i have had 4 different garmin running watches over the years and recently switched to the apple watch. the garmins all estimated a significantly higher calorie burn than the apple watch. the garmin's were also higher than i believed was correct and what my diet tracking and weight indicated. i believe they were estimating high. imho.
i think the key for the apps will be integration to other systems. it makes sense for nest to add alexa integration. for sonos. for lifx. etc. its minimal work to enhance a product you are already heavily invested in.
i agree, most of the current apps are Hello World and silly. And i agree, there is no market in Alexa only apps.
i agree that most of the alexa skills are useless. they are junk. read them, they are like joke tellers or useless trivia.
but some are very useful. i think the key here is (as someone said above) we have 25+ years of GUI experience and about 2 of voice as UI experience. Give it some time.
A lot of these posts are mixing up alexa/google home and siri/phone. those are very different use cases. I don't like siri on my phone. i love alexa. we have three and use them all the time. but its about finding the right apps.
things we use them for all the time:
cooking timers
turning lights on or off
sonos integration!!! (right now this is a hacked version but native integration coming 2017).
alexa's native music selection is very slick
weather/current temp
simple calculations and conversions
adding things to amazon shopping list (she is wonderful at this, too wonderful, i think they dedicate way too many CPU cycles to this vs. other shit)
however its the right apps. lots of those skills are dumbassed.
IMHO. I've been building apps for 35 years on every platform possible (mainframe, unix boxes, mobile devices, pcs, etc). I think the voice UI is going to explode. We are going to look back in 5 years and be shocked at the use of voice as a UI. again IMHO. your mileage will vary
while i agree with you, just last week i got pulled over on a "locals only" street. they are trying to prevent people from cutting thru the neighborhood. i think its total BS. that said, even though i lied to the cop twice, and he caught me twice, he only gave me a warning still BS.
and how is this different from the value of a specific green piece of paper we all agree has Value. but is basically just fancy paper? paper a bunch of people this is valuable.
that said, i hate buying pokemon cards for my son. he gets so excited about them and thinks they are so valuable because this one is a Mega or this one is an Ultra. Its just ink saying that. how does that provide value.
same can be said though for baseball cards, stamps, ART!, really so much in our economy.....
years ago i was working at a very large, very prestigious hospital in boston. at the time they had no guest wifi. i needed a network connection so i set my laptop on a the nurses workstation and handed her one end of a long network cable and asked her to unplug the printer and plug in my wire. which she promptly did. i was not in a lab connect, i was in a suit. i didn't know this nurse and she had no idea who i was. she simply removed one cable and plugged in mine. needless to say, i was stunned.
13 marathons in 5 years, 2 of which were 50 milers, 3 sub 3:00 hours, 5 bostons, 7 bqs, so some running experience... but thru it all, still a slashdot reader and a nerd....
i disagree with the statement "people tend to not value things that they don't think costs them anything". i went to school basically free. i had to pay 10% of instate costs at a big 10 school. we grew up poor and it was really the only way i was going without monster loans. i can tell you i sure valued that education. i consider the consequences, they are a nice life based on my degree and education.
many other healthcare systems are built on mumps, not just VA and EPIC. Notably Meditech is also mumps based, having rolled out of MGH the founders of MT took mumps with them. Judy Faulkner (from epic) then rolled it from MT created epic and drug around mumps with her. IDX (now GE) is also heavily into mumps. its everywhere. here she is talking about using mumps http://www.modernhealthcare.com/article/20150314/MAGAZINE/303149952
the new bread of healthcare apps have pretty much moved away from it.
i own my own domain and its a normal name (e.g. fredjohnson.com or such) so i get tons of email randomname@fredjohnson.com recently though i have been receiving legal correspondence from a firm in texas (i'm in mass). its happened a number of times they send case related info i keep telling them to stop they keep sending it. dipshits. i know who not to hire as an attorney if i ever need one in texas (god forbid)
i'm literally going to the gym in like 3 mins to run 10 miles at a 9.0mph. i have this ? about stress tests generally to get it down in 3 minute increments they are going to have to max that machine.
to langelgjm's point, my nest connects to my furnace with 2 wires. one is red, the other is white. if you connect the wires, the furnace turns on. if you disconnect them, it turns off. this is not rocket science people.
i agree with all of your points. connecting your EHR to your lab system, to your HIE, to your practice systems, etc is a mess. HL7 stinks. So things do indeed get missed. of course, with deliberate, thoughtful deployments, these are solvable problems. it takes time and patience.
and don't get me started on end users.:-) but i do believe they are trying, they are busy, and they didn't go to medical school to deal with systems, but to help people.
Obamacare or ACA did not mandate the use of EHR. This was in legislation long before ACA, it was part of the American Recovery and Reinvestment Act (ARRA). It was specifically called Meaningful Use. it mandates a series of electronic use requirements over three phases with initially payments for use and later penalties by CMS. The vast majority of MU certified vendors were producing EHRs long before ARRA and have reasonable security in place. Clearly though some vendors, and hospitals need some shoring up though.
first off, the protections for debit cards are much weaker than for a credit card. see http://www.bbb.org/blog/2013/11/do-debit-cards-and-credit-cards-hav-the-same-protection/ second, as someone below points out, with a debit card you have to maintain a constant float. not with a CC.
the CC is simple. charge everything. pay it off at end of month. very, very simple. debit cards are a poor idea.
There are a number of running training schedules and approaches that use fairly exact HR thresholds for various runs. The more serious you are with your training, the more likely these gadgets help. for example, one popular use is as a better gauge of recovery between intervals. instead of the old, walk half the distance or walk the same amt of time, using a HR monitor can tell you when recovered more accurately. here is a nice article from pete pfitzinger (famous as 2 time US marathon olympian and author of eternally popular Advanced Marathoning - and thus someone with more credentials than itzly ) http://www.runnersworld.com/race-training/heart-matter
i for one love my garmin. the combination of GPS, timer/watch and HR monitor is great.
for everyone knocking these devices, i would love to see your event placings. be it running, biking, whatever you do. how did you do in your last race? i'll put my number against yours anyday.
i have had 4 different garmin running watches over the years and recently switched to the apple watch.
the garmins all estimated a significantly higher calorie burn than the apple watch.
the garmin's were also higher than i believed was correct and what my diet tracking and weight indicated.
i believe they were estimating high. imho.
that is not accurate.
you do NOT burn 800 calories in 5 miles.
the average is 100 calories per mile.
800 is way high.
and thats includes BMR.
i think the key for the apps will be integration to other systems. it makes sense for nest to add alexa integration. for sonos. for lifx. etc.
its minimal work to enhance a product you are already heavily invested in.
i agree, most of the current apps are Hello World and silly. And i agree, there is no market in Alexa only apps.
i agree that most of the alexa skills are useless. they are junk. read them, they are like joke tellers or useless trivia.
but some are very useful. i think the key here is (as someone said above) we have 25+ years of GUI experience and about 2 of voice as UI experience. Give it some time.
A lot of these posts are mixing up alexa/google home and siri/phone. those are very different use cases. I don't like siri on my phone. i love alexa. we have three and use them all the time. but its about finding the right apps.
things we use them for all the time:
cooking timers
turning lights on or off
sonos integration!!! (right now this is a hacked version but native integration coming 2017).
alexa's native music selection is very slick
weather/current temp
simple calculations and conversions
adding things to amazon shopping list (she is wonderful at this, too wonderful, i think they dedicate way too many CPU cycles to this vs. other shit)
however its the right apps. lots of those skills are dumbassed.
IMHO. I've been building apps for 35 years on every platform possible (mainframe, unix boxes, mobile devices, pcs, etc). I think the voice UI is going to explode. We are going to look back in 5 years and be shocked at the use of voice as a UI. again IMHO. your mileage will vary
while i agree with you, just last week i got pulled over on a "locals only" street. they are trying to prevent people from cutting thru the neighborhood.
i think its total BS. that said, even though i lied to the cop twice, and he caught me twice, he only gave me a warning
still BS.
garmin has done this for years
check them out.
i'm on my third model
mod this up, imho.
and how is this different from the value of a specific green piece of paper we all agree has Value.
but is basically just fancy paper?
paper a bunch of people this is valuable.
that said, i hate buying pokemon cards for my son. he gets so excited about them and thinks they are so valuable because this one is a Mega or this one is an Ultra. Its just ink saying that. how does that provide value.
same can be said though for baseball cards, stamps, ART!, really so much in our economy.....
not the SCSI...i can't bear to throw away those cables....god what a pain in the ass they were....
that should have said "lab coat" not "lab connect"....sorry
this reminds me of a story
years ago i was working at a very large, very prestigious hospital in boston. at the time they had no guest wifi. i needed a network connection so i set my laptop on a the nurses workstation and handed her one end of a long network cable and asked her to unplug the printer and plug in my wire. which she promptly did.
i was not in a lab connect, i was in a suit. i didn't know this nurse and she had no idea who i was. she simply removed one cable and plugged in mine.
needless to say, i was stunned.
13 marathons in 5 years, 2 of which were 50 milers, 3 sub 3:00 hours, 5 bostons, 7 bqs, so some running experience...
but thru it all, still a slashdot reader and a nerd....
try Intelligent Medical Objects, IMO
i don't work for them, just know about them.
they do exactly this.
i disagree with the statement "people tend to not value things that they don't think costs them anything".
i went to school basically free. i had to pay 10% of instate costs at a big 10 school.
we grew up poor and it was really the only way i was going without monster loans.
i can tell you i sure valued that education.
i consider the consequences, they are a nice life based on my degree and education.
HIPAA doesn't cover this at all. have you ever read that legislation? as an employee, you agree to allow your employer to see that data.
its not a GPS. it measures ups and downs, steps, its an accelerator..... .
how is this News?
many other healthcare systems are built on mumps, not just VA and EPIC. Notably Meditech is also mumps based, having rolled out of MGH the founders of MT took mumps with them. Judy Faulkner (from epic) then rolled it from MT created epic and drug around mumps with her. IDX (now GE) is also heavily into mumps. its everywhere. here she is talking about using mumps http://www.modernhealthcare.com/article/20150314/MAGAZINE/303149952
the new bread of healthcare apps have pretty much moved away from it.
i own my own domain and its a normal name (e.g. fredjohnson.com or such)
so i get tons of email randomname@fredjohnson.com
recently though i have been receiving legal correspondence from a firm in texas (i'm in mass). its happened a number of times
they send case related info
i keep telling them to stop
they keep sending it.
dipshits.
i know who not to hire as an attorney if i ever need one in texas (god forbid)
when does this chart end?
i'm literally going to the gym in like 3 mins to run 10 miles at a 9.0mph.
i have this ? about stress tests generally
to get it down in 3 minute increments they are going to have to max that machine.
to langelgjm's point, my nest connects to my furnace with 2 wires. one is red, the other is white. if you connect the wires, the furnace turns on. if you disconnect them, it turns off. this is not rocket science people.
i agree with all of your points.
connecting your EHR to your lab system, to your HIE, to your practice systems, etc is a mess. HL7 stinks. So things do indeed get missed.
of course, with deliberate, thoughtful deployments, these are solvable problems. it takes time and patience.
and don't get me started on end users. :-) but i do believe they are trying, they are busy, and they didn't go to medical school to deal with systems, but to help people.
Obamacare or ACA did not mandate the use of EHR. This was in legislation long before ACA, it was part of the American Recovery and Reinvestment Act (ARRA). It was specifically called Meaningful Use. it mandates a series of electronic use requirements over three phases with initially payments for use and later penalties by CMS. The vast majority of MU certified vendors were producing EHRs long before ARRA and have reasonable security in place. Clearly though some vendors, and hospitals need some shoring up though.
i have filled a few of the earlier generation garmin watches
the latest i haven't had an issue with by the previous two eventually filled up
first off, the protections for debit cards are much weaker than for a credit card. see http://www.bbb.org/blog/2013/11/do-debit-cards-and-credit-cards-hav-the-same-protection/
second, as someone below points out, with a debit card you have to maintain a constant float. not with a CC.
the CC is simple. charge everything. pay it off at end of month. very, very simple.
debit cards are a poor idea.
There are a number of running training schedules and approaches that use fairly exact HR thresholds for various runs. The more serious you are with your training, the more likely these gadgets help. for example, one popular use is as a better gauge of recovery between intervals. instead of the old, walk half the distance or walk the same amt of time, using a HR monitor can tell you when recovered more accurately.
here is a nice article from pete pfitzinger (famous as 2 time US marathon olympian and author of eternally popular Advanced Marathoning - and thus someone with more credentials than itzly ) http://www.runnersworld.com/race-training/heart-matter
i for one love my garmin. the combination of GPS, timer/watch and HR monitor is great.
for everyone knocking these devices, i would love to see your event placings. be it running, biking, whatever you do. how did you do in your last race? i'll put my number against yours anyday.