Medical Care
How to Overcome Healthcare Barriers for Disabled People
2024-12-02
December 3, 2024 reveals a concerning reality. Globally, the mortality rate among those with disabilities is a staggering 2.24 times higher than that of the able-bodied. Despite having greater healthcare needs, people with disabilities face numerous and significant barriers in accessing care. McKinsey's Dr. Mona Hammami and her coauthors have shed light on these issues in the patient care pathway. People with disabilities are more likely to report skipping or delaying care due to cost, having difficulty securing transportation to a health facility, encountering inaccessible facilities, and meeting workers with inadequate skills or flexibility to provide quality care. This International Day of Persons with Disabilities (IDPD) presents an opportunity to examine these inequities, explore potential interventions to overcome them, and adopt a three-step approach to reducing inequities across various disease types. By doing so, we can strive for a more inclusive healthcare system and a better life for all.

Unveiling the Hidden Challenges in Disability Care

Healthcare Disparities for People with Disabilities

Globally, the mortality gap between disabled and non-disabled individuals is a distressing 2.24 times. This disparity is not just a statistical anomaly but a real-life struggle for those with disabilities. They often face financial constraints that lead to skipping or delaying essential care. The lack of accessible transportation further compounds their difficulties, making it challenging to reach health facilities. Inaccessible facilities act as a significant barrier, preventing them from receiving timely and proper medical attention. Moreover, the encounter with workers lacking the necessary skills or flexibility to provide quality care exacerbates their plight. These issues demand our immediate attention and action.

To address these challenges, a comprehensive approach is needed. We must work towards reducing the cost burden on disabled individuals to ensure they can access care without hesitation. Improving transportation services specifically designed for the disabled is crucial. Making health facilities more accessible in terms of physical infrastructure and staff training is another vital step. By focusing on these aspects, we can begin to bridge the gap and provide a more equitable healthcare experience for people with disabilities.

Special Olympics' Role in Championing Inclusive Care

The Special Olympics has taken a leading role in championing inclusive care. Their health chief has been at the forefront of initiatives aimed at integrating disabled individuals into the healthcare system. Through various programs and partnerships, they are working to raise awareness about the unique needs of people with disabilities and promote inclusive care practices. By collaborating with healthcare providers and advocating for change, the Special Olympics is making a significant impact on the lives of those with disabilities.

For example, they organize training programs for healthcare workers to enhance their understanding and skills in providing care to disabled patients. They also work on creating a more inclusive environment within health facilities, ensuring that disabled individuals feel welcome and valued. Through their efforts, they are breaking down barriers and paving the way for a more inclusive healthcare future.

The Missing Billion: Disability Data and Healthcare Equity

The lack of disability data is a significant obstacle to achieving healthcare equity. Without accurate and comprehensive data, it is difficult to understand the full extent of the problems faced by people with disabilities and develop effective interventions. An estimated billion people with disabilities worldwide are often invisible in healthcare statistics and policy-making. This missing data prevents us from addressing their specific needs and designing targeted solutions.

To address this issue, there is a need for increased data collection and analysis specifically focused on disabilities. By gathering reliable data, we can better understand the patterns and trends in disability-related healthcare issues. This will enable us to develop evidence-based policies and interventions that can truly make a difference in the lives of people with disabilities. It is only by filling this data gap that we can move towards a more equitable healthcare system for all.

Bridging the Digital Divide for Blind and Low-vision Consumers

In today's digital age, accessibility is a crucial aspect of healthcare. For blind and low-vision consumers, the lack of accessible digital platforms and tools poses a significant barrier. They often struggle to access information, communicate with healthcare providers, and manage their health effectively. Bridging this digital divide is essential for ensuring their inclusion in the healthcare system.

Healthcare organizations and technology companies are working together to develop accessible digital solutions. This includes voice-activated assistants, screen readers, and other tools that can help blind and low-vision individuals navigate the digital world. By investing in these technologies and making them widely available, we can empower disabled individuals and improve their healthcare experiences.

The Promise and Perils of AI in Kentucky's Healthcare(This title emphasizes both the potential benefits and potential risks of AI in Kentucky's healthcare context.)
2024-12-02
As Kentucky witnesses the continuous growth of its elderly population, the demand for medical services is on the rise. This has led to a heightened focus on artificial intelligence in healthcare to enhance efficiency and delivery. Kentucky's 65-and-older population now constitutes 18% of the total, with projections indicating it will exceed 20% within five years. To meet these challenges, healthcare systems are exploring new artificial intelligence-powered methods across various aspects such as diagnostic recommendations, remote patient monitoring, and appointment booking.

Unleashing the Potential of AI in Kentucky's Healthcare

Diagnostic Advancements through AI

Generative AI is set to play a significant role in healthcare communications, from physicians to families, and in training medical professionals. Adel Elmaghraby, director of research and innovation at the University of Louisville's Digital Transformation Center, emphasizes this. Deborah Vanloh, a mammogram technologist at Naval Hospital Pensacola, highlights the importance of mammograms in detecting breast cancer early. However, Elmaghraby also stresses that the role of physicians remains crucial and cannot be replaced by bots. AI tools will support and augment existing work rather than replace medical teams.

An area of promise in medical decision-making is "fuzzy logic" computing. It allows for shades of grey in evaluation and better imitates human reasoning. Elmaghraby has been involved in researching fuzzy logic processes to improve solutions for diabetic patients and bed sores. In the Cincinnati/Northern Kentucky area, Genexia Health Inc. is using fuzzy logic to revolutionize the diagnosis of cardiovascular disease for women, their leading cause of death.

Student Involvement in the AI Revolution

Universities across the board are encouraging students to participate in the AI revolution. In 2017, Elmaghraby started the AI Hive Center at the University of Louisville to foster entrepreneurship and new projects. Currently, 10 to 25 selected students work on active AI projects quarterly using their campus data center. Two teams are developing applications expected to be unveiled in the first quarter of 2025.

Trust and Governance in AI

Da-Wyone Haynes, founder of Yellowstone Physical Cyber Security Services LLC, emphasizes the need for safe AI environments. He points out that doctors are already burdened with data analysis, and any mistakes can have a catastrophic impact on patient care. Policymakers and the American Medical Association are also looking at policies in this area to ensure safe clinical implementation and protect patient rights.

In mid-2024, the Coalition for Health AI released an Assurance Standards Guide to standardize AI deployment in healthcare. It suggests creating a network of trustworthy labs for post-market monitoring and bias vetting. David Shearer, CEO of Shearer Intelligence, works in the trusted advisor space for hospitals. His company integrates multiple data sources to optimize ambulatory routes and traffic, using generative AI solutions like Hyro.AI and Kore.AI. Baptist Health is exploring a virtual nursing application with sensors to monitor patient movements.

Cybersecurity and AI Collaboration

Elmaghraby notes that cybersecurity issues in healthcare are on the rise. UofL and Murray State University have received $10 million each in state funding to establish their own cybersecurity centers, focusing on student and government agency audiences. They will explore partnerships and research in areas where AI and cybersecurity intersect.

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3 Takeaways Podcast: HCA CEO Sam Hazen on Tech & Healthcare Innovation
2024-12-02
In a recent interview with Lynn Thoman for the 3 Takeaways Podcast, Sam Hazen, the chief executive officer of HCA Healthcare, shared his unique perspective on the future of healthcare. As one of the nation's leading healthcare providers, HCA Healthcare is at the forefront of leveraging innovative technology to improve care delivery.

Using Data to Support Clinicians

Healthcare is a dynamic field, and at HCA Healthcare, they play a crucial role in the delivery system. They provide a wide range of services to patients in various locations. Sam believes that the industry is at an inflection point driven by emerging technologies. By using machine learning and artificial intelligence, they can learn from patterns and bring those learnings to caregivers, enhancing the quality of care. In his 42 years with the company, he has seen the potential of using data to support decision-making and improve care.There is often a lot of variation in care due to individual decisions. However, by using artificial intelligence, they can provide more standardized and informed care. This will lead to greater transparency for patients and make the system more efficient.

Advances in Diagnostics and Treatment

In oncology care, the Sarah Cannon Research Institute conducts a large number of clinical trials and generates new drug developments. Robotic-assisted surgery is less invasive, allowing patients to recover faster and enabling physicians to operate in new ways. In diagnostics, computerized CT scanners and MRIs are highly advanced and fast, replacing more invasive procedures. This allows for timely and economic care.HCA Healthcare is at the forefront of these technological advancements, performing more robotic-assisted surgeries than any other system in the world and continuing to grow in this area.

Leveraging Scale to Improve Care Delivery

Having scale is one thing, but using it effectively is another. HCA Healthcare has learned to use scale effectively over the years. They have consolidated redundant functions to create value and access capital at a reasonable cost to invest in the business and people.They also harvest best practices by sharing learnings across their 20 hospitals in Miami, 20 in Dallas, and 10 in Denver. This allows them to be better employers, more engaged in the community, and provide a better care process for patients. Their unique culture, which emphasizes doing the right thing and being detail-oriented, adds value to their patients.

The Future of AI in Healthcare

AI can help improve healthcare delivery in three primary ways. On the administrative side, it can streamline and make more efficient functions that are heavily regulated. In the emergency room, AI can enhance throughput and make the process more effective.The most exciting area is leveraging standardized data sets to bring patterns to the forefront. This allows decision-makers to interact with insights and adjust care delivery. By supporting human intelligence with AI, patients will benefit in ways that are hard to explain.

3 Takeaways

First, hard work matters. Leaders must be willing to solve problems and work hard to ensure the success of their organizations and teams. Second, keep learning. At HCA Healthcare, they learn from each other and from other organizations to stay at the forefront. Third, treat people right. In the people business, focusing on taking care of sick people is crucial.Sam Hazen is the CEO of HCA Healthcare, leading one of the nation's leading healthcare providers with 187 hospitals and approximately 2,400 ambulatory sites of care. Listen to the full conversation and gain additional insight on 3 Takeaways.
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