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Artificial Intelligence in Health Care: the Hope, the Hype, the Promise, the Peril
Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril Michael Matheny, Sonoo Thadaney Israni, Mahnoor Ahmed, and Danielle Whicher, Editors WASHINGTON, DC NAM.EDU PREPUBLICATION COPY - Uncorrected Proofs NATIONAL ACADEMY OF MEDICINE • 500 Fifth Street, NW • WASHINGTON, DC 20001 NOTICE: This publication has undergone peer review according to procedures established by the National Academy of Medicine (NAM). Publication by the NAM worthy of public attention, but does not constitute endorsement of conclusions and recommendationssignifies that it is the by productthe NAM. of The a carefully views presented considered in processthis publication and is a contributionare those of individual contributors and do not represent formal consensus positions of the authors’ organizations; the NAM; or the National Academies of Sciences, Engineering, and Medicine. Library of Congress Cataloging-in-Publication Data to Come Copyright 2019 by the National Academy of Sciences. All rights reserved. Printed in the United States of America. Suggested citation: Matheny, M., S. Thadaney Israni, M. Ahmed, and D. Whicher, Editors. 2019. Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. NAM Special Publication. Washington, DC: National Academy of Medicine. PREPUBLICATION COPY - Uncorrected Proofs “Knowing is not enough; we must apply. Willing is not enough; we must do.” --GOETHE PREPUBLICATION COPY - Uncorrected Proofs ABOUT THE NATIONAL ACADEMY OF MEDICINE The National Academy of Medicine is one of three Academies constituting the Nation- al Academies of Sciences, Engineering, and Medicine (the National Academies). The Na- tional Academies provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. -
Programové Vybavení Pro Provoz Nukleární Medicíny Software
ČESKÉ VYSOKÉ UČENÍ TECHNICKÉ V PRAZE FAKULTA BIOMEDICÍNSKÉHO INŽENÝRSTVÍ Katedra biomedicínské techniky Programové vybavení pro provoz nukleární medicíny Software Systems for Nuclear Medicine Diplomová práce Studijní program: Biomedicínská a klinická technika Studijní obor: Systémová integrace procesů ve zdravotnictví Autor diplomové práce: Bc. Jana Švagriková Vedoucí diplomové práce: MUDr. Jan Bruthans, Ph.D. Kladno 2018 PROHLÁŠENÍ Prohlašuji, že jsem diplomovou práci s názvem „Programové vybavení pro provoz nukleární medicíny“ vypracovala samostatně a použila k tomu úplný výčet citací použitých pramenů, které uvádím v seznamu přiloženém k diplomové práci. Nemám závažný důvod proti užití tohoto školního díla ve smyslu § 60 Zákona č. 121/2000 Sb., o právu autorském, o právech souvisejících s právem autorským a o změně některých zákonů (autorský zákon), ve znění pozdějších předpisů. V Kladně 18.05.2018 …...….………...………………... Bc. Jana Švagriková PODĚKOVÁNÍ Na tomto místě bych ráda poděkovala svému vedoucímu diplomové práce panu MUDr. Janu Bruthansovi, Ph.D. za vedení a připomínky k mé práci, jeho rady a konzultace. Dále bych chtěla poděkovat všem osloveným společnostem za jejich informace a poskytnuté materiály. Poděkování patří také všem zúčastněným odborníkům. V neposlední řadě děkuji své rodině a přátelům. ABSTRAKT Diplomová práce s názvem „Programové vybavení pro provoz nukleární medicíny“ se zaměřuje na zhodnocení existujících softwarových produktů, zejména radiologických informačních systémů pro využití v provozu nukleární medicíny. Hlavním cílem bylo zmapování současného aktuálního stavu problematiky s důrazem na Českou republiku. Vybrané systémy byly nejprve popsány pomocí deskriptivní metody. Pomocí analýzy SWOT byly zhodnoceny možnosti jednotlivých systémů. Pro výběr ideální varianty systémů byla zvolena metoda multikriteriálního rozhodování, metoda TOPSIS. Závěrem byl vytvořen návrh na doporučení pro uživatele systémů a celkové zhodnocení formou diskuse. -
Web Hacking 101 How to Make Money Hacking Ethically
Web Hacking 101 How to Make Money Hacking Ethically Peter Yaworski © 2015 - 2016 Peter Yaworski Tweet This Book! Please help Peter Yaworski by spreading the word about this book on Twitter! The suggested tweet for this book is: Can’t wait to read Web Hacking 101: How to Make Money Hacking Ethically by @yaworsk #bugbounty The suggested hashtag for this book is #bugbounty. Find out what other people are saying about the book by clicking on this link to search for this hashtag on Twitter: https://twitter.com/search?q=#bugbounty For Andrea and Ellie. Thanks for supporting my constant roller coaster of motivation and confidence. This book wouldn’t be what it is if it were not for the HackerOne Team, thank you for all the support, feedback and work that you contributed to make this book more than just an analysis of 30 disclosures. Contents 1. Foreword ....................................... 1 2. Attention Hackers! .................................. 3 3. Introduction ..................................... 4 How It All Started ................................. 4 Just 30 Examples and My First Sale ........................ 5 Who This Book Is Written For ........................... 7 Chapter Overview ................................. 8 Word of Warning and a Favour .......................... 10 4. Background ...................................... 11 5. HTML Injection .................................... 14 Description ....................................... 14 Examples ........................................ 14 1. Coinbase Comments ............................. -
High-Confidence Medical Devices: Cyber-Physical Systems for 21St Century Health Care
The NITRD Program The Networking and Information Technology Research and Development (NITRD) Program, one of the few formal interagency R&D activities within the Federal government, comprises the Government’s main unclassified R&D investments in advanced networking, computing, software, and related information technology (IT). The NITRD Program also supports research in the socioeconomic implications of IT and in development of a highly skilled IT workforce. Now in its 18th year, NITRD provides a framework and mechanisms for active coordination among 13 Federal research agencies; many other agencies with IT interests also participate in NITRD activities. NITRD is authorized by Congress through the High-Performance Computing Act of 1991 (Public Law 102-194), the Next Generation Internet Research Act of 1998 (Public Law 105-305), and the America COMPETES Act of 2007 (Public Law 110-69). The NITRD agencies work together in eight major research areas – called Program Component Areas (PCAs). In each PCA, agency program managers participate in an Interagency Working Group (IWG) or Coordinating Group (CG) that coordinates R&D activities and preparation of the annual Supplement to the President’s Budget for the NITRD Program. The PCAs are: High End Computing Infrastructure and Applications (HEC I&A), High End Computing Research and Development (HEC R&D), Cyber Security and Information Assurance (CSIA), Human Computer Interaction and Information Management (HCI&IM), Large Scale Networking (LSN), High Confidence Software and Systems (HCSS), Social, Economic, and Workforce Implications of IT and IT Workforce Development (SEW), and Software Design and Productivity (SDP). High Confidence Software and Systems R&D NITRD’s HCSS PCA supports R&D in scientific foundations and innovative and enabling software and hardware technologies for the design, control, assurance, verification and validation, and certification of complex, networked, distributed computing systems and cyber-physical (IT-enabled) systems such as aircraft and power grids. -
Achieving Safe DICOM Software in Medical Devices
Master Thesis in Software Engineering & Management REPORT NO. 2009:003 ISSN: 1651-4769 Achieving Safe DICOM Software in Medical Devices Kevin Debruyn IT University of Göteborg Chalmers University of Technology and University of Gothenburg Göteborg, Sweden 2009 Student Kevin Debruyn (820717-2795) Contact Information Phone: +46 73 7418420 / Email: [email protected] Course Supervisor Karin Wagner Course Coordinator Kari Wahll Start and End Date 21 st of February 2008 to 30 th of March 2009 Size 30 Credits Subject Achieving Safe DICOM Software in Medical Devices Overview The present document constitutes the project report that introduces, develops and presents the results of the thesis carried out by a master student of the IT University in Göteborg, Software Engineering & Management during Spring 2008 through Spring 2009 at Micropos Medical AB . Summary This paper reports on an investigation on how to produce a reliable software component to extract critical information from DICOM files. The component shall manipulate safety-critical medical information, i.e. patient demographics and data specific to radiotherapy treatments including radiation target volumes and doses intensity. Handling such sensitive data can potentially lead to medical errors, and threaten the health of patients. Hence, guaranteeing reliability and safety is an essential part of the development process. Solutions for developing the component from scratch or reusing all or parts of existing systems and libraries will be evaluated and compared. The resulting component will be tested to verify that it satisfies its reliability requirements. Subsequently, the component is to be integrated within an innovating radiotherapy positioning system developed by a Swedish start-up, Micropos . -
MDCG 2019-11 Guidance on Qualification and Classification of Software in Regulation (EU) 2017/745 – MDR and Regulation (EU) 2017/746 – IVDR
Medical Device Medical Device Coordination Group Document MDCG 2019-11 MDCG 2019-11 Guidance on Qualification and Classification of Software in Regulation (EU) 2017/745 – MDR and Regulation (EU) 2017/746 – IVDR October 2019 This document has been endorsed by the Medical Device Coordination Group (MDCG) established by Article 103 of Regulation (EU) 2017/745. The MDCG is composed of representatives of all Member States and it is chaired by a representative of the European Commission. The document is not a European Commission document and it cannot be regarded as reflecting the official position of the European Commission. Any views expressed in this document are not legally binding and only the Court of Justice of the European Union can give binding interpretations of Union law. Guidance on Qualification and Classification of Software October 2019 Guidance on Qualification and Classification of Software in Regulation (EU) 2017/745 – MDR and Regulation (EU) 2017/746 – IVDR Page 1 of 28 Table of Contents 1. Scope and purpose of this document 3 2. Definitions and abbreviations 3 3. Qualification 6 3.1. Introduction to qualification criteria 6 3.2. Medical Device Software (MDSW) 7 3.3. ‘Software driving or influencing the use of a medical device’ 8 3.4. Qualification criteria of MDSW as an in vitro diagnostic medical device 10 4. Classification of MDSW per MDR 2017/745 12 4.1. Implementing Rules 12 4.2. Classification Rules 12 5. Classification and implementing rules per IVDR 2017/746 15 5.1. Implementing Rules: 15 5.2. Classification Rules: 15 6. Considerations on placing on the market and conformity assessment of MDSW 16 6.1. -
Software & Services
SOFTWARE & SERVICES Recognizing the software and service organizations that excelled in helping providers deliver better patient care PHYSICIAN PRACTICE SOLUTIONS BEST IN KLAS AMBULATORY EMR (1–10 PHYSICIANS) HOW DO VENDOR SOLUTIONS COMPARE? WHO IS KONFIDENCE SCORE TREND LEVEL 1. Cerner PowerChart Ambulatory BEST IN KLAS? 84.3 +13% üü 2. Amazing Charts 83.3 +4% üüü 3. SRSsoft EHR 81.0 -11% üü 4. athenahealth athenaClinicals 80.9 -7% üüü 5. Greenway PrimeSUITE Chart 79.1 -2% üüü HOW DO THEY SCORE? 6. Aprima EHR IN FIVE KEY PERFORMANCE CATEGORIES 78.2 -1% üüü 100 92.4 7. ADP AdvancedMD EHR +3% üüü 90 84.9 78.0 80.6 81.7 81.2 80 8. e-MDs Chart -13% üüü 70 74.0 60 AVG. SEGMENT MKT. 9. GE Healthcare Centricity Practice Solution EMR +1% üü PHYSICIAN PRACTICE PHYSICIAN 50 73.8 40 T10. eClinicalWorks EHR 73.4 -7% üüü 30 20 T10. Henry Schein MicroMD EMR 73.4 +4% üü 10 12. NextGen Healthcare EHR 0 65.1 -3% üüü SALES & FUNCTIONALITY GENERAL CONTRACTING & UPGRADES 13. Allscripts Professional EHR 64.7 -6% üüü SERVICE & IMPLEMENTATION SUPPORT 14. McKesson Practice Partner -14% & TRAINING 48.0 üü 0 10 20 30 40 50 60 70 80 90 100 SEE HOW OTHER VENDOR SOLUTIONS SCORE AT KLASRESEARCH.COM HOW DO THE TOP THREE SOLUTIONS TREND? SOLUTIONS NOT RANKED PRELIMINARY DATA PRODUCTS CompuGroup Medical Enterprise EHR (HEHR)*..................71.0 MIE WebChart EMR* ............................................................75.7 MTBC EMR* .........................................................................82.1 Optum Physician EMR* ........................................................79.6 -
Electronic Medical Records Software January 2019
ELECTRONIC MEDICAL RECORDS SOFTWARE JANUARY 2019 Powered by Methodology CONTENTS 3 Introduction 5 Defining Electronic Medical Records Software 6 FrontRunners (Small Vendors) 8 FrontRunners (Enterprise Vendors) 10 Runners Up 16 Methodology Basics 2 INTRODUCTION his FrontRunners analysis Enterprise Vendor graphic had a Tis a data-driven assessment minimum qualifying score of 3.51 identifying products in the for Usability and 3.50 for User Electronic Medical Records Recommended, while the Small software market that offer the Vendor graphic had a minimum best capability and value for small qualifying score of 3.21 for Usability businesses. For a given market, and 3.25 for User Recommended. products are evaluated and given a score for Usability (x-axis) and To be considered for the Electronic User Recommended (y-axis). Medical Records FrontRunners, a FrontRunners then plots 10-15 product needed a minimum of 20 products each on a Small Vendor user reviews published within 18 and an Enterprise Vendor graphic, months of the evaluation period. based on vendor business size, per Products needed a minimum user category. rating score of 3.0 for both Usability and User Recommended in both the In the Electronic Medical Records Small and Enterprise graphics. FrontRunners infographic, the 3 INTRODUCTION The minimum score cutoff to be included in the FrontRunners graphic varies by category, depending on the range of scores in each category. No product with a score less than 3.0 in either dimension is included in any FrontRunners graphic. For products included, the Usability and User Recommended scores determine their positions on the FrontRunners graphic. -
July 2014 Dear Phonse
July 2014 Dear Phonse, Summer has certainly arrived, and the NETRC team hopes that you are finding opportunities to enjoy some of the things that you love best about this time of year. For me, it's the crack of a baseball bat, the lake, and that feeling that things are just a little less hectic under the lazy summer sun. That said, there is much to do, and we are looking forward to working with all of you to develop and expand opportunities to enhance the health of our population through telehealth. Although I have been with the NETRC for just a short time, I have Danielle Louder - quickly recognized the phenomenal assets that we have both internally Program Manager; and externally: the expertise and can-do attitude of our NETRC MCDPH-NETRC team, access to a wealth of resources and expertise through regional and national colleagues within HRSA and the thirteen other telehealth resource centers, and the privilege of working with partners such as yourself, who are passionate about utilizing technology to increase access to quality health care. As you know, our charge is to provide effective resources and technical assistance to those who are planning, implementing and/or evaluating telehealth programs throughout the Northeast (and beyond). Whether you're just beginning your journey with telehealth, are looking to expand your current program, and/or impact more global aspects such as policy, we are here and eager to assist! Here are just a few examples of current/recent efforts: Assisted multiple partners with USDA DLT grant applications -
View July 2014 Report
MOBILE SMART FUNDAMENTALS MMA MEMBERS EDITION JULY 2014 messaging . advertising . apps . mcommerce www.mmaglobal.com NEW YORK • LONDON • SINGAPORE • SÃO PAULO MOBILE MARKETING ASSOCIATION JULY 2014 REPORT The Playbook Over the last few months we’ve been building a unique resource that will help our brand marketer members successfully develop and execute a mobile strategy, allowing them to deliver a consistent mobile brand experience on a global scale. Enter our Mobile Marketing Playbook (Press Release). Launched last week and created in partnership with global sporting goods giant, adidas, it aims to explain when, where and how companies can use mobile as core to their marketing efforts. Whilst we’ve seen some incredible work this year, as evidenced by the many great mobile campaigns submitted to our 2014 Smarties Awards Program (currently in pre-screening), one of the challenges marketers still face is how to make mobile an integral part of their mix. The Playbook takes marketers through the process of mobile strategy development from start to finish. It provides best practices around mobile executions, ways to leverage the myriad mobile vehicles, insights into mobile creative effectiveness and how companies can effectively measure and optimize mobile. To address the ever changing needs of and challenges faced by marketers, the Playbook will be regularly updated to reflect shifts in consumer behavior, mobile trends as they are introduced, and innovations that are continuously being developed through and with mobile. This will be accomplished in part by the annual addition of well over 500 case studies into our Case Study Hub, helping to define best practice and to serve as a source of inspiration to our marketer members Members can access the entire Playbook by logging in using your member login and password where directed. -
Electronic Medical Record Ipad Application
University of Tennessee, Knoxville TRACE: Tennessee Research and Creative Exchange Supervised Undergraduate Student Research Chancellor’s Honors Program Projects and Creative Work 5-2013 Electronic Medical Record iPad Application Mischa Symmone Buckler [email protected] Dwayne Wiliam Flaherty [email protected] John Thomas Cotham [email protected] Mark Bellott [email protected] Follow this and additional works at: https://trace.tennessee.edu/utk_chanhonoproj Part of the Other Computer Engineering Commons Recommended Citation Buckler, Mischa Symmone; Flaherty, Dwayne Wiliam; Cotham, John Thomas; and Bellott, Mark, "Electronic Medical Record iPad Application" (2013). Chancellor’s Honors Program Projects. https://trace.tennessee.edu/utk_chanhonoproj/1627 This Dissertation/Thesis is brought to you for free and open access by the Supervised Undergraduate Student Research and Creative Work at TRACE: Tennessee Research and Creative Exchange. It has been accepted for inclusion in Chancellor’s Honors Program Projects by an authorized administrator of TRACE: Tennessee Research and Creative Exchange. For more information, please contact [email protected]. EECS 400 Final Report Team Ecuador Mark Bellott Mischa Buckler John Cotham Willie Flaherty 4/26/2013 Team Ecuador: TRx iPad Application Introduction TRx is an iPad application developed for Humanitarian Health International to assist them during medical missions to underserved areas. Story [Author: John Cotham] Humanitarian Health International (HHI) is a non-profit group of medical professionals that travels to underserved towns in South America. On these trips, they provide simple but life- changing surgeries (e.g., hernia, cataracts, cleft lip). With the TRx application, HHI is leveraging new technology to help provide better care on these trips. It will be an integral part of their medical operations--helping them process and communicate with patients, keep individual records, and track their trips. -
Here's Looking at You: How Personal Health Information Is Being Tracked
CALIFORNIA HEALTHCARE FOUNDATION Here’s Looking at You: How Personal Health Information Is Being Tracked and Used JULY 2014 Contents About the Author 4 The Sharing of Personal Data Jane Sarasohn-Kahn, MA, MHSA, is a health econo- mist and adviser who works with a broad range of 6 Opportunities for Data-Mining stakeholders at the intersection of health and technol- 7 The Privacy Challenge ogy. She writes the Health Populi blog. 10 Balancing Benefits and Challenges Acknowledgments Thanks to these experts who were interviewed for this 11 A Preferred Future paper and generously shared their wisdom on the top- 12 Endnotes ics of people, data, health and privacy: Ryan Beckland, Validic; Kipp Bradford, KippKits; Mary Cain, HT3; Steven Dean, Prehype; Stephen Downs, Robert Wood Johnson Foundation; David Goldsmith, Dossia; Harry Greenspun, MD, Deloitte; Leslie Kelly Hall, Healthwise; David Harlow Esq., The Harlow Group; Patricia Hyle, Healthwise; Fard Johnmar, Enspektos; Basel Kayyali, McKinsey; Greg Matthews, W20; Deven McGraw, Manatt, Phelps & Phillips LLC; Glen Moy, technology consultant; Shawn Myers, Healthwise; Mikki Nasch, The Activity Exchange; Jody Ranck, health technol- ogy advisor; Harry Reynolds, IBM; Robert Rowley MD, FlowHealth; Mary Anne Sterling, Connected Health Resources: Christine Sublett, Sublett Consulting; Fred Trotter, O’Reilly Radar; Jon Wald MD, RTI; and, Paul Wicks, PatientsLikeMe. Mary Cain of HT3 and Paul Wicks of PatientsLikeMe also reviewed sections of this report. About the Foundation The California HealthCare Foundation works as a catalyst to fulfill the promise of better health care for all Californians. We support ideas and innova- tions that improve quality, increase efficiency, and lower the costs of care.