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

Tuesday, December 31, 2024

Medtech Update for 2024

 Thank You to Our Readers

Dear Readers,

We extend our gratitude for your continued support and engagement with our content. Your enthusiasm and feedback inspire us to keep exploring and sharing the latest advancements in medical technology.

Updates in Medical Technology

As we move into the new year, we are excited to witness rapid advancements in medical technology. Innovations such as telemedicine, artificial intelligence in diagnostics, and wearable health devices are transforming patient care and making healthcare more accessible. These technologies not only enhance the efficiency of medical practices but also empower patients to take charge of their health.

We look forward to bringing you more insights and updates on these exciting developments. Together, let’s continue to explore the future of healthcare!

Thank you once again for being a part of our community.

Author:  Gary M. Levin M.D.

Next steps for Neuralink


Neuralink’s human testing journey: From widely publicized malfunctions to international expansion, here’s a reminder of how far Neuralink’s BCI has come. A year ago, the first Neuralink human user, Noland Arbaugh, underwent surgery to receive the brain chip.  In a video on Musk-owned social media site X, Arbaugh was shown playing chess and other computer games using his mind.   But just a few weeks later, the device began to malfunction, prompting Neuralink to modify the brain-recording algorithm’s sensitivity before implanting the tech in the second human participant.  Now, the robotic arm study, according to Neuralink’s announcement, will cross-enroll from the ongoing PRIME study. If successful, it will mark further applicability of the technology.

Even specifically BCIs connected to robotic prosthetics are nothing new. As a refresher, the first such technology was successfully tested in a monkey in 2008. A 2012 Nature study marked the first successful use in human stroke survivors.

However, what has distinguished Neuralink’s BCI is its size and sleekness. Traditionally, BCIs are clunky and require a constant wired connection. The Neuralink chip is wireless.

OpenAI’s healthcare takeover

“A computer can never be held accountable.”

This is a famous quote for many technologists. It’s said to have surfaced from a 1979 IBM presentation about how computers should not be held responsible for management decisions.  Computer decision-making and artificial intelligence have come a long way since the 70s. But people’s wariness around a technology’s ability to make decisions with consequences is still palpable today. This is especially true in healthcare, where generative AI has been proposed to help solve issues ranging from appointment scheduling to ambient scribing to diagnosis. While GenAI overall dominates the MedTech conversation, one company's products dominate the healthcare market: OpenAI.  The company behind ChatGPT has technology deployed across hospitals, pharma, cancer care, and many other settings. To some, this is cause for concern, given that OpenAI’s products are not immune to risks of common GenAI errors like hallucinations.  But I’m not here to add to the fear around GenAI in healthcare. In many ways, I think the eager adoption of this class of technology is reason for optimism. Healthcare, notorious for its resistance to adopting new technologies, is onboard with GenAI.

And what is so fascinating to me about our sector’s embrace of OpenAI, in particular, is that it’s not a healthcare company—not by a long shot. 

These smart glasses can decode your feelings


When you think of smart glasses, you probably think of how technology augments or analyzes what you look at through them. But what if smart glasses watch you?

Brighton, UK startup Emteq Labs launched Sense, its emotion-sensing smart glasses.

Paired with Emteq’s software, the glasses’ sensors, placed along the rim, can detect minute differences in facial expressions with up to 93% accuracy.

Tech specs for smart specs: In building a product that lays somewhere between a pair of designer glasses and an AR headset, Emteq has had to be very intentional about the look, feel, and function of their product.

AR headsets are heavy, largely because of their battery packs. The Sense glasses weigh in at 62 grams, slightly heavier than Meta’s own Ray-Ban smart glasses.

To keep the weight low, the Sense glasses use optical sensors instead of cameras, which require more battery power. These sensors, inspired by the vision of the common fly, work by detecting motion vectors when points on the face move. 

The Sense glasses capture data up to 6000 times per second, looking for facial motion, especially around the eye, where motion related to emotional shifts are especially present.

The health angle: Why would we want to monitor our own feelings with a pair of smart glasses?

In monitoring involuntary facial muscle activation, the glasses aim to detect and interpret emotional shifts users may be suppressing or even unaware of. This will help users—and perhaps clinicians—track mood and mental health in a new quantifiable way.

The glasses may also eventually be used to track food intake, which reminds us of the calorie-counting algorithm we covered earlier this year.

Overall, the team is excited to eventually see this technology spawn a range of more advanced, niche tools. For instance, one potential opportunity they’d eventually like to look at is developing a tool for facial paralysis.

Another set of smart glasses?: After the spectacular failure of the Google Glass smart glasses, consumers and tech wonks alike have been bearish on this class of wearables. 

But now, with new health applications for these products, the tide appears to be turning. We discussed why this may be the case when we covered EchoSpeech, smart glasses for detecting silent speech.

Emteq sees health-focused smart glasses as riding on the wave of health-focused wearable popularity. While many common wearables—from smart watches to rings—focus on sleep and exercise, this new class of personal wearables focuses on diet and mood tracking as “the next pillar of health.”

Emteq faces competition from Big Tech players like Meta and Snap, which have also unveiled their entries into the smart glasses arena. 

Sunday, December 29, 2024

Top 25 health systems' most-successful digital projects of '24


Health systems experienced another year of digital advancement in 2024, with more big EHR moves and a push toward generative AI.

Here are the most successful IT projects and top digital trends of the year, as told to Becker by the head technology leaders at the top 25 health systems across the U.S.:

Bobbie Byrne, MD. CIO of Advocate Health (Charlotte, N.C.): One of our biggest focuses has been artificial intelligence. That began with creating a robust AI governance framework that aims to be equitable, ethical, valid, reliable, transparent, accountable, and impactful. Every AI solution we consider is evaluated internally according to this framework — before implementation and regularly afterward.

Our framework has enabled us to safely and responsibly roll out dozens of AI solutions in 2024 that have dramatically reduced the administrative burden on our clinicians and teammates. These include tools to ambiently document clinic visits and simplify clinician note-taking, tools to empower our clinical teams by drafting initial responses to patient messages that the team then edits before sending, and tools that find and summarize the most relevant information across a patient's chart.

Rohit Chandra, PhD. Chief Digital Officer of Cleveland Clinic: AI-powered scribes have the potential to be the year's most promising digital trend. The combination of technology and product, and the initial experience, suggest that easing the documentation burden is likely to not only save time but allow providers to fully engage with patients during their interactions.

Eric Goodwin. CIO of Universal Health Services (King of Prussia, Pa.): A number of digital transformation projects are yielding positive results in our hospitals this year. A new mobile app for our providers connects them with the full care team and enables mobile chart review, documentation, order entry, and improved patient care transitions across our hospitals. Over a thousand providers routinely access this new technology each month.

We have additionally launched an innovative online surgery scheduling platform, allowing surgery practices to manage block time and bookcases. Real-time communication and chat between the hospitals and the surgery practices plus electronic document exchange is a key benefit. The majority of our elective cases are now booked via this new system, reducing traditional phone calls and faxes to the hospitals.

Finally, we recently launched a new app for patients and their family members to utilize during their hospital stay. Live as of last month at an early adopter site, the app engages patients and families in their care, enhances communication and feedback with nursing, and through advanced AI tools provides improved hospital information.

Ed McCallister. CIO of UPMC (Pittsburgh): UPMC's most successful IT project of 2024 was the progress our team has made on our journey to creating a single, unified electronic health record with Epic. It is important to clarify that our transition to Epic is not solely an IT project. This project brings together clinical, operational, and technical experts from across UPMC with a vision to enhance patient care, streamline operations, and transform the overall UPMC experience. The efforts of our team in 2024 have set us on a favorable trajectory for our upcoming go-lives, which are scheduled for 2025 through 2026.

Transitioning to a single EHR will not only simplify our environment but also unlock significant opportunities for innovation. This move will enhance our ability to leverage advanced technologies, such as AI and analytics, provide a robust foundation for innovation, and allow us to develop and implement new solutions with greater agility and effectiveness. We anticipate having a single EHR will transform our capabilities and provide us with the ability to innovate in a way that can only be imagined.

Michael Pfeffer, MD. Chief Information and Digital Officer of Stanford Health Care (Palo Alto, Calif.): I am proud to highlight the successful launch of our ambient AI scribe initiative in 2024. This project represents a significant advancement in our digital health capabilities, leveraging AI to streamline clinical documentation workflows. By utilizing DAX Copilot, we have empowered our healthcare providers to focus more on the patient-clinician relationship rather than on documentation, thereby decreasing after-hours time spent in the electronic health record, reducing burnout, and improving patient satisfaction. This project has been well-received by our clinicians and is a testament to our commitment to innovation and to reducing administrative burden in healthcare.

Industrywide, one of the most promising health IT trends we've observed in 2024 is the increased adoption of AI-driven solutions in healthcare. Organizations are increasingly recognizing the potential of artificial intelligence to enhance decision-making, personalize patient care, and increase operational efficiencies. As we move forward, I anticipate that the integration of AI in healthcare will continue to evolve, paving the way for improved patient experiences and outcomes on a broader scale.

Michael Reagin. Chief Technology Officer of Banner Health (Phoenix): One of the most promising trends is the use of generative AI to automate and accelerate tasks, reducing the administrative burden in healthcare. Its ability to generate, personalize, and summarize content will streamline processes in areas like revenue cycle, supply chain, and other back-office functions. By implementing best practices and a human-in-the-loop approach, we can ensure a smooth and effective integration, setting the stage for a more efficient future in healthcare.

Dan Roth, MD. Chief Clinical Officer of Trinity Health (Livonia, Mich.): In 2024, one of our proudest achievements was the implementation of campaigns through Epic's Cheers application. This has allowed us to proactively reach patients in a personalized way, helping them manage their health and access the care they need. It's a true reflection of our commitment to listening, partnering, and making healthcare easier. The project has delivered significant results: Breast cancer was detected in more than 400 women following overdue mammograms, more than 4,000 patients received essential follow-up care for diabetes, more than 22,700 patients completed blood pressure reviews and more than 245,200 patients were vaccinated for influenza at a Trinity Health facility. These results underscore how thoughtfully applied technology can drive real improvements in patient care and health outcomes.

We are seeing AI technologies in healthcare take significant strides toward practical, real-world applications. These advancements are beginning to address critical challenges, driving efficiency, making it easier for our patients, and transforming processes to deliver better care. Looking ahead, the potential for AI to further streamline operations and improve patient outcomes is incredibly promising.



Sara Vaezy. Chief Strategy and Digital Officer of Providence (Renton, Wash.): I am really proud of the work we've been doing on supporting the physician in-basket and the overall trend of utilizing conversational AI and large language models to do that. It's going to just keep accelerating, and it's going to support direct access for patients without adding burden to clinicians.  Here is another opinion about using chatbots for patient messaging.

2025 promises to be even more interesting when AI learns more.



Top 25 health systems' most-successful digital projects of '24

Breakthrough In Preemptive Detection Of AI Hallucinations Reveals Vital Clues To Writing Prompts That Keep Generative AI From Freaking Out

AI offers tremendous advantages in medicine, however like a child it requires watching. Adolescents also exhibit this trait and can be compared directly with AI being impulsive,  and poor judgment.  The adolescent brain is undeveloped as compared to mature adults. AI and LLM are much the same, adolescent, and lacking experience.

In case you don’t already know, an AI hallucination is when generative AI and large language models (LLMs) produce erroneous results that are essentially made-up confabulations. This occasional act of AI-powered fiction-making is so far not readily predictable, is hard to prevent, and undermines a sense of trust in what the AI generates. 


Some AI researchers insist they are inevitable and unstoppable. However 

This is a topic for another time.

Breakthrough In Preemptive Detection Of AI Hallucinations Reveals Vital Clues To Writing Prompts That Keep Generative AI From Freaking Out

Monday, December 23, 2024

How Venture Capital Mass Murdered Digital Health Startups

Thank you  Sergei Polevikov

 Welcome to AI Health Uncut, a brutally honest newsletter on AI, innovation, and the state of the healthcare market. If you’d like to sign up to receive issues over email, you can do so here.

Perhaps the “murder” theme isn’t the most well-timed.

For those who’ve followed my work, you’ll know I’ve spent significant time dissecting the “pump and dump” schemes in venture capital. Until now, the bulk of my analysis has been laser-focused on the “pump” phase—examples abound here, here, and here

There are two phases at work as illustrated below.

What could possibly go wrong?

According to their VC overlords, the IPO was the ultimate goal, the champagne-popping celebration of success. Instead, these companies—corrupted by venture capital’s destructive “champagne and cocaine” mentality—found themselves woefully unprepared for the disciplined, public-facing demands of life as a publicly traded company. The VC's goal is to 'sell'. That is plain and simple. The companies they invest in have stellar credentials, a market need, a good design, acceptance by providers and/or patients, and exponential growth.
MBA schools apparently teach graphs, business models, spreadsheets, and a few ethical constraints.

Greed played a large role in the debacle. It all begins when venture capital is used to buy other companies in unrelated activities. The idea of further exponential growth leads to overspending, increased overhead, and purchasing other businesses that VCs know less about than the original acquisition. The VCs have no real interest in the core content of digital businesses. 

Take Teladoc for instance. Teladoc was a very successful early adopter of telehealth, doing very well until they allowed themselves to seek V.C. After the infusion of capital Teladoc purchased  Livongo, a company focused on remote monitoring and management of diabetes, blood pressure, and weight management. Smart devices, expert support, and health management strategies available at no cost through your company benefits. 

Here are more details of the evolving pandemic of VC infection

2️⃣ Google’s $100 Million Bet on Amwell Evaporates. Poof... 🪄

3️⃣ Another Telehealth Magic Trick: Glen Tullman’s $18.5 Billion Lemon Sale of Livongo to Teladoc Shareholders. Tullman successfully ran Allscripts, a well-known EHR vendor, then went on to run Transcarent, an application for businesses to use for self-insurance.


5️⃣ Amwell’s 1.9-Star Customer Reviews

6️⃣ Amwell’s Biggest Customers

7️⃣ VC Bros’ Magic Trick: Pump, Dump, Disappear

8️⃣ The ‘Champagne and Cocaine’ of COVID Overspending: The Telehealth Crash

9️⃣ Amwell’s Volatility and Illiquidity: A 1999 Internet Startup Vibe from the Parents’ Basement

🔟 Splitting Shares Is Worse Than Splitting Hairs

1️⃣1️⃣ Amwell’s Survival Scenarios: Slim Pickings

1️⃣2️⃣ My Thoughts on the Telehealth Market in 2025 and Beyond





The Health AI IPO Checklist: How to Spot the Next Unicorn or Sniff Out the Next Donkey


Just look at the list of recent digital health startups turned IPO compiled by Blake Madden. It’s a bloodbath of red.



How it works.

Let me pause here for a second. Most people don’t realize how tech giants like Google and Microsoft invest in healthcare. These corporations sprinkle a little bit of money ($100 million is a drop in the bucket for Google) across multiple startups in diverse areas: telehealth, mental health, AI, therapeutics, etc., and see what sticks. It’s like playing Pin the Tail on the Donkey while blindfolded. Most of the time, the tail doesn’t fit, but they are waiting for that one big time when it finally fits.

Admittedly I do not know much about business, however, in my later years, I read a lot. I know now why I chose to be a doctor even if it is much more difficult now.

I feel for my younger brethren. Many now realize their mistake and are looking for exit strategies. Physicians no longer are in control. The strict moral and ethical codes have been ripped from Hippocrates to the Mark Cubans, 

1.     Alexis Ohanian 167
4 Ashton Kutcher 68

The number following their names is the number of investments in healthcare each VC owns.


A look at 2024 and the past decade is no indication of future success. (Fierce Health Care)