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In the News

New AI-powered medical transcription tool from Hint Health and OpenAI

September 25, 2023

OpenAI, the company that developed ChatGPT, is working with Hint Health on a new AI-powered clinical documentation platform they hope will improve the physician-patient relationship by streamlining note taking and transcription.

WHY IT MATTERS
Hint Health has added beta capabilities to its All-in-One clinical platform that enable doctors to record patient consultations or interactions within the app and transcribe them using OpenAI's Whisper API – which can auto generate clinical documentation using OpenAI large language models.

The aim is to help the thousands of direct primary care physicians using the Hint platform to have more time to focus on their patients – and to grow their business – and to spend less time taking notes.

Hint and OpenAI say the integration is meant to help DPC docs use technology to "amplify their care rather than replace it," and to support physicians by enabling more meaningful interactions at the point of care and reducing clinician burnout.

"In the hands of the DPC community, we believe AI has the potential to help restore trust and integrity in our healthcare systems," said Zak Holdsworth, CEO of Hint Health, in a statement.

THE LARGER TREND
Generative AI tools such as ChatGPT hold big promise for clinical applications and patient engagement. That's why companies such as Epic and Oracle Health are integrating the capabilities into their EHR offerings.

While some experts say hospitals aren't ready yet for LLM-based patient portals, and others caution that providers should stay aware of the limitations of generative AI, it's clear that an array of compelling clinical, financial and operation use cases are showing its transformative potential.

As they integrate generative AI into clinical practice, here are some tips to help provider organizations use it responsibly.

ON THE RECORD
"Our vision is a future where technology empowers, rather than hinders, the doctor-patient relationship," said Holdsworth. "The technological arms race in insurance based care models has for decades led to systematically worse access and experience for patients and doctors, and Direct Primary Care is reversing this trend."

"AI has the potential to revolutionize healthcare in a way that enhances, rather than replaces, human relationships," added Aliisa Rosenthal, head of sales at OpenAI. "We are excited that Hint Health is using OpenAI's technology to bring advanced tools to doctors who share our vision."

Mike Miliard is executive editor of Healthcare IT News
Email the writer: mike.miliard@himssmedia.com

Healthcare IT News is a HIMSS publication.

Read More

Cloud Security in Health IT: Challenges, Opportunities, and Considerations

September 25, 2023

The world of healthcare IT is on the brink of a revolution. As health systems accelerate digital transformation, cloud technology has quickly ascended to the forefront, creating an urgent need for robust and efficient cloud security measures. This seismic shift comes with its share of challenges and opportunities, making it imperative for healthcare IT professionals to develop effective strategies for a smooth transition.

To help navigate this emerging landscape, we turn to seasoned industry professionals Robert Cantu, Director of Cybersecurity Operations, Inova Health System, and Todd Felker, Executive Healthcare Strategist at CrowdStrike. Their in-depth knowledge and practical experience offer a wealth of insights into the complexities and possibilities at the intersection of healthcare and cloud security. From understanding the evolving threat landscape to overcoming staffing and budgetary constraints, their perspectives shed light on the crucial steps health systems need to consider in their journey to cloud security.

The Need for Cloud Security in Healthcare ITRobert Cantu

Cloud-based solutions have begun to dominate healthcare IT. Critical systems, like Electronic Health Records (EHR), Enterprise Resource Planning (ERP), and Customer Relationship Management (CRM), are transitioning to the cloud. This shift prompts the need for robust cloud security.

Cloud technology offers the healthcare sector agility, scalability, and cost efficiency. However, its adoption brings challenges, primarily the constant evolution of cybersecurity threats. As Todd says, "These adversaries are continuing to evolve." This statement underscores the growing necessity for IT professionals to stay ahead of the curve.

Data protection and patient privacy are significant concerns as health systems transition to the cloud. As Todd suggests, half the world's data could be in the cloud within a few years, underlining the need for scalable and adaptable cloud security solutions.

Challenges in Moving to Cloud Security Solutions

Transitioning to cloud-based systems brings obstacles, such as staffing, budgetary pressures, and problems with existing on-premise data centers. As Robert points out, many of these centers are in sub-optimal locations and risk physical damage. "Your data center is sitting in closets. It's getting in a non-conditioned space. You've got water pipes waiting to blow through 2 million worth of network equipment," he explains.

These challenges highlight the pressing need for a shift in strategy towards cloud security solutions. The journey is complex, but the rewards of security, scalability, and operational efficiency make it worthwhile.

Strategies for Implementing Cloud Security Solutions

As we tackle the challenges and embrace the opportunities in the transition to cloud security solutions, it's vital to have a comprehensive and forward-thinking strategy. Two fundamental elements underpin successful strategies: choosing a reliable partner and careful budget considerations.

Todd's perspective on partnership choice brings to light the necessity of adaptability in a landscape where adversaries constantly evolve. "What you're looking for is a partner that's going to help you adapt as the adversary evolves," he explained, underlining the need for a dynamic response to a fast-moving security landscape. "As the cloud usage grows, expanding to the other clouds and having your tools work in both...Azure, but also AWS and Google...is critical."

These insights underline the importance of versatility and flexibility in a cloud security partner. Given the pace at which technology and cybersecurity threats evolve, adapting quickly is essential to a successful cloud security solution.

The element of cost is equally significant in transitioning to cloud-based solutions. Robert provides a pragmatic approach to budget considerations, recommending an in-depth review of the costs associated with current data center operations. He suggests considering "what you're spending for power, what you're spending for cooling, what you're spending for that space. That is your data center."

Highlighting these often-overlooked expenses can be vital in making a persuasive case for the cost-effectiveness of cloud solutions. It also underscores the importance of a holistic view of the budgetary implications, considering the apparent costs of cloud services and the potential savings from moving away from on-premise data centers.

These insights provide a strategic blueprint for health systems transitioning to the cloud. It is clear that selecting the right partners and having a comprehensive understanding of the costs associated with current and future states are integral to implementing effective cloud security solutions.

Achieving Economically Secure Cloud Solutions

While moving to the cloud brings about a transformative change in how healthcare IT functions, it is essential that this transition is both secure and economical. Robert's insights offer a roadmap for achieving this delicate balance, emphasizing the significance of partner selection in the process.

Robert stresses the importance of choosing partners who protect the system and help improve its state. "What I'm doing, what I think anyone in my position would do, is going out and picking the right partners that are going to A, help you protect, B, help you bring your system along and get it to a more secure state," he explains.

This statement speaks to the dual role that a good cloud security partner plays. First, they help bolster the system's defenses against cybersecurity threats. Second, they assist in the overall development of the system, ensuring it is robust, secure, and primed for future growth.

Moreover, Robert emphasizes the value of a partner who can seamlessly integrate into the existing IT ecosystem. "Three, they get along in the ecosystem so that you can maximize your investment," he adds. Such harmonious integration ensures that the chosen cloud solutions align with existing systems and processes, thereby improving overall efficiency and maximizing return on investment.

A crucial point that Robert highlights is the potential for cloud security solutions to limit staffing requirements. By selecting the right cloud security partner, healthcare organizations can reduce the need for extensive in-house IT teams, which is particularly significant in an era of staffing challenges and budget constraints.

"Limit the amount of stuff you have to bring to your premises so that you can achieve this in an economical, secure way," Robert suggests. This strategy allows healthcare IT professionals to tap into the expertise of their cloud security partners, enabling them to maintain robust and secure systems without the need for extensive personnel recruitment.

In essence, achieving economical and secure cloud solutions involves meticulous partner selection, prioritizing those who can offer comprehensive protection, facilitate system improvements, integrate effectively into the existing ecosystem, and help streamline staffing requirements. This approach ensures an optimized, cost-effective, secure transition to the cloud.

Conclusion

Healthcare systems increasingly turn to the cloud, requiring robust cloud security solutions. The insights from Todd and Robert highlight the complex challenges that healthcare IT professionals face and provide a roadmap for navigating this rapidly evolving landscape.

Strategic partner selection emerges as a critical theme. Todd believes the right partner will help health systems adapt to the ever-evolving cyber threat landscape. Robert provides a comprehensive view of what to look for in a cloud security partner, who should protect the system, help its overall growth, and smoothly integrate into the existing ecosystem.

As healthcare organizations migrate more data and systems to the cloud, the cybersecurity landscape in healthcare IT will continue to evolve. The need for reliable, adaptable, and cost-effective cloud security solutions will grow. As we chart the future of cloud security in healthcare IT, success lies in our ability to adapt, choose the right partners, and protect sensitive data. This journey may be challenging, but healthcare IT professionals can securely navigate this new frontier with the right strategies and partnerships.

Read More

Which health systems teamed up with Amazon, Google + Microsoft

September 25, 2023

Big Tech companies continue to assist health systems with their digital transformations. Here are nine collaborations from the past month.

1. Nashville, Tenn.-based HCA Healthcare said Aug. 29 it started using generative artificial intelligence technology from Google to document emergency room visits and speed up nurse handoffs.

2. New Orleans-based Ochsner Health said Sept. 18 that 100 of its physicians will use Microsoft's Azure OpenAI within Epic to asynchronously draft replies to patient messages.

3. Amazon and Milwaukee-based Froedtert Health teamed up on a digital health app Sept. 20 powered by Amazon Web Services.

4. Edison, N.J.-based Hackensack Meridian Health said Aug. 29 it is expanding its partnership with Google Cloud to use its generative AI tools to reduce administrative workload, support clinical decision-making and personalize the patient experience.

5. Rochester, Minn.-based Mayo Clinic said Sept. 8 it created an AI algorithm that can take electrocardiogram data from an Apple Watch and predict if a patient has a low ejection fraction.

6. Dozens of hospitals and health systems — including Los Angeles-based Cedars-Sinai and Kettering Health Dayton (Ohio) — are using Meta's virtual reality headsets to train clinicians on complex procedures, CNBC reported Sept. 9.

7. YouTube said Sept. 7 it is partnering with content creators including Somerville, Mass.-based Mass General Brigham to make health information available to more people through AI.

8. Leaders from Cedars-Sinai and Danville, Pa.-based Geisinger joined a Microsoft Health executive Sept. 7 to advise a new generative AI collaborative from Avia.

9. Ochsner Health said Sept. 8 it is using a built-in Apple Watch app to track falls and provide support for medical responders.

Read More

Costco to offer members $29 virtual care visits

September 25, 2023

Warehouse club company Costco will offer its members $29 virtual primary care visits through a partnership with healthcare marketplace Sesame, Bloomberg reported Sept. 25.

Members will also have access to $79 mental health visits and 10 percent off other medical services on the platform. The Sesame platform allows clinicians to set prices and patients to pay them directly instead of going through insurance. 

The news comes as Costco competitors, such as Walmart, Best Buy, Amazon and CVS Health, expand their healthcare offerings. 

The financial terms of the partnership between Costco and Sesame were not disclosed. The online medical platform is backed by Alphabet's venture unit.

Read More

New AI-powered medical transcription tool from Hint Health and OpenAI

September 25, 2023

OpenAI, the company that developed ChatGPT, is working with Hint Health on a new AI-powered clinical documentation platform they hope will improve the physician-patient relationship by streamlining note taking and transcription.

WHY IT MATTERS
Hint Health has added beta capabilities to its All-in-One clinical platform that enable doctors to record patient consultations or interactions within the app and transcribe them using OpenAI's Whisper API – which can auto generate clinical documentation using OpenAI large language models.

The aim is to help the thousands of direct primary care physicians using the Hint platform to have more time to focus on their patients – and to grow their business – and to spend less time taking notes.

Hint and OpenAI say the integration is meant to help DPC docs use technology to "amplify their care rather than replace it," and to support physicians by enabling more meaningful interactions at the point of care and reducing clinician burnout.

"In the hands of the DPC community, we believe AI has the potential to help restore trust and integrity in our healthcare systems," said Zak Holdsworth, CEO of Hint Health, in a statement.

THE LARGER TREND
Generative AI tools such as ChatGPT hold big promise for clinical applications and patient engagement. That's why companies such as Epic and Oracle Health are integrating the capabilities into their EHR offerings.

While some experts say hospitals aren't ready yet for LLM-based patient portals, and others caution that providers should stay aware of the limitations of generative AI, it's clear that an array of compelling clinical, financial and operation use cases are showing its transformative potential.

As they integrate generative AI into clinical practice, here are some tips to help provider organizations use it responsibly.

ON THE RECORD
"Our vision is a future where technology empowers, rather than hinders, the doctor-patient relationship," said Holdsworth. "The technological arms race in insurance based care models has for decades led to systematically worse access and experience for patients and doctors, and Direct Primary Care is reversing this trend."

"AI has the potential to revolutionize healthcare in a way that enhances, rather than replaces, human relationships," added Aliisa Rosenthal, head of sales at OpenAI. "We are excited that Hint Health is using OpenAI's technology to bring advanced tools to doctors who share our vision."

Mike Miliard is executive editor of Healthcare IT News
Email the writer: mike.miliard@himssmedia.com

Healthcare IT News is a HIMSS publication.

Read More

Cloud Security in Health IT: Challenges, Opportunities, and Considerations

September 25, 2023

The world of healthcare IT is on the brink of a revolution. As health systems accelerate digital transformation, cloud technology has quickly ascended to the forefront, creating an urgent need for robust and efficient cloud security measures. This seismic shift comes with its share of challenges and opportunities, making it imperative for healthcare IT professionals to develop effective strategies for a smooth transition.

To help navigate this emerging landscape, we turn to seasoned industry professionals Robert Cantu, Director of Cybersecurity Operations, Inova Health System, and Todd Felker, Executive Healthcare Strategist at CrowdStrike. Their in-depth knowledge and practical experience offer a wealth of insights into the complexities and possibilities at the intersection of healthcare and cloud security. From understanding the evolving threat landscape to overcoming staffing and budgetary constraints, their perspectives shed light on the crucial steps health systems need to consider in their journey to cloud security.

The Need for Cloud Security in Healthcare ITRobert Cantu

Cloud-based solutions have begun to dominate healthcare IT. Critical systems, like Electronic Health Records (EHR), Enterprise Resource Planning (ERP), and Customer Relationship Management (CRM), are transitioning to the cloud. This shift prompts the need for robust cloud security.

Cloud technology offers the healthcare sector agility, scalability, and cost efficiency. However, its adoption brings challenges, primarily the constant evolution of cybersecurity threats. As Todd says, "These adversaries are continuing to evolve." This statement underscores the growing necessity for IT professionals to stay ahead of the curve.

Data protection and patient privacy are significant concerns as health systems transition to the cloud. As Todd suggests, half the world's data could be in the cloud within a few years, underlining the need for scalable and adaptable cloud security solutions.

Challenges in Moving to Cloud Security Solutions

Transitioning to cloud-based systems brings obstacles, such as staffing, budgetary pressures, and problems with existing on-premise data centers. As Robert points out, many of these centers are in sub-optimal locations and risk physical damage. "Your data center is sitting in closets. It's getting in a non-conditioned space. You've got water pipes waiting to blow through 2 million worth of network equipment," he explains.

These challenges highlight the pressing need for a shift in strategy towards cloud security solutions. The journey is complex, but the rewards of security, scalability, and operational efficiency make it worthwhile.

Strategies for Implementing Cloud Security Solutions

As we tackle the challenges and embrace the opportunities in the transition to cloud security solutions, it's vital to have a comprehensive and forward-thinking strategy. Two fundamental elements underpin successful strategies: choosing a reliable partner and careful budget considerations.

Todd's perspective on partnership choice brings to light the necessity of adaptability in a landscape where adversaries constantly evolve. "What you're looking for is a partner that's going to help you adapt as the adversary evolves," he explained, underlining the need for a dynamic response to a fast-moving security landscape. "As the cloud usage grows, expanding to the other clouds and having your tools work in both...Azure, but also AWS and Google...is critical."

These insights underline the importance of versatility and flexibility in a cloud security partner. Given the pace at which technology and cybersecurity threats evolve, adapting quickly is essential to a successful cloud security solution.

The element of cost is equally significant in transitioning to cloud-based solutions. Robert provides a pragmatic approach to budget considerations, recommending an in-depth review of the costs associated with current data center operations. He suggests considering "what you're spending for power, what you're spending for cooling, what you're spending for that space. That is your data center."

Highlighting these often-overlooked expenses can be vital in making a persuasive case for the cost-effectiveness of cloud solutions. It also underscores the importance of a holistic view of the budgetary implications, considering the apparent costs of cloud services and the potential savings from moving away from on-premise data centers.

These insights provide a strategic blueprint for health systems transitioning to the cloud. It is clear that selecting the right partners and having a comprehensive understanding of the costs associated with current and future states are integral to implementing effective cloud security solutions.

Achieving Economically Secure Cloud Solutions

While moving to the cloud brings about a transformative change in how healthcare IT functions, it is essential that this transition is both secure and economical. Robert's insights offer a roadmap for achieving this delicate balance, emphasizing the significance of partner selection in the process.

Robert stresses the importance of choosing partners who protect the system and help improve its state. "What I'm doing, what I think anyone in my position would do, is going out and picking the right partners that are going to A, help you protect, B, help you bring your system along and get it to a more secure state," he explains.

This statement speaks to the dual role that a good cloud security partner plays. First, they help bolster the system's defenses against cybersecurity threats. Second, they assist in the overall development of the system, ensuring it is robust, secure, and primed for future growth.

Moreover, Robert emphasizes the value of a partner who can seamlessly integrate into the existing IT ecosystem. "Three, they get along in the ecosystem so that you can maximize your investment," he adds. Such harmonious integration ensures that the chosen cloud solutions align with existing systems and processes, thereby improving overall efficiency and maximizing return on investment.

A crucial point that Robert highlights is the potential for cloud security solutions to limit staffing requirements. By selecting the right cloud security partner, healthcare organizations can reduce the need for extensive in-house IT teams, which is particularly significant in an era of staffing challenges and budget constraints.

"Limit the amount of stuff you have to bring to your premises so that you can achieve this in an economical, secure way," Robert suggests. This strategy allows healthcare IT professionals to tap into the expertise of their cloud security partners, enabling them to maintain robust and secure systems without the need for extensive personnel recruitment.

In essence, achieving economical and secure cloud solutions involves meticulous partner selection, prioritizing those who can offer comprehensive protection, facilitate system improvements, integrate effectively into the existing ecosystem, and help streamline staffing requirements. This approach ensures an optimized, cost-effective, secure transition to the cloud.

Conclusion

Healthcare systems increasingly turn to the cloud, requiring robust cloud security solutions. The insights from Todd and Robert highlight the complex challenges that healthcare IT professionals face and provide a roadmap for navigating this rapidly evolving landscape.

Strategic partner selection emerges as a critical theme. Todd believes the right partner will help health systems adapt to the ever-evolving cyber threat landscape. Robert provides a comprehensive view of what to look for in a cloud security partner, who should protect the system, help its overall growth, and smoothly integrate into the existing ecosystem.

As healthcare organizations migrate more data and systems to the cloud, the cybersecurity landscape in healthcare IT will continue to evolve. The need for reliable, adaptable, and cost-effective cloud security solutions will grow. As we chart the future of cloud security in healthcare IT, success lies in our ability to adapt, choose the right partners, and protect sensitive data. This journey may be challenging, but healthcare IT professionals can securely navigate this new frontier with the right strategies and partnerships.

Read More

Which health systems teamed up with Amazon, Google + Microsoft

September 25, 2023

Big Tech companies continue to assist health systems with their digital transformations. Here are nine collaborations from the past month.

1. Nashville, Tenn.-based HCA Healthcare said Aug. 29 it started using generative artificial intelligence technology from Google to document emergency room visits and speed up nurse handoffs.

2. New Orleans-based Ochsner Health said Sept. 18 that 100 of its physicians will use Microsoft's Azure OpenAI within Epic to asynchronously draft replies to patient messages.

3. Amazon and Milwaukee-based Froedtert Health teamed up on a digital health app Sept. 20 powered by Amazon Web Services.

4. Edison, N.J.-based Hackensack Meridian Health said Aug. 29 it is expanding its partnership with Google Cloud to use its generative AI tools to reduce administrative workload, support clinical decision-making and personalize the patient experience.

5. Rochester, Minn.-based Mayo Clinic said Sept. 8 it created an AI algorithm that can take electrocardiogram data from an Apple Watch and predict if a patient has a low ejection fraction.

6. Dozens of hospitals and health systems — including Los Angeles-based Cedars-Sinai and Kettering Health Dayton (Ohio) — are using Meta's virtual reality headsets to train clinicians on complex procedures, CNBC reported Sept. 9.

7. YouTube said Sept. 7 it is partnering with content creators including Somerville, Mass.-based Mass General Brigham to make health information available to more people through AI.

8. Leaders from Cedars-Sinai and Danville, Pa.-based Geisinger joined a Microsoft Health executive Sept. 7 to advise a new generative AI collaborative from Avia.

9. Ochsner Health said Sept. 8 it is using a built-in Apple Watch app to track falls and provide support for medical responders.

Read More

Costco to offer members $29 virtual care visits

September 25, 2023

Warehouse club company Costco will offer its members $29 virtual primary care visits through a partnership with healthcare marketplace Sesame, Bloomberg reported Sept. 25.

Members will also have access to $79 mental health visits and 10 percent off other medical services on the platform. The Sesame platform allows clinicians to set prices and patients to pay them directly instead of going through insurance. 

The news comes as Costco competitors, such as Walmart, Best Buy, Amazon and CVS Health, expand their healthcare offerings. 

The financial terms of the partnership between Costco and Sesame were not disclosed. The online medical platform is backed by Alphabet's venture unit.

Read More
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