Brendan Keeler @healthapiguy Twitter profile | Pikagi

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Brendan Keeler

@healthapiguy

10,020

Followers

745

Following

1,435

Media

11,822

Statuses

interoperability practice lead at advisor flexpa, elion, revero, vitalize. formerly zus, redox, carequality advisory board, epic

Portland, OR

https://t.co/Mt54IAKS9I

Joined January 2019

Don't wanna be here? Send us removal request.

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@healthapiguy

Brendan Keeler

2 months

This was a fun one to dig into - finally hitting a critical mass of data across all payers to objectively and concretely measure successes and failures of CMS-9115. Shout-out to @ElevanceHealth for their leadership and innovation not only leaning into, but taking advantage of

@Flexpa

Flexpa

2 months

Today we released our first State of Payer Patient Access API report, highlighting which insurance carriers are thriving, who's doing the bare minimum, and where some plans still need to work towards compliance and beyond. Empowering patients to direct their data to the

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@healthapiguy

Brendan Keeler

4 months

@anothercohen i also loved how they had a banner warning this was coming for like two months

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@healthapiguy

Brendan Keeler

3 years

Sometimes I'll read a health tech company's entire website and still have no idea what exactly they do, who they sell to, or how they have 200+ employees

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@healthapiguy

Brendan Keeler

4 years

Taylor Swift as EHR vendor logos Epic

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@healthapiguy

Brendan Keeler

5 years

I talked to a healthcare startup today. No AI. No blockchain. No augmented reality. They just sat there. Providing value to patients and providers. Like a psychopath.

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@healthapiguy

Brendan Keeler

3 years

did it hurt? when you realized healthcare is hard

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@healthapiguy

Brendan Keeler

4 years

hate myself a little for this

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@healthapiguy

Brendan Keeler

2 years

it is fucking absurd that in the year of our lord 2022 patients can't see their images in their patient portals

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@healthapiguy

Brendan Keeler

1 year

afk for a bit

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@healthapiguy

Brendan Keeler

3 years

@itunpredictable

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@healthapiguy

Brendan Keeler

3 years

decided to make a running thread of these that i find on healthcare websites please contribute

@healthapiguy

Brendan Keeler

3 years

pro tip to all you digital health marketers out there: just throw this bad boy up on your home page and watch healthcare CEOs line up. basically don't need anything else.

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@healthapiguy

Brendan Keeler

3 years

pro tip to all you digital health marketers out there: just throw this bad boy up on your home page and watch healthcare CEOs line up. basically don't need anything else.

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@healthapiguy

Brendan Keeler

12 days

@anothercohen The insane thing to me was less the cheese on the uncooked burger and more that the man is 73 and has never grilled before

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@healthapiguy

Brendan Keeler

2 years

word that Epic trying to shut the digital front door. anyone have other ad-hoc stories or anecdotes?

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@healthapiguy

Brendan Keeler

2 years

epic finally becomes an enterprise software company

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@healthapiguy

Brendan Keeler

3 years

if you have health in your company name you have to make your logo like this, i dont make the rules

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@healthapiguy

Brendan Keeler

3 years

Let's talk a bit about pharmacy fulfillment, e-prescribing, and the state of affairs. It's a space that's existed for a (relatively) long time but there are a ton of exciting companies trying to work their way into the mix

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@healthapiguy

Brendan Keeler

1 year

Cures FHIR APIs are live as of December! Most EHRs actually hit the deadline (at least one paper). It can be hard to find the new APIs. Here's how I do it.

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@healthapiguy

Brendan Keeler

1 year

one week in and it's pretty clear that addison is in the 99th percentile for sleeping ability

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@healthapiguy

Brendan Keeler

2 years

Zocdoc launching an API

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@healthapiguy

Brendan Keeler

1 year

oh woah, first full EHI export capability in the wild (afaik). Epic obviously * Tsv format * Not FHIR or another standard On the plus side, for those who've never used Epic, you can finally understand their underlying data model

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@healthapiguy

Brendan Keeler

1 month

give me a fake healthcare startup name and i'll tell you what it does

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@healthapiguy

Brendan Keeler

9 months

@dieworkwear You may not like it but this is peak performance

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@healthapiguy

Brendan Keeler

3 years

shock and awe at what's happening in front of me at Costco. six containers topped up to the brim with cigs and dip. need to know the backstory here

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@healthapiguy

Brendan Keeler

2 years

A little over a year ago, I published an article on the future of EHRs, especially for digital health provider orgs. I proposed three paths forward but the main one people seemed to gravitate towards was the headless EHR. Let's see how we've progressed

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To E(HR) or not to E(HR)

The rising class of digital health provider organization are starting small, but may unlock the future of healthcare's least favorite software

healthapiguy.substack.com

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@healthapiguy

Brendan Keeler

9 months

over/under on when there's antitrust action by the government?

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How Epic took over the hospital EHR market

Cerner and Epic were used by roughly the same percentage of acute-care hospitals in 2017.

www.modernhealthcare.com

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@healthapiguy

Brendan Keeler

3 years

little taste of what's coming next. give me some love as motivation if interested

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@healthapiguy

Brendan Keeler

1 year

@jdcmedlock how can this be??? twitter has been telling me California is in a hellish death approach spiral

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@healthapiguy

Brendan Keeler

3 years

gotta wonder if the DJ knew when he started spinning that he'd end up at the 11am Monday slot of a digital health conference

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@healthapiguy

Brendan Keeler

4 years

Healthcare tech culture is the worst combination of contradictions, somehow marrying this weird self-flagellation ("we're so backwards and behind") with absolute elitism ("you come from another industry? you can't possibly understand")

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@healthapiguy

Brendan Keeler

1 year

"we have decided to ignore the government" this is why enforcement mechanisms, not a bunch of complex new capabilities, needs to be at the top of the @CMSGov priority list

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@healthapiguy

Brendan Keeler

2 years

mfers be out here charging $5-10 per API call, you gotta be out of your mind

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@healthapiguy

Brendan Keeler

2 years

marketing: we have a robust API that helps our customers bridge their software to ours that API:

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@healthapiguy

Brendan Keeler

4 years

Just got to explain how ACH works at Christmas lunch after a layup "i hate how bank transfers take so long" passing remark by a family member It's the little things in the holiday time, people

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@healthapiguy

Brendan Keeler

2 years

it's wild how far ahead humana is compared to the rest of the payer landscape in terms of forward thinking data products and developer experience

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@healthapiguy

Brendan Keeler

3 years

We are here. Super excited to be part of this team

@Jonathan_Bush

Jonathan Bush

3 years

@ZusHealthHQ IS HERE! So excited to share with the world the launch of Zus in connection with a Series A funding announced today and led by @a16z (Andreesen Horowitz) with participation from @FPrimeCapital and @MaverickCapInv . Read more about our mission:

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@healthapiguy

Brendan Keeler

3 years

Fun fact: Patient auth for providers is a red herring. It's the payer member auth access that's going to be the Plaid for healthcare.

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@healthapiguy

Brendan Keeler

9 months

"but fhir will make everything interoperable" a categoric yet incomplete list of why that truism is wrong

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@healthapiguy

Brendan Keeler

2 years

we are all living a collective delusion, ignoring the cold hard facts in front of us to perpetuate a mutual fantasy. i regret to be the one to have to do this, but cannot stand for this abject abuse of power The Center for Medicare and Medicaid Services should be CMMS, not CMS

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@healthapiguy

Brendan Keeler

3 years

Figuring out interoperability and interfacing is really tricky and complicated by the fact many vendors exist to serve different kinds of digital health. Here is a handy set of diagrams to help you understand the lay of the land. Thread below 👇

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@healthapiguy

Brendan Keeler

3 years

･ *ﾟ　･ﾟ* ･｡ *･｡ *.｡｡･ °*. ﾟ EHRs are optimized for billing because that's a feature providers value. ﾟ*. ｡｡･｡･ﾟ｡°*. ｡*･｡

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@healthapiguy

Brendan Keeler

1 year

*The DOJ, FTC and HHS have entered the chat*

Kaiser Permanente to Acquire Geisinger (Published 2023)

The California health care organization will create a new nonprofit that aims to acquire a half-dozen additional community health systems.

www.nytimes.com

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@healthapiguy

Brendan Keeler

1 year

perhaps im cut off from the credit card by a bit, sure, but worth it

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@healthapiguy

Brendan Keeler

1 year

FTC moving to bar non-competes. In terms of health tech, this could mean a HUGE shift of Epic talent. (Epic has a 2 year non-compete that includes all customers, all competitors, and anyone else they list, such as digital health cos and a random YMCA.)

U.S. Moves to Bar Noncompete Agreements in Labor Contracts (Published 2023)

A sweeping proposal by the Federal Trade Commission would block companies from limiting their employees’ ability to work for a rival.

www.nytimes.com

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@healthapiguy

Brendan Keeler

2 years

I don't have answers about what the real intent here is and no one will until we see what Connection Hub really is next month Some historic context is worth considering, however

Digital Health | Modern Healthcare

www.modernhealthcare.com

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@healthapiguy

Brendan Keeler

3 years

to all those who trot out the "why does interoperability in healthcare lag other industries" trope this is today. facebook bought instagram nine years ago

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@healthapiguy

Brendan Keeler

2 years

Pretty awesome timing. Excited to let people know that while I'll always remain a huge advocate and stan for @ZusHealthHQ team in their role in accelerating virtual first care and digital health, I'm excited to be joining the @Flexpa team full-time next week!

@Flexpa

Flexpa

2 years

The @Flexpa founding team is jazzed to be named one of the 21 most promising healthtech startups of 2022! Thank you to @TheLisaWu for recommending Flexpa to the list 🙌

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@healthapiguy

Brendan Keeler

7 months

all the toys in the world and she chooses to play with the explanation of benefit... she is my child

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@healthapiguy

Brendan Keeler

3 years

US healthcare summarized in two acts

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@healthapiguy

Brendan Keeler

2 years

Dial up the "healthcare is hard" and "big tech will never make it in healthcare" fallacies, when realistically the writing was on the wall as soon as OM was acquired

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Amazon Care is shutting down at the end of 2022. Here's why

Three years after it began piloting a primary care service for its employees that blended telehealth and in-person medical services, Amazon plans to cease operations of its Amazon Care service. |...

www.fiercehealthcare.com

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@healthapiguy

Brendan Keeler

2 months

@PaulSkallas 8-4, you mean

@GritGrowthCap

Grit Capital, Ancient God of Commerce

3 months

hell yeah

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@healthapiguy

Brendan Keeler

2 years

Packed house for @julesyoo . Hard to find a place to stand

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@healthapiguy

Brendan Keeler

2 years

hate to be the dose of cold water, but it's impossible talk about this model and not mention how HIPAA completely handicaps it for the first two segments mentioned here (workflows and decision support)

@BessemerVP

Bessemer

2 years

⚕️The PLG business model transformed SaaS – now, healthcare and life sciences. 🏥📄 @morgancheatham introduces ‘direct-to-clinician’ models and the go-to-market motion for people in healthcare and life sciences. Read the full Atlas article →

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@healthapiguy

Brendan Keeler

2 years

Scheduling in healthcare is really hard! Technology, human behavior, and incentives get in the way! But there's hope and opportunity! Exclamation! @jfschneidr and I got together to tackle this thorny problem. Read more here:

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@healthapiguy

Brendan Keeler

2 years

huge regulatory day today 1. UCSDI v3 dropped. mostly iteration, but including health insurance is HUGE. mostly not present today in CDAs and elsewhere

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@healthapiguy

Brendan Keeler

2 years

@AlexH_Johnson @mariogabriele Just target older, tech-unsavvy populations with bank led onboarding?

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@healthapiguy

Brendan Keeler

3 years

more of an Instagram post but i like this girl

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@healthapiguy

Brendan Keeler

2 years

shot across the EHR bow by @seanwdoolan

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Digital health is overlooking its biggest opportunity for disruption

EHRs and medical image archives often work against providers by distracting them from focusing fully on patients. Digital innovations should give practitioners the tools they need to make better care...

www.statnews.com

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@healthapiguy

Brendan Keeler

2 years

west coast morning: wake up, fires burning, 100 slack messages, don't shower, get behind a computer east coast morning: get up, go for a run, get a coffee or smoothie, read the newspaper, and then go look at slack, nothing’s happened

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@healthapiguy

Brendan Keeler

1 year

Alternate/rejected tweets: "PID-7 = 20230307" "the biggest go live of them all" "Meet Health API Gal"

@healthapiguy

Brendan Keeler

1 year

afk for a bit

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@healthapiguy

Brendan Keeler

3 years

startup idea: healthcare DAO with ML and AI powered RPA and FHIR APIs, backed by NFTs and BTC and paid with BNPL

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@healthapiguy

Brendan Keeler

4 years

My dad, a doctor: "We just switched to Epic. It's been great. We had athena on the front, greenway on the back before. It was like an EHR mullet. You don't want an EHR mullet"

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@healthapiguy

Brendan Keeler

1 year

@anothercohen @ColtonOrtolf no, you don't understand, we're doing it ✨better✨

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@healthapiguy

Brendan Keeler

3 years

One of the best features of FHIR is that dogs are practitioners

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@healthapiguy

Brendan Keeler

5 months

@anothercohen Okay for those tracking the play-by-play at home, you've had the Tesla, the Ford, a Rivian, and now the Kia?

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@healthapiguy

Brendan Keeler

2 years

pretty excited to finally talk about advising with @AzraCare , an awesome new startup focusing on specialty care for polychronic Medicare + Medicaid communities. if you're interested in learning more, let me know.

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@healthapiguy

Brendan Keeler

2 years

There's often a lot of confusion about the big 3 of C named networks in healthcare interoperability: Care Everywhere, Carequality, and Commonwell. So here's a breakdown

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@healthapiguy

Brendan Keeler

2 years

randomly found my departure email sent to all 13k employees at Epic (May 2018)... the proto Health API Guy

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@healthapiguy

Brendan Keeler

2 years

Epic is the Microsoft of healthcare. This quote about the latter from @stratechery makes it easy to see why

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@healthapiguy

Brendan Keeler

3 years

linkedin recruiters will be like 'I know a spot' then take you to an entry level position at optum or cigna smdh

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@healthapiguy

Brendan Keeler

3 years

Been saying this in a number of the health tech Slacks, but want to reiterate. The idea that "big tech fails in health" is a stupid narrative and trope.

@modrnhealthcr

Modern Healthcare

3 years

Google Health will no longer exist, but its projects will continue under the company's research, search and device divisions.

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@healthapiguy

Brendan Keeler

1 year

in the world's least surprising news

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VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout

The Department of Veterans Affairs is putting its big-ticket electronic health record overhaul with Oracle on an indefinite pause to address issues among five sites where the new system had been im |...

www.fiercehealthcare.com

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@healthapiguy

Brendan Keeler

2 years

@EigenGender @Noahpinion Can Google do this though

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@healthapiguy

Brendan Keeler

3 years

HL7v2 vs FHIR

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@healthapiguy

Brendan Keeler

2 years

Larry the Database Guy strikes again

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@healthapiguy

Brendan Keeler

2 years

LinkedIn DM starting with "I'm looking to expand my network" 🚩🚩🚩🚩🚩

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@healthapiguy

Brendan Keeler

2 years

Lunchtime mountain beer while skiing is a top five beer

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@healthapiguy

Brendan Keeler

2 years

terrible selfie angling but cool to finally meet @nikillinit in person

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@healthapiguy

Brendan Keeler

1 year

the playbook every new data co seems to be following: 1. join the HIEs 2. employ a physician 3. receive a roster of patients from pharma or other non-hipaa entities 4. claim treatment for that roster, maybe mix in "analytics" 5. retrieve data via HIEs 6. sell data to pharma

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@healthapiguy

Brendan Keeler

2 years

some early morning thoughts about secondary and tertiary effects Cures 1. The October date this year is going to be an absolute, unmitigated clusterfuck

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@healthapiguy

Brendan Keeler

3 years

If you follow this account, then you know I'm *very* into APIs. I'm also very into healthcare. I thought it'd be cool to bring together some of the most exciting companies in the intersection of those two together on the hit new platform Clubhouse

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@healthapiguy

Brendan Keeler

2 years

i don't know who needs to hear this, but if your app's workflow doesn't 100% require integration in order to sell it to providers, don't do it

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@healthapiguy

Brendan Keeler

2 years

Woah, big changes to epic's app program

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@healthapiguy

Brendan Keeler

3 years

digital health monday in a nutshell

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@healthapiguy

Brendan Keeler

1 year

ngl she seemed to enjoy it

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@healthapiguy

Brendan Keeler

1 year

having a child is absolutely amazing on almost all fronts but good god it turns flying from mildly pleasant to tremendous nervewracking anxiety and stress

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@healthapiguy

Brendan Keeler

2 years

made the absolutely reckless decision to fly frontier back after three days/night of HLTH in vegas, AMA

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@healthapiguy

Brendan Keeler

3 years

Headed to HIMSS in Las Vegas to see the best and newest in digital health, perhaps go to a few parties, and orchestrate the most sophisticated, elaborate casino heist in history with a plucky band of ten other thieves, crooks and con men

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@healthapiguy

Brendan Keeler

3 years

ah yes, renowned healthcare technology leader rory mcilroy

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@healthapiguy

Brendan Keeler

1 year

people look back at medieval titles like archduke and viscount and laugh and meanwhile we're out here slowly climbing the ladder just to unlock "chief forward deployed engineer" and "senior vice president of marketing" return to tradition

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@healthapiguy

Brendan Keeler

1 year

playing with fire here but let's hear it people

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@healthapiguy

Brendan Keeler

3 years

if you're in digital health and not signed up for out of pocket already, i have questions but just in case, retweeting to help any stragglers

@nikillinit

Nikhil Krishnan

3 years

new post coming out soon, an interview with @healthbjk on everything from data standards in different countries, to when you should do an EMR integration, to why Epic won the EMR market sign up to get it

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Brendan Keeler

2 years

Need to put this in writing. If you live outside of HIPAA (pharma, life insurance, legal, even patient access), here are your options to access data today This plays with my HIPAA post from a little while back, so read that and refresh first

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@healthapiguy

Brendan Keeler

2 years

truly awesome custom art as a parting gift from the outstanding @healthtechdev team I've worked with the past year at @ZusHealthHQ . gonna miss you guys!

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@healthapiguy

Brendan Keeler

9 months

is your child texting about health interoperability? LOL: leverage open libraries BRB: biometric record bridging IMO: intelligent medical objects NSFW: non-synchronized federated warehouses GG: Grahame Grieve FR FR: fully resolved fhir references IRL: integrated record linkage

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Brendan Keeler

3 years

my recurring nightmare is that late stage capitalism in the US is functionally incompatible with inexpensive healthcare and that the vc dollars pouring in will only accelerate that problem

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@healthapiguy

Brendan Keeler

2 years

the facility fee for a telehealth visit story is just one of many indicators how trad health systems are bringing a knife to a gunfight when it comes to virtual first care

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@healthapiguy

Brendan Keeler

4 years

How it started: How it's going:

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@healthapiguy

Brendan Keeler

2 years

building in healthcare is hard. connecting what you've built to your customers' systems of record is even harder. @eguroff wrote some words on all the crazy shit you'll see during application integration and provide some guidelines to help you survive

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@healthapiguy

Brendan Keeler

1 year

when they move their api docs behind a contact form 🚩🚩🚩🚩

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@healthapiguy

Brendan Keeler

4 months

"the EHR stole our idea" is just healthcare code word for "a customer need will always eventually be apparent to the incumbent platform and my startup forgot that and needs excuses"

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@healthapiguy

Brendan Keeler

9 months

excellent writeup by @ay_o on differentiation in care delivery

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September 2023: How to build sustainably differentiated tech enabled healthcare services businesses

For digital health startups delivering care, clinical innovation is neither necessary nor sufficient

writing.kunle.app

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