A Paradigm Shift in Digital Health
Innovation is best scaled when pipelines are replaced with platforms.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.TheDigital Health Frontierincludes cutting edge predictive analytics, machine learning enhanced algorithms and big data analytics. But for these innovations to have their full impact on patient care requires the right strategic and operational foundation. In the past, many technology-focused organizations have relied on a pipeline approach as the foundation to construct innovations and promo...
Source: Life as a Healthcare CIO - June 28, 2021 Category: Information Technology Source Type: blogs

When AI Meets SDOH
Artificial intelligence can help identify and address the social determinants of health.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Machine learning is getting better at predicting things. There are now algorithms that improve the detection of diabetic retinopathy, predict the onset of sepsis, and help determine a critically ill patient ’s risk of dying. But a piece of wisdom from Warren Buffet comes to mind: “Predicting rain doesn’t matter. Building arks does.” Even the most impressive al...
Source: Life as a Healthcare CIO - June 15, 2021 Category: Information Technology Source Type: blogs

The Digital Reconstruction of Healthcare is Upon Us
The transition from brick and mortar to digital medicine will profoundly impact the way clinicians and patients interact —and will likely improve clinical outcomes.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Paul Cerrato and I are excited to finally announce the publication of our 5th book together:The Digital Reconstruction of Healthcare: Transitioning from Brick and Mortar to Virtual Care.In March, we posted thetable of contents of the new book. Now that it ’s reached the “newsstand,” we...
Source: Life as a Healthcare CIO - June 11, 2021 Category: Information Technology Source Type: blogs

AI-Enhanced Cardiology Takes Another Step Forward
Combining a convolutional neural network with routine ECGs detected low ejection fraction, a signpost for Asymptomatic left ventricular systolic dysfunctionJohn Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Asymptomatic left ventricular systolic dysfunction (ALVSD) may not be the most familiar disorder in medicine, but it nonetheless increases a patient ’s risk of heart failure and death. Unfortunately, ALVSD is not that easily detected. Characterized by low ejection fraction (EF) — a measure of how much ...
Source: Life as a Healthcare CIO - May 21, 2021 Category: Information Technology Source Type: blogs

A Unique Partnership Delivers Acute and Holistic Home Care
Mayo Clinic, Kaiser Permanente, and Medically Home join forces to offer patients the best of both worlds, forging a partnership that has the potential to redefine the hospital industry.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.One of the problems facing most patients who require hospital admission is removing their familiar surroundings and emotional supports. While these resources might be considered less critical than specialized clinical expertise, there ' s little doubt that these "less important...
Source: Life as a Healthcare CIO - May 14, 2021 Category: Information Technology Source Type: blogs

Health Data Privacy Gets the Attention It Deserves
The Partners in Privacy Conference gathered world-class experts to address some of health care ’s most vexing problems.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.The challenges involved in keeping patient and consumer health data private may seem daunting. Still, a recent virtual conference hosted by Mayo Clinic brought together over 80 world-class experts to address the issues. Their insights are worth a closer look.During his opening remarks atPartners in Privacy Conference: The Ethical and Respon...
Source: Life as a Healthcare CIO - May 5, 2021 Category: Information Technology Source Type: blogs

It ’s OK to Break the Rules Now and Then
This study introduces an augmented intelligence platform for the real-time synthesis of institutional knowledge captured in EHRs.” One caveat that the researchers acknowledge in the report was that they had yet to conduct prospective validation of the augmented EHR curation approach.A second nference-based investigation reviewed the records of patients who had received more than 94,000 doses of the Pfizer COVID-19 vaccine, more than 36,000 doses of the Moderna vaccine, and 1,745 doses of the Johnson& Johnson vaccine. The study ’s goal was to determine the incidence of cerebral venous sinus thrombosis (CVST), w...
Source: Life as a Healthcare CIO - April 26, 2021 Category: Information Technology Source Type: blogs

Can AI Reinvent Radiation Therapy for Cancer Patients?
John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Of all the advances in health care artificial intelligence (AI), medical imaging is probably the most remarkable success story. Two prominent examples come to mind: Machine learning has helped improve the screening and diagnosis of retinal disease and is making inroads in skin cancer detection. Given these developments, it ’s not surprising to find researchers and clinicians developing the digital tools to improve radiotherapy, which combines imaging techno...
Source: Life as a Healthcare CIO - April 19, 2021 Category: Information Technology Source Type: blogs

A Heart Held Humble Levels and Lights the Way
Observations on executive training& executive restJohn Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Humility is not a very popular word among business and health care executives. Often considered a sign of weakness, this personality trait is not often applauded in executive training programs or boardrooms. A revealing piece inHarvard Business Review sums up the problem in its title: “If Humility is So Important, Why Are Leaders So Arrogant?” The article goes on to discuss the push among HR consulting...
Source: Life as a Healthcare CIO - April 9, 2021 Category: Information Technology Source Type: blogs

Health Care Needs Better Marketing, Too
John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Inspiration comes in all sizes and shapes. Neil deGrasse Tyson, a world-renowned astrophysicist and director of the Hayden Planetarium in New York City, continues to inspire us with words like, “The good thing about science is that it ' s true whether or not you believe in it. ” Amidst all the confusion and debate in the popular press about health science, this form of uncommon sense needs more media attention. It’s a truism that may have prompted Dr. T...
Source: Life as a Healthcare CIO - March 30, 2021 Category: Information Technology Source Type: blogs

Diabetes Meets Machine Learning, Part 2
Continuous glucose monitoring takes center stageJohn Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.In February, we discussed the benefits ofusing machine learning (ML) to improve screening for diabetes and for managing the disorder. In some situations, ML can more accurately detect the presence of prediabetes, for instance. Similarly, there ’s research to show that the right algorithms can improve the treatment of Type 1 diabetes.  But there ’s also mounting evidence to suggest ML can benefit Type 2 ...
Source: Life as a Healthcare CIO - March 23, 2021 Category: Information Technology Source Type: blogs

When Technology, Policy, and the Urgency to Change Converge
Our new book,The Digital Reconstruction of Healthcare, is about to be published by Taylor and Francis, as part of its HIMSS book series. We wanted to give readers a preview of what ’s to come so we are posting the Preface of the book ahead of time.In our last two books, we began the conversation discussing the power of words, including misdiagnosis, cynicism, and optimism.1,2In this book, our focus is onreconstruction, and all its implications for healthcare. To some, it might suggest the tearing down of an existing structure, a complete replacement of the healthcare ecosystem as we know it. Neither of us believe that ...
Source: Life as a Healthcare CIO - March 19, 2021 Category: Information Technology Source Type: blogs

The Year of Living Dangerously
It ' s been exactly one year since our lives changed. On March 10, 2020, Governor Charlie Baker declared a state of emergency for Massachusetts, changing the way many of us travel. On March 11, 2020, the World Health Organization declared COVID-19 a global pandemic, its first such designation since declaring H1N1 influenza a pandemic in 2009. On March 15, 2020, I flew to Minnesota and prepared my Rochester apartment for a lockdown. I said my goodbyes to colleagues on March 16 and flew back to Boston. We ' ve run the Mayo Clinic Platform at a distance for the past year.During the pandemic, those old enough to have overcome ...
Source: Life as a Healthcare CIO - March 16, 2021 Category: Information Technology Source Type: blogs

Vaccine Credentials Done Right
Vaccine credentials could be a safe and convenient way for people to resume a more normal daily life, but it ’s critical that we do it in the right way. Public and private sector collaboration is essential, and we must be driven by science and our best understanding of what vaccines mean for immunity under different conditions. It’s reasonable to expect that some businesses, schools and countries may r equire it – just like yellow fever vaccine certificates.So if we are moving toward those uses, we need to create a way patients can share their vaccination status if they wish to do so, with tools designed to be volunt...
Source: Life as a Healthcare CIO - March 11, 2021 Category: Information Technology Source Type: blogs

Listen Better, See Deeper
Combining Medical Attentiveness with Artificial IntelligenceJohn Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Embracing an “ecology of attention” will significantly improve patient care, according to Mark Kissler, MD, at the University of Colorado.1Kissler and his colleagues point out that clinicians spend much of their time multi-tasking and navigating around interruptions. While such juggling acts are often unavailable, it ’s important to occasionally step back and ask: Is this the best use of my tim...
Source: Life as a Healthcare CIO - March 2, 2021 Category: Information Technology Source Type: blogs