Let's face it, a lot of doctors hate their computers. After reading through the article published by the New Yorker, I couldn't help but notice a lot of similarities in the various stories of different health professionals (nurses, health admins, neurosurgeons, etc) that are struggling with the adoption of new technologies in their fields. There seemed to be quite a few similar themes and patterns with each story. More and more organizations are adopting various technologies, and those technologies are rapidly advancing and always changing, so it can definitely be hard to keep up. However, instead of getting frustrated as an end user or forcing technology onto your organization "because it's the next greatest thing" as a leader -- you should have a strategy in place as well as an open mind.
Technology is a powerful thing and if implemented or used improperly, it can have adverse effects. However, when done the right way, it can be life-changing, especially in the field of health and medicine. I've compiled a list of health professional's generalized complaints and frustrations, and how embracing technology can actually help solve the very problems the users seem to be encountering.
"A 2016 study found that physicians spend 2 hours doing computer work for every hour spent face to face with a patient growing the average workday to 11.5 hours"
Listen, no one wants an 11.5 work day. No one wants to have to do monotonous tasks that seem trivial or repetitive. That's not what technology is here to do. One of technology's main roles in your organization should be to automate and essentially increase productivity. For this, it starts at the top. The new technologies need to be rolled out properly by the organization's leaders. When introducing a new technology to your company, make sure there is significant training beforehand and deploy the technology in small groups. Start with one department and learn about their challenges and successes and build from there. Make sure there are plenty of resources and a support team for them to reference once completely immersed into using this technology on a regular basis. For example, one thing Managed Solution does for new Office 365 users is offer a Customer Immersion Experience (CIE). This is a hands-on discovery of the Microsoft Office tools. It's not a demo. It's not a presentation. We allow the new users to use dummy devices with real-life scenarios built into the devices and they experience it as if it was their own. We also only do this in groups of up to 12 users for one-on-one interaction. With this kind of implementation, we see user adoption increase incredibly versus those who don't. Oftentimes, when migrating and not opting for a CIE, we have customers come back and ask for it months later to ensure their teams are using the tools correctly.
"During the implementation phase, IT folks logged 27,000 help desk tickets"
Now that is a whole lot of support tickets! How could this have been prevented? Again, it begins with the training and deployment of the new systems, services, and tools. I can't emphasize enough to take things slowly and adopt one shiny new toy at a time. Migrate your data and information in phases. Test, test, test and then test again before rolling new software out to an entire organization or even an entire department, depending on the size. Start with small groups. As a leader of an organization or department, it's important to get feedback from those actually using the new software. How they use it in their day to day is going to be vastly different than a VP or CEO or someone in another department. That said, as a leader be sure to get input and consistently check in for feedback. As a user, make your challenges known as early as possible to reduce the probability of others running into the same one. At the end of the day, this technology should increase the users' productivity, not become a burden so it's important to communicate both challenges (and successes) to share with others.
"The new software/tool/etc allows multiple organizations/people to modify information you've already input."
There might not be anything more frustrating than doing your work and having someone else completely override it, whether intentionally (no matter if it was good intentions) or accidentally. There's no good in having to do the same work twice, especially when it's taking up hours of your time. To avoid this, you need to make sure you have identity management implemented. Identity management determines whether a user has access to systems, but also sets the level of access and permissions a user has on a particular system. For instance, a user may be authorized to access a system but be restricted from some of its components. Another example is that your administrative assistant could have access to view certain documents or files, but only you can edit them. There becomes a chain of hierarchy and roles that allow for certain rights and access. Lastly, any modifications or changes should be backed up and stored somewhere in an archive that is easily referenceable to those who would need it.
Employees getting burnt out by technology is no surprise but shouldn't be so common. Doctors and other healthcare professionals are spending too much time trying to input data or find the right data, and not enough time with their patients, family or friends. With the work they are doing, if anyone deserves a work/life balance, it's them. We need to make sure we're equipping them with the right training, the right deployment schedule, the right resources and support throughout the technology adoption. This could all start with building out the right technology roadmap. A technology roadmap or an IT roadmap can look one year or even three years ahead to plan for the adoption of new infrastructure, systems, and technologies. It outlines budget, timeline, adoption phases and more. Having this all outlined in paper and agreed upon by leadership helps to ensure success in the long run.
While in the short-term, there will be many headaches, especially for generations who didn't grow up using email, AOL Instant Messenger or Facebook. However, aren't most things challenging when we first start them? Change is never easy - it's not supposed to be. We need change. We thrive on change. Albert Einstein once said, "Insanity is doing the same thing over and over again expecting different results." Without acceptance for change, there cannot be growth. What would happen if we always gave up when things were hard?
It comes down to focusing on the long game. Create a deployment schedule. Implement training. Have multiple training sessions. Roll out things in small doses. Just like some doctors have to wean some patients off medication, they need to be slowly introduced onto technology and increase their technology dosage. Little by little, increase the functionality, increase the availability of new software and they can more easily adapt.
Lastly, I'd like to end on a positive note. Instead of looking at all the negative that these technological advancements may be bringing to the world of healthcare, let's look at positives: You can now remotely check vital signs of a patient recovering from surgery who's still at the hospital while you're on the go.
- You can pull up medical history including a list of medications in a few clicks
- Computerization allows clinicians to help patients in ways that hadn’t been possible before.
- In one project, doctors are able to scan records to identify people who have been on opioids for more than three months, in order to provide outreach and reduce the risk of overdose.
- Another effort has begun to identify patients who have been diagnosed with high-risk diseases like cancer but haven’t received prompt treatment. The ability to adjust protocols electronically has let their team roll out changes far faster as new clinical evidence comes in. And the ability to pull up records from all hospitals that use the same software is driving real improvements in care.
Technology is a mighty powerful thing, but technology is empowered by people. Make sure you're empowering your people to leverage the right technologies and offering the right resources to digitally transform your business, leading to growth and success.
Microsoft and partners combine the cloud, AI, research and industry expertise to focus on transforming health care

The goal is noble: Empower people to lead healthier lives. And yet, few industries in the world face more complex problems than health care. Disparate and disconnected information systems, the uncertainties within regulatory environments around the world and the inevitable disruptions in core business models all pose perplexing and interlocking challenges.
As we look at some of the challenges in health care, a natural question we ask ourselves is, How can Microsoft bring its capabilities to bear to solve some of these problems?
It’s a big challenge. But we believe technology – specifically the cloud, AI and collaboration and business optimization tools – will be central to health care transformation.
Making a difference in health care will require all that Microsoft can bring, fused with the industry expertise and experience from our partners: leading health care organizations and the companies that serve them.
We are incredibly energized about the opportunities to make a difference in health care. We’ve been listening carefully to our customers and partners within the health care sector, and we’ve heard their message: Let’s work together, innovate together and create solutions that can empower people to lead healthier lives.
Today, we are expanding our commitment to building a healthier future with new initiatives and solutions, making it easier for health industry partners and organizations to use intelligent technology to improve the lives of people around the world.
Healthcare NExT: Fusing research, AI and industry expertise through partners
Healthcare NExT, a new initiative to dramatically transform health care, will deeply integrate greenfield research and health technology product development, as well as establish a new model at Microsoft for strategic health industry partnerships. Through these collaborations between health care partners and Microsoft’s AI and Research organization, our goal is to enable a new wave of innovation and impact using Microsoft’s deep AI expertise and global-scale cloud.
This initiative includes investments in resources for our partners to capture new opportunities to apply AI to healthcare, such as the Microsoft AI in Health Partner Alliance, an expanding group of partners focused on advancing health technology. Alliance members will receive unique training and access to Microsoft technologies, engineering expertise and data sets.
Transforming patient and clinician empowerment with UPMC
The first planned strategic research partnership for Microsoft’s Healthcare NExT initiative is with UPMC (University of Pittsburgh Medical Center), one of the largest integrated health care delivery networks in the United States. The $13 billion Pittsburgh-based system, comprising more than 25 hospitals, a 3 million-member health plan and 3,600 physicians, will be a core partner in our efforts to improve health care delivery through a series of projects, beginning with a focus on transforming clinician empowerment and productivity. With UPMC’s long track record of clinical and commercial innovation and Microsoft’s expertise in advanced AI capabilities, the two organizations plan to work together to bring innovative new solutions to market, beginning with implementation at UPMC.
“Despite UPMC’s efforts to stay on the leading edge of technology, too often our clinicians and patients feel as though they’re serving the technology rather than the other way around. With Microsoft, we have a shared vision of empowering clinicians by reducing the burden of electronic paperwork and allowing the doctor to focus on the sacred doctor-patient relationship,” said Steven D. Shapiro, M.D., chief medical and scientific officer of UMPC and president of UPMC’s Health Services division.
Additional collaborations from Healthcare NExT include partners applying the cloud, AI and research to some of the biggest problems in health care:
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HealthVault Insights is a new research-based project designed to allow partners to generate new insights about patient health, drive adherence to care plans and encourage patient engagement powered by the latest scientific advances in machine learning. Tribridge and System C & Graphnet Care Alliance are building on HealthVault Insights to create innovative solutions for patient adherence to provider care plans.
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Microsoft Genomics is making the sample-to-answer process fast and easy through an Azure-powered genome analysis pipeline and an orchestrated ecosystem of innovative partners including BC Platforms and DNAnexus.
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Microsoft’s AI health chatbot technology is also a research-based project that will enable partners to build AI-powered conversational health care tools. MDLIVE intends to use our health bot technology to help patients self-triage inquiries before they interact with a doctor via video. Premera Blue Cross, the largest health plan in the Pacific Northwest, plans to use our health bot technology to transform how members can look up information about their health benefits. Health Navigator’s symptom checker brings best practices to other customers and partners.
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Project InnerEye is a research-based, AI-powered software tool for radiotherapy planning. The goal of the project is to allow dosimetrists and radiation oncologists to achieve 3D contouring of patients’ planning scans in minutes rather than hours. The assistive AI technology gives experts full control of the output accuracy while enjoying high levels of consistency and potential cost savings.
Enabling 21st-century house calls powered by the Microsoft cloud
Microsoft Office 365 Virtual Health Templates provide new functionality to connect people and providers through voice, video and messaging in any interface or application, powered by Skype for Business. The open source templates make it easy for industry partners, developers and enterprises to build solutions to provide care wherever patients may be.
RingMD, Careflow, Cambio and GE Healthcare have built from Office 365 Virtual Health Templates compelling and easy to use experiences.
Addressing health care business optimization with SaaS apps
New services from our partner ecosystem, powered by the Microsoft cloud, help address business process challenges outside of the clinic. Available today is CGI ProperPay for claims analytics. ProperPay provides predictive analytics, rules management and best practices for reducing health care claims fraud, waste and abuse, a $450 billion-plus problem driving up health care costs around the globe. CGI ProperPay for claims analytics joins a growing number of business and engagement applications in the Microsoft AppSource catalog like Tribridge’s Health360 Care Coordination.
Looking to the future
With any significant advance in technology it’s important to consider the unintended consequences, as well as the benefits. At Microsoft, we’re grounding our efforts in a set of core design principles that focus on the human benefit of AI, transparency and accountability. We believe that ethics and design go hand in hand.
Further, we understand that security, privacy, and compliance remain a top priority for health organizations. Microsoft Chief Information Security Officer for Health Hector Rodriguez recently reinforced our commitment to customers highlighting key investments across these core principles of trust in technology.
At the intersection of health, technology and people lies great promise. Our mission is to empower every person and organization to achieve more, and we’re excited to meet many of you next week at HIMSS17 and continue our close partnership in health care to achieve more together. If you’re at HIMSS17 next week in Orlando, Florida, be sure to stop by our booth No. 2509 to see our solutions in action. Follow our HIMSS17 story on @Health_IT to learn more.

10 health IT conferences you shouldn’t miss in 2017
By Sarah K. White as written on cio.com
From 3D printing to digital records, technology has changed the healthcare industry. If you want to keep up to date on the latest emerging trends in healthcare, there is no shortage of events that will keep you in the loop. Here are 10 health IT conferences you can't miss whether you're a doctor, nurse, health IT pro or C-Level executive.
SX Health & MedTEch Expo
Part of the popular annual SXSW festival, the SX Health & MedTech Expo focuses on latest technologies in healthcare. Covering everything from startups to large corporations, this conference offers the latest innovations and emerging trends in healthcare. While this year's speakers haven't been announced yet, past years have included Bakul Patel, associate center director for digital health at the FDA, and Stanford and Harvard trained physician-scientist, inventor and entrepreneur, Daniel Kraft from Singularity University.
The SX Health and MedTech Expo takes place during the SXSW festival between March 10 and 18 in Austin, Texas, and registration fees vary depending on what level badge you purchase.
TEDMED
Affiliated with the popular TED conference, best-known for its Ted Talks, TedMed operates under a similar format with a focus on healthcare innovation. The conference promises to bridge "the gap between science and the public," through shared stories that help "inform, inspire, engage and provoke action."
This year's TedMed conference takes place in Palm Springs, California, from November 1 to 3, and registration costs $3,450. However, if you register before January 15, you will receive $1,500 off the cost of the registration process.
iHealth 2017 Clinical Informatics Conference
The iHealth Clinical Informatics Conference, held by the AMIA, is targeted at clinicians and informatics professionals, with a focus on innovations with health data and mobile health initiatives. The iHealth 2017 Clinical Informatics Conference takes place in Philadelphia, from May 2 to 4 at the Lowes Philadelphia Hotel. Registration is currently open, and starts at $430 for students, $745 for members and $1,120 for nonmembers; rates go up if you register after March 15.
HIMSS Conference
Targeted at health IT professionals, executives, vendors and clinicians, the HIMSS17 conference promises to offer educational programs, keynote speakers, thought leader discussions, workshops and networking opportunities. This year's keynote speakers include Ginni M. Rometty, chairman, president and CEO of IBM as well as former speaker, John Boehner.
The 2017 HIMSS Annual Conference and Exhibition takes place in Orlando, Florida, in the Orange County Convention Center February 19-23.
Health 2.0
Health 2.0 conferences, areaimed at everyone from digital innovators to nurses to CIOs. These conferences focus on innovation, networking, emerging trends and you'll find no shortage of impressive keynote speakers at any event. You can find conferences in San Francisco and Santa Clara, California; Barcelona, Spain and Hyderabad, India. Dates and registration fees vary depending on the conference you choose. Unlike other annual conferences, you don't have to worry if you can't make one Health 2.0 event, because it's likely there is another just around the corner.
Connected Health Conference
Formerly the mHealth Summit, the Connected Health Conference heavily focuses on the digital aspect of healthcare and facilitating healthcare access around the globe. While the 2017 conference hasn't been announced just yet, last year's conference included the chief health officer at IBM, Kyu Rhee, and the vice president of digital health at Fitbit, Adam Pellegrini.
This year's Connected Health Conference doesn't have a date yet, but the last conference took place during December in Washington, D.C. The cost of registration will vary depending on how many sessions you choose to go to, how early you register and how many ad-on sessions you opt for.
Health IT Summit
The Health IT Summit consists of multiple events held throughout the year in 11 states. With events from San Diego to Boston, it's likely there will be one relatively convenient to where you live. Each event consists of keynote speakers, thought leaders, networking and open discussions on the latest trends in healthcare technology.
The next three events in San Diego from January 24 to 25; Cleveland from March 23 to 24 and San Jose from April 13 to 14. Registration fees for government workers or educators start at $995, while the fees for vendors and consultants start at $1,995.
Health Datapalooza
Data is playing a huge part in healthcare IT, and the Health Datapalooza conference is aimed at C-suite leaders in business and government dealing with the changes that data has brought. The conference hopes to start a discussion on privacy, data usage and how to leverage healthcare information to improve systems.
The conference takes place in Washington, D.C., at the Washington Hilton this April 27 to 28. Registration is currently open and rates vary depending on your industry, title and how many days you want to attend. But if you register before February 24, you can save $200 on the fee.
Home Healthcare Leaders' Summit
This conference is exclusively for C-Level executives working in the home-healthcare industry. The conference promises to bring these leaders together to "combat the strategic challenges" that senior management can face in the home-healthcare industry. One major focus of this conference includes the growing amount of technology in the home health industry, and the implications around these digital advancements.
The Home Healthcare Leader's Summit takes place in Los Angeles, CA but the date and registration are currently TBA.
Stanford MedX
The MedX conference takes place on Stanford University's campus each year, focusing on the newest and best technology impacting healthcare. On it's website, Stanford calls the event a "medical education conference designed for everyone," combining "people, technology and design."
This year will only the second annual event, taking place on the Stanford University campus from April 22 to 23. Registration isn't open yet, but you can subscribe to receive updates as the date gets closer.
By Nancy Brinker as written on techcrunch.com
The complexity of seeking a cure for cancer has vexed researchers for decades. While they’ve made remarkable progress, they are still waging a battle uphill as cancer remains one of the leading causes of death worldwide.
Yet scientists may soon have a critical new ally at their sides — intelligent machines — that can attack that complexity in a different way.
Consider an example from the world of gaming: Last year, Google’s artificial intelligence platform, AlphaGo, deployed techniques in deep learning to beat South Korea Grand Master Lee Sedol in the immensely complex game of Go, which has more moves than there are stars in the universe.
Those same techniques of machine learning and AI can be brought to bear in the massive scientific puzzle of cancer.
One thing is certain — we won’t have a shot at conquering cancer with these new methods if we don’t have more data to work with. Many data sets, including medical records, genetic tests and mammograms, for example, are locked up and out of reach of our best scientific minds and our best learning algorithms.
The good news is that big data’s role in cancer research is now at center stage, and a number of large-scale, government-led sequencing initiatives are moving forward. Those include the U.S. Department of Veteran Affairs’ Million Veteran Program; the 100,000 Genomes Project in the U.K.; and the NIH’s The Cancer Genome Atlas, which holds data from more than 11,000 patients and is open to researchers everywhere to analyze via the cloud. According to a recent study, as many as 2 billion human genomes could be sequenced by 2025.
There are other trends driving demand for fresh data, including genetic testing. In 2007, sequencing one person’s genome cost $10 million. Today you can get this done for less than $1,000. In other words, for every person sequenced 10 years ago, we can now do 10,000. The implications are big: Discovering that you have a mutation linked to higher risk of certain types of cancer can sometimes be a life-saving bit of information. And as costs approach mass affordability, research efforts approach massive potential scale.
A central challenge for researchers (and society) is that current data sets lack both volume and ethnic diversity. In addition, researchers often face restrictive legal terms and reluctant sharing partnerships. Even when organizations share genomic data sets, the agreements are typically between individual institutions for individual data sets. While there are larger clearinghouses and databases operating today that have done great work, we need more work on standardized terms and platforms to accelerate access.
The potential benefits of these new technologies go beyond identifying risk and screening. Advances in machine learning can help accelerate cancer drug development and therapy selections, enabling doctors to match patients with clinical trials, and improving their abilities to provide custom treatment plans for cancer patients (Herceptin, one of the earliest examples, remains one of the best).
We believe three things need to happen to make data more available for use for cancer research and AI programs. First, patients should be able to contribute data easily. This includes medical records, radiology images and genetic testing. Laboratory companies and medical centers should adopt a common consent form to make it easy and legal for data sharing to occur. Second, more funding is needed for researchers working at the intersection of AI, data science and cancer. Just as the Chan Zuckerberg Foundation is funding new tool development for medicine, new AI techniques need to be funded for medical applications. Third, new data sets should be generated, focused on people of all ethnicities. We need to make sure that advances in cancer research are accessible to all.
MJHS celebrates nearly 110 years of care and innovation with modern Office 365 workplace
Since “The Four Brooklyn Ladies” founded the MJHS Health System (MJHS) in 1907, we have grown into one of the largest not-for-profit health systems in greater New York. One of my challenges is to ensure that the values of a nearly 110-year-old healthcare provider are reflected in the 21st-century technology we use. With Microsoft Office 365 cloud-based business tools, our employees work productively in today’s digital world, while preserving the innovative, culturally sensitive healthcare services that are part of our history.
Before we settled on Exchange in the cloud, we used another product as our on-premises messaging and collaboration platform. This system had significant email reliability issues and storage limitations. We needed cloud-based business productivity tools that aligned themselves with the highly-regulated healthcare industry, where we are required to meet HIPAA standards. We evaluated G Suite (formerly Google Apps for Work) but chose Office 365. First, Microsoft signed a Business Associate Agreement, something that Google was unwilling to do at the time. And we were more than satisfied that Office 365 met our strict standards around security and compliance, in everything from email retention to archiving and eDiscovery. We also use Office 365 Advanced Threat Protection that bolsters our defense against malware and phishing emails. It’s great to see Microsoft offerings evolve to keep pace with swift changes in the threat landscape.
At the enterprise level, it’s important to use technology that works in the language of the industry. Our employees are familiar with Microsoft offerings, and the ease of transition to the new business tools was a great incentive for us. Not only does Office 365 ensure that we will always be on the latest version, but the interoperability of the different components of the suite is efficient and effortless, improving productivity.
We pride ourselves on delivering innovative, sensitive patient care in the home. Our mobile health workers carry Windows-based devices and now they can use Office 365 to access the information they need to do their work, without returning to the office. With Office 365, mobile access to all our technology resources is easier than ever, which means more time interacting face-to-face with our clients.
We are seeing increased interest in video conferencing across MJHS with Skype for Business Online, especially for board meetings and presentations. We are piloting the PSTN conferencing capabilities, and we are excited to make the most of the newest functionality, particularly Dynamic Conference Codes, which eliminates overlapping conference calls and protects the privacy of each meeting. By eliminating existing superfluous conferencing solutions, we expect to reduce our costs in this area by 80 percent.
And by consolidating other third-party providers, for mobile device connectivity, archiving and eDiscovery capabilities, we have further simplified our administration and significantly reduced our overall costs. With Office 365, these types of services come standard, and once again allow us to acquire great functionality with a reduction in costs.
The Four Brooklyn Ladies could never have imagined how much healthcare would change in the past century. However, it’s great to know that with IT tools like Office 365 we can ensure that their core values of cultural sensitivity, service and compassion are still at the forefront of our service to the community.
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NEW! Client Health Automation with Systems Center & Sharc
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Unify your IT management infrastructure & simplify client health with 0 touch deployments.
Streamline operations with a unified infrastructure that integrates device management and protection across mobile, physical, and virtual environments. With System Center Configuration Manager and our patented SHARC tool automating your client's computers health has never been easier. You can discover, diagnose and clean all your client devices with just a mouse click, even the ones you didn't know were on your network... Without human intervention.
The future of client health automation is here. Managed Solution provides businesses with complete, end-to-end solutions for their technology needs.
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Things You'll Love About System Center 2016
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Efficient operations
Realize value quickly with simple installations, in-place upgrades, automated workflows, one-click features and a straightforward console.
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Support for multiple systems
Manage and monitor heterogeneous and open systems, including Linux, Hyper-V, and VMware.
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Servers + desktops
Deploy and manage Windows Server 2016 and Windows 10—configuration, health, and compliance.
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Cloud integration
Get visibility and control of data and apps with full integration for Operations Management Suite.
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Industry Leading System Center Engineering Talent
Do you have the tools in place to empower the "always on" worker, the co-mingling of company and personal business, compliancy, access and data loss? It's time to think about your overall Identity & Access Management Strategy and we can help. Get started with System Center.
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How web search data might help diagnose serious illness earlier
Early diagnosis is key to gaining the upper hand against a wide range of diseases. Now Microsoft researchers are suggesting that records of the topics that people search for on the Internet could one day prove as useful as an X-ray or MRI in detecting some illnesses before it’s too late.
The potential of using engagement with search engines to predict an eventual diagnosis – and possibly buy critical time for a medical response — is demonstrated in a new study by Microsoft researchers Eric Horvitz and Ryen White, along with former Microsoft intern and Columbia University doctoral candidate John Paparrizos.
In a paper published Tuesday in the Journal of Oncology Practice, the trio detailed how they used anonymized Bing search logs to identify people whose queries provided strong evidence that they had recently been diagnosed with pancreatic cancer – a particularly deadly and fast-spreading cancer that is frequently caught too late to cure. Then they retroactively analyzed searches for symptoms of the disease over many months prior to identify patterns of queries most likely to signal an eventual diagnosis.
“We find that signals about patterns of queries in search logs can predict the future appearance of queries that are highly suggestive of a diagnosis of pancreatic adenocarcinoma,” – the medical term for pancreatic cancer, the authors wrote. “We show specifically that we can identify 5 to 15 percent of cases while preserving extremely low false positive rates” of as low as 1 in 100,000.
The researchers used large-scale anonymized data and complied with best practices in ethics and privacy for the study.
image: https://mscorpmedia.azureedge.net/mscorpmedia/2016/06/eric-horvitz_350.jpg

Eric Horvitz, a technical fellow and managing director of Microsoft’s Redmond, Washington, research lab (Photography by Scott Eklund/Red Box Pictures)
Horvitz, a technical fellow and managing director of Microsoft’s research lab in Redmond, Washington, said the method shows the feasibility of a new form of screening that could ultimately allow patients and their physicans to diagnose pancreatic cancer and begin treatment weeks or months earlier than they otherwise would have. That’s an important advantage in fighting a disease with a very low survival rate if it isn’t caught early.
Pancreatic cancer — the fourth leading cause of cancer death in the United States – was in many ways the ideal subject for the study because it typically produces a series of subtle symptoms, like itchy skin, weight loss, light-colored stools, patterns of back pain and a slight yellowing of the eyes and skin that often don’t prompt a patient to seek medical attention.
Horvitz, an artificial intelligence expert who holds both a Ph.D. and an MD from Stanford University, said the researchers found that queries entered to seek answers about that set of symptoms can serve as an early warning for the onset of illness.
But Horvitz said that he and White, chief technology officer for Microsoft Health and an information retrieval expert, believe that analysis of search queries could have broad applications.
“We are excited about applying this analytical pipeline to other devastating and hard-to-detect diseases,” Horvitz said.
Horvitz and White emphasize that the research was done as a proof of concept that such a “different kind of sensor network or monitoring system” is possible. The researchers said Microsoft has no plans to develop any products linked to the discovery.
Instead, the authors said, they hope the positive results from the feasibility study will excite the broader medical community and generate discussion about how such a screening methodology might be used. They suggest that it would likely involve analyzing anonymized data and having a method for people who opt in to receive some sort of notification about health risks, either directly or through their doctors, in the event algorithms detected a pattern of search queries that could signal a health concern.
But White said the search analysis would not be a medical opinion.
“The goal is not to perform the diagnosis,” he said. “The goal is to help those at highest risk to engage with medical professionals who can actually make the true diagnosis.”
White and Horvitz said they wanted to take the results of the pancreatic cancer study directly to those in a position to do something with the results, which is why they chose to first publish in a medical journal.
“I guess I’m at a point now in my career where I’m not interested in the potential for impact,” White said of the decision. “I actually want to have impact. I would like to see the medical community pick this up and take it as a technology, and work with us to enable this type of screening.”
And Horvitz, who said he lost his best childhood friend and, soon after, a close colleague in computer science to pancreatic cancer, said the stakes are too high to delay getting the word out.
“People are being diagnosed too late,” he said. “We believe that these results frame a new approach to pre-screening or screening, but there’s work to do to go from the feasibility study to real-world fielding.”
Horvitz and White have previously teamed up on other search-related medical studies – notably a 2008 analysis of “cyberchondria” – or “medical anxiety that is stimulated by symptom searches on the web,” as Horvitz puts it – and analyses of search logs that identify adverse effects of medications.
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While vaccines save millions of lives each year and are among the most cost-effective health interventions ever developed, about 1.5 million children die each year from vaccine-preventable diseases, according to the World Health Organization. Some factors that contribute to the availability of vaccines globally include unreliable transportation systems and intermittent storage facilities, which make it difficult to preserve high-quality vaccines that require refrigeration.
But with the use of smart technologies, including the Internet of Things (IoT), healthcare and medical device companies are improving ways to keep vaccines stored and protected throughout the supply chain. One great example is the Weka Smart Fridge, which enables clinicians in the field to better manage vaccine distribution, helping them save lives.
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“Clinicians in areas of Africa and other regions where power is unstable or inaccessible can use our Smart Fridge to store and dispense vaccines. And the Fridge is small enough that you can put it in a van. So if you can’t bring the people to the vaccine, you can bring the vaccine to the people,” says Alan Lowenstein, COO of Weka Health Solutions.
The Fridge automates vaccine storage and dose dispensing to save time and enhance patient care. It includes remote monitoring services to ensure vaccines are stored at the right temperature, while automatic inventory tracing saves staff time and ensures a reliable vaccine supply. The refrigerator houses each vaccine in its own cartridge, in keeping with required storage protocol by the Centers for Disease Control and Prevention. In addition, access is limited through a small drawer on the front of the Smart Fridge to protect vaccines from temperature change.
The Vaccine Smart Fridge uses an IoT platform that collects real-time data from numerous sensors on every unit to enable 24×7 monitoring and analysis. BlueMetal, the 2016 Microsoft Internet of Things Worldwide Partner of the Year, worked with Weka to develop the IoT-enabled device that keeps vaccines fresh, secured and accounted for. The real-time visualization of vaccine inventory throughout the network enables Weka to understand the vaccination rates at every location. And by using business intelligence capabilities such as those in Azure Machine Learning, organizations can be alerted to upcoming vaccine shortages at specific clinics or in certain areas. For example, if a clinic unexpectedly runs out of a vaccine, the system can let a healthcare worker know there’s a physician’s office a few miles away that has a surplus of that type of vaccine in stock.
Controlled refrigeration and monitoring also helps reduce financial losses. “Physicians generally have $40,000 to $60,000 worth of vaccines in their refrigerators,” says Lowenstein. “If the clinic suffers a power outage or the traditional fridge fails, they risk losing the entire inventory of vaccines.” By using automated processes to manage inventory through IoT sensors, the Fridge can deliver proactive alerts on inventory shortages or changes in temperature.
In addition, Weka estimates that a medical practice that dispenses approximately 400 vaccines per month could reduce human-resource costs by more than $1,000 a month with the Fridge’s monitoring system. This system helps ensure that the first vaccines in the refrigerator are the first that come out, so patients never receive an expired or recalled vaccine, and it reduces the manual task of vaccine management by clinicians.
The Smart Fridge is a great example of how companies can accelerate digital transformation with smart solutions to increase staff efficiency and quality control and automate inventory management. Weka’s Smart Fridge is currently scheduled to go to market at the beginning of 2017.
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