Today's New Regulation Could Spark a Health Tech Revolution

https://blog.picnichealth.com/today%27s-new-regulation-could-spark-a-health-tech-revolution/

by nogaleviner • 12 years ago

23 16 12 years ago

blog.picnichealth.com

Regulation doesn't spark anything. It snuffs thing out. Especially when it is touted as a solution to problem created by previous regulations.

pessimizer2• 12 years ago

I'll remember that while I'm busy trusting that the food I eat and the medicine I take doesn't kill me.

wyager• 12 years ago

Funny enough, I trust the same thing of the food I eat when I'm visiting countries with no FDA equivalent. It's almost as if the market disincentivizes selling bad food.

Shivetya• 12 years ago

Bribe to Doctors? It put many independents out of business, selling them long held practices to big conglomerates who could afford the software, computers, and the people necessary to get all their records into the new systems.

Just as with the rest of the ACA, this was all about reward those who paid the politicians through contributions. This meant big pharma, hospital/doctor conglomerates, and insurance companies. It certainly wasn't to help the average consumer or their hometown Doctors.

Einstalbert• 12 years ago

I want to do this. I want to give these guys my e-mail address and some basic info and see all of my health data charted out... But I did that with Google Health and it went the way of the dinosaur. IS there a consensus on this web service among the HN community?

nogaleviner2• 12 years ago

Hey, PicnicHealth founder here. We're probably too new to have any kind of a consensus but would love to chat offline about the company (Noga at picnichealth) It shouldn't be much work for you to get things set up.

I spent a lot of time trying to get straight what went wrong with google health and, while there are lots of theories, I'm got convinced that data availability played a big part. That's what's finally changing.

specialist2• 12 years ago

Hi Noga. Forgive me, I'm not understanding. How do I get my health records?

I designed and implemented the backend(s) for 5 regional health exchanges, did some front end work on our physicians portal, prototyped the patient portal (shopped around to our clients). I also participated in the competitive NHIN interop effort (we were a sub on the Northrup Grumman team). If you've seen the Mirth stack, my stuff was roughly the same (at the time).

Every participant in our exchange (hospitals, labs, scripts, clinics, insurers) jealously guarded their data, hoping to monetize it.

Maybe the scope of "meaningful use" has expanded, but when it started it was just a dozen or so fields. (The phrase "meaningful use" seemed to be an example of unintentional irony.)

I can't gleen your business model. And unless you have data access / sharing agreements, I don't see how you can get my records. (I'm a few years out of date, so maybe things have changed.)

If you were creating a "white label" patient portal for your customers (e.g. hospitals) to implement, that'd be cool.

If you were kickstarting a lobbying group to empower patients with access to their own data, I'd definitely contribute.

nogaleviner2• 12 years ago

Think mint.com for medical records. Literally. We help patients find their patient portals. We credential them in (just like mint) with username and password, providing a tool that pulls their data out. We normalize it and display in a meaningful way. Then we go back to the hacky solution of automating e-faxing back out to keep other doctors in the loop.

It's definitely nuts that this would be the solution, but I don't think we can wait for HIEs or for someone to get data access/sharing agreements for exactly the reason you state. Every player is jealously guarding their data.

You're right that we don't get the complete record, but whats in there is actually pretty rich.

mazimi• 12 years ago

Mint.com helps me with financial planning and budgeting. What does access to my medical records help me with? As a patient, does access to historical lab values provide me with actionable information or are the latest results, communicated to me by my physician more valuable? Do you use a predictive model to provide the patient with a health forecast (ie. https://archimedesmodel.com/indigo, they have an API)?

I check my Mint.com account regularly, what would drive me to check my Picnic account regularly?

abstractbill• 12 years ago

I've lost track of many of the different doctors I've seen over the years. Is there any practical way for me to get at that kind of information?

pierlux• 12 years ago

Came here expecting to read about the Supreme Court decision about the stuff companies can refuse their employees...

webhat• 12 years ago

I'm assuming this is HL7v3, if I remember correctly the transmission is only setting a permission on the patient side to allow the primary care physician to transmit the data to a third party, c.q. another physician.

Today's New Regulation Could Spark a Health Tech Revolution

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