Counting Sand

How did COVID-19 change the way doctors make decisions?


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Angelo begins this episode with a few questions about the changes caused by COVID-19, specifically around the patient data gathering, such as blood pressure. With telemedicine practice, how reliable is the data, who is legally responsible for the accuracy of the data gathered, and how exactly do clinical decision support (CDS) tools adjust with this new change in a traditional clinician workflow?

Angelo explores more on the topic of IoT devices and the data brought into medical decisions. Again, how accurate is the data from these IoT devices, such as Fitbit scales, that a clinician can diagnose and treat from? 

Jim brings up some of the challenges that came with telemedicine such as workflow within a clinic. If the clinician seeing a patient wants the dietitian to speak with the patient, it is more of a challenge to coordinate than being within a few feet of each other. The other challenge relates to security policy and considerations patients need to agree to regard their personal privacy. To get into a virtual visit with a clinician, a patient has to follow the security protocol that provides a barrier for some elderly and disabled patients. Lastly, the challenge of all this data a patient could be collecting in their IoT devices is, how do you move that data into the EHR or in some format a CDS tool could ingest?

With the use of CDS, machine learning, and AI, the future is ripe for opportunity.

Further Reading
What is CDS - Health Gov IT
ResearchGate Publication on IoT in Health Care
Privacy-Preserving Single Decision Tree
Jim Shalaby on Twitter and LinkedIn

Host: Angelo Kastroulis

Executive Producer: Náture Kastroulis

Producer: Albert Perrotta

Communications Strategist: Albert Perrotta

Video/Audio Engineer: Ryan Thompson

Music: All Things Grow by Oliver Worth

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Counting SandBy Angelo Kastroulis

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