Innovation and Technology

Revisualizing Strokes


Inspired by The Beauty of Health Data contest for the upcoming Health Datapalooza, some of us tried our hands at a few visualizations.

We ran across the NINDS data in an appendix to A Graphic Reanalysis of the NINDS Trial (Ann Emerg Med 2009; 54(3):329-36) and thought it was a gold mine of interesting data.

Hoping to better see the natural history of stroke, we came up with one nice visualization of the data. Since it is animated, we cannot submit it.  But if you would like the check it out, you can on YouTube.  It uses patients who had no neurological deficit before their stroke (approx 550) and follows their NIH Stroke Scale (NIHSS) at a few different data points.  You can see each patient get worse or better throughout the study (at one day after stroke, 7-10 days after stroke, and 90 days after stroke). The y axis is the baseline NIHSS severity of stroke, while the x axis is the NIHSS severity of stroke over time. At twenty four hours, the severity of stroke appears to be all over the board, however, at 90 days, patients tend to get better (move to the left) or succumb (move to the right with an NIHSS of 42). More

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How Medicine Can Learn From Javascript Callbacks

mobile-health-02-smallDid you just execute a callback?

Chances are … yes.  If you use browsers (which you obviously do if you are reading this), chances are you are using “javascript.”  Javascript goes hand in hand with the modern web.  You are using it right now.  And javascript is full of callbacks.

These are not HCAHPS callbacks for patient satisfaction.  Those are important, but for other reasons.

Rather, these callbacks in programming languages like javascript are things that happen when something else happens.  As a real world example of a callback, imagine a doctor in… More

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Thoughts on the mHealth Summit


The mHealthSummit gets bigger by the year (5,000 attendees from 60 countries this time around), and here are three takeaways from the event just ended, at the National Harbor in Washington, D.C. from December 9-11, 2013:

  1. ENORMOUS:  Increasingly the vendors are BIG.  In mHealthSummits past, the exhibitors typically had highly innovative products, but were not firms you’d recognize.  Now, the names are like this:  Sprint, AT&T, Verizon, Qualcomm, Intel.  Of course, many small companies also participated, and many of these are very well funded given the tsunami of venture capital funds that have hit the beach.
  2. EVIDENCE:  In the old days (you know, 18 months ago), your emblematic mHealth vendor would say “we think our ___ works.”  Now, vendors tend to have More
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8 Must-Haves To Innovate

Incentives for Innovation - Charles Lindbergh and Raymond Orteig
Medical futurist, software architect, and health IT strategist, Dr. Michael Gillam launches his first of many Dispatches from… Somewhere in the Future – Serving as faculty at Singularity University’s FutureMed Program, Dr. Gillam extracts the best of his notes from prior sessions. As a prelude to future posts, he kicks off with 8 Must-Haves for creating innovation in your organization. More

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Innovation and Facility Design Workshop

Innovation and Strategic Design for HealthcareThe patients are sicker. There’s fewer staff. Technology is outpacing your facility’s ability to adopt it. Data management systems are being revamped. The Emergency Department is over-capacity. And in the midst of all of this, you must be prepared for larger scale emergency. Such is the plight of ED Directors everywhere.

So, you want a re-design. You want an overhaul. Well, guess what? You’ve got one shot… a one-time opportunity to employ evidence-based physical design strategies. The Center For Health Design and MI2 hear you. More

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Creative Health Innovation Funding

Funding Health Innovation With Crowdfunding Or Through Progressive EmployersAction is a necessary ingredient for innovation. And health innovations are notoriously difficult to fund – often relying heavily on the time-consuming process of obtaining grants or yielding some ownership through venture capital. Well, new opportunities are presenting themselves. Health innovations may be funded through crowdsourcing sites like Kickstarter and through progressive employers like MedStar Health.

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Health Innovation Adoption Curves – From Scurvy To 2025

Health Innovation History - Vasco de Gama & Scurvy PreventionIt took consuming citrus fruits for the prevention of scurvy 264 years from discovery to widespread adoption. Today, the time from discovery to implementation is estimated at 17 or 18 years. How much can we close this gap? In this video from FutureMed, medical futurist Dr. Michael Gillam explores this answer and where he expects us to be in 2025.

Watch for Dr. Gillam’s Dispatches From…Somewhere In The Future coming exclusively to soon. More

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