Kathy Johnson

Bringing patient between-visit concerns to clinical care; improve transition to EOL care; RN, PhD Nursing, informatics, nursing education, music

[Kathy Johnson @patientvoice]

@TrackYourHeart AAA

[Kathy Johnson @patientvoice]

@DrSuneelDhand It’s an effective way to self monitor your body’s responses to (some) behavior changes and health challenges. I feel it improves self-agency and could become a key aspect of precision medicine.

[Kathy Johnson @patientvoice]

@DavidWolfe Cost of that act of resistance: a private business and some family estrangement

[Kathy Johnson @patientvoice]

@Farzad_MD Just imagine how individual-level monitoring (like fitness trackers) could change medicine: personal signs of body response to behavior, environment, early disease, medication. Changes the subjective observations of daily living (ODLs) to objective

[Andrea S. James @AndreaSJames]

Gently, softly, calmly, let’s talk about what’s happening in DC right now.

Friends, have you ever been through a ZBB process? If not, let me give you my take. So, in a corporation where expenses are out of control, you have to put the entire company through a zero based budgeting process. It is one of the most painful things that people in a company experience.

You basically have to justify every. single. expense. And you also cut a bunch, and then only add back after you’ve gone through a proper ZBB cycle.

The US government is going through a ZBB right now. And that is necessary because spending is out of control. The complexity is so vast that I expect it will take AI to decipher.

You cannot tell me that a government that accidentally wires hundreds of millions of dollars to the Taliban has its finances in order. That signals an underlying disaster. That signals bad stewardship of resources.

In fact, it is a disaster. Over the last 20 fiscal years, the US government has made ~$2.7 trillion in "improper payments," according to the US Government Accountability Office. Trillion! With a T!

That financial management disaster was not caused by @elonmusk. And there is no painless way to clean it up.

Elon is doing what any executive would do walking into a giant mess. You ZBB and then build back.

So, I don’t believe that America is going to be on the wrong side of global right and wrong, as some are saying. I don’t believe that America is going to be permanently isolationist. I do believe that unwatched finances will get out of control in any human system, and that the GAO has been trying to ring this bell for years, and that scaled complexity requires scaled financial management.

Because the US has the largest budget in the world, it will now go through the single most complex ZBB ever undertaken in the history of the world.

Some states do ZBB, but it's never been done at the federal level. President Jimmy Carter tried, but the bureaucratic systems were too complex, and President Ronald Reagan abandoned the attempt.

So, if there is one person in the world chosen to lead this Grand Canyon of projects, we would hope for the president to choose one of the best capital allocators on the planet. Better if that human is also one who can leverage AI and technical talent to manage the massive complexity.

Anyone who has lived through a ZBB at the corporate level will tell you that it’s hell and everyone hates it. This is why I feel really bad for federal workers -- I have a lot of empathy for civil servants and people doing a great job every day for the United States. No doubt, the uncertainty is trying and stressful for many. It's an unfortunate situation.

So, that's my take. I don't want to speak beyond what I know and can observe from the other side of the country. I've worked both in the private sector and the public sector -- the cultures are different. And an Elon-Musk-style culture is going to be the most hard core of them all. No doubt, it's jarring. It's gonna be a lot.

But what I also know is that every time I have ever doubted Elon, I ended up being the one who was wrong.

[Kathy Johnson @patientvoice]

@siimland Sure would like to see this kind of data on women, especially post menopausal

[Kathy Johnson @patientvoice]

@realDonaldJNews Yes

[Kathy Johnson @patientvoice]

@realTrumpNewsX A

[Kathy Johnson @patientvoice]

@realTrumpNewsX A

[Kathy Johnson @patientvoice]

A Lesson of the Pandemic: All Prints Should Be Preprints https://t.co/3hpd3tLFOM via @undarkmag

[Kathy Johnson @patientvoice]

really, @Chase? You couldn’t suspend account fees for a few months?

[Sarah Kliff @sarahkliff]

Hospitals are laying off hundreds of health workers at a moment when they're needed more than ever — all because they're not bringing in the revenue they used to from elective surgery.

https://t.co/Kguodz1uCc

[Patient Commando @PatientCommando]

Journalist Applies Skills to Writing Dementia Patients’ Life Stories
https://t.co/CV9NGJhQQu @kathykastner

[Annette McKinnon @anetto]

What do patients bring to research? Perspective, life experiences, priority setting, partnering. #SPOR @amaybee

[Partnership to Improve Patient Care (PIPC) @PIPCpatients]

Maureen Japha from @fastercures presents the Faster Cures/Avalere Patient-Perspective Value Framework #PIPCforum

[Ashish K. Jha @ashishkjha]

Truth is that both within and outside the academy, researchers blur line between inquiry into truth and advocacy of position. Its a problem. https://t.co/Sktgt680Y3

[Annette McKinnon @anetto]

If you really want to help somebody you have to listen first. Ken Milne of MORE program

[Quiet Revolution @livequiet]

#RethinkQuiet Fact: Listening is not a passive act.

Listening is a powerful way to engage with the world.

[The Conversation - Australia + New Zealand @ConversationEDU]

Are Sunday penalty rates a job killer? Find out: https://t.co/3MS8jP413f

[Kathy Johnson @patientvoice]

in Australia....any reason for US to be different? https://t.co/Rm8LgDQ22Y

[Eric Topol @EricTopol]

The irony that interdisciplinary research is more likely not to get funded https://t.co/uBhKdCFFvB @Nature