lbhnact

8 ms·

31.
by lbhnact 10y ago
What words would you use to tell your friends and family about why someone shouldn't stick a gun in your face and take anything they want? And if the complicated and often contradictory paths through considerations of ethics are '
32.
by lbhnact 10y ago
We are working with a few groups to make this sort of this possible. Feel free to reach out if you are interested.
33.
by lbhnact 10y ago
Yes exactly. Like the answer to pretty much every question about data, a treatment, a test, etc - the answer is, "Well, it depends on the problem".
34.
by lbhnact 10y ago
Is there anyone trying to compete with the giants in healthcare to make sure there is clean data to pull from in the first place? We are. :) I empathize with your problem with CCD/HL7v2 as much as you can imagine; which is why we sup
35.
by lbhnact 10y ago
As a former student of Chinese history, this comment is right on target. "Let a hundred schools of thought contend" Ah, how history repeats itself.
36.
by lbhnact 10y ago
I've seen you post before and I think you guys are doing really interesting work. [edit - noted attribution to wrong author, after a long day!]
37.
by lbhnact 10y ago
Because they have the plaque? Charleston is all about it's history and was the epicenter of the slave trade, so I wasn't surprised to see it I suppose. Reading it sure did send a shiver down my spine though. Looking out over the h
38.
by lbhnact 10y ago
Yeah, I was standing in Charleston Harbor reading the historical plaque about this guy a few years ago and had the same thought. This is a movie I want to see made by a real director - it's an incredible story that deserves to be share
39.
by lbhnact 10y ago
This is a bit off for most people that might actually be affected by the unemployment->insurance loss->need to get insurance asap problem. About 30-40% of non-medicare America lives in non-expansion states, more if you include long-te
40.
by lbhnact 10y ago
Nice to see an encouraging response for 18F here. They are fighting the good fight, and most people don't even know what they are up against.
41.
Fitbit Accuracy Questioned in Lawsuit(nytimes.com)
3 points by lbhnact 10y ago|0 comments
42.
by lbhnact 10y ago
Just FYI, many hospitals other than JH were doing this long before JH. JH is actually on the traditional/conservative end of the healthcare spectrum when it comes to process/algo/checklist style care, for better or for worse.
43.
by lbhnact 10y ago
ResearchKit may be part of the solution for some things, although the auth and data management will be barriers for commercial providers for the near future. I have a small team that is working with leaders in the space[1] to help many of t
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by lbhnact 10y ago
Carrboro: mini-Portland Chapel Hill: mini-Berkeley Durham: mini-Oakland Raleigh: mini-Atlanta
45.
by lbhnact 10y ago
I agree the non-negotiation was a major compromise. However it was, as I am told, basically required to get the ACA passed at all. The drug companies were represented by Billy Tauzin [1] who, as I am told by insiders that worked directly wi
46.
by lbhnact 10y ago
Apologies, it was an early morning... I meant to point out the Express Scripts-Surescripts connection (and CVS, other pharmacy stakeholders...), which is part of why I think they may have dropped PillPack. PillPack, and some of the other st
47.
by lbhnact 10y ago
Just chiming in here to help bring attention to the Express Scripts near-monopoly. Their market position and it's implications are surprisingly under-reported. Surprised the HN crowd doesn't get more riled up about this, given the
48.
by lbhnact 10y ago
Author here, would love to hear if anyone has been using FHIR in testing or production recently - thanks.
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by lbhnact 11y ago
It's been a joy to watch all of the excitement around Lee Sedol and AlphaGo's incredible machine performance translate into increasing interest in Go, rather than a disappointed turn away from another domain that we seem to be p
50.
by lbhnact 11y ago
Had no idea till now, three days late. How surreal is the modern web that I find out about this via SV-funded HN, rather than organically in the town that I am currently in, coming from a meeting on the campus of which I just met to discuss
51.
by lbhnact 11y ago
Well, speaking as someone who has actually enforced the Clean Water Act while in service to the public as an officer in the Coast Guard, and having traveled the globe with an eye for maritime commerce and water quality as a whitewater enthu
52.
by lbhnact 11y ago
Here we go: https://www.youtube.com/watch?v=rRNoRlLlsD8 Hadn't heard of that engine before. Was a very pleasant way to take a break from emails. Thanks.
53.
by lbhnact 11y ago
I like the phrase 'utility hysteresis'. I would say that, at least academically, the difference between 'diminishing marginal utility' and 'loss aversion' is appreciated. To quote course material, 'When di
54.
by lbhnact 11y ago
Thanks for saying this is more friendly terms that I did. What's also interesting, is that the US is likely a large net 'exporter' of medical tourism. I currently work with hospitals that are rapidly developing large business
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by lbhnact 11y ago
Imagine how much a hassle car repairs would be if cars were a staggeringly complex biological system where parts could not be replaced figuring out what was wrong was difficult and all work had to be done in while it was driving down the ro
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by lbhnact 11y ago
>I still can't believe that you can not call up a doctor/clinic/hospital in US and get a price quote for something routine You can. Routine, profitable procedures are not hard to arrange in the US. I have personally worked
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by lbhnact 11y ago
So, I could actually show you the emails where I helped move JSON from a MAY implement (with XML as a SHALL), to it being a proper first class member of the spec. The FHIR core team was and continues to be interested in feedback from experi
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by lbhnact 11y ago
Happy to hear specific issues! https://chats.fhir.me/feeds/skype/implementers.html - best place to participate if you want to help. Even at v1.0, many people are open to changes that reflect the needs of strong ca
59.
by lbhnact 11y ago
Exactly. Vista has pretty lousy UX, but it's implementation across most of the VA it a central part of the VA's much greater efficiency that other systems with similar populations. Of course, being written in MUMPS (just like some
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by lbhnact 11y ago
FHIR is probably the best hope that we've got. I am biased of course, but I've bet a few years of my life on it. :) Happy to help anyone learn more about the spec @medhacker [1] http://www.annemergmed.com/article&#

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