In this episode, we are privileged to host Sanjeev Agrawal, President and CEO at LeanTaas. This is a healthcare software company that increases patient access to medical care. When Stefano first met Sanjeev at the first DocSF Conference, the company was just a start-up. Today, the company has grown into an established and well-funded company that is changing how we manage hospitals across the country.
Sanjeev recounts his healthcare entrepreneurial journal, which began when his team successfully solved a Stanford Cancer Institute problem. He discusses machine learning applications and gives excellent real-world examples of problems where machine learning can be applied. We also tackled the data they are looking for to solve problems and where machine learning is going in the future.
This conversation is fascinating, not just on how to solve complex healthcare problems utilizing accurate data, because there's more to it than that, so make sure to tune in!
About Sanjeev Agrawal
Sanjeev serves as the President and Chief Operating Officer for LeanTaaS. Sanjeev was Google's first Head of Product Marketing. Since then, he has led three successful startups - CEO at Aloqa (acquired by Motorola), VP Products & Marketing at TellMe Networks (acquired by Microsoft), and Founder & CEO at Collegefeed (acquired by After College).
Sanjeev graduated with a BS and MS in Electrical Engineering and Computer Science from MIT. He started his career at McKinsey & Company and Cisco Systems before joining Google. Sanjeev is a Forbes contributor and also writes on his blog at http://medium.com/@saagrawa. He is an avid squash player and has been named by Becker's Hospital Review as one of the top entrepreneurs innovating in Healthcare.
LeanTaas cannot create volume, but it can help clinics and hospitals optimize patients physicians should be seeing.
The EHR has a historical record of all surgeries performed in the past by the block owner.
90% of a data science problem is the data. So science is important until you can extract meaning from it.
Most healthcare visits are not so simple.
Small data can make a world of difference.
Once you have clean data, then you can apply your algorithm.
November 24, 2021
In this episode, we are privileged to host the fantastic Dr. Rajiv Sivendran, Co-Founder and CEO at Apprentice Health. He is an expert in the simulation space and optimization of resources. Rajiv is driven by the desire to solve problems in healthcare, and the idea for his company started when he was doing his MBA at Harvard.
Rajiv explains simulations and modeling, and links that to resource allocation and logistics in healthcare. He also discusses queueing theory, starting simulations in healthcare, the different variables involved, and ways to collect the healthcare data needed for the simulation. We hyper-focus on the power of the simulation approach and where it is heading. Rajiv provides powerful examples of simulations and where they can and cannot be successful. We also cover the marketing, ROI side of simulation, and more.
There are many potential uses of simulations, and this conversation is an excellent start to learn about it and how you can use it in your clinic or hospital, so tune in!
About Rajiv Sivendran, MD
Rajiv Sivendran is the Co-Founder and CEO at Apprentice Health, a software that helps to deliver exceptional care by improving the use of their valuable resource - clinical time and space. Before Apprentice, he worked as an Attending Physician at Brigham and Women's Hospital and as a Clinical Fellow and Instructor of Medicine at Harvard Medical School.
You have to understand the laws of nature that govern that specific niche.
A standard practice doesn't do simulation.
It is simpler to get started on something simple.
It is hard to build the data set in simulation.
Each sensor is uniquely identified to them when a patient comes in.
You can build your nuance into your simulation model. It could be super simple, or it could be super complex.
Every doctor obeys the same rule of queueing.
The model can take different inputs to provide outputs specific to practice.
There are so many variabilities in healthcare.
November 17, 2021
Todd Johnson’s work has always been about how we can make a patient’s experience more continuous. One of the most significant opportunities Todd recognizes in the use of these integration systems is behavior change. Information processing may be overwhelming, and this is why moving to digital systems will make this easier. The outcome is a win-win relationship for both patients and medical staff. Patients will have better clinical experiences; meanwhile, the team will save time.
Patient engagement is increasing over time with these technologies. Tune in to this episode to know much more about where we are headed.
About Todd Johnson
Todd Johnson is a serial entrepreneur committed to building innovative products that engage patients and connect them to their care teams. He builds strong companies on products that address market needs and offer long-term strategic potential from great ideas.
He is leading HealthLoop's evolution to become the foundation for GetWell Loop™ and managing the acquired Mountain View, Calif. office. Once the integration process is complete, his focus will influence GetWell Loop’s product development and sales strategy.
Todd holds a Bachelor of Administration in computer science from Cornell University.
The gold standard in integration is to have all the information and data from a patient available.
Integration and Data systems create a win-win relationship.
This transformation in-patient care requires leadership and a change in how we think about it.
When deploying this technology, patient engagement was variable.
Patients will use these apps when it’s a way to communicate with the medical team instead of following instructions from it.
Connect and Follow Todd on LinkedIn here: www.linkedin.com/in/toddjohnson10/
Learn more about the LearnMore GetWell Network here: https://www.getwellnetwork.com/getwell-loop/
November 10, 2021
The systems that store your health records across different providers are probably not talking to each other. Even if they are, it certainly didn't happen by accident.
This is a problem Niko Skievaski is working to solve.
Interoperability is a technical term that comes from outside of healthcare. The meaning of it is when two or more systems can share data with each other.
Niko explains that there are three levels of Interoperability:
The first level is one in which data is shared between systems or providers.
The second level is within a single care setting, known as Integration.
The last and third one is giving patients their data or Patient Authorized data Access.
The topic of data is something we could discuss for hours - but we don't have that kind of time! Instead, this episode is a greatly simplified way to understand it!
About Niko SkievaskiNiko Skievaski is a co-founder of Redox, a modern API layer for EHR integration. Before Redox, he co-founded a co-working space and business incubator in Madison that attracts fellow former-Epic employees interested in startups. With Redox, he has raised $4 million to make an API that works as a bridge between healthcare data and the software that uses it, translating patients' records across platforms. Niko has a Bachelor of Arts/Science from Arizona State University and a Master of Arts from Boston University.
HL7 is the most used integration standard used.
HL7 can be understood as a language.
Integration space needs to be bi-directional.
API stands for Application Program Interface
Interoperability is in the middle of data governance and the legal part of sharing.
A patient’s data could be hundreds of pages long.
We have information at our fingertips during this century.
Connect and Follow Niko on LinkedIn here: https://www.linkedin.com/in/skievaski/
Know more about Redox here: https://www.redoxengine.com/
Medcity News: https://medcitynews.com/author/nikoskievaski/#:~:text=Niko%20Skievaski%20is%20a%20co,Health%20IT%2C%20Startups
November 3, 2021
The importance of understanding each other: video remote interpreting platforms.
Health disparities are as broad and different as a color palette. Jamey Edwards works to improve them with Cloudbreak Health. Trust in the patient-provider encounter is essential and necessary in the 21st Century. This is why he started providing language services to enhance these barriers in medicine. The pandemic has caused everything to turn towards digital solutions. What used to be an in-person visit, now is an email or a phone call. This is where telemedicine is headed: the simplification of processes from the providers’ side. Also, the collaboration between institutions will boost to improve a single patient's experience.
Join Stefano and Jamey in this beautiful conversation about how technology will #humanizehealthcare!
About Jamey Edwards
Jamey is on a mission to fix healthcare. Jamey has founded and co-founded companies in hospital management, physician outsourcing, and telemedicine as a serial entrepreneur. He is currently the CEO of Cloudbreak Health, a leading unified telemedicine company currently performing over 130,000 encounters per month in over 1,900 healthcare venues nationwide.
Jamey is a member of the Global Army of Healthcare Transformers of StartUp Health and is focused on two main moonshots of increasing access to care and driving the cost of care to zero. He graduated as a Tradition Fellow from Cornell University in 1996 & received his MBA from Cornell's Johnson Graduate School of Management in 2003.
The difference in Language is one of the most significant medical disparities across the globe.
Telemedicine is bringing patients closer to doctors.
With the advancement of technology, collaboration between institutions will be easier.
Technology is constantly changing and working to improve the patient’s experience.
Connect and Follow Jamey Edwards on LinkedIn: https://www.linkedin.com/in/jameyedwards/
Follow Jamey Edwards on Twitter: https://twitter.com/jameyedwards
Visit Cloudbreak Health on the web: https://www.cloudbreak.us/
Follow Cloudbreak Health on LinkedIn: https://www.linkedin.com/company/cloudbreak-health/
Follow Cloudbreak Health on Twitter: https://twitter.com/CloudbreakHLTH
Follow Stefano Bini on Twitter: http://twitter.com/sbinimd
Follow Personalized Arthroplasty Society: https://www.personalizedarthroplasty.com/
October 27, 2021
Let's dive into digital therapeutics! In this episode of Digital Health 101, we feature one of our good friends and digital health leaders: Eugene Borukhovich. Eugene is a serial intra & entrepreneur, executive, venture builder, and podcast host; the list is long and impressive!
Eugene starts by answering the question "what is a digital therapeutic?" We dive into the history of digital therapeutics ('DTx'), the different forms DTx can take, the breadth of application, and some great examples of companies who are creating real solutions with evidence, engagement and business models.
We also cover the impact DTx can have on accessing care, data collection, affordability, reimbursement and more.
Eugene also discusses the work of YourCoach.Health and how it supports health and wellness coaches to manage their business from end to end.
To learn more about digital therapeutics and Eugene's thoughts and insights, tune in to this episode!
About Eugene Borukhovich
Eugene is a serial intra and entrepreneur, executive, venture builder, speaker, and board advisor focusing on digital health. He is a Chairman and Founding Board Member at YourCoach Health and founder of Initium Impact Ventures. Prior to YourCoach, Eugene served as a Global Head of Digital Health at Bayer. He has also co-founded and sold a doctor rating startup and a consulting company.
A DTx delivers medical interventions directly to evidence-based patients, clinically evaluated to do the above: treat, manage, and even prevent different diseases and disorders.
The business models of DTx are being explored.
DTx promises to be affordable and offers digital access to a much larger population. All you need is a smartphone.
When the pandemic hit, emergency use went straight to the market for many behaviors and mental health-related digital therapies.
When people need help, that empathy is vital.
Guest Links and Resources
Connect and Follow Eugene Borukhovich:
Digital Therapeutics Edition on Digital Health Today: dtxpodcast.com
Digital Therapeutics Edition on Health Podcast Network: https://healthpodcastnetwork.com/show/digital-health-today-digital-therapeutics-edition/
October 20, 2021
In this episode we do a deep dive into virtual reality, and we are honored to feature a doctor synonymous with VR, Dr. Justin Barad.
In this interview, Justin defines virtual reality, shares some background context and history, and discusses some of the advantages of training in the VR world. He also talks about VR in healthcare, especially in surgery, pain, anxiety management, psychiatric space, and optometry space. Justin also shares his thoughts on possible areas of VR applications, how technology should be used in healthcare, and some studies showing a significant increase of skill transfer in the use of Osso VR.
Learn more about virtual reality and its impact on healthcare in this exciting episode of DH 101. Please tune in!
About Justin Barad, MD
Justin is the Co-Founder and CEO at Osso VR, a surgical training and assessment platform that teaches medical procedures in a highly realistic virtual environment. He is a board-eligible orthopedic surgeon with a Bioengineering degree from UC Berkeley and an MD from UCLA, where he graduated first in his class. He completed his residency at UCLA and his fellowship in pediatric orthopedics at Harvard and Boston Children’s Hospital.
There's too much to learn in healthcare, and doctors cannot know it all.
There was an accelerating need for some way to train people remotely without needing to be physically together and without having access necessarily to patients, cadavers, or equipment.
The VR platform is broadly applicable.
In healthcare, it takes a village, and everything's a partnership.
Have a realistic expectation of what VR is and isn't.
Working with technology is a skill set. First, you need to have a basic understanding of how the software works.
We need to make space and provide education around technology and integrate it more.
We need to start thinking about how we can systematize creating the next generation of healthcare technologies.
Connect and Follow Dr. Justin Barad on LinkedIn, Twitter, and the Web
October 13, 2021
In this episode, we chat with Professor Shafi Ahmed about virtual reality and its application to democratize surgical training and surgical care.
Through virtual surgeries, Dr. Ahmed is changing the medical approach to technology. Digital surgery is one of Dr. Ahmed’s main focus points. This has been something that hasn’t been around for long. He also discusses extended reality and technology specialties in the healthcare field.
Join the first episode of Digital Health 101 and discover the world-changing power of virtuality and tech in medicine!
About Shafi Ahmed
Professor Shafi Ahmed is a multi-award-winning surgeon, teacher, futurist, innovator, and entrepreneur. He is a 3x TEDx and an international keynote speaker. Prof. Ahmed is faculty at Harvard Medical School, Bart’s Medical School, Imperial College London, Queen Mary University, Bradford University, and Singularity University, where he teaches medicine, innovation, and digital transformation.
He is currently a member of the NHS Assembly advising on the long-term plan. He was previously an advisor to the Abu Dhabi Ministry of Health to help deliver innovation and digital Health and is the Vodafone UK Connected Health Ambassador.
Extended reality is a concept referring to every combined (real and virtual) environment.
Digital surgery is still an innovative strategy.
People, specifically students, get more engaged when innovative tools are used.
In VR and AI, one little piece becomes part of a more extensive structure for learning.
Technology will highlight gaps that we can’t see right now in surgery.
Guest Links and Resources:
Connect and Follow Dr. Ahmed: LinkedIn https://www.linkedin.com/in/professor-shafi-ahmed-7114a260
Follow Dr. Ahmed on Twitter: https://twitter.com/ShafiAhmed5
Know more about Dr. Ahmed on his website: https://www.professorshafiahmed.com/
October 6, 2021
Welcome to the Digital Health 101 podcast. On this podcast, we explore and break down the building blocks of digital health, one technology at a time.
We speak with experts to understand the fundamentals of how these technologies work.
We take complex topics and present them in simple clear terms.
We hear about the experiences of the innovators who are pushing the boundaries of technology and the clinical leaders who are putting them to use.
Throughout this series, we'll explore how these technologies impact health access and health equity.
Our goal is to keep anyone working in the healthcare space informed about the latest technologies, how they work and how they can be put to use whether that's on the patient's wrist, at the bedside or in the surgical suite.
Follow this podcast on your favorite podcast player and sign up for our newsletter at Digitalhealthtoday.com, and thanks for joining us on the Digital Health 101 podcast.
September 29, 2021
The issue of patients receiving unanticipated medical bills is back in the national spotlight. It rose to prominence in 2019, consumed the attention of policymakers in 2020, and is the focus of newly released regulations designed to implement the “No Surprises Act,” which passed in late 2020. This episode, with interviews from an AAOS member expert and a senior health legislative assistant to U.S. Rep. Tom Suozzi (D-NY), explains the new process for resolving payment disputes and discusses concerns as to whether or not the regulations will ultimately fulfill their promise. Learn more about the issue: https://www.aaos.org/advocacy/advocacy-action-center/surprise-billing Guests: Adam Bruggeman, MD, FAAOS, Member, AAOS Health Care Systems Committee; Steven Peterson, Senior Legislative Assistant, U.S. Rep. Tom Suozzi (D-NY) Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair
November 16, 2021
Orthopaedic surgery is set to face an up to 10% reduction in Medicare reimbursement beginning in 2022. This discussion with a healthcare economist dives into the effects that these cuts will have on physician practices and patient care amidst our nation’s growing healthcare expenditures. Participants discuss the government’s reasoning behind the cuts; unintended consequences on access issues and practice consolidation, as well as how the surgical community can advocate against the devaluing of musculoskeletal care. Learn more about the payment policy changes: https://www.aaos.org/advocacy/advocacy-action-center/payment-policy-changes/ Guest: Patricia Ketsche, Ph.D., MBA, Associate Professor Emerita, Institute of Health Administration, Georgia State University Host: Douglas Lundy, MD, MBA, FAAOS, Chair, AAOS Advocacy Council
October 19, 2021
What began as an idea to address the educational needs of residents, has now become an innovative platform for sharing small, digestible professional development lessons for any orthopaedic surgeon. The previous chair of the AAOS Resident Assembly, Cory Smith, MD, discusses the value of the spoken word for busy trainees, evolution of the AAOS Career podcast, and what is in store for future guests and episodes.
October 5, 2021
At the AAOS 2021 Annual Meeting, new host and Advocacy Council Chair Douglas Lundy, MD, MBA, FAAOS, recorded a live, on-site interview with Austin Beason, MD, who is Chair of the Resident Assembly and host of the AAOS Career Podcast. They discussed the value of increasing resident involvement in political advocacy as the future leaders of musculoskeletal health, whether it is by participating in grassroots via the Advocacy Action Center, joining the PAC, or becoming engaged with state orthopaedic societies. Host: Douglas Lundy, MD, MBA, FAAOS, Chair Advocacy Council Guest: Austin Beason, MD, Chair Resident Assembly Additional Notes: Learn more about how residents can get involved: https://www.aaos.org/advocacy/get-involved/residents-advocacy/ Learn more about the Orthopaedic PAC: https://www.aaos.org/advocacy/pac/
September 21, 2021
In this fifth and final episode of the Enneagram Series; We will discover the last Enneagram triad by the hand of the Trilogy Effect team. Types 5, 6, and 7 are often inclined to pursue a career that involves researching!
Drawn to knowledge and with an intense intellectual curiosity, these three types go to analysis and research when they are in fear. Type 5s are good at detaching themselves from the situation to analyze it and have multiple perspectives. Types 6, on the other hand, are absolutely loyal, responsible, and community-oriented. Finally, 7s don’t seem like a head center type because they like to take action by educating themselves. These three types could use exercises like meditation to calm their minds.
Thank you for listening to our Enneagram Series; we hope you enjoyed and learned a lot about yourself and the leaders around you!
September 14, 2021
In this episode, we cover types 2, 3, and 4, who are always lead by their heart.
Leaders identified within these types tend to be more on the human side of things than on the organizational-business side. Type 2 leaders are usually fantastic because they try to take care of everything and everyone, including themselves. Type 3 is focused on externally performing and achieving tasks. Type 4 is extremely creative and doesn’t like to be constrained; they want to have a human connection with everyone around them. These three types of the Enneagram have the same driver: am I valuable, and how do I show I am?
Have you identified which type of leader you might be? Be sure to listen and figure out through these episodes!
September 7, 2021
In this episode, we will be talking about the impulsive, gut-oriented Enneagram types 1, 8, and 9. These three types are very grounded in their belly center. With the help of the Trilogy Effect team, we dive into how each type works. Having boundaries is an essential part of types 1, 8, and 9.
Instinctive center types always look at reality through filtered glasses asking themselves: is this just, right and fair? Type 8 usually takes action, type 9 wants everything to be in peace, type 1 needs everything to be perfect, but in the end, they always search for autonomy within the structure.
Tune in to this episode to learn more about these three types of the first Enneagram Triad!
August 31, 2021
The AAOS Career Podcast covers professional development topics of interest to the musculoskeletal community, from financial literacy and research opportunities to surgical skills and networking. Conversations between early-career surgeons and experienced attendings offer practical tools for guided growth in the specialty. Part of “The Bone Beat” orthopaedic podcast channel.
August 26, 2021
Great leaders are those who can use the three centers of intelligence to their advantage.
In this episode, we will define the concept of embodiment and its relationship with the Enneagram. There are three intelligence centers in the body: head, heart, and belly. Everyone has an unconscious preference for one of them. Getting to know each of those centers will help leaders tap into their power at the same time. The nine types of the Enneagram can be group into three triads according to the intelligence centers. Once the dominant type is identified, knowing the strengths and weaknesses is straightforward.
Join this episode and see if you can recognize which triad you are from!
August 24, 2021
Welcome to the Enneagram series on the Digital Orthopedics Podcast!
The Enneagram has been an assessment tool and personality trait assessment for quite some time. In the following five episodes, we will be joined by Wendy Appel. She is an expert on the Enneagram and will be walking us through the Enneagram regarding leadership.
Wendy defines what automatic filters are and their relationship to this tool. She also explains what the Enneagram is and how a single person can fluctuate between the different archetypes. Change is about bringing the best out of people and ourselves.
We hope you enjoy the following episodes about the Enneagram!
August 17, 2021
This final episode of the three-part series for AAOS’ Orthopaedic Advocacy Week discusses reducing and preventing physician mental health issues. Following the moving story of Dr. Lorna Breen, an emergency physician who died by suicide while working on the front lines of the pandemic, the conversation features powerful perspectives on breaking down the stigma and increasing access to treatment—starting with passage of the legislation named in her honor, the Dr. Lorna Breen Health Care Provider Protection Act. (Rep. Susan Wild interview recorded on 7/14 and Corey Feist interview recorded on 7/27) Dr. Lorna Breen Heroes’ Foundation AAOS advocacy on physician mental health Hosted by: Kristen Coultas, AAOS Advocacy Communications Director and Jennifer Weiss, MD, FAAOS, Chair, AAOS Communications Committee
August 3, 2021
This is the DOCSF Politics Desk.
Like previous years, Dr. Tom Barber is our host for this segment. However, on this occasion, he will be joined by Dr. Doug Lundy and Jordan Vivian to discuss the political situation in the US and how it affects orthopedic surgery. Dr. Lundy is the Advocacy Council chair from the American Academy of Orthopedic Surgery, while Jordan Vivian is the director of Government Relations at AAOS. They go through what’s currently happening, what will come in the future, and what isn’t being done.
Change doesn’t happen overnight; it takes time. So rise and join the revolution!
July 27, 2021
Can you imagine wearing a sensor after surgery and then having an accurate data analysis from your doctor?
This is one of the topics we chat about with Dr. Fabrizio Billi. We also have Nick Gillian from Google’s Division of Advanced Technology and Products. Wearable sensors can provide data to understand a patient’s recovery better. But, will we get to the point in which the algorithm will predict the outcome? The future is the only one that holds that answer!
In the meanwhile, you can listen to Dr. Billi and Nick Gillian to know more about this new technology.
July 22, 2021
The Voices of DocSF is one of the new segments!
5 different health systems join us to discuss how they have implemented digital solutions. This segment is hosted by Dr. Vonda Wright, Co-President of One RED Arrow BioTech Consulting Group. Guests from HSS, Duke, UCSF, and North Center Orthopedics at Hoag are featured. They all share with us the technology they chose, how they ideated and then implemented it. They all talk about the advantages for patients, clinicians, and providers.
Listen to five different points of view of new technologies that are applied daily.
July 20, 2021
This is the Covid-19 Orthopedic Update episode!
We are joined in the virtual DOCSF stage by Dr. George Rutherford, Dr. Brian Schwartz, Luigi Zagra, and Gianfranco Di Maira. Each of them has a specific discussion topic: epidemiology with Dr. Rutherford; virology with Dr. Schwartz; and Covid in Italy with Dr. Zagra.
Dr. Rutherford shares with us the country's state (United States of America) compared to the rest of the world concerning the Covid-19 pandemic. He talks about the vaccination process and effectiveness, breakouts, and the CDC guidelines.
Dr. Zagra reflects on how, in Italy, the covid situation is still critical. He says that Italy is still one of the European countries with the highest death rate. Dr. Zagra also reflects on how surgeries and other medical activities had to be postponed and rescheduled after the first wave and during the second wave. He concludes by saying that we’re still not in the clear with the pandemic, and we need to support ourselves in telemedicine.
Dr. Schwartz reflects on the worldwide situation of covid. The pandemic has highlighted structural racism in the health system and advanced understanding of aerial viruses and diseases. He ends his intervention by talking about the variants, vaccine effectiveness, and actions to be taken.
We end the interventions by reviewing how leading with empathy was the right path during 2020 and 2021 with Gianfranco De Maira. He calls out the main characteristics leaders had when the pandemic begin and then talks about five traits that are needed right now.
Join this panel full of wonderful guest speakers worldwide to get a perspective of where we are headed with covid.
July 15, 2021