December 12th, 2013 — HealthIT
I was at mHealth Dec 2012 and have been following the conference on twitter this year. The major topics and number upstarts seems to be trending along the lines of -
- Wellness / Behavior Modification
Last year I spoke to numerous startups working on consumer solutions for nutrition, weight management, diabetes management – MyGlucoHealth, FatSecret and others. This seems no different there is continued momentum in this category.
- Patient Engagement / Hospital Mobility
Various companies offering concierge medicine and enabling communication with the patients – coretext, tigertext, celltrust, mHealthCoach, medhelp and others. Solutions targeting meaningful use 2, readmissions management, medication adherence and care collaboration. This year healthloop is creating fair bit buzz with its recent 10M funding round.
- Consumer Devices / Self Tracking
Rewards platforms like kiip, socialwellth, everymove; device ecosystems like Qualcomm 2net, strava; gaming in health like zamzee, lumosity. This year seems like healthrageous folded but rest of the crew is continue to make buzz with renewed push from wearable devices.
There are number of technologies fueling healthcare at the moment but mobile devices and cellphones in particular are poised to make significant impact as they are driving use from end users!
November 28th, 2013 — DirectProject, HealthIT
On Aug 13-14 2013, ONC hosted the second Direct boot camp. For me this was a great venue to connect with partners, customers, team members and like minded folk in general! It was also great to see that conversation on Direct had graduated from learning to demonstrate what the community is doing to drive adoption of the communication standard and bring it to scale!
Among other things following were the key items discussed at the boot camp -
What it takes to get accredited?
Among other things DirectTrust and its members talked about the accreditation process for Direct and how its members have successfully gone through the process. Since the boot camp DirectTrust with ENHAC has published the guidelines for the process and a number of entities are ramping up for accreditation.
Update: Alan Viars has open sourced his Direct CA project, which in conjunction with the Direct reference implementation can be used to create a complete open source HISP, CA and RA. Additionally, Digicert also has made its certified Direct CA offering publicly available.
What are new technical developments in the Direct project?
The Direct project introduced two key technical achievements – Trust Bundles and Policy Engine. Both these capabilities allows fine grained control of how certificates are utilized. Infact, Direct trust has its trust bundle available here and the blue button project has its available here.
I’m hoping to write more about the the Direct project, Blue button and associated technologies. What would you like to know more about? Provider Directories, Certificates, CCDA ? Hopefully I’ll get a chance to cover a bit of those in coming posts.
November 26th, 2013 — HealthIT
As computing and storage becomes more ubiquitous, its natural to ask when can regulated industries utilize the quality and economies of scales. Maybe utility computing could have alleviated some aspects of healthcare.gov by flipping the switch to an alternative powergrid, if you will. However there are number if interesting challenges and nuances for public clouds to offer utility computing and storage to healthcare customers.
So what are the problems?
- Security & Privacy: Unlike electricity, utility computing is too ingrained in to processes and innovation for existing businesses.
- Compliance: Utility companies to be able to comply with data audit policies as well as have a business structure which enables signing of business associate agreement.
- Lock in and interoperability: Developing a solution too ingrained in to a utility architecture can effect the core business of a company
- Co-innovation: In past decade most businesses have innovated by adopting IT strategically. We see a CIO as part of every organization, to continue that innovation the public computing utility needs to offers ways to co-innovate easily.
So what are the current solutions?
- Well most cloud-based healthcare organization keep maintain their own cloud infrastructure.
- The data is encrypted at REST either by Database Transparent Data Encryption (TDE). Both Oracle and SQLServer support it.
- File system encryption
- Healthcare organizations sign a HIPAA BAA and most data centers are certified to one of the standards – (SAS 70, ISO etc.)
- More public cloud vendors should sign HIPAA BAAs – Microsoft Azure, AWS and most recently Google Cloud already do.
- Co-innovate for security and compliance solutions like AWS CloudHSM
- Make encryptions at rest easy – blob store keys are a great start.
September 5th, 2013 — News
May 28th, 2013 — HealthIT
From May 13-14, I spent some time at Health:Refactored. Apart from catching up with colleagues and kindred spirits, the event was a good learning venue for healthcare IT developers and designers.
I’m going to broadly capture my notes under data, data analysis (big data), Health UI, and Health API platforms.