 9-1-1. “The technology is liberating for the patient, and potentially lifesaving,” Accenture says.

The vast majority of health executives see the important role of computing at the edge, where data is generated.

Health Populi’s Hot Points: Join Dr. Kaveh Safavi, MD, JD, Senior Global Managing Director with Accenture Health, Lisa Suennen, Managing Director for GE Ventures, and me on July 24th when we brainstorm these ideas, live via webcast at 11 am Eastern time, from Accenture studios on Wednesday, July 18, 2018. You can register here on this link.

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How to Make Healthcare More Intelligent and Trustworthy: Accenture’s Digital Health Tech Vision 2018 posted first on http://dentistfortworth.blogspot.com

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dudence-blog · 8 years ago

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Dear Dudence for 3 October 2017

It’s really about office etiquette. Luck for Dudence my office etiquette considers it entirely kosher to enjoy a cocktail. So tonight it’s a Bittermilk No5 as I answer the questions people don’t even know they’re asking me. If you’ve got your own questions you’d like answered by someone who will argue the breathalyzer wasn’t properly calibrated shoot me an email at [email protected]. Of to the questions!

I have a co-worker who just found out she’s pregnant. She’s only 21, already has a 3-year-old, and recently started taking online classes toward a bachelor’s degree. She can’t afford another child, and she seems to be at the end of her rope

Dear To Advise or Not to Advise, to answer your question, no, there is no way for you to bring up abortion to your coworker without it sounding “non-judgmental”. The good news is that doesn’t mean you can’t, or that you need to be rude and uninformative while being judgemental. If someone were to ask me “Dudence, what group of people do you think receives the most unsolicited advice?” I’d answer “pregnant women”. I guess you could assume that an adult woman who has given birth at least once before, doesn’t live in Saudi Arabia, work for a Catholic diocese, or was recently released from the dungeon she was kept in by the master she met on Fetlife has never heard of a medical procedure called “abortion”. If you found out she was pregnant because she told everyone where you work “hey, guess what!!?!? I’m pregnant!” then she’s probably planning to keep the baby and you’re going to be viewed by her, and everyone at work who finds out you talked to her about aborting her baby, as some degree of monster. Not a terrible monster, think “level 2 rat killed by adventurers at the start of a campaign,” but still a monster. If you found out she was pregnant by noticing her purchase of several EPTs as you rooted through her trash to find receipts while conducting a forensic analysis of her finances then you’re a slightly stronger monster (level 4 zombie) and really really creepy. All that being said I believe in actually providing advice to help facilitate the goal you’re asking. If you insist on digging into your coworker’s medical issues then use that busybody desire to your advantage. You’re coworkers, you know what her health insurance is like. Ask her about what doctor, if any, she is using. If she has already identified one then you know she’s almost certainly discussed abortion. If she hasn’t, recommend Planned Parenthood or whatever other clinic your intruding soul believes would provide her the options you think are best for her. You get to satisfy your desire to meddle and you manage to avoid coming off as anything more than someone who is overly nosy about the happenings inside a coworker’s uterus. Or, you know, get her a gift certificate or a coupon to the local abortion clinic for the office baby shower.

I have Seasonal Affective Disorder (SAD) and can get mildly depressed during the winter months. It’s not severe and usually doesn’t even require antidepressants if I can maintain a healthy lifestyle. The one thing that truly has an impact on my overall mood and productivity is lighting. Natural lighting is a must for me, and I use a light box as needed.

Dear Addressing SAD, you can ask about where you’d be working while interviewing. “Hey HR person, I see there are some cubicles near a bay of windows, are any of them available?” All they can do is say “no”. Maybe they assign workspaces based on team assignments, seniority, whatever. I’m going to harsh your mellow by pointing out you’re applying for a job where you’re going to probably not be working near a window; you are not so special a worker that the extra 20% sunlight will give you is actually going to worth the employer blowing up the office territorial hierarchy to accommodate. When it comes to your SAD maybe it’s covered by the ADA, maybe it isn’t, but you might want to be prepared to accept that “there’s an outlet in your cubicle, plug in your light” as the reasonable accommodation they offer. I’d probably go ahead and skip the “hey I’ve got Seasonal Affective Disorder” during the interview. Since you can accommodate yourself with a plug-in light just bring it in. It’s not the weirdest thing someone is going to bring into a cube, and if your office contains 10 or more people one of the probably uses something similar.

As a child, I was sexually abused by my stepfather for a period of seven years. There are several members of my family who feel guilty about this, like they should have known. In reality, most of them couldn’t have known—except my grandma, who walked in once while it was happening. Her reaction? She turned around, left the room, and never said a word about it. Aside from that, she has always been narcissistic and expects everyone to cater to her, so even if she hadn’t committed this egregious breach of trust, I still wouldn’t like her.

Dear Cutting off Grandma, as in most situations where you don’t want to be around someone you can do it discretely (“I’m sorry but I’m not going to able to make it because I’m bathing my cat”) or less so (“I’m sorry but you allowed me to suffer horribly for years because you kept silent about something I couldn’t do anything about, plus I don’t like you very much anyway.”). If your mother is going to be your go-between talk with her about your goals and boundaries. Do you want her to just make excuses for your absence from family events? Can she bring up your reason for not wanting to see grandma with her? What, if anything, do you tell the other family members? Heck, are the family members who know of the abuse know about the incident with grandma?

In the last year I developed a bowel-related medical problem that is mainly managed with a doctor-approved diet and is exacerbated by stress. During a flare-up, I need quick access to a bathroom and my use of the amenities therein is uhhh, not very silent. I’m a woman in my 20s, and I find this very embarrassing, and it freaks me out in social situations.

Dear Awkward Medical Problems, first off I’m glad you’re getting the problem treated while still young. That sort of problem can often go undiagnosed until much later and a lot more damage is done. I’m going to let you in on a little secret: Everybody poops. Yes, it can be embarrassing when you’re the person destroying the toilet in the public or shared restroom, but I assure you every one else has been there. Speak with your housemates about your condition. You don’t need to channel your inner Robert Shields, but let them know about the diet, what can exacerbate your condition, and ask for a bit of kindness and grace from them as y’all live together. While you might not have a fan maybe you could look into getting a white noise machine for the bathroom or putting an Echo Dot in there (“Alexa, play Pantera, volume 9” should cover any intestinal distress with the sweet sounds of Dimebag Darrell.). Remember back to everybody poops, your housemates also share that same fanless thin-walled restroom and they’re all a take-out tandoori away from having their own awkward moments while everyone else is studying.

My sister and her husband have been having some marital problems. My sister and I are fairly close but we generally don’t talk about these kinds of things, but she has made some hints and comments that have made me aware there’s some trouble. Recently, at a party, they both had too much to drink and got into a giant, ugly, public argument where they aired a lot of dirty laundry in front of me and my friends. They left (in a cab) still fighting and I haven’t spoken to my sister since.

Dear Ignore or Address, I imagine your sister is feeling significantly more awkward than you are. You might not talk about these things with your sister, but if she was dropping hint and comments that made you aware there were problems she probably wanted to talk about them with her sister. A real good way to make sure your sister doesn’t confuse your silence and ignoring the fight as anger or not caring is to talk to her. Give her a call, drop her a friendly text, hit her up on Snapchat, talk with her. When you talk if she wants to apologize for the drunken blow up, accept it and then use that as the transition to talking about how things are in her marriage. If she just ignores it then ignore the public fight, but bring up the more general “hey sis, just wondering how things between you and your husband are, you’d mentioned blah blah blah”. Or, you just continue on as you’ve been continuing on and in a few months there is a letter from your sister about how awful she feels to have blown up at her husband while drunk, mortifying her sister and friends, and causing an irrevocable break in her sisterly relationship.

I work in a small office (fewer than 20 employees), staffed entirely by women. This is usually a good thing, and we get along well and support one another. There is one employee, “June,” who has been with the company for three to four years, and who recently announced she is leaving to pursue an opportunity with another company. We congratulated her individually on her new opportunity, signed a group card each reiterating a similar message, and had a catered farewell lunch in her honor. After the lunch, another employee found June crying in her office. Apparently, June was upset that we hadn’t given her a parting gift in recognition of her time with the company. Now two employees are asking everyone to contribute toward a gift for June because of how upset she was.

Dear Office Tantrum, I regret that there is not a font large enough to convey the emphasis I want to put on the “FUCK NO” I have for this. It starts with a small gift for a co-worker departing for greener pastures after a relatively brief tenure, next thing you know it’s gift baskets from “Everyone” for grandchildren. What your coworkers are seeking to do is the path to fucking madness and your opposition to it shows you are the hero they need. Oppose it loudly and do so knowing everyone is going to be happier for it, even if they won’t admit it to your face.

I’m a 24-year-old female who works for a woman in her 50s. She’s been a great mentor, has shown me the ropes and introduced me to her contacts in the industry. She has given me great advice on how to build a career. The issue is, she would call me “hon,” frequently. I told her I found this inappropriate and patronizing. She seemed really embarrassed and apologized profusely. Since then, she’s been friendly and professional, but the rapport we had is gone.

What can I do to get it back? She was my biggest cheerleader—now I just have a boss.

Dear Honey, there’s nothing you can do to get it back. You had a working relationship with someone you respected, who respected you back while providing some valuable mentoring, guidance, and opportunities, and you opted to tell them that you considered the perfectly cromulent term they would use inappropriate and patronizing. Unsurprisingly, sometimes when you tell someone they’re being “inappropriate” they change their tone around you. You deserve to be addressed in a professional manner, that you viewed the term she used for her mentee as patronizing isn’t wrong. But actions have consequences. Hopefully it will be comforting to you to know that the next young woman getting started in your industry who she chooses to mentor will be addressed in a more professional and mutually agreeable manner.

How do you know whether you have an unhealthy relationship with a substance? I stopped drinking a while ago because—after a lot of arguments, ruined relationships, and minor injuries—I realized it was hurting me more than it was worth. Now I’m beginning to be concerned about my use of marijuana.

Dear Knowing When You Have a Problem, when your booking photo becomes a meme you probably have a problem with a substance. Being honest here when you start worrying about situations which prevent you from using a substance it’s probably not a bad idea to reevaluate your relationship to that substance. What that reevaluation reveals and what your comfort level with your use are will be up to you. Something to consider though might be you’re mistaking the cause and effect. Maybe you’re not anxious about situations where you can’t use weed and instead you’re wanting the weed because you’ve got an anxiety issue going on. It might be worth a visit to a therapist or psychologist to discuss both your feelings of anxiety and how they relate to your use of alcohol and marijuana.

A good family friend, “Amy,” recently came out as a lesbian. I found out through Amy’s sister (my best friend), who assured me that Amy was fine with my knowing. Is there a correct way to let Amy know that I know, and that I am happy for her? Do I need to reach out, or can I just wait for Amy to say something the next time we see each other? And what is the best interjection/phrase for wishing someone well and with continued love for them when they are coming out?

Dear Congrats You’re a Lesbian, Hallmark has 104 different cards for “LGBTQIA”, including selections for “Coming out” (I think “Closets are for Clothes” would be my choice to send). Let me ask, is your desire to reach out for Amy because you’re genuinely happy for her and want to wish her the best of luck in life, or is it because you want to signal to her how you’re a woke ally? You could ask Amy’s sister, or someone in your family who is actually friends with Amy as “Amy” and not as “Friend of the family” what she wants. Does she want congratulatory greetings cards from third-hand acquaintances celebrating her announcement of the genitals she prefers to rub against? Does she want a friendly text message containing suitable emojis? Does she want to be treated like she was prior to coming out except now she introduces people to her “girlfriend” instead of “boyfriend”? When all else fails treating her like “Amy” instead of “My Family’s Lesbian Friend Amy” is probably a good option. Right now what your message of support for Amy is possibly going to come off as is letting Amy know that what is important to you is Amy’s sexuality. As for something positive to say when speaking with Amy, or really anyone, about something they’re doing or have done, “Hey, that’s great, I wish you the best!” is hard to go wrong with.

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realselfblog · 7 years ago

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How to Make Healthcare More Intelligent and Trustworthy: Accenture’s Digital Health Tech Vision 2018

The proliferation and evolution of digital technologies in health care have the potential to do good or harm, depending on their application.

Accenture’s vision this year is built on five pillars:

Citizen AI

Extended Reality

Data Veracity

Frictionless Business, and

The Internet of Thinking.

Distance to people, so “patients can enjoy the removal of distance when it comes to their care,” extending telehealth and virtual care to people regardless of that distance.

Distance to information and insights, bringing patients’ information to clinicians’ fingertips wherever that clinician is located.

The vast majority of health executives see the important role of computing at the edge, where data is generated.

The post How to Make Healthcare More Intelligent and Trustworthy: Accenture’s Digital Health Tech Vision 2018 appeared first on HealthPopuli.com.

How to Make Healthcare More Intelligent and Trustworthy: Accenture’s Digital Health Tech Vision 2018 posted first on http://dentistfortworth.blogspot.com

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