Kevin Dawson

SQL on FHIR is going to be a big deal for anyone feeding FHIR data into analytics, research, and quality improvement.

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Is your digital health strategy strengthening rural systems—or quietly draining them? The Executive Quick Start Guide outlines how to build rural first regional digital health networks that: ✅ Expand specialty access without exporting patients ✅ Use telehealth, eConsults, and RPM with clear escalation rules ✅ Align multiple organizations around shared outcomes Designed for leaders responsible for regional alignment, not one-off pilots. 📘 Explore the guide https://lnkd.in/gNTPnxMn #RegionalHealth #HealthcareStrategy #RuralHospitals #Telehealth #PopulationHealth #DigitalHealth #RuralHealth #HealthcareLeadership #eConsults #RemotePatientMonitoring #SpecialtyCareAccess

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This is what Advanced Research Projects Agency for Health (ARPA-H) does best: take big swings to advance opportunities in #digitalhealth, with the resources to go from hypothesis to programmatic in a fraction of the usual time, where these prove out. Excited to see what comes out of this.

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Important Development - CMS leaning-in to technology-enabled clinical care The Center for Medicare and Medicaid Innovation (CMMI) recently announced an important new program called the ACCESS initiative that attempts to drive better chronic disease care and outcomes for Medicare members through technology-enabled care models. The program has a few key features: 1. Aligns payments with clinical outcomes (as opposed to fee-for-service) 2. Opens the door for ACCESS Care organizations who will take responsibility for managing a pts chronic condition but with more flexibility on how they do it and what technologies they use 3. Meant to “complement” traditional care - PCPs can refer clinicians to ACCESS orgs and receive regular updates and may bill a new-management payment for coordinating care with these orgs.  4. Will focus on 4 clinical tracks - early cardio-metabolic conditions (HTN, HL, obesity and pre-DM); cardio-metabolic conditions (DM, CKD, ASVD), MSK conditions (chronic Back pain), and BH conditions (Depression and Anxiety). While it’s great to see CMS enable greater flexibility for technology-enabled, outcome-driven care - will this model inadvertently WORSEN fragmentation of care? Especially those with multiple conditions, is there a risk in them getting DM management from one clinic; their behavioral health care from another, all the while having a PCP try to play quarterback and manage everything else? https://lnkd.in/giTW7nEp

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AWS HealthScribe vs. Microsoft DAX Copilot: Which Ambient AI Scribe Wins for Your Health System? 🏥💻 Occupational burnout among clinicians has reached a crisis level, often driven by the staggering burden of documentation—some residents spend 2 hours on charts for every 1 hour with patients. Ambient Clinical Intelligence (ACI) is the breakthrough solution, with studies showing it can reduce "Pajama Time" by an average of 2.5 hours per week. But when choosing between the two market leaders—AWS HealthScribe and Microsoft DAX Copilot—the "winner" depends entirely on your organizational needs. Here is how they stack up: 🛠 AWS HealthScribe: The Developer’s Choice • API-First: A HIPAA-eligible building block for teams that want to own the user experience and routing. • Customization: Ideal for deep integration into custom EHRs, telehealth platforms, or niche service lines. • Pricing: Purely usage-based, charging per minute of audio processed. 🏥 Microsoft DAX Copilot: The Turnkey Enterprise Powerhouse • SaaS-First: A managed solution leveraging Nuance’s Dragon heritage for a "hands-off" clinician experience. • EHR Integration: Dominates the enterprise space with deep, native integration into Epic and other major EHRs. • Pricing: Typically per-user/clinician licensing, aligning with broader Microsoft 365 or Azure agreements. The Bottom Line: Choose AWS HealthScribe if you have a strong DevOps team and need a highly tailored, cloud-native workflow. Choose DAX Copilot if you want fast clinical adoption and have an existing enterprise relationship with Microsoft and Nuance. Which strategy is your health system leaning toward for 2025? Let’s discuss in the comments! 👇 #HealthcareAI #DigitalHealth #AWSHealthScribe #DAXCopilot #HealthTech #ClinicianBurnout #MedicalAI #EHR #Nuance #HealthIT #InnovationInHealthcare

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