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BRIAN_____'s profile
Brian Smith
Brian Smith
Brian Smith
@BRIAN_____

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Brian Smith

@BRIAN_____

Code farmer. Security, crypto, performance, networking, usability. Rust, C++, C, Haskell, DSLs, etc. *ring*, webpki, crypto-bench, mozilla::pkix.

Honolulu & San Francisco
briansmith.org
Joined April 2008

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    Two-way (sending and receiving) short codes:

    Country Code For customers of
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    1. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
      Replying to @rmhrisk

      that's roughly a market worth 5,980,000,000; that is before you consider missed appointments, patient outcomes, and customer sat.

      2 replies 0 retweets 0 likes
    2. Ryan Sleevi‏ @sleevi_ 22 Nov 2016
      Replying to @rmhrisk

      And what's the opportunity cost for job retraining for displaced workers? What are the externalities to factor in to the calculus?

      2 replies 0 retweets 0 likes
    3. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
      Replying to @sleevi_

      People wait ages to see doctors, paperwork/bills takes forever, patients treated like chattel until their 5-15min with the doctor.

      2 replies 0 retweets 0 likes
    4. Brian Smith‏ @BRIAN_____ 22 Nov 2016
      Replying to @rmhrisk @sleevi_

      Having worked in a hospital on all those exact problems, s/w isn't a solution. Patient's time == $0 is part of the design.

      1 reply 0 retweets 2 likes
    5. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
      Replying to @BRIAN_____ @sleevi_

      Agreed, it is not considered, but it can be and I suspect automation is part of the solution.

      1 reply 0 retweets 0 likes
    6. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
      Replying to @rmhrisk @BRIAN_____ @sleevi_

      if a personal trainer can remind their customers about appointments and let you reschedule online ...

      1 reply 0 retweets 0 likes
    7. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
      Replying to @rmhrisk @BRIAN_____ @sleevi_

      I don't see why hospitals dont do that and more.

      1 reply 0 retweets 0 likes
    8. Brian Smith‏ @BRIAN_____ 22 Nov 2016
      Replying to @rmhrisk @sleevi_

      Reminder automation is a feature any office can buy already. Scheduling is a triage exercise, not first-come-first-serve.

      2 replies 0 retweets 1 like
    9. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
      Replying to @BRIAN_____ @sleevi_

      I am curious now, maybe I just need new doctors; sounds like you think the "system works fine as it is".

      2 replies 0 retweets 0 likes
    10. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
      Replying to @rmhrisk @BRIAN_____ @sleevi_

      (BTW I worked in healthcare too) but what gets me is that was over 20 years ago and my experience today is the same.

      2 replies 0 retweets 0 likes
      Brian Smith‏ @BRIAN_____ 22 Nov 2016
      Replying to @rmhrisk @sleevi_

      Regarding appointment reminders, it is a QoS issue. We get about ~3 reminders prior to visit for baby's pediatrician.

      4:13 PM - 22 Nov 2016
      5 replies 0 retweets 0 likes
        1. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
          Replying to @BRIAN_____ @sleevi_

          was not suggesting reminders was the problem, was suggesting the "relationship" is not "managed" and using it as proxy.

          0 replies 0 retweets 0 likes
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        1. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
          Replying to @BRIAN_____ @sleevi_

          I think QoS, to a large extent, is a function of data quality and data in a manual system is largely very poor.

          0 replies 0 retweets 0 likes
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        1. New conversation
        2. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
          Replying to @BRIAN_____ @sleevi_

          So I wouldn't say that fixing the flow would be just about experience and not QoS.

          1 reply 0 retweets 0 likes
        3. Brian Smith‏ @BRIAN_____ 22 Nov 2016
          Replying to @rmhrisk @sleevi_

          Software costs money. Overbooking by 10% to cover the 10% of people who forget appointments doesn't cost money directly.

          1 reply 0 retweets 0 likes
        4. Brian Smith‏ @BRIAN_____ 22 Nov 2016
          Replying to @BRIAN_____ @rmhrisk @sleevi_

          The hard part of the sales is convincing them that the software is better (usually more profitable) than more overbooking.

          0 replies 0 retweets 0 likes
        5. End of conversation
        1. New conversation
        2. Erwann Abalea‏ @eabalea 22 Nov 2016
          Replying to @BRIAN_____ @rmhrisk @sleevi_

          (silently reading the thread from France, and it's somewhat surrealist)

          1 reply 0 retweets 2 likes
        3. Brian Smith‏ @BRIAN_____ 22 Nov 2016
          Replying to @eabalea @rmhrisk @sleevi_

          My last job in a hospital was writing code to, amongst other things, rescue people w/ insurance from bankruptcy.

          2 replies 0 retweets 0 likes
        4. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
          Replying to @BRIAN_____ @eabalea @sleevi_

          back when I was young and handsome I worked on a similar system, though it was in COBOL and Tandem RTOS.

          1 reply 0 retweets 0 likes
        5. Hemanth Varanasi‏ @Hemanthpradeep 24 Nov 2016
          Replying to @rmhrisk @BRIAN_____ and

          Quest Diagnostics (US) still uses Tandem and COBOL for their backend

          1 reply 0 retweets 0 likes
        6. Ryan Hurst‏Verified account @rmhrisk 24 Nov 2016
          Replying to @Hemanthpradeep @BRIAN_____ and

          (shakes head)....

          0 replies 0 retweets 0 likes
        7. End of conversation
        1. New conversation
        2. Erwann Abalea‏ @eabalea 22 Nov 2016
          Replying to @BRIAN_____ @rmhrisk @sleevi_

          Taking your example, I could get an appointment within 1 week with a pediatrician. No need for reminders.

          1 reply 0 retweets 0 likes
        3. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
          Replying to @eabalea @BRIAN_____ @sleevi_

          I might have to wait for up to 3w for a "checkup" (pediatrician or otherwise) but...

          2 replies 0 retweets 0 likes
        4. Ryan Hurst‏Verified account @rmhrisk 22 Nov 2016
          Replying to @rmhrisk @eabalea and

          if I need to be seen I can same day without an emergency room visit. The "reminders" I was referring to ...

          0 replies 0 retweets 0 likes
        5. End of conversation

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