Doug Dew

[Doug Dew @DewMDMBA]

@TimDraper @OpenAI @AnthropicAI @grok It’s all about the architecture and the cost of building and running the algorithms.

[Doug Dew @DewMDMBA]

@peterevoss @TimDraper @OpenAI @AnthropicAI @grok Cognitive is the only way one can have the precision in healthcare while learning nearly everyday. LLMs may not end up as a bubble bursting as they keep letting out a lot of hot air.

[ARobMoney @arobmoney]

Gus Johnson announcing that Indiana has a football team now. And they can play.

[Doug Dew @DewMDMBA]

@LangmanVince Saw that one

[Doug Dew @DewMDMBA]

@jclatorre @tszzl @RichardHanania Epic is built on 1960’s modified MUMPs database (same as Meditec) that was designed to display lab data electronically. This architecture cannot handle cognitive data (data with context) & never will. Without context & hierarchical deductive logic, there is no predict & prevent.

[Doug Dew @DewMDMBA]

@elonmusk This follows the graft for medicine on doctors/nurse vs administrative bloat…

[Doug Dew @DewMDMBA]

@CMSGov @DrOzCMS @SecKennedy @POTUS Good start, but I have some hard questions:

10. When can we stop discussing the on-going problems of EMRs for more than a decade when nothing has changed for clinicians in 15-20 years as to improving communication in the clinician’s note vs maximizing billing and coding?

[Doug Dew @DewMDMBA]

@CMSGov @DrOzCMS @SecKennedy @POTUS Good start, but I have some hard questions:

8. What happens when a payor always get a preop knee Xray report for total knee replacement with every note from an academic medical is word for word the same “saved” in their EMR ?
9. Why use data structures left over from the 1960's?

[Doug Dew @DewMDMBA]

@CMSGov @DrOzCMS @SecKennedy @POTUS Good start, but I have some hard questions:

6. How many people actually think CMS 0057 will be practical January, 2027 without major clinical input?
7. How many vendors & clinicians are going to cheat & take advantage of the HL7 spec loophole where one can save a “canned” notes?

[Doug Dew @DewMDMBA]

@CMSGov @DrOzCMS @SecKennedy @POTUS Good start, but I have some hard questions:

5. From what I am seeing on prior auth automation - very primitive, as one IT guru said it best - clinical data has a lot of sharp edges & is difficult to handle (lol) - need an intelligence platform that has polished the “sharp” edges

[Doug Dew @DewMDMBA]

@CMSGov @DrOzCMS @SecKennedy @POTUS Good start, but I have some hard questions:

3. How much of current EMR software has been validated as a medical device since it definitely affects the clinician’s decisions?
4. How many payors have actually adopted x12 278 data standard on their end?

[Doug Dew @DewMDMBA]

@CMSGov @DrOzCMS @SecKennedy @POTUS Good start, but I have some hard questions:

1. So how do we continue to e-rx when it is nothing but an e-fax?
2. Sad when multiple “interoperability” vendors tell me that the standard operating procedure is screen scrapping ?

[Doug Dew @DewMDMBA]

@elonmusk So are you pivoting from a LLM to a highly edited conversational expert system assembled by subject matter experts ? Hope it’s cognitive with hierarchical decisions as data with context…

[Doug Dew @DewMDMBA]

@BrentAWilliams2 Must be a Chat-GPT hallucination?

[Doug Dew @DewMDMBA]

@DrBruggeman Be careful, cutting back on prior auth ultimately come back to haunt you as a post payment review of medical necessity with a resultant claw back.

[Doug Dew @DewMDMBA]

@RobertKennedyJc “Ask your doctor” ads need to become a thing of the past.

[Doug Dew @DewMDMBA]

@AndrewYang This is what happens when corporate leadership ignores the little guy. Unlike nuclear weapons, there is no way of knowing whether companies are working on a new technology in secret for the next black swan event.

[Doug Dew @DewMDMBA]

@benshapiro This is what happens when corporate leadership ignores the little guy. Unlike nuclear weapons, there is no way of knowing whether companies are working on a new technology in secret for the next black swan event.

[Doug Dew @DewMDMBA]

@elonmusk Mirrors what we are seeing in healthcare with the red line representing non-licensed administration with the blue line representing doctors & nurses - sad. This is why our healthcare system is so F’d up. The value chain is upside down in medicine with doctors at the very bottom.

[Doug Dew @DewMDMBA]

@elonmusk Government employees & politicians need to better understand the terms creative destruction & disintermediation. It is time to simplify the complex especially as applied to healthcare. For healthcare we need to do the right thing for the patient and those that pay for that care.