1/ The word "Pilotitis" 🦠 gives folks in #DigitalHealth nightmares 😱
What's wrong with Digital Health Pilots and why is Innovation-Priority Fit the cure?
My new article: joshualiu.ca/how-to-cure-pi
🧵 below...
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Joshua Liu
@joshuapliu
Physician & Co-founder/CEO Digital Care Journeys for health systems 
Previous: Chair, Innovation Council | |
Previous: Chair, Innovation Council | | Joshua Liu’s Tweets
I started doing this about a decade ago. One of my favourite things to do. Creates so much positivity. Surprising how little it happens.
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Compliment people more.
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I still remember in medical school having to fax information between floors in the same hospital even though we were “on the same EHR”
Wild times
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What year was this article written?
Just kidding 😉 - glad to hear Ontario healthcare has committed to Axing the Fax!
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Often done is better than perfect
ChatGPT was launched in 2 weeks after a sudden, unexpected decision - using an older, unreleased model (2020) than what was currently being worked on.
The result? 🚀🚀🚀
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I had an absolute blast talking to . He is intelligent, humble and posses incredible grit.
We discuss ChatGPT, AI in healthcare, the future of private healthcare in Canada, raising money for his startup, 90% of the VC he met said no initially and his end goal.
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Good thread on low-risk, low-hanging fruit use cases for how Generative AI can help healthcare in the near term
🔑 is to focus on use cases that don’t touch direct patient care just yet, and build trust with providers first
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founders/vcs are making a huge mistake by applying generative AI to healthcare delivery
GPT3 isn't going to replace your doctor, but it will change how healthcare runs.
Let me explain:
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🎧The Digital Patient hosts Dr. & Alan Sardana chat w/Dr. Damon Broyles, VP, Clinical Innovation, abt "Why Digital/Innovation Leaders Must Reduce Burdens on Healthcare Staff & Serendipitous Collisions in #HealthcareInnovation" hubs.li/Q01zDCRm0
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The other factor is local operating room capacity - surgeons who get less operating time necessarily will have longer wait times, despite the same frequency of patient referrals
Given that won't be equivalent, I can appreciate surgeon dissatisfaction with centralized intake
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The steelman argument for letting surgeons control their referral base and waitlist would be if surgeons who delivered higher quality care had more referrals - however, we know surgical quality/performance at this level is not yet being measured and made publicly available.
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In 🇨🇦 wait times are impacted by an individual surgeon's wait list
The result?
Wait times range 1 month - 1+ year for cataract/knee surgery
Should there instead be a centralized process where patients get first surgeon available?
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The number of times a week I have to copy/paste a Zoom link from an Outlook invite to a browser is just 🤯
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ChatGPT is great, but if Mac OS gave me a way to join my zoom meetings without opening the web browser and asking me to click “allow” it would be life changing
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Spoke to a health system 🏥 executive today about strategies to ⬆️ staff experience
You know how providers “round” on patients?
Her team now “rounds” on staff in-person to check-in on their experience and satisfaction
“Rounding on staff”: first time I’ve heard that term!
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⬆️ family docs at retirement age
⬆️ patients who will be unattached to a family doc
⬆️ patient complexity as life expectancy ⬆️
Combine this with overall population decline and a declining healthcare workforce and we are not far away from a health care delivery crisis
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The preprint of our study looking at the implications of an aging family physician workforce in #Ontario is now online.
Key takeaways: 
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medrxiv.org/content/10.110
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Wow 🤯 congrats to #STS2023 for such an amazing event & lively social media community!
Never been in the Top 10 for SoMe at a conference before - proud to have played a small role in this effort! 🙏🏻
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"STS was a success" rhymes for a reason, because the #STS2023 numbers show:
14 MILLION impressions
3,700 posts
650 Twitter users
From San Diego to around the world in 80 hours.
14 MILLION impressions
3,700 posts
650 Twitter users
From San Diego to around the world in 80 hours.
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When you hear “AI” and realize it’s about Aortic Insufficiency 🫀 instead of Artificial Intelligence 🤖
Only at #STS2023
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“Are we in the 🫀 Bypass Business or in the Fixing 🫀Disease Business?
We should be in the Fixing 🫀 Heart Disease Business”
Great point from #STS2023
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Key insights from session debrief:
- Dedicated coordinator / project manager ⬆️ success with Digital Health adoption for pre/post surgery
- Educating patients/families to use the App is 🔑 to ⬆️ adoption and engagement. Sending a link with zero context isn’t ideal
#STS2023
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The team at Duke found exciting results on using their Digital Health platform to improve TAVR outcomes! #STS2023
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Focus of research was on using a Digital Health platform for education, reminders and tracking of TAVR patients to improve outcomes
Via Vishal Venkatraman #STS2023
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Dr Boyaijan discussing Wearable Sensor Tech for Measuring Hand Dexterity for Cardiac Surgery #STS2023
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Applying AI and Machine Learning to Patient Generated Health Data holds promise for earlier prediction of complications
Via #STS2023
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Wearable devices and biometrics being used well outside surgery in healthcare, eg COVID symptom monitoring
Via #STS2023
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Studies show biometrics collected via wearables can help assess patient length of stay in hospital
Via #STS2023
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Wearable tech is now pervasive across our lives, extending into patient care and surgery is a natural next step
Via #STS2023
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Combining PROs (active) and Patient Generated Health Data (passive) creates a “Digital Phenotype” for a patient journey
Via #STS2023
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Most exciting? Outcomes analyses shows that the Patient Engagement App has improved clinical outcomes for Cardiac Surgery patients - even when stratifying data based on STS risk
⬇️ LOS
⬇️ Readmissions
⬇️ ED visits
Via #STS2023
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The team is even monitoring patients during in hospital post-op recovery to drive higher compliance with ERAS protocols such as early mobilization!
Via #STS2023
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Adding alerts and dashboards for Remote Patient Monitoring helps catch complications earlier
70% of patient issues can be managed with just self-care education on the App!
Via #STS2023
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Digital Patient Apps are used to target focus areas for patient engagement and education
- Mobility
- Anxiety
- Malnutrition
Via
#STS2023
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Digital patient education can include both Text and Video content just in time pre and post surgery
Via #STS2023
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