Craig Monsen

MD and CMIO at Atrius Health. Mostly read/tweet thoughts on #valuebasedcare, #providersatisfaction, #digitalhealth, #interoperability.

[The CARIN Alliance @carinalliance]

While we appreciate and applaud the @linakhanFTC @FTC statement today that reminds health apps they are subject to the @FTC Breach Notification Rule (https://t.co/t3QXbW7gK2), it's important to note we have already gone MUCH farther to protect health data outside of HIPAA. 🧵

[Craig Monsen @cmonsen]

great content from @pewtrusts to inform future versions of @ONC_HealthIT #uscdi (bolded rows are not in uscdi) (src: https://t.co/IASR0PuhnK)

[Craig Monsen @cmonsen]

@ml_barnett As I recall, that bin is for saltine wrappers too.

[Craig Monsen @cmonsen]

Seems like #aducanumab is “fake it til you make it” in drug dev. On the one hand, it seems like a long shot that this will help patients today measurably. On the other hand, does it help Alzheimer’s research cross a chasm out of limited public r&d funds? https://t.co/gnrmn6OyPt

[Isaac Kohane @zakkohane]

How robust will ur favorite AI application be if ICD coding shifts, if reimbursement patterns change care, if response to a dangerous virus changes, or new drug introduced? Just a few examples of data set shifts that doctors muddle through daily that systematically upend ML apps.

[Ben Moscovitch @benmoscovitch]

The Physician Fee Schedule proposed rule is out❗️

A key change: public health measures in Promoting Interoperability

CMS proposes making electronic case reporting & immunization information system use required (both have been critical in COVID response) https://t.co/NLELvSno80

[Craig Monsen @cmonsen]

Looking good for healthcare prices this year. Bounceback inflation of pandemic affected businesses may mae healthcare start to look affordable. 👇

[Council of Economic Advisers Archived @WHCEA46Archive]

Inflation as measured by CPI increased at a 5.4% rate year-over-year last month and 0.9% month-over-month. Core inflation—without food/energy—rose 4.5% year-over-year and 0.9% month-over-month. A large part of the increase is due to cars and pandemic-affected services. 1/

[Craig Monsen @cmonsen]

@dp_oneill Good points. My hypothesis would be that though death is a relatively infrequent cause of attrition it drives the MLR down subsequently owing to high cost of end of life care. Survival bias I think would overwhelm the marginal cost associated with the entire cohort aging 1 year.

[Craig Monsen @cmonsen]

Am I the only one uncertain about interpreting an MLR for a cohort without describing the methodology for handling right censoring? Deaths lead to a more healthy remaining cohort over time. (One Medical S4 for Iora) https://t.co/0V6Z3h4Bga)

[Craig Monsen @cmonsen]

Still a little unclear what’s under the hood here, but seems as though if this were nothing more than an “easy button” for new players participating in Carequality framework-based data exchange, well, I think that would be a great addition to the marketplace.

[Craig Monsen @cmonsen]

@kdpsinghlab good thing we live in a random, i.i.d. world

[Craig Monsen @cmonsen]

EHR implementations are hard. Who knew? https://t.co/19EikTv4qK

[Craig Monsen @cmonsen]

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[Craig Monsen @cmonsen]

@trentrosenbloom 4 out of 5 twitter users prefer their information in real time 🤔

[Craig Monsen @cmonsen]

@GauravSingalMD Before concluding that, may want to apply some adjustment for feedback received on platform that is popularized on timeliness (ie twitter). I think fair to describe RW feedback has been more mixed for certain results enriched for “could be cancer” (eg mammo).

[Christoph U Lehmann, MD, FAAP, FACMI, FIAHSI🇺🇦🌻 @culehmann]

Web Services and Cloud Computing in Pediatric Care

@cmonsen
https://t.co/tBS46MApvw

[Christoph U Lehmann, MD, FAAP, FACMI, FIAHSI🇺🇦🌻 @culehmann]

Integrating Web Services/Applications to Improve Pediatric Functionalities in Electronic Health Records
@cmonsen
https://t.co/KiiTO0cNZ5

[Craig Monsen @cmonsen]

@ml_barnett but more is more, am i right?

[Craig Monsen @cmonsen]

@calonghurst @HardeepSinghMD @JAMAInternalMed @kdpsinghlab @KPDOR @NEJM @WardiGabriel @ShamimNemati Agree with this and importance of this work. Further, given @kdpsinghlab observations about importance of outcome definition, where is “will receive broad spectrum antibiotics in 24 hours” prediction model? Population, Intervention, and Outcome must be defined w/ the model.

[micky tripathi @mickytripathi1]

So happy to see my doctor embracing the spirit of the 21st Century Cures Act
#CuresRule
#informationsharing