Neil Versel's Healthcare IT Podcasts

At the Mobile Health Summit in Washington, D.C., in November, I had a chance to meet Don Jones, vice president of health and life sciences at Qualcomm, for the first time since July 2008, when were both at the m-health week of the Making the eHealth Connection series in Bellagio, Italy. As a founding board member of the West Wireless Health Institute and chairman of the Wireless-Life Sciences Alliance, Jones is a key player in wireless and mobile health both in the U.S. and abroad. In this podcast, we chatted about Qualcomm's interest in this industry, the progress and potential of m-health and what to look for in the future.

Podcast details: Interview with Don Jones, VP of health and life sciences at Qualcomm. Recorded Nov. 10, 2010, at Mobile Health Summit in Washington, D.C. MP3, stereo, 128 kbps, 32 MB, running time: 34:58.

0:30        Qualcomm’s history in wireless healthcare
1:00        Founding of West Wireless Health Institute and Wireless-Life Sciences Alliance
3:30        Global focus of mHealth Summit and needs in different parts of the world
4:40        Progress in developing countries
5:35        Qualcomm’s partnerships, including master’s program at Scripps Research Institute
6:40        Role of mobile/wireless in EHRs and “meaningful use”
7:50        Quest Diagnostics empowering consumers with app for reporting test results
9:00        Auto-population of patient records and medication reminders
10:25     Consumers embarrassing doctors by adopting technology first
11:15     Physician adoption of PDAs, smartphones and now iPads because they save time
13:05     What the iPad is missing, and the future of touch-screen tablets
14:30     Infection control with mobile devices
15:15     Low-cost imaging technologies replacing the stethoscope
16:40     Possible regulation of smartphones and apps as medical devices
18:30     Safety risks in healthcare without technology
19:45     Thought leadership at mHealth Summit
20:25     Orange and GE Healthcare’s city-wide, cloud-based PACS in Paris
23:00     Mobile/wireless in the context of health reform
25:10     Health delivery reform vs. health insurance reform
27:30     EMRs and incentive payments
28:50     Reimbursement/payment for wireless technologies
31:00     Building a competitive environment in healthcare
32:05     Progress to expect in the next year
33:20     Likely product launches in early 2011
34:05     Operator-driven medical devices


Direct download: Don_Jones_mHealth_Summit.MP3
Category:podcasts -- posted at: 12:37am CDT

Nearly two months ago, I was honored to be a participant in the closing panel session at the mHealth Initiative’s 2nd mHealth Networking Conference in San Diego. I happened to record the audio of that session directly off the sound board. I present that recording here.

Other participants on the panel, which addressed hype vs. reality in mobile healthcare, were: C. Peter Waegemann, mHealth Initiative founder; John Mattison, M.D., CMIO of Kaiser Permanente; and Paulanne Balch, M.D., physician lead for KP Health Connect messaging.

You should know my gravelly, hesitating voice by now. The man with the German accent is Waegemann and the other male voice is Mattison's. Obviously, the female voice belongs to Balch, though mHealth Initiative President Claudia Tessier makes a couple of appearances.

Podcast details: Panel discussion from mHealth Initiative 2nd Networking Conference on hype vs. reality, featuring Neil Versel, Peter Waegemann, Paulanne Balch, M.D., and John Mattison, M.D. Recorded Sept. 9, 2010. MP3, stereo, 128 kbps, 77.6 MB, running time 1:21:26.

0:00 Intro (Waegemann)
0:45 Hype around untethered PHRs (Versel)
2:40 PHRs and projections for future (Mattison)
5:50 Why there’s hype (Versel)
7:15 Consumer perspective on connectivity (Balch)
8:15 “Mind-blowing” applications in m-health (Waegemann)
8:50 iPhone replacing the stethoscope (Versel)
9:45 M-health as the “horseless carriage” (Balch)
10:25 What problem m-health addresses and what’s missing (Mattison)
12:10 Power of text messaging (Versel)
12:55 Patients texting during exams (Balch)
13:35 Audience question: What’s next after m-health
13:55 M-health is an enabler (Waegemann)
15:15 Too much unfiltered information (Mattison)
16:55 Movement to a knowledge-based society (Waegemann)
18:00 Machine-data interactions, escalated to experts as needed (Mattison)
19:00 Vision of personalized shopping experiences to choose healthy food (Balch)
19:45 Evolution of information sharing in healthcare (Waegemann)
21:40 How computers have changed teaching to focus on heuristics (Mattison)
23:15 Understanding context (Versel)
24:10 How m-health will change health information management (Waegemann)
24:35 The evolution of transcription and HIM (Claudia Tessier)
26:30 Changes in how information is collected (Balch, Mattison)
27:30 What you can’t find on the Internet (Mattison)
28:15 Audience comment: The future will favor those who can integrate information
28:55 Different types of information processing (Mattison)
29:30 Audience question: Where does consumer trust come from in healthcare?
31:25 Loss of collegiality due to EHRs and text messaging (Mattison)
33:45 Trusted entities (Mattison)
35:40 Generational differences in trust of doctors (Versel)
37:40 Lessons from early adopters (Balch)
39:25 Migration away from direct social contact (Mattison)
41:00 Systems for patients to describe their conditions (Waegemann)
41:50 Clinical Document Architecture to handle structured and unstructured data (Mattison)
44:35 Gaming for better health (Balch/Mattison)
45:50 Audience question: How much leadership does Kaiser show in this area?
46:30 Aneesh Chopra’s visit to KP’s Garfield Center (Mattison)
48:20 Can other organizations close the digital divide? (Waegemann/Mattison)
49:45 Kaiser looking at open-source technology (Mattison)
50:25 Power of text messaging and social networking (Balch)
50:50 Encouraging healthy behavior through information (Waegemann)
51:40 Embracing basic mobile technologies (Versel)
53:25 Mobile is changing economics of healthcare (Mattison)
54:30 Consumers equating more care with better care (Versel)
55:30 Technology vs. cultural attitudes (Mattison)
56:15 Audience comment: Fee-for-service model needs to change
56:40 Kaiser vs. fee-for-service model (Mattison)
58:20 Audience question: What is boundary between health/fitness and clinical/therapeutic apps?
59:25 Standards for evidence-based medicine (Mattison)
1:02:15 Audience question: How do you accelerate cycle time for discovery?
1:02:35 EHR as an observational, enrollment and tracking tool (Mattison)
1:04:00 Consumers will drive app acceptance (Balch)
1:04:20 User interfaces (Waegemann)
1:04:55 No comment (Mattison)
1:05:10 Audience question: Will mobile widen digital divide between healthcare and “enemies” of population health?
1:07:05 Who is custodian of individual data? (Mattison)
1:08:20 Knowing consumer preferences (Balch)
1:08:40 Wish list for m-health (all panelists and some audience members)
1:20:10 “Journey” of mobile health (Waegemann)</span>

Direct download: mHealth_Initiative_panel.MP3
Category:podcasts -- posted at: 3:33pm CDT

Last Thursday, for the fourth consecutive year, I sat down with HIMSS CEO H. Stephen Lieber for an interview ahead of the opening of the annual HIMSS conference. For the third consecutive year, the recording actually worked. And for the second consecutive year, I went to HIMSS headquarters in downtown Chicago for the interview, rather than waiting for the conference itself. Unfortunately, the HVAC system in the conference room was rather noisy, so there is some background noise. Still, the voices come through loud and clear.

I wrote a story based on this interview in Monday's FierceHealthIT, but here is the world premiere of the full recording.

Podcast details: Interview with HIMSS CEO H. Stephen Lieber on the 2010 HIMSS conference, recorded Feb. 18, 2010. MP3, stereo, 128 kbps, 31.7 MB, running time 34:36.

1:00 State of the HIT industry a year after ARRA
2:20 HIMSS10 registration patterns
5:00 Types of vendors exhibiting this year
6:30 Mobile applications
8:20 HIPAA, 5010 and ICD-10
10:15 Health IT's role in healthcare reform 13:45
Health IT alone can't fix healthcare
15:40 Getting the word to physician practices about meaningful use
17:55 Hospital-based physicians and meaningful use
19:15 Pressure to achieve meaningful use
20:15 Why HIMSS doesn't support weakening of requirements
21:40 Health IT workforce issues
25:10 Hiring IT professionals laid off from other industries
26:40 The future of certification
30:00 Clinical decision support comes of age
31:55 Focus of the 2010 conference

Direct download: Steve_Lieber_02-18-10.MP3
Category:podcasts -- posted at: 12:10am CDT

Jeff Margolis, founder, chairman and CEO of The TriZetto Group, has written a book, called "The Information Cure." In it, Margolis discusses his vision for "integrated healthcare management," the combination of information technology and process improvement on both the administrative and clinical sides of healthcare to change deeply ingrained behaviors.

We recorded this way back on Sept. 10, the day after President Obama pitched his healthcare bill to a joint session of Congress, and I unfortunately sat on this recording for more than four months. The legislation may have changed considerably since then—and may be headed for the trash heap anyway—but the problems plaguing healthcare in the U.S. persist. Thus, I present this podcast, still as fresh as the day it was made.

Podcast details: Interview with Jeff Margolis of The TriZetto Group. MP3, stereo, 64 kbps, 16.4 MB, running time 35:54

0:25 Integrated healthcare management
2:05 Health reform and quality of care
3:20 The book’s consumer focus
4:40 Collection of massive amounts of administrative data
5:25 Fragmentation of data
6:20 Payers managing "healthcare supply chain"
7:15 Using information to identify "value-based benefits"
8:00 Consumers and cost, prevention and chronic diseases
9:20 Physicians and "value-based reimbursement"
11:10 Slow diffusion of information in healthcare
12:05 Physicians clueless about what things cost patients
13:50 Price transparency to consumers
14:30 Real-time claims adjudication/eligibility checking
15:50 Thoughts on the stimulus
17:15 Avoiding "digital silos"
19:10 No single, right answer in health reform
20:30 Assembling "virtual supply chains," like Amazon
21:30 EHRs in the big picture
22:20 Patient as the aggregator
24:15 Vision for new eligibility transactions
26:15 Data enabling physician cash flow
27:50 Role of personal health records
28:30 His definitions of EMR, EHR, PHR
30:10 Why EHR vendors are "overreaching"
31:05 Organizing principles of health information exchange
33:05 Patients vs. consumers
34:45 Takeaway message of the book

Direct download: Jeff_Margolis_-_TriZetto_091009.mp3
Category:podcasts -- posted at: 4:30pm CDT