In the NEJM Catalyst event, "New Models, Measures & Money: Care Delivery Innovation," Amy Compton-Phillips, MD, discusses the urgent need to address the growing complexity in health care delivery which has led to widespread dissatisfaction among patients and providers alike. Highlighting the failure of current tactical solutions, Compton-Phillips advocates for a strategic overhaul based on Richard Rumelt’s approach, focusing on diagnosing the issue, establishing a guiding policy, and implementing coherent actions. She proposes a simplified health care model encapsulated in three key strategies—new models of care that prioritize human-centered and coordinated approaches, new measures that focus on the outcomes rather than inputs of care, and new financial models that incentivize desired outcomes. These strategies aim to make comprehensive, compassionate care both affordable and accessible to all, suggesting a significant shift towards simplification in the health care industry.

A Portfolio of Tactics to Simplify Health Care | NEJM Catalyst NEJM Catalyst

Rachael England, MPH, Associate Principal at Digital Technologies, shares insights from a recent Energy & Commerce Committee hearing on the Change Healthcare cybersecurity incident. Key takeaways include the acknowledgement that stronger cybersecurity practices at healthcare entities wouldn't have prevented the impact of the attack due to the nature of third-party vulnerabilities. Discussion points highlighted the limited liability of third-party vendors, the interconnected risks in modern healthcare, and the need for a shift in focus towards empowering organizations with resources to meet HHS Cybersecurity Performance Goals and develop risk management plans. The current standard of transferring liability from vendors to health systems is questioned, and there's a call for legislative action to better support cybersecurity in healthcare. Additionally, commentary from Vijay Raghavan, an expert in cyber resilience, mentions the need for regulations similar to SBOM for service providers post-major cybersecurity incidents, pointing out gaps in current mandates for business continuity and disaster recovery planning.

Rachael England, MPH on LinkedIn: Review of Change testimony LinkedIn

Trish Gallagher, a former CNIO, shared her insights on the pressing issues causing nurse and nursing leadership turnover in healthcare. Highlighting the not-so-apparent root causes, Gallagher points to a hostile work environment rather than a simple shortage of nurses as the primary factor pushing nurses away from bedside care. Despite the increasing number of registered nurses, a staffing crisis persists due to widespread dissatisfaction with the working conditions. Gallagher discusses how rapid technological adoption without adequate training and the lack of a supportive environment contribute to nurse burnout. She calls for a reevaluation of how technology is utilized in nursing, emphasizing the need for a revamp in nursing documentation and a better integration of technology to ease the burden on nurses. Gallagher’s perspective sheds light on the systemic issues in healthcare that, if unaddressed, threaten to exacerbate the staffing crisis by driving skilled nurses away from the profession.

"People Aren't Listening": Trish Gallagher on the "Massive" Challenges Facing Nurses & How to Fix Them | healthsystemcio.com healthsystemcio.com

The article highlights the transformative impact of a home robot named Stretch, which significantly increased autonomy for Henry, a user with limited mobility. Weighing about 50 pounds and controlled via laptop with head movements and mouse clicks, Stretch performed various tasks such as hair brushing, snack assistance, and engaging play with Henry's granddaughter, showcasing potential daily utility. Although Stretch possesses basic functionalities and allows for the integration of custom AI models for experimentation, its real value lies in demonstrating a shift towards practical home robotics. The narrative extends into a broader discussion on the evolution of home robots, emphasizing recent advancements in cheap hardware, data sharing, and generative AI that are propelling robots beyond past failures to meet domestic needs. This evolution addresses Moravec's paradox by focusing on improving robots' physical coordination, environmental understanding, and practical physics applications, moving closer to realizing long-standing aspirations of robots performing everyday household tasks.

Is robotics about to have its own ChatGPT moment? MIT Technology Review

In the NEJM Catalyst event, "New Models, Measures & Money: Care Delivery Innovation," Amy Compton-Phillips, MD, discusses the urgent need to address the growing complexity in health care delivery which has led to widespread dissatisfaction among patients and providers alike. Highlighting the failure of current tactical solutions, Compton-Phillips advocates for a strategic overhaul based on Richard Rumelt’s approach, focusing on diagnosing the issue, establishing a guiding policy, and implementing coherent actions. She proposes a simplified health care model encapsulated in three key strategies—new models of care that prioritize human-centered and coordinated approaches, new measures that focus on the outcomes rather than inputs of care, and new financial models that incentivize desired outcomes. These strategies aim to make comprehensive, compassionate care both affordable and accessible to all, suggesting a significant shift towards simplification in the health care industry.

A Portfolio of Tactics to Simplify Health Care | NEJM Catalyst NEJM Catalyst

Rachael England, MPH, Associate Principal at Digital Technologies, shares insights from a recent Energy & Commerce Committee hearing on the Change Healthcare cybersecurity incident. Key takeaways include the acknowledgement that stronger cybersecurity practices at healthcare entities wouldn't have prevented the impact of the attack due to the nature of third-party vulnerabilities. Discussion points highlighted the limited liability of third-party vendors, the interconnected risks in modern healthcare, and the need for a shift in focus towards empowering organizations with resources to meet HHS Cybersecurity Performance Goals and develop risk management plans. The current standard of transferring liability from vendors to health systems is questioned, and there's a call for legislative action to better support cybersecurity in healthcare. Additionally, commentary from Vijay Raghavan, an expert in cyber resilience, mentions the need for regulations similar to SBOM for service providers post-major cybersecurity incidents, pointing out gaps in current mandates for business continuity and disaster recovery planning.

Rachael England, MPH on LinkedIn: Review of Change testimony LinkedIn

Trish Gallagher, a former CNIO, shared her insights on the pressing issues causing nurse and nursing leadership turnover in healthcare. Highlighting the not-so-apparent root causes, Gallagher points to a hostile work environment rather than a simple shortage of nurses as the primary factor pushing nurses away from bedside care. Despite the increasing number of registered nurses, a staffing crisis persists due to widespread dissatisfaction with the working conditions. Gallagher discusses how rapid technological adoption without adequate training and the lack of a supportive environment contribute to nurse burnout. She calls for a reevaluation of how technology is utilized in nursing, emphasizing the need for a revamp in nursing documentation and a better integration of technology to ease the burden on nurses. Gallagher’s perspective sheds light on the systemic issues in healthcare that, if unaddressed, threaten to exacerbate the staffing crisis by driving skilled nurses away from the profession.

"People Aren't Listening": Trish Gallagher on the "Massive" Challenges Facing Nurses & How to Fix Them | healthsystemcio.com healthsystemcio.com

The article highlights the transformative impact of a home robot named Stretch, which significantly increased autonomy for Henry, a user with limited mobility. Weighing about 50 pounds and controlled via laptop with head movements and mouse clicks, Stretch performed various tasks such as hair brushing, snack assistance, and engaging play with Henry's granddaughter, showcasing potential daily utility. Although Stretch possesses basic functionalities and allows for the integration of custom AI models for experimentation, its real value lies in demonstrating a shift towards practical home robotics. The narrative extends into a broader discussion on the evolution of home robots, emphasizing recent advancements in cheap hardware, data sharing, and generative AI that are propelling robots beyond past failures to meet domestic needs. This evolution addresses Moravec's paradox by focusing on improving robots' physical coordination, environmental understanding, and practical physics applications, moving closer to realizing long-standing aspirations of robots performing everyday household tasks.

Is robotics about to have its own ChatGPT moment? MIT Technology Review