Benson S. Hsu, MD and Emily Griese in Harvard Business Review: “At Sanford Health, a $4.5 billion rural integrated health care system, we deliver care to over 2.5 million people in 300 communities across 250,000 square miles. In the process, we collect and store vast quantities of patient data – everything from admission, diagnostic, treatment and discharge data to online interactions between patients and providers, as well as data on providers themselves. All this data clearly represents a rich resource with the potential to improve care, but until recently was underutilized. The question was, how best to leverage it.
While we have a mature data infrastructure including a centralized data and analytics team, a standalone virtual data warehouse linking all data silos, and strict enterprise-wide data governance, we reasoned that the best way forward would be to collaborate with other institutions that had additional and complementary data capabilities and expertise.
We reached out to potential academic partners who were leading the way in data science, from university departments of math, science, and computer informatics to business and medical schools and invited them to collaborate with us on projects that could improve health care quality and lower costs. In exchange, Sanford created contracts that gave these partners access to data whose use had previously been constrained by concerns about data privacy and competitive-use agreements. With this access, academic partners are advancing their own research while providing real-world insights into care delivery.
The resulting Sanford Data Collaborative, now in its second year, has attracted regional and national partners and is already beginning to deliver data-driven innovations that are improving care delivery, patient engagement, and care access. Here we describe three that hold particular promise.
- Developing Prescriptive Algorithms…
- Augmenting Patient Engagement…
- Improving Access to Care…(More)”.
The current moment in world history is a painful one. Open societies are in crisis, and various forms of dictatorships and mafia states, exemplified by Vladimir Putin’s Russia, are on the rise. In the United States, President Donald Trump would like to establish his own mafia-style state but cannot, because the Constitution, other institutions, and a vibrant civil society won’t allow it….
The rise and monopolistic behavior of the giant American Internet platform companies is contributing mightily to the US government’s impotence. These companies have often played an innovative and liberating role. But as Facebook and Google have grown ever more powerful, they have become obstacles to innovation, and have caused a variety of problems of which we are only now beginning to become aware…
Social media companies’ true customers are their advertisers. But a new business model is gradually emerging, based not only on advertising but also on selling products and services directly to users. They exploit the data they control, bundle the services they offer, and use discriminatory pricing to keep more of the benefits that they would otherwise have to share with consumers. This enhances their profitability even further, but the bundling of services and discriminatory pricing undermine the efficiency of the market economy.
Social media companies deceive their users by manipulating their attention, directing it toward their own commercial purposes, and deliberately engineering addiction to the services they provide. This can be very harmful, particularly for adolescents.
There is a similarity between Internet platforms and gambling companies. Casinos have developed techniques to hook customers to the point that they gamble away all of their money, even money they don’t have.
Something similar – and potentially irreversible – is happening to human attention in our digital age. This is not a matter of mere distraction or addiction; social media companies are actually inducing people to surrender their autonomy. And this power to shape people’s attention is increasingly concentrated in the hands of a few companies.
It takes significant effort to assert and defend what John Stuart Mill called the freedom of mind. Once lost, those who grow up in the digital age may have difficulty regaining it.
This would have far-reaching political consequences. People without the freedom of mind can be easily manipulated. This danger does not loom only in the future; it already played an important role in the 2016 US presidential election.
There is an even more alarming prospect on the horizon: an alliance between authoritarian states and large, data-rich IT monopolies, bringing together nascent systems of corporate surveillance with already-developed systems of state-sponsored surveillance. This may well result in a web of totalitarian control the likes of which not even George Orwell could have imagined….(More)”.