Posts tagged as:

medical

Keynote at the Drools bootcamp

March 18, 2010

[ April 21, 2010; 9:00 am to 10:00 am. ] I am giving a keynote at the Drools bootcamp in San Diego. The bootcamp has some days focused on the healthcare industry as well as some more general sessions

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IT at the Heart of Real-Time, Personalized Healthcare #PBLS

October 29, 2009

Last session at the SAS/BetterManagement.com event this week on IT and personalized healthcare. Yan Chow of Kaiser Permanente presented on their vision for IT-enabled healthcare. Kaiser is an integrated system with 8.6M patients and 180,000 employees and physicians. Integrated means that insurance/delivery are all aligned and Kaiser is very focused on prevention. It is also [...]

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First Look – FICO Insurance Fraud Manager

October 20, 2009

I got a chance to catch up with Andrea Allmon of FICO to hear about their new Insurance Fraud Manager release (3.0 in July). This is a timely topic because of the debates around healthcare at the moment. In all the discussions about healthcare costs you never hear about the amount of fraud involved, yet [...]

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Rules-based innovation

August 27, 2009

An old friend of mine, Anders Björlin, has just won a 2009 Humanitarian Impact award from The Itanium Solutions Alliance. The press release says:
Judges selected Kiwok of Sweden for its BodyKom(TM) Series remote ECG monitor. Deployed in conjunction with caregivers and health systems, BodyKom allows heart patients to live independently while their heart is monitored [...]

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Using decision management for meaningful EMR

July 20, 2009

I saw this comment last week in The US stimulus program Taking medical records online – McKinsey Quarterly – Health Care – Strategy & Analysis and it struck a chord with me:
health care providers to upgrade their IT systems rapidly to reach the act’s standards for “meaningful use” of EMR (Electronic Medical Record)
This phrase – [...]

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DIALOG Agile IT Infrastructure

February 6, 2009

Another panel, this time on how business rules fits into an agile IT infrastructure. British Airways, PMI (mortgage related services), Swiss Medical (Argentinian health insurance) and Wyndham Group were represented. Panels are tough to blog so here’s a list of takeaways:

Start small and in a well known area to prove out the technology but have [...]

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Mr Obama, smarten these systems!

January 20, 2009

Like millions of my fellow Americans I listened to our new President today. As I did I was struck by the opportunities for decision management to deliver the smarter systems that will be critical with some of the priorities President Obama laid out in his speech. There were four commitments he made that struck me [...]

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Decision management is critical for successful e-prescription

December 19, 2008

MSNBC had an interesting article on Docs to get bonus pay for e-prescriptions. The article had a great comment:
The biggest reason for the paperless push is to improve safety. More than 1.5 million Americans are injured every year by medication mistakes. Deciphering doctors’ chicken-scratch — was that 100 milligrams or 100 micrograms? — does play [...]

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Decision Management and fixing healthcare

November 14, 2008

I think alot about how decision management can be used to improve healthcare. Neil Versel is one of the bloggers I read in this space and he had a post this week called “A modest proposal” in which he repeated some comments about the failure of the medical profession to use Clinical Decision Support systems [...]

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Integrating Predictive Analytics and BRM to Improve Health Plan Member Experience

October 30, 2008

Two gentlemen from Deloitte presented Integrating Predictive Analytics and BRM to Improve Health Plan Member Experience. 80% of healthcare costs are incurred by 20% of members and traditionally the 20% get all the focus. Analytics and data mining get applied to claims, authorization, costs as a result. Segmentation focuses on the unprofitable and unhealthy. Increasingly [...]

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Credit Scoring in Healthcare. In Healthcare!

July 24, 2008

I saw a post today on medical credit scoring that made me think I should post something about how credit scoring can be used in healthcare. Now saying that, of course, makes everyone nervous – are we talking about refusing people treatment because of their credit score? Why should financial questions like credit worthiness have [...]

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Live from DIALOG – Breakthrough in Claims Excellence Management

February 26, 2008

Last session of the day was from Rodolfo Viola of Swiss Medical Argentina on Breakthrough in Claims Excellence Management. Claims is, of course, a prime target for rules-based automation so I was excited to hear how an organization outside of North America/Europe was handling it.
Swiss Medical is a privately owned company founded as a clinic [...]

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