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DHagar
DHagar
5/17/2016 5:27:58 PM
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Platinum
Re: Too much capital kept too far down the pyramid
@Ariella, good point!  It may or may not be better health care, but it is certainly more "connected" and you are only dealing with a single set of standards.

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Ariella
Ariella
5/17/2016 5:07:57 PM
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Re: Too much capital kept too far down the pyramid
@Dhagar true, especially for those that use a one-payer system, it should be simpler to set up a centralized system of information.

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DHagar
DHagar
5/17/2016 4:50:46 PM
User Rank
Platinum
Re: Too much capital kept too far down the pyramid
@faryl, good observations.  Yes, HIPAA is a US regulation, but I believe that other countries are very data privacy conscious - maybe even at a level equal to or higher than ours; you remember the international reactions to the leaks revealed by Eric Snowden.

And I also believe there are probably easier opportunities to develop connected systems outside the US as their healthcare tends to be more centralized, either through government control and/or coordination.   I believe ours is the most "ad hoc" system - both among providers as well as connections with patients/consumers.

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batye
batye
5/17/2016 4:38:04 PM
User Rank
Platinum
Re: Too much capital kept too far down the pyramid
@faryl in a lot of the tning Canada do copy and follow USA regulations as we are very connected :) 

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faryl
faryl
5/17/2016 4:33:05 PM
User Rank
Platinum
Re: Too much capital kept too far down the pyramid
It's interesting that this post mentioned Canada. As a typical American, I sometimes forget that industries have opportunities in other countries. There seems to be a tendency to focus on HIPAA concerns when technology around healthcare is discussed, but that just pertains to developing the industry in the US. I wonder how other country's regulations compare to ours.

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DHagar
DHagar
5/17/2016 4:28:16 PM
User Rank
Platinum
Re: Too much capital kept too far down the pyramid
@vnewman - "I think it's getting better than it used to be, but it has a long way to go.  Teaching hospitals affliated with universities have made greater inroads to centralizing patient data - at least within their own sphere." Agreed - there has been tremendous progress within the health industry with their digitization of health records.

The "disconnected" frontier remains the patient and the consumers.  This is a big universe of opportunity.  I believe healthcare is waking up to it, but will have a learning curve; and to carriers, healthcare is just being discovered as a viable market now.  Telemedicine should help drive this forward.

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Ariella
Ariella
5/17/2016 1:43:25 PM
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Re: Too much capital kept too far down the pyramid
<  But still amazing in such a connected world, this industry remains so vastly disconnected.> @vnewman exactly so. There's a lot of potential in connection, but much of it has not yet been attained.

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vnewman
vnewman
5/17/2016 1:06:15 PM
User Rank
Platinum
Re: Too much capital kept too far down the pyramid
@Ariella - I think it's getting better than it used to be, but it has a long way to go.  Teaching hospitals affliated with universities have made greater inroads to centralizing patient data - at least within their own sphere.  But still amazing in such a connected world, this industry remains so vastly disconnected.

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Ariella
Ariella
5/17/2016 10:51:55 AM
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Author
Re: Too much capital kept too far down the pyramid
@JohnBarnes With all the talk we hear about EHR, you'd expect that your doctor can just get yoru entire health history from his tablet. But that is not the case. I once asked my kid's pediatrician about it. She said that each office uses its own system, and they don't talk to each other. That's why when I had to get an X-ray done, I had to carry the disc over to the office to have them view it. We even had to do this with a surgical practice that was affiliated with the hospital at which the X-ray image was taken. 

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JohnBarnes
JohnBarnes
5/17/2016 7:26:43 AM
User Rank
Platinum
Too much capital kept too far down the pyramid
As long as everyone else is proposing their favorite concern: the US private health care services sector tends to invest out at the ends of the supply network rather than in the central infrastructure, a natural consequence of having many small competitors setting prices with a market rather than a large single buyer as they have in other developed countries. Telemedicine requires a backbone infrastructure that nobody has much incentive to build.  So your local doctor has a great set of toys that s/he somewhat underuses, but there's no big system to hook them into, because the investment money is staying in that local practice rather than funneling upward to the central system.

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