Health IT and Thoughts on Things
On a ten-mile drive to clinic, two dictated prompts produced a Massachusetts total cost of care dashboard and a playable arcade game. Building is no longer the bottleneck — in healthcare, the last mile from working artifact to point of care is.
I couldn't buy the household assistant I wanted, so I built it — a privacy-preserving system that pulls from the tools my family already uses. A small, domestic instance of a much larger shift in who gets to build software.
Since ChatGPT launched, roughly eight AI releases felt like genuine step changes. The gaps between them are compressing — and the pattern is instructive.
The one about the socio-technical model applied to AI. Much of today’s AI conversation centers on tangible constraints — chip shortages, compute capacity, and the growing energy demands of model training. Those are real limits, and they’ll shape what’s technically possible for years. But anyone who has lived through an EHR rollout or a “clinical Continue reading Carbon Is Harder Than Silicon: Why…
The one where 3 books answer 3 questions about AI in healthcare Every few years a new wave hits healthcare IT. Some reshape the shoreline; some barely ripple. Lately I’m leaning toward a simple view: Gen AI is a real step forward—but the changes that endure will come from infrastructure and incentives. In as regulated Continue reading Switches, Boxes, and Steam — Three Questions for AI in…
The one about the Johari window A scientist, a magician, a poet, and an alien walk into a bar. The bartender looks up and says, “Is this some kind of strained analogy?” “Yes,” I say. Oh—I didn’t mention I’m at the bar, too? So are you. It feels like we’ve been thinking a lot about Continue reading A scientist, a magician, a poet, and an alien walk into a bar…
The one where Craig remembers he has a blog.
Medication costs make up over 10% of health care dollars and are the fastest growing source of medical expense. Many state and federal officials have called for action that would add cost transparency to the complex, opaque medication supply chain believing that this will lead to lower prices and higher value care. Though this may appeal to Continue reading Medication cost transparency: does it…
For all the ways that technology has visibly transformed our lives as consumers over the last decade, it has seemed like just a matter of time before the excitement of big data, social, local, mobile, process automation, artificial intelligence, and blockchain (nb. use of buzzwords intentional) will make their way into helping us meet the Continue reading Digital Health: “What’s taking so long?”…
Summary: A majority of the patient information patients and care teams use to make health care decisions is effectively locked in clinical notes such as those written or dictated by physicians. Natural Language Processing techniques have been maturing to extract these concepts, fill information gaps, and support health care s clinical, operational, and financial objectives. I delivered Continue…