On June 15, 2023, the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule Task Force 2023 released its recommendations on the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule which proposes new provisions from the 21st Century Cures Act and makes updates to the ONC Health IT Certification Program (Certification Program). The limited-engagement task force met intensely during April, May, and June 2023 to develop its own set of observations and recommendations which were submitted to the Office of the National Coordinator for Health Information Technology (ONC).
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Does your Healthcare Company have a Platform Business Model?
Your Company Has A Technology Platform…But Do You Have A Platform Business Model and Strategy? Today in healthcare, platforms are understood mostly as technology. That’s not wrong, but it’s limiting and it misses a huge opportunity to adopt a platform business model. In most other industries platforms are also understood as a business model and strategy. Outside of healthcare, there are 45+ books focusing on this topic...A platform business model connects producers and consumers — creating an ecosystem that facilitates value exchange and interaction between them. Unlike traditional linear business models, where companies primarily produce and sell products or services directly to customers, platform models serve as intermediaries, making connections and facilitating interactions between two (or more) parties.
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HITAC Task Force Comments on ONC HTI-1 NPRM
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Revisualizing and Recoding Health Care
Two new books have me thinking about healthcare, although neither is about healthcare and, I must admit, neither of which I’ve yet read. But both appear to be full of ideas that strike me as directly relevant to the mess we call our healthcare system. The books are Atlas of the Senseable City, by Antoine Picon and Carlo Ratti, and Recoding America: Why Government Is Failing in the Digital Age and How We Can Do Better, by Jennifer Pahlka. Dr. Picon is a professor at The Harvard Graduate School of Design, and Professor Ratti is head of MIT’s Senseable Lab. Drawing on the Lab’s work, they write: “We hope to reveal here an urban landscape of not just spaces and objects, but also motion, connection, circulation, and experience.” I.e. dynamic maps. Traffic, weather, people’s moment-by-moment decisions all change how a city moves and works in real time.
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The Emergence of Artificial Intelligence And Why Open Source Matters
Sharing knowledge and sharing code has always been a key driver for innovation in Artificial Intelligence. Researchers have gathered together since AI was established as a field to develop and advance novel techniques, from Natural Language Processing to Artificial Neural Networks, from Machine Learning to Deep Learning. The Open Source community has played a key role in advancing AI and bringing it to solve real-world problems. Libraries and frameworks like TensorFlow, PyTorch, Keras, and Scikit-learn, for example, have allowed researchers and data scientists to study and make use of AI.
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ONC HTI-1 NPRM Through Public Health Eyes
On April 18, 2023, the Office of the National Coordinator for Health Information Technology (ONC) published for comment the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule which proposes new provisions from the 21st Century Cures Act and makes updates to the ONC Health IT Certification Program (Certification Program). Weighing in at over 500 pages (the pre-release version), this proposed rule provides some refinements to existing ONC programs, corrections to others, and extensions to yet other provisions. ONC provides additional materials about this proposed rule, including fact sheets, blog posts, and records from topical webinars on their website. Note especially the information provided about a joint ONC-CDC sponsored informational webinar which took place on May 24, 2023, and is available for playback on the site.
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3 Key Open Source Challenges in Developing Countries
When I go back home and talk to people in the tech industry, or any other industry for that matter, about what I do and the topics I'm involved in daily, I'm usually met with bemusement at the idea of an Open Source Programs Office (OSPO). The concept of a company contributing to an open source project without obvious immediate financial benefit can be culturally strange to understand or explain. As someone born and raised in a country that has been trying to develop for quite some time, I understand and relate to that. There was a point in time when my only understanding of open source was that it was software that I could use without paying and without needing to wait for a specific issue or additional feature to be released. I could just do whatever I needed myself, locally. Open source faces many struggles in developing countries that make how it's perceived and its associations inaccurate and out of touch. I will discuss these struggles in this article.
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A Whirlwind Tour Of All The Connected Sites That Form The World Of Open Source Social Networks
People want to communicate over the internet as easily as they do in real life, with similar protections but, potentially, farther reach. In other words, people want to be able to chat with a group of other people who aren't physically in the same location, and still maintain some control over who claims ownership of the conversation. In today's world, of course, a lot of companies have a lot to say about who owns the data you send back and forth over the world wide web. Most companies seem to feel they have the right to govern the way you communicate, how many people your message reaches, and so on. Open source, luckily, doesn't need to own your social life, and so appropriately it's open source developers who are delivering a social network that belongs, first and foremost, to you.
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New Study Shows Patients Prefer Immediate Access to Test Results and have Unmet Information Needs
A recent study of 8,000 patients that accessed their test results via an online patient portal found that more than 95% wanted to continue to immediately receive test results through their portal. That percentage stayed at 95% when focused on patients with non-normal results. These findings come amid concerns that the immediate release of test results could lead to patient distress when patients access test results before their physicians could contact them and help to interpret those results...since the ONC information blocking regulations became applicable to health care providers on April 5, 2021, a patient may be able to access test results in parallel to those results’ availability to the ordering clinician.
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Let's Do Public Health Better
Eric Reinhart, who describes himself as “a political anthropologist, psychoanalyst, and physician,” has had a busy month. He started with an essay in the New England Journal of Medicine (NEJM) about “reconstructive justice,” then an op-ed in The New York Times on how our health care system is demoralizing the physicians who work in it, and then the two that caught my attention: companion pieces in The Nation and Stat News about reforming our public health “system” from a physician-driven one to a true community health one. He's preaching to my choir. I wrote almost five years ago: “We need to stop viewing public health as a boring, not glamorous, small part of our healthcare system, but, rather, as the bedrock of it, and of our health.” Dr. Reinhart pulls no punches about our public health system(s), or the people who lead them...
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How Upstream Contributions Power Scientific Research
Just as with software development, research under Horizon Europe promotes the adoption of sharing research outputs as early and widely as possible to citizen science, developing new indicators for evaluation research, and rewarding researchers. Horizon Europe emphasizes open science and open source technology. The program evolved from Horizon 2020, which provided financial support for research projects that promoted industrial competitiveness, advanced scientific excellence, or solved social challenges through the process of "open science." Open science is an approach to the scientific process based on open cooperative work, tools, and diffusing knowledge found in the Horizon Europe Regulation and Model Grant Agreement. This open science approach aligns with open source principles that provide a structure for such cooperation.
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