John Lee

data advocate, clinic Informaticist

[John Lee @jsleemd]

@noahkaufmanmd As the saying goes, you can't improve what you don't measure. It's easy to measure disease occurrence and outcomes after disease occurrence. It's much more difficult to measure absence of something that could have happened.

[John Lee @jsleemd]

@Sahrish1278 1353

[John Lee @jsleemd]

@itsolelehmann Cowork

[John Lee @jsleemd]

Hey @JWMarriott you’re supposed to be a luxury brand. How in 2026 do you not allow your guests to stream via Chromecast? Maybe if you’re in Fairfield or Red Roof but at a JW Marriott I would think this would be a basic amenity.

[John Lee @jsleemd]

@itsolelehmann Cowork

[John Lee @jsleemd]

@NotebookLM Being able to reference other notebooks and folders in a notebook. This would allow you to organize your content and repurpose curated libraries in multiple use cases.

[John Lee @jsleemd]

@gothburz @grok what is the background on this story

[John Lee @jsleemd]

@FairmontHotels staying at Chateau Whistler and trying to get through to the front desk. Half hour...still on hold. Would expect better for a luxury hotel.

[John Lee @jsleemd]

@DrBruggeman Many are leaning on AI to save us but I think much of the effort is misdirected "faster horse"efforts. Check out my recent Substacks on this:
https://t.co/iqAWAfGq9z
https://t.co/J7xHGWPsJ0

[John Lee @jsleemd]

@DutchRojas Any data on how many patients have been taken to collections?

[John Lee @jsleemd]

@AlgoSnafu @BrandonLuuMD Odd. I thought of a different movie.

[John Lee @jsleemd]

@chrissyfarr @DrEricKuelker And what we have is not a free market. Free markets require transparency of cost and quality. To answer @chrissyfarr's original question, I think it would work but you have to solve the data, information and transparency problem first. Still need a safety net though.

[John Lee @jsleemd]

@joshuapliu @Colin_Banas And who taught you how to spell? "FavoUrite?" Speak 'Merican for God's sake.

[John Lee @jsleemd]

@joshuapliu @Colin_Banas It's always my favorite. Bummed I couldn't make it this year...

[John Lee @jsleemd]

Don’t be fooled into thinking that ASO/TPA arrangements with self insured plans aren’t money makers for these companies. If you aren’t already aware, they do things like cross plan offsetting to increase revenue and insert language into the self payer contracts to make sure the plan sponsors are not allowed access to their own data to obscure such behavior.

[John Lee @jsleemd]

@marxtango Won't be in Nashville. Hope you have one in Vegas.

[John Lee @jsleemd]

@CNFT_GC @AaronGoodman33 @PaulGuzikDO This speaks to our human compulsion to do something. One ER doc I respect had a great adage: "Don't do something. Stand there!"

[John Lee @jsleemd]

@Inway2deep_rip @rockymtnhighUT @PCMtnAlert @PCski @vailmtn I think that was an April fools joke

[John Lee @jsleemd]

I asked ChatGPT and this is what I got: A weekly exercise regimen achieving 650 MET-minutes (Metabolic Equivalent Task minutes) aligns with physical activity guidelines recommended for maintaining health and fitness. Here’s a breakdown of how you could structure a regimen that meets this goal:

Understanding METs
•1 MET: Resting metabolic rate.
•Activities are categorized by intensity:
•Light-intensity: ~2–3 METs (e.g., slow walking).
•Moderate-intensity: ~3–6 METs (e.g., brisk walking, cycling at 10–12 mph).
•Vigorous-intensity: >6 METs (e.g., running, swimming laps).

To calculate:


Weekly Exercise Plan (Examples to Total 650 MET-Minutes)

Moderate-Intensity Activities (~4 METs)
•Brisk walking (~4 METs):
•30 minutes/day × 5 days = 600 MET-minutes.
•Add light stretching (~2 METs) for 15 minutes/day = 50 MET-minutes.

Vigorous-Intensity Activities (~8 METs)
•Running (~8 METs):
•20 minutes × 3 days = 480 MET-minutes.
•Cycling (~6 METs):
•30 minutes × 2 days = 360 MET-minutes.

Combination Example:
•3 sessions of running (20 minutes/session) = 480 MET-minutes.
•2 sessions of brisk walking (30 minutes/session) = 240 MET-minutes.
•Total: 720 MET-minutes (a bit over target, which is okay).

Activity Mix for Balance
1.3 Days Vigorous-Intensity: 30 minutes/day of running, swimming, or spin class.
•8 METs × 30 min × 3 days = 720 MET-minutes.
2.2 Days Moderate-Intensity: 30 minutes/day brisk walking or dancing.
•4 METs × 30 min × 2 days = 240 MET-minutes.

Flexibility and Recovery:
•Light yoga or stretching (~2 METs) on active recovery days.

Notes:
•Adjust the type and duration of activities to suit your fitness level.
•Mix moderate and vigorous activities for variety.
•Track activity time and MET values to ensure you’re meeting your goal.

[John Lee @jsleemd]

@AaronGoodman33 This is largely a function of the #feeforservice ecosystem. If we had a fully interoperable population health system, the effort would focus on appropriate care in the best setting, not maximizing DRGs or minimizing penalties based on artificial penalties.