Block chain will be extremely important to create trust in transactions including therapeutic interventions. In the age of IoT where IV pumps are connected to the internet, the provenance of signals sent to them must be established and it seems to me that doing it in a distributed way adds an element of safety because outliers can be established. LEARN MORE AT:
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http://conta.cc/2sx9avx One company replaced 90% of its workforce by machines resulting in a 250% increase in productivity and an 80% decrease in defects. Our new jobs will require new levels of creativity and flexibility.

AI, ML, IoT and Blockchain are redesigning our interactions, and we are all connected through any kind of device, wearable or environmental, the data we generate are key to analyze our behavior and predict our health future, this can definitely lead to  future where we may interact to each other to get a better health system for everyone, less health costs, and more responsive care if we change the way we perceive healthcare. Currently our interaction with the health system is episodic, we only seek medical attention when we perceive that we have a problem. Also, the evaluation provided by healthcare practitioners are based on findings made during the period of interaction.  Most of our health problems develop over a long period of time and the course of most illnesses can be improved through prevention, early diagnosis, and early initiation of treatment. So, if we can program our health ecosystem through technology to continuously monitor our health status and performance with the data generated  continuously fed into database that will be available to healthcare providers or that can analyze the information and provide feedbacks, warnings or positive reinforcements based on our health status, then we can develop a more responsive and individualized healthcare.

Virtual interactions is very essential not only among those who needs to be booked and monitored through devices but is needed more in patients who need someone to talk and interact with. A.lot of people suffer expression because they fund nobody to share their feelings and thoughts.

Right now AI could be applied to healthcare data regarding costs, and allow a patient to select the best value and quality for their needs. This shopping around model rewards efficient healthcare providers and reduces costs.

I recently learned some information was available in my area for the costs associated with colonoscopy tests, and ratings about physician quality, and patient satisfaction with the tests. I was able after an exhaustive search to pick the best physician for value, quality, and costs, to try to keep my insurance provider from raising rates. If everyone did this using a tool to collate and advise on the best profile, we could save billions in insurance and healthcare costs, and improve the quality of care.

BACK TO BASICS FOR A SUSTAINABLE HEALTCARE ECOSYSTEM
Connect One on One - Forget IoT in Medicine

As I see it, there will be three types of cultures to investigate in medicine:

1. The Service Provider

A medical provider committed to a service philosophy must be willing to do whatever it takes to satisfy the patient. For example, this may mean providing weekend, weeknight, or holiday office hours, instead of a routine 9-5 schedule. House calls, hospital visits, prison calls and nursing home rounds would be included in this operational model. Children, elderly patients or those with mental, physical or chemically induced challenges are all fertile niches of a core service philosophy. Managed care contracts are eschewed, as concierge practices exemplify this culture.  

2. The Discount Provider

A discount provider is one who has made a conscious effort to practice low cost, but high volume medicine. For example, discount providers must depend on economics of scale to purchase bulk supplies, since this model is ideal for multi-doctor practices. Otherwise, several practitioners must establish a network, or synergy, to create a virtual organization to do so. In this manner, malpractice insurance, major equipment and other recurring purchases can be negotiated for the best price. Another major commitment must be made to computerized office automation devices, eMRs, RHOs, etc. By necessity, such as offices are small, neatly but sparsely furnished, with functional and utilitarian assets. Most all managed care contracts just be aggressively sought since patient flow and volume is the key to success in this organizational type.

3. The Value-Added Provider

A value-added medical provider is committed to practicing at the highest and riskiest levels of medical and surgical care and has the credentials and personality to do so. Value differentiation is based on such factors as; healthcare 2.0 fluency, board certification, hospital privileges, subspecialty identification or other unique attributes such as fluency in a second language or acceptance into an ethnocentric locale. This brand identification must be enunciated in your marketing activities, and genre, as you answer the question: What can I offer that no one else can?  

Connected Hospitals?

“One of the greatest challenges to affordable health care is the high cost of American hospitals. The most important driver of higher prices for hospital care, in turn, is the rise of regional hospital monopolies. Hospitals are merging into large hospital systems, and using their market power to demand higher and higher prices from the privately insured and the uninsured.”
-A Goel

Any thoughts?

EMRs

A couple of key issues that keep popping up: Data collected by patients is considered "anecdotal" even if it comes from a regulated device (glucometers, sphygmomanometers, etc.) and often considered "unacceptable" for adding into the patient's EHR as tabulated data.

Patients found Google Health and similar ventures untrustworthy because they were immediately targeted with large quantities of unacceptable and often either unrelated or too-closely-related health advertising, suggesting that privacy concerns were completely ignored.

Tech-based patient health portals are not HIPAA-secure to the point where professionals are able to communicate and collaborate with patients in the venue of patients' choosing.

Any thoughts?