Posts Tagged ‘healthcare’

Tracking the Flu

Wednesday, November 11th, 2009

There’s an interesting article on FastCompany.com about the different ways to track the spread of the H1N1 flu. In particular the article focuses on Google Flu Trends, which looks at the number of searches for flu-related keywords to gauge how different areas have been hit, and GE’s electronic medical records system, which have the ability to anonymously aggregate data.

Apparently just last month the CDC chose to use the GE reports as part of its H1N1 monitoring. It works like this:

Daily reports upload from GE Healthcare’s Medical Quality Improvement Consortium (MQIC), a repository designed with HIPAA-compliance parameters, of anonymous clinical data and best practices. Participating physicians automatically contribute de-identified data to MQIC each day through normal use of GE’s Centricity EMR when they document information collected during patient visits to physician offices and clinics. Operated by GE Clinical Data Services, which also provides research and analytical services, the MQIC database is growing at a rate of nearly 30 percent each year. In peer-reviewed studies the database has been validated as representative of demographic and co-morbidity averages in the U.S. population1.

Anyway, I mention this because I thought it might be cool if we could share some of this data with the public? Obviously it would need to be scrubbed, but Google’s Flu Trends offers an interesting peek into how aggregate data can be used to help give insights back to the consumers who are eventually responsible for it. It would also be quite interesting to compare the data from the two services.

The Game of Health

Wednesday, August 19th, 2009

Dr. Jay Parkinson makes a point we’ve been making here quite a bit: That health needs to be a better game.

I say turn your health into a social game like Foursquare. Check in when you take your meds, go to the gym, walk to work, and eat like Michael Pollan. Tie this to your insurance premiums. In fact, I say turn life into one big game with various levels. Make the mundane fun. We’ve got the beginnings of the technology to do it. And I’m glad there are people like Dennis and Naveen who are there to show us how it’s done.

The Little Thought About Hospital Choice

Monday, August 10th, 2009

Back in April I asked if there was a Yelp for hospitals. I didn’t really get an answer, but just today I ran across this quote from Consumer Reports by way of the blog Overcoming Bias:

Fifty-nine percent of patients in our survey did not enter the hospital through the emergency room, so they might have had a choice of which hospital to go. But 65 percent [of these] simply went to the hospital their physician recommended or was affiliated with. Forty percent chose a hospital for its location, and 28 percent because it was in their health plan’s network. (Respondents were asked for their top three reasons.) Only 11 percent chose the hospital for its record in treating their condition, and only 2 percent on the basis of the hospital’s ratings in books or magazines or online. (Consumer Reports, September 2009, “Patients Beware,” pp. 18-23.)

That 2 percent number surprises me, but not really. I mean I would guess it’s the same for doctors, only difference is we always asks friends/family/coworkers for recommendations in that sphere. I would guess most people don’t check reviews on doctors before choosing them, instead relying on that word of mouth. But how come there is no word of mouth for hospitals? My guess is that it just doesn’t occur to most people that they can choose.

Who’s Lying?

Tuesday, August 4th, 2009

During our time out in the Milwaukee-area we spent a fair amount of time talking about and looking at MR and specifically fMRI. I had heard of both and basically understood that fMRI allowed doctors and scientists to watch blood flow in the brain in real time. (I’ll do a post later that goes into the subject more deeply.)

Anyway, during our visit one of the GE folks showed us this article from Time magazine that uses an fMRI to come to some interesting conclusions about lying:

Greene suggests that in some circumstances, real honesty is not about overcoming the temptation to lie but about not having to deal with that temptation in the first place. On an fMRI image, at least, the lying brain may look no different from one that’s simply contemplating whether to lie. “Within the dishonest group, we saw no basis for distinguishing lies from honest reports,” says Greene.

Interesting.

Value of Primary Care

Wednesday, July 29th, 2009

Still not sure where I fall on the role of primary care physicians, but this research on the value is quite interesting:

Looking at the medical records of more than 155,000 patients at nine physician practices and four community health centers in the hospital’s primary care network, they found that patients who not only named their own doctors but whose doctors also identified them as “my patient” were more likely to get screenings for cancer, diabetes, and coronary artery disease compared to patients not linked to a personal physician. These patients saw different doctors in a practice or health center.

Although the patient-physician connection was more common among people who are white, speak English, and have health insurance, the bond with a personal physician was a bigger factor than race or ethnicity in whether a patient got guideline-recommended preventive care. Being insured was also not as important as being connected, according to the study, which was completed before Massachusetts passed its healthcare law mandating near-universal coverage.

Via Musings of a Distractible Mind.

Good video on how MRI works

Wednesday, July 29th, 2009

Found this video, which is a good explanation of how MRI works, notable also because its explained by
“Wizard of Schenectady” Howard Hart, who used to work for General Electric on MRI design, and the video is produced by the awesome Edison Museum in Schenectady

Healthcare as a Reflection of Culture

Sunday, July 26th, 2009

In his review of the upcoming book The Healing of America, Jacob Weisberg makes some interesting points about healthcare policy being reflective of the country’s culture. The point I found most interesting was how off the current system is on a sociological level, as he explains in this paragraph:

It is on the sociological level, though, that we’re missing the boat most completely by sticking doggedly with a workplace-based system that no longer makes sense. America has always been a mobile society with a labor market that grows more fluid over time. Once, the norm was to work for a single employer for one’s entire career. Today, people change jobs an average of 11 times before they reach 40. Fear of losing health coverage keeps people in jobs they would otherwise leave, creating a drag on economic efficiency.

I hadn’t thought about how the trend of people being more transient in their jobs effects our healthcare policy, but it makes sense it should.

The Marketing (Problem) of Health

Thursday, July 23rd, 2009

As part of this project and my new interest in healthcare, I’ve spent a fair amount of time thinking about how I believe health is essentially a marketing problem: An attempt to change consumer behavior through communication. With that in mind I was intrigued by this New Scientist editorial that suggests climate change has a positioning problem. Specifically the editorial suggests that science’s hard line that it’s not about belief, but rather fact, misses the point of how culture actually works:

People’s attitudes towards climate change, even Pope’s, are belief systems constructed through social interactions within peer groups. People then select the storylines that accord best with their personal world view. In Pope’s case and in my own this is a world view that respects scientists and empirical evidence.

Supporting the argument are a few examples (certainly not scientific) of people involved with reform around climate change ignoring the dangers of their own behaviors (something that seems common with doctors as well).

Living the dream… hanging with the Barbarian Group

Tuesday, July 21st, 2009

So why is an aerospace engineer from GE Global Research visiting GE Healthcare in Milwaukee?  I wish I could say it’s because I am finally realizing my dream of making the world’s first supersonic pulse detonation MRI machine, but the truth is that I took a wrong turn out of my driveway in upstate New York, and before I knew it – I was in Milwaukee.  Well – okay, that’s not really true. 

Seriously, I was lucky enough to arrange an escape from my regular day job at the Research Center in order to spend some quality time with the Barbarian Group.   I figure I have lots to learn in life  – so, well here I am.  

First off, Ben, Noah and Michelle are just really amazingly nice people, and our host, Sam, has done an incredible job organizing our visit.   Today was incredible – we spent the day learning about all kinds of GE Healthcare products and new initiatives.   I had never actually seen an MRI machine (let alone understood how it worked) – so this is all new to me.  Did you know that modern MRI machines use superconducting magnets that are cooled down to 4 K (-452 F) with liquid helium?  Uhh… that’s really cold.  Don’t worry, it’s all completely safe – the supermagnet just helps get very high resolution image scans.  

For me, it’s interesting because it’s very different from the 5000 K temperatures I used to study in grad school when looking at orbital reentry aerothermodynamics (like when the Shuttle returns to Earth).   I guess it’s a different world over here… hey it’s only brain surgery, it’s not like it’s rocket science (sorry - terrible joke – couldn’t resist).

We’re in Wisconsin!

Monday, July 20th, 2009

Benjamin and I are out in Wisconsin visiting the folks at GE Healthcare for the next few day, so things should pick up around here.

We have another chat with David Lee as well as about 20 other stops over the next three days and we’ll do our best to get stuff posted in the evenings.

Awesome.