Emerging innovations in healthcare
summary
Argues that FHIR is already driving practical fixes: an insurer reverses a Depo‑Lupron denial after connected data review, and an open-source i2b2 query finds cohorts for care‑protocol decisions. Describes a live Zimmer Biomet OR scheduling app that cuts FedEx rushes, a merger strategy of “EHR plus” apps instead of rip‑and‑replace, and operational numbers like 25% no‑show rates and device warnings. Warns blockchain limits with only 2.7 transactions per second for global Bitcoin today; most prototypes are built and some are live.
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chapters (20)
- 0:00Introduction and personal journey
- 3:28Why FHIR matters in healthcare
- 10:29Innovation at the edges of EHRs
- 14:27EHR-plus strategy for mergers
- 16:12Patient matching and identity challenges
- 19:22Consent and policy across states
- 21:08Value-based care and data sharing
- 22:12Real-world FHIR use cases
- 25:31Remote monitoring with IoT devices
- 27:35Bulk data exchange and analytics
- 31:14Patient as integration engine
- 31:58Hype cycle and blockchain in healthcare
- 34:28Machine learning for patient care
- 36:34Q&A and data quality concerns
- 40:10FHIR versioning and middleware
- 42:31Smallest viable FHIR standards
- 44:55Psychology of data sharing
- 48:39FHIR adoption and expectations
- 50:27EHR vendors' incentives for FHIR
- 51:32Government adoption of FHIR
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