The digital health space refers to the integration of technology and health care services to improve the overall quality of health care delivery. It encompasses a wide range of innovative and emerging technologies such as wearables, telehealth, artificial intelligence, mobile health, and electronic health records (EHRs). The digital health space offers numerous benefits such as improved patient outcomes, increased access to health care, reduced costs, and improved communication and collaboration between patients and health care providers. For example, patients can now monitor their vital signs such as blood pressure and glucose levels from home using wearable devices and share the data with their doctors in real-time. Telehealth technology allows patients to consult with their health care providers remotely without having to travel to the hospital, making health care more accessible, particularly in remote or rural areas. Artificial intelligence can be used to analyze vast amounts of patient data to identify patterns, predict outcomes, and provide personalized treatment recommendations. Overall, the digital health space is rapidly evolving, and the integration of technology in health

Wednesday, May 17, 2023

New startup aims to build generative AI for healthcare armed with $50M from General Catalyst, A16z

The startup is focused on using language models to massively increase healthcare access, reduce costs and close the healthcare skills gap left behind by the global pandemic.


As the world is buzzing with the latest advancements in generative AI, a group of physicians, hospital administrators and tech experts banded together to build out large language models specifically for healthcare.

Healthcare and Interoperability - Industry-Wide Perspectives


Hippocratic AI launched out of stealth armed with $50 million to build out what it refers to as the first LLM for healthcare with an initial focus on non-diagnostic, patient-facing applications. Hippocratic AI is backed by General Catalyst and Andreessen Horowitz.

The startup is focused on using language models to massively increase healthcare access, reduce costs and close the healthcare skills gap left behind by the global pandemic. "The thing I'm really excited about is what I call 'healthcare maximalism', which is this idea that right now the healthcare staffing is to a certain level of service. But if the cost of healthcare could be brought even lower, we could provide an even higher level of service. And what would that do to outcomes? What happens to health care outcomes if every person in the country has their own free dietitian? We just realized that there's some really big potential here, not just to close the gap, but to bring a whole different level of healthcare to the country. The healthcare industry is facing a critical workforce staffing crisis, said Meenesh Bhimani M.D., Hippocratic AI co-founder and chief medical officer.

"We now have this incredible opportunity to really augment our workforce, reduce fatigue, reduce burnout, and get healthcare workers back to the frontline and back to the bedside. Workers can now reach out to patients and connect with patients in ways that we've just never had the ability to do before," said Bhimani, who also serves as chief operating officer at El Camino Health.

Hippocratic AI focused on testing its model on a wide variety
of 114 healthcare certifications and roles with a goal of not just getting a passing score but outperforming existing language models such as GPT-4 and other commercially available models, executives said. The company was able to outperform GPT-4 on 105 of the 114 tests and certifications, outperform by 5% or more on 74 of the certifications, and outperform by 10% or more on 43 of their certifications. 

Hippocratic AI also is using a technique called Reinforcement Learning with Human Feedback (RLHF) by using healthcare professionals to help guide and train the LLM by rating its responses. Many believe this technique is what led to the remarkable performance of ChatGPT compared to that of prior versions of OpenAI’s language models.  

Some of the roles and tasks the company is exploring include patient navigator, dietician, genetic counselor, enrollment specialist, and medication reminder.

ChatGPT and other LLMs will be optimized for health care by RLHF and vetted by users for accuracy.








Monday, May 15, 2023

More Than An Index - What the Inclusion of PLOS Global Public Health and PLOS Digital Health in PubMed means for researchers around the world -

PLOS is joining the popular and authoritative reference list from PUBMED, the National Library of Medicine's digital card catalog.

Scientists, biologists, and clinicians now have a single source when searching for articles in their field and eliminate having to search the PLOS database separately. The time saving by the inclusion of PLOS will enable all users to benefit from this new interoperability feature.

Dr. Madhu Pai, co-Editor-in-Chief of PLOS Global Public Health along with Dr. Catherine Kyobutungi, says, “With over 1000 published articles, a diverse editorial board of over 600 editors, and now indexing in PubMed Central, PLOS Global Public Health is excited to continue our vision of enhancing diversity, equity and inclusion in global public health.”

Dr. Leo Anthony Celi, Editor-in-Chief of PLOS Digital Health, says, “Indexing in PubMed acknowledges the time and effort that our authors, reviewers, and editors have contributed to creating a community that values diversity in the research at the intersection of technology and healthcare. I’m excited to grow this village whose goal is to improve health equity through digital technologies.”

PLOS has become recognized by the NLM as a reputable source of articles in peer-reviewed journals.

What does this mean for the journal communities? Work published in PLOS Digital Health and PLOS Global Public Health will now be accessible to an even wider audience, meeting researchers where it is convenient for them to access knowledge. With the vast majority of article views coming from PMC or Google Scholar search, it is imperative that research in both journals be highly-visible on these platforms.

Critically, the inclusion of PLOS Digital Health and PLOS Global Public Health in PMC is an endorsement of the rigor and reliability of the work published within and is the principal reason that researchers prefer to browse research on the platform. Journals indexed in PMC have undergone both technical and scientific benchmarking checks, allowing researchers to trust the findings, methods, and datasets shared. Of particular importance to the mission of both journals, this means local perspectives and expertise reported in rigorously reviewed published research will receive the attention and visibility that it deserves. 

This news serves as an important milestone for a journal like PLOS Digital Health, which actively promotes code sharing and data accessibility as a means to further inclusive participation, trust, and reproducibility within this growing field of research. Accessibility beyond the journal platform for a high-quality body of open research, as well as open research artifacts, extends the reach, impact, and use of authors’ work. It’s a testament to the growing desire for researchers to share their work in a reputable Open Access title that encourages transparency. We hope to see this trend continue.

PLOS welcomes authors interested in advancing knowledge in healthcare to create fairer outcomes for patients and communities – we invite you to learn more about PLOS Digital Health and PLOS Global Public Health and submit today.

More Than An Index - What the Inclusion of PLOS Global Public Health and PLOS Digital Health in PubMed Means for researchers around the World - Speaking of Medicine and Health

Thursday, April 27, 2023

‘Navigating Telehealth Legislative and Policy Changes Beyond the Public Health Emergency’ |







The official end of the. Federal Public Health Emergency has been set for May 11, 2023.  This indicates when the Federal funding for Covid testing, and vaccinations.  From this point forward these tests will be reimbursed by the patient's payer.

While the Federal PHE is ending there may still be local or regional outbreaks of COVID,  This is important to remember. There still may be periods when emergency departments, practices, schools and businesses could be affected.  It may be necessary for local agencies and state public health authorities to declare local emergencies.  The lack of a federal mandate does not preclude local agencies from taking action.

It is assumed the CDC will continue to monitor local reports.  However, from past experience, the CDC has not been reliable.  There have been other reliable sources such as JHU. JHU ceased collecting information as of March 23, 2023  This is unfortunate. The JHU interactive mapping allowed users to drill down to local levels very much like Google Maps.


The overwhelmingly positive response to our recent webinar, Navigating Telehealth Legislative and Policy Changes Beyond the Public Health Emergency, resulted in many questions left in chat we were unable to address. Below, I present those questions, with answers I hope to get to the heart of current areas we recognize as important areas for the future of virtual care in Arizona, the Southwest, and throughout the country.  


Notifications of Enforcement Discretion expire at 11:59 pm on May 11, 2023

In 2020 and 2021, OCR published four Notifications of Enforcement Discretion in the Federal Register regarding how the Privacy, Security, Breach Notification, and Enforcement Rules (“HIPAA Rules”) would be applied to certain violations during the COVID-19 nationwide public health emergency. These Notifications and the effective beginning and end dates are:

Enforcement Discretion Regarding COVID-19 Community-Based Testing Sites During the COVID-19 Nationwide Public Health Emergency - PDF, effective from March 13, 2020, to 11:59 pm May 11, 2023.
Enforcement Discretion for Telehealth Remote Communications During the COVID–19 Nationwide Public Health Emergency - PDF (“Telehealth Notification”), effective from March 17, 2020, to 11:59 pm May 11, 2023.
Enforcement Discretion Under HIPAA To Allow Uses and Disclosures of Protected Health Information by Business Associates for Public Health and Health Oversight Activities in Response to COVID-19 - PDF, effective from April 7, 2020, to 11:59 pm May 11, 2023.
Enforcement Discretion Regarding Online or Web-Based Scheduling Applications for the Scheduling of Individual Appointments for COVID-19 Vaccination During the COVID-19 Nationwide Public Health Emergency - PDF, effective from December 11, 2020, to 11:59 pm May 11, 2023.

Some of these waivers go beyond the pale and are focused on telehealth for temporary screening sites.



Q&A from ‘Navigating Telehealth Legislative and Policy Changes Beyond the Public Health Emergency’ | telemedicine.arizona.edu

Friday, April 21, 2023

ChatGPT, Don't Miss It

 I mentioned A.I. in a post on LinkedIn last week. Despite the naysayers and the fear of AI taking over, take the time to learn about it and think about how you can use it in your daily activity. 

1. You do not have to know anything about programming.

2. Learn about how to prompt ChatGPT for it to disgorge its knowledge of over a trillion words it has managed to scoop into memory.

There are many sources. to learn how to use ChatGPT

Top 30 speaker quotes from this *fantastic* conference on AI at MIT

Over the course of several months when ChatGPT went public, a gazillion focus groups, forums, and youtube videos, instructional as well as philosophical have developed.

Start with Tom's Guide.  This not-so-little nugget is full of basic and easy to understand.  Another name I call it is ChatGPT for Dummies.

There are some other sources for those who read at the eight grade level.

How to use ChatGPT: What you need to know now

Introducing ChatGPT