Voice First Health

Teri Fisher, MD

Voice-first technology is becoming the operating system of healthcare, and it is poised to completely disrupt the way we experience everything in health and medicine. We are entering the era of ambient computing – smart speakers around us that are ready to carry out our commands through the most natural interfaces known to us – our voices. In this podcast, we discuss the latest news, projects, research, and breakthroughs about the rapidly expanding intersection of Healthcare and VoiceFirst technologies. We cover Amazon Echo and Alexa devices, Google Assistant, Microsoft Cortana, Apple Siri, and other smart speakers, in addition to voice recognition, natural language understanding, artificial intelligence (AI), and everything that works (and doesn’t work) to help you better understand where our healthcare system is headed.

  • 29 minutes 58 seconds
    Saykara in the Office with Dr. Gabe Charbonneau

    In this episode, Teri welcomes Dr. Gabriel Charbonneau, a family physician (Family medicine specialist) in Stevensville, MT.


    Dr. Charbonneau comes on to share his experience in using voice technology at his practice and specifically the voice assistant called Saykara. SayKara’s goal is to free physicians from the mountains of paperwork that await them at the end of each day. They use their own speech recognition model and AI, to tackle the issue of clinicians being in a room and having to chart their notes on a computer while they are interacting with their patient.


    That AI-powered healthcare virtual assistant that simplifies the documentation process is actually called Saykara or Kara. Saykara listens to the interaction between a physician/clinician and their patient, and then transcribes the audio recording into the EHR.

     

    Key Points From Dr. Charbonneau!

    • His experience using Saykara in his medical practice.
    • The huge role SayKara is playing in preventing physician fatigue and burn out.

    Background

    • He experienced burnout right out of residency and it led him into researching whether there were tools that could help take the edge off of some of the electronic charting (EHR) they were doing, which was very slow back then.
    • He experimented with Dragon Assistant although it was not elegant.
    • He was competitive with his partner at the practice when it came to building tools to make EHR easier, and that included building skills. They then came up with a way to make the process of treating patients easier using Dragon and Macro Recorder.
    • They even taught other people to use the system and also built voice commands for other physicians.
    • When he got tired of being a travelling consultant, he started a software startup and built a prototype add-on macro tool that could be used to take multiple steps in an EHR and make them into one step. The business didn’t do very well, but he still uses the tool and there are other physicians who use it too.
    • He finds the intersection of technology and medicine very interesting.
    • He was introduced to Tenor, a company that builds digital medical assistants to help clinicians provide better care, be more efficient and make better decisions, and served there as a physician advisor. That's where he developed a huge interest in AI and voice AI.
    • Tenor eventually went out business so he decided to focus more on what he could do to solve the issue of physician burnout. He started by creating a T-Shirt with the words, “Fight Burnout”, and his work was noticed by people at SayKara, which led to them working together.
    • He helped bring a SayKara pilot project to Montana and has been working with the company ever since.

    Using SayKara

    • Before using SayKara, his office work environment was very optimized because he already had the tools he was using. He didn’t think SayKara would make any difference for him, but when he started with the pilot project, he was amazed by just how much more it streamlined things at his practice.
    • SayKara is a mobile iOS app he uses on his phone and it always has his patient list for the day on there.
    • He selects the patient he wants to see before going in to see them, and then walks in and requests the patient for permission to use the AI assistant in recording their conversation. So far, no patient has objected to it.
    • He then turns it into listening mode which enables the assistant to listen to the conversation. It captures all the audio, but one still has to give it occasional commands to get it to do things. The wake word is “Hey Kara” or “Okay Kara”
    • The technology is evolving towards a fully autonomous solution that will listen to whole conversations and work on everything without any human editing to produce accurate transcripts.
    • He basically uses SayKara like an Alexa in the exam room because he talks to it with voice commands and he doesn’t have to speak any punctuation because it’s very natural and intuitive.
    • He’s very excited that he is helping make SayKara better with the feedback he provides from using the solution.
    • He realized that previously, with Dragon, it took a lot of mental effort to proof read things, but SayKara has some editing and quality control that it does in the background to make sure whatever someone says comes out right.

    Quality Control

    • SayKara has people who proofread the transcripts that the AI generates and they send the transcript over to Dr. Gabe to sign off on them.
    • SayKara is incredibly accurate so he doesn’t have to spend much time reviewing the transcripts.
    • Initially, SayKara’s turnaround time was not so good because it would take up to 24 hours to get a transcript, but the turnaround is now around 10 to 20 minutes.

    The Impact

    • The COVID-19 pandemic has affected his practice (Rural primary care) since it’s operates within a fee for service business model. Therefore, diverting people away from the clinic due to the pandemic negatively affected his bottom line.
    • He has been doing more telemedicine to cope with the changes.
    • He recently had a 20 patient day and was done on the notes by 5.30pm, with an hour off for lunch time in between, and all that was made possible by SayKara.
    • The technology plays a huge role in preventing physician fatigue and burn out.
    • Unlike the EHR, physicians don’t have to keep using SayKara if they don’t like it.

    Links and Resources in this Episode


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    3 August 2020, 7:00 am
  • 27 minutes 41 seconds
    Siri for Hand Washing with Eric Sauve of Speebly

    In this episode, Teri welcomes Eric Sauvé, the Chief of Product and User Experience at Speebly.


    Eric has been a serial entrepreneur for years and has started and built numerous startups, some of which were acquired by larger companies. He developed an interest in voice technology somewhere along the journey and ended up co-founding Speebly, a voice assistant program that can be used across multiple platforms.

     

    Key Points From Eric!

    • How they are using voice technology (Siri) and the Apple Watch to help with handwashing during the current Covid-19 pandemic.

    Focusing on Siri

    • Their initial inspiration was using Siri. The fact that Siri gives users a bunch of web results when she can’t answer a question gave him the idea of creating a seamless hand-off from Siri to the different web properties.
    • That would mean that a user could continue searching using their voice.
    • They have also worked with Google Assistant and Amazon Alexa, but their focus on Siri was informed by the fact that Siri has way more users.

    Inspiration Behind Speebly

    • Their inspiration is based on the fact that when people are doing anything, they will either want to type or use their voice, and voice is, of course, the best option especially where there is a lot of text input.
    • Siri is a closed ecosystem compared to Alexa and Google on the speaker side of things, but it has a ton of users and an app environment of third-party developers. This is why they focus more on Siri.
    • Their main aim is to make it so that anyone who has an app can take advantage of voice search to drive traffic to their app or so that there can be a seamless handoff where a user asks Siri a question and they can keep talking to the app on their phone.
    • They released a software development toolkit (SDK) that app developers can put in their iPhone or Android projects to serve as the talking interface of their app.
    • The toolkit is also available for Apple watch OS and people can use it without their phones.

    Helping With the Pandemic

    • They have been aiming at helping people understand that they could use voice in the context of smartphones and the Apple watch.
    • They’ve been working on an in-house app called Handwash Circles to encourage people to not only wash their hands but wash them long enough.
    • It’s a touch-less voice first hand wash timer. A user can say, “Hey Siri, start handwash” and the app will start a countdown timer for the appropriate amount of seconds that one is supposed to wash their hands.
    • They plan on implementing accelerometer and gyroscope features where the app can determine if someone has done a good job washing their hands.
    • The community feature of the app enables circles of people, for example, a person’s workplace to access data on their handwashing activities.
    • Studies have shown that there is an improvement in the quality of hand washing where people have devices on them to monitor their hand washing. They ensure people’s data privacy in different ways.
    • They are currently in the process of onboarding their first 10 organizations that are interested in implementing the use of the app at their workplaces.
    • People can also sign up to be beta testers.

    Links and Resources in this Episode


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    7 July 2020, 7:00 am
  • 26 minutes 4 seconds
    Voice in the Operating Room with Heather Utzig of Pragmatic Voice

    In this episode, Teri welcomes Heather Utzig, the Co-Founder and CEO at Pragmatic Voice, a tech innovation company that combines big data, analytics, tech & creativity to drive businesses.


    Heather has an extensive background in healthcare having worked for companies like Johnson & Johnson and Eli Lilly & Co with her efforts focused on the rapid growth of their sales and sales teams. She was responsible for managing over 130 field sales and sales managers in the area of Brain Health and Sleep efficacy. Her team won the most awards for sales success. She was awarded the Summit Award for outstanding leadership. She has also been a successful entrepreneur and has helped a lot of people launch businesses in catering, construction, healthcare, etc. She has owned and sold successful businesses, and worked with several technological platforms and implementation projects with companies over the past 10 years.

     

    Key Points From Heather!

    • The voice applications they have been developing at Pragmatic Voice, specifically the ones geared towards helping surgeons keep track of instruments in the operating room and so much more.

    Her Introduction Into Voice

    • She was developing a technology with one of her companies and she had requested voice to be developed for it because it was around medical instrumentation in general (they worked with medical instrument service providers and were looking at how to prevent infections through the touching of the instruments so voice would ensure that a lot of the processes were hands-free and mobile).
    • In the process of having that voice application developed, she met her co-founder and learned a lot about voice from him.

    What They’re Doing In The Healthcare Space

    • From her healthcare background, she has always considered how voice can be applied to solve the problems in healthcare.
    • The fact that there is a lot of human connection in healthcare, especially when it comes to doctor-patient interactions, makes voice very crucial in ensuring that there’s more effectiveness in the delivery of healthcare.
    • Pragmatic works with healthcare companies, facilities, and even physicians to help them place their applications into voice, and advice them on how that is related to HIPAA (privacy) and other areas. They have developed several voice applications in relation to that.
    • One of those applications is Instrument Voice which works inside a hospital, surgery center, or doctor’s office where there is instrumentation that needs to either be repaired, maintained, sterilized, or logged.
    • Anyone working with the instruments within a healthcare setting can look at an instrument’s history, ask questions, pull out manuals, see videos, and even request repairs through the voice app. Pragmatic is streamlining that whole process to make it easier for the healthcare providers.
    • They also have Instrument Wiki, an application that enables doctors, hospitals, and manufacturers to collaborate on information to help each other out in working with their instruments and assets in the hospital.
    • The applications are built on Amazon Alexa and Google Assistant, with their own proprietary open-source database technology.
    • Most hospitals have had a problem in unifying their biomed and sterilization departments, and Pragmatic’s applications, because of their ease of use, can help in bringing a couple of departments in the hospitals together to work in an easier way. 

    Their Presence

    • They have been working with some hospitals in New York and they are working on refining several things with plans to go to full scale market in the next month.

    Links and Resources in this Episode


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    16 June 2020, 10:00 am
  • 25 minutes 18 seconds
    Voice User Interface Design for Healthcare with Ilana Meir

    In this episode, Teri welcomes Ilana Meir, a voice designer and mentor in the voice technology space. 


    Ilana is a conversational interface designer and is one of the leading experts in Voice User Interface (VUI) design specifically at the intersection of voice technology and health. Using her immense knowledge and experience, she thinks critically about the future of voice design in ways only few industry experts do, and she encourages her students to do the same. Ilana was a chapter contributor to the recently released book, Voice Technology in Healthcare.

     

    Key Points From Ilana!

    • Her expertise in Voice User Interface (VUI) design and some of the tips she can share.
    • How to design a great voice experience.

    Getting Into Voice Design

    • She came into the field of voice design from a prior background in the fields of anthropology, psychology and marketing.
    • During her period in marketing she wanted so badly to make the transition into product design but she found herself falling into voice design which blended perfectly with her background in strategic communications, her creative thinking and her vocal ability in singing.
    • Ilana thinks the landscape of voice design is gradually shifting in relation to how it used to be historically.
    • Voice design is now attracting a variety of people from different fields such as interaction design.

    Importance of Voice User Interface Design

    • She considers design as the last mile logistics, and in regards to that, she feels that it helps in organization and ensuring everything is in perfect condition for patients.

    The Voice Design Framework

    • Her thoughts on the first step into getting into voice design is doing the correct research and having the perfect understanding of the stakeholder’s side and patients side.
    • In terms of the stakeholder’s side, thinking about their customer base, knowing how they are trying to forge relationships with their patients, the legal considerations, understanding the kind of technology available and understanding the downstream effects that might come along the way are key.
    • On the patients side you need to understand how they are receiving this interaction so you can package it perfectly, think about the patient’s day to day interaction so you can know who’s affected.
    • When it comes to voice design in healthcare, one has to think about it as a strategic communication. With every strategic initiative, a lot of efforts and meetings are put into them, and so the same should be applied when designing a voice experience.

    Best Practices in Designing for the Patient

    • She advocates for the creation of a culture of participatory medicine which is achieved by creating a dynamic set up where patients and doctors are equal partners in healthcare delivery.
    • How a computer system will communicate with patients is the second consideration, and the focus should be on questions and other things.
    • When it comes to building rapport with patients, one of the main goals should be to mitigate the presumptions a patient might have regarding the healthcare system.
    • A conversational system should be designed to keep interactions with patients brief, precise, and informative.

    Links and Resources in this Episode


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    2 June 2020, 1:00 pm
  • 22 minutes 47 seconds
    Alexa Healthcare Skills with Dr. Bob Kolock

    In this episode, Teri welcomes Dr. Bob Kolock, a retired physician, executive, and active Amazon Alexa skills developer.


    Dr. Bob Kolock has over 35 years of experience in healthcare delivery. Since retirement, he has had the opportunity to spend more time on things that really interest him. That led him to begin learning JavaScript and the Amazon Alexa development process. To date, he has 5 Alexa Skills certified by Amazon. He is currently working on 2 more and one of the two is very much aligned with his healthcare career. It’s focused on improving the transition of care of patients who have undergone a medical procedure. He will be looking for partners to make this Alexa Skill a routine way to deliver post-procedure care instructions in health care delivery systems.

    Key Points from Dr. Kolock!

    • Becoming an extremely prolific Alexa skills developer after retirement from the healthcare space.
    • The healthcare oriented suite of skills that he’s developing.

    Getting in Voice Technology

    • He retired 6 years ago and he had had an idea to build a smartphone tool to help manage foods in the pantry or refrigerator so someone could identify them before they got spoiled. He therefore started learning iOS, Android, JavaScript, and how to create an Alexa skill.
    • His first skill was Food Manager and he initially thought that a bar code scan would give the necessary information in as far as expiration dates were concerned, but they didn’t, so he had to find another way to import the information.

    His Skills So Far

    • He has created a variety of 18 Alexa skills, 3 of which are revised, and a number of them have to do with healthcare and behavior change. They also relate to the website that he built to function with his database.
    • One of his most popular skills is called Our Little Secret, and the concept behind it is that a brother or sister gives the user secrets based on what they hear around the user’s house. This plays on the privacy concern but the secrets are fictitious and are meant to be funny.
    • Another one is Wine Jester where the idea is to hold a glass of wine to the smart speaker and it will say what the taste, fragrance, and components of the wine are.

    Healthcare Skills

    • One of his first healthcare skills was Blood Pressure Check, and it’s based on the American Heart Association guidelines. The user tells the skill what their blood pressure reading is and the skill gives them feedback as to where that blood pressure might fall.
    • Another one is My Weigh Loss Coach that helps users track their weight loss goals, and gives them positive or negative feedback based on their results.
    • On his website, one can set up text messages to themselves to help with behavior change, and hence he has a skill called Healthy Text Scheduler that sends users scheduled healthy eating texts.
    • The other one is Track My Dose, which helps people manage the medication they’re supposed to take on an as-needed basis.
    • He also has Kindness Counts, a skill that was inspired by all the negativity that’s been in the world. It helps people focus on the good things that are happening around us.
    • He also has two other skills that are geared towards helping physicians become more efficient so they can deliver care to more patients, and also help patients with their follow up care after a medical procedure.

    Links and Resources in this Episode


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    12 May 2020, 1:00 pm
  • 25 minutes 27 seconds
    Conversational AI with Israel Krush of Hyro.ai

    In this episode, Teri welcomes Israel Krush, the CEO and Co-Founder at Hyro, a voice platform that allows enterprises to easily add voice capabilities to their websites and mobile apps.


    Israel is based in Israel, and is a former elite intelligence officer in the Israeli Defense Forces. He studied Computer Science and Statistics, has a background in machine learning. He previously worked as a software engineer for Intel and various startup companies. His company Hyro allows customers to have two-way conversations to simplify their access to relevant information. Starting with healthcare, the software enables organizations to better engage with their existing customers and reduce the cost of customer support.


    Key Points from Israel!

    • What they’re doing in the voice technology and conversational AI space taking data from various places and serving it up via their AI technology for people to incorporate into their websites, businesses, and other entities.
    • The interesting work they’re doing to help with the COVID-19 pandemic.

    What Hyro Does

    • It’s a plug and play conversational AI platform for healthcare providers.
    • The company is focused on both voice and text as long as it’s natural language.
    • They target enterprises and organizations that have massive amounts of data that is hard to navigate.
    • The most important aspect of their solution is the plug and play.
    • While researching the voice assistant and chatbot market, they learned that a lot of the existing solutions are based on a creation platform.
    • Hyro gives their users a creation platform where they can define their intents and build their workflows or conversational flows. They discovered that there was a lot of friction in the deployment and maintenance of their platform for users, so they decided to look for a plug and play approach.  
    • One of the main valuable use cases of their solution for healthcare providers has been helping patients find a physician when they need one. They find a physician based on various attributes of the physician.
    • Another use case is in helping patients find the services that a healthcare provider offers.
    • The patients and other users can interact through various modes and devices. Most traffic comes from mobile devices through typing (texting).

    Helping Battle COVID-19

    • When the pandemic started, they gathered in conference rooms in all their locations to discuss how they could help with the situation because they knew that patients would have multiple questions regarding the Coronavirus.
    • Based on their technology, they scrapped the certified resources that have answers for questions around COVID-19. They specifically scrapped the WHO and CDC websites, and then constructed a knowledge graph about the virus and released a free chatbot that is also addressing issues around the virus. The chatbot answers frequently asked questions about the virus and gives people a risk assessment based on a short dialogue with a user about their age, where they’re based, whether they’ve interacted with a COVID-19 patient, and other things.

    Feedback From Users

    • Hyro doesn’t offer a one-fits-all solution. Every healthcare provider has their own unique needs, data sources, and how they handle their patients.
    • With the COVID-19 solution, some healthcare providers have provided additional resources about the virus like their own FAQ webpages.
    • Healthcare providers saw a need for a conversational solution to help patients in getting relevant information. They therefore felt Hyro’s solutions made sense.

    The Rise of Telemedicine

    • People are adopting telemedicine more and more because it has become clear that the old way of healthcare is gone and patients are more willing to use telemedicine.
    • They see the same adoption in the conversational aspect of their solution. Patients are constantly asking how they can schedule a virtual appointment.

    Links and Resources in this Episode


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    28 April 2020, 7:00 am
  • 23 minutes 33 seconds
    Voice and Wearables with Dave Kemp of Future Ear

    In this episode, Teri welcomes Dave Kemp, a thought leader in the intersection between voice first technology and hearables.


    Dave is part of a company called Oak Tree Products and they provide medical supplies and devices to the hearing technology industry. He also has a blog called FuturEar.co where he documents the rapid technological breakthroughs that are occurring in the hearables niche, including biometric sensors and voice assistants that are being incorporated into the hearable devices.


    Key Points from Dave!

    • How he became an expert in hearables and voice technology.
    • The content that he wrote in a chapter of the book, Voice Technology in Healthcare.
    • Concrete examples of case scenarios where voice technology can be used to make a difference in people’s lives.

    Voice Technology and Hearables: The Origin Story

    • The first time he was introduced to voice technology was at one of the first Alexa Conference events. He had gone there because he was researching what would happen with hearables due to that fact that hearing aids were becoming Bluetooth enabled.
    • In 2015/2016, all the hearing aids that were coming to market were Bluetooth enabled and so he started thinking about the app economy and what else could be done technology wise in the hearing aid arena.
    • The person who got him interested in voice technology was Brian Roemmelle when he came across his content on Twitter and read it.
    • Brian talked about voice technology as something that would simplify everything back to the basics such that a four-year-old could communicate with the technology just as a 95-year-old could. That’s what gave Dave the aha moment, and he started to see the potential of smart speakers.
    • He realized that if smart speakers continued to proliferate and people continued to increasingly depend on them for more and more things, then people would probably want that type of functionality on their person. He saw the Bluetooth enabled hearing aids as a potential tech to fulfill that.

    Voice Technology in Healthcare Book

    • Dave wrote a chapter in the book about hearables and how they're becoming enabled. He started by talking about the technical side of it and progressively wrote about how they would impact the end users.
    • There’s been the development of consumer grade devices that have the type of technology that legitimizes them as medical grade wearables and hearables. An example is the Apple Watch. The Apple Watch series 4 even has an ECG monitor.
    • There will be a number of applications and environments where that technology will be applied but Dave is more focused on how the everyday person could build a longitudinal health data set (this refers to how someone can collect data about their health a few times a year through a wearable)
    • He talked a lot about how the devices work through PPG sensors, which are the optical based sensors that are increasingly being placed into different wearable devices, for example, on the underside of an Apple watch.
    • The sensors don’t really capture new things and the machine learning algorithms that are layered on top of them are the ones that create new insights by detecting patterns. Dave talked all about that in the chapter from a data collection standpoint.
    • He also wrote about how voice technology could be layered on top of that. He dived into how that would be impactful to end users, caregivers, and all different types of stakeholders.

    Links and Resources in this Episode


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    14 April 2020, 7:00 am
  • 1 hour 6 minutes
    Healthcare in a Post-Pandemic World with Brian Roemmele

    In this episode, Teri shares a recording of his recent webinar where Brian Roemmele spoke about some of his ideas and visions for what our world is going to look like using voice technology after the current Coronavirus pandemic.


    Brian is the man that actually came up with the term “Voice First” and he’s often referred to as the Oracle of Voice and the Modern Day Thomas Edison. He is a scientist, researcher, analyst, connector, thinker, and doer. Over the long winding arc of his career, Brian has built and run payments and tech businesses, worked in media, including the promotion of top musicians, and explored a variety of other subjects along the way.


    He actively shares his findings and observations across fora like Forbes, Huffington Post, Newsweek, Slate, Business Insider, Daily Mail, Inc, Gizmodo, Medium, Quora (An exclusive Quora top writer for: 2017, 2016, 2015, 2014, and 2013), Twitter (quoted and published), Around the Coin (earliest cryptocurrency podcast), Breaking Banks Radio and This Week In Voice on VoiceFirst.FM that surfaces everything from Bitcoin to Voice Commerce.

    Key Points from Brian!

    • Where he sees voice making the biggest impact in times like these with the Coronavirus pandemic.
    • How voice technology will change healthcare and life in general as we know it for the better.

    Brian’s Predictions On The Future Impact Of Voice

    • We are going to see a redesign of public interaction surfaces (like over the air hand gestures) and more things interacting with voice.
    • Our devices will also become an interface actuated by voice or touch to open doors, choose locations and elevators, open car doors, and a number of similar things, because people will be galvanized with the thought that there could be some dangerous virus years after the Coronavirus.
    • He recently studied a lot of information about the 1918 pandemic and he was able to dive into the mindset of what happened after the pandemic to determine what changed in society. He was able to come up with some of the similarities between that pandemic and the current pandemic, and determine just how society today will change after the Coronavirus pandemic is over.
    • One of the discoveries that were made after the 1918 pandemic was that copper surfaces had an immediate response in devitalizing or deactivating viruses.
    • Certain minerals and metals also devitalize viruses and bacteria through something called Contact Kill which has been widely known for hundreds of years. People in Sumerian times were actually using silver and copper utensils, which some people saw as a sign of wealth, when in reality the utensils actually killed viruses and bacteria, and made their food more presentable.
    • Brian feels that hospital surfaces and beds should have a copper alloy coding to safeguard against viruses and other pathogens.
    • He thinks that there will need to be a way to diagnose people through voice, and how he sees that happening is through different bio-sensors that will be put on a person when they walk into a hospital and start diagnosing them before a medical attendant gets to see them.
    • He insists that that those biosensor devices must not be on the internet in any way so that they’re never compromised. Those devices will be tuned to a user’s personality, outlook, goals, motivations, and they will notice changes in someone’s sleep patterns, and other things that serve as an early warning system.
    • Brian has looked at several studies on Coronaviruses and realized that there are several early warning systems like sleep pattern disturbances, digestive pattern disturbances, change in temperature, change in heart rate variability, change in blink rate, and other things.
    • There are a number of signs of any virus within a human body, and one of those things is a change in someone’s temperature gradient. If one has a voice first device on them, it can be notified of their change in temperature and take the necessary action.

    The Catalyst to Overhaul Medicine

    • The Coronavirus pandemic will be the catalyst to overhaul medicine and Brian highlights the fact that times of crisis are the only times in history that anything changes.
    • He predicts the hospital room and points of contact will change because of the amount of attention we have put on the Coronavirus.
    • He highlights the importance of self-sufficiency within countries in order to ensure that people don’t find themselves in the same kind of trouble they’re in right now with the Coronavirus pandemic, and he feels voice first technology will be a great start towards that.

    Monitoring People’s Vital Signs to Predict Pandemics

    • Brian says with proper human telemetry, a physician can figure out the health of a person.
    • There are other signs people can use to determine if someone has a virus or whether they are ill.
    • He actually has a voice first AI with cameras that can determine that someone presents like they’re sick.
    • He highlights the fact that if people’s health could be monitored electronically, then we would have an early warning sign of an oncoming pandemic. 
    • People are not very good observers of their own health conditions and even with the current healthcare systems no one is ever really sure whether a diagnosis is exact, but with a system of telemetry, we can have accurate diagnosis.
    • It all boils down to being able to collect tons of data that is voice first. A great scenario would be someone asking their voice first device how they are doing, and the device would tell them exactly what their health is like.

    The Roaring 20s That Will Come Out Of The Current Pandemic

    • Society will be re-organized and there’s going to be more telecommuting.
    • Companies will not need to have a lot of their employees going back to their work stations because they will see a need for them to work from their homes as long as they can do their work. Technology is going to inform that.
    • With properly designed voice devices for the corporate environment, work mates will be able to easily communicate with each other from their different locations.
    • Brian walked into one of his companies in the early 2000s, asked most of the employees to go work from home, and productivity exploded as a result.
    • Before the 1918/1919 pandemic, the average person was not interested in the telephone and the radio, but after the pandemic, they were very interested in both technologies because they were technologies that connected people through strong and meaningful communication.
    • He predicts that as a result of the Coronavirus pandemic there will be a release of productivity, creativity, and socialization. He feels voice technology will lead the way in that.

    Links and Resources in this Episode


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    31 March 2020, 7:00 am
  • 5 minutes 38 seconds
    COVID-19 (Coronavirus) Pandemic Update
    Can Voice First Technology Help with Pandemics?

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    23 March 2020, 7:00 am
  • 27 minutes 23 seconds
    Aging in Place with Dr. Randall Williams of WellSaid

    In this episode, Teri welcomes Dr. Randall Williams, the Co-Founder of WellSaid, to talk about the work they are doing to help people age in place with a skill called “My Day”


    Dr. Williams is a serial digital health technology entrepreneur, physician, founder and CEO. He supports C-suite executives, investors, and boards seeking to refine and implement scalable and engaging healthcare products and go-to-market strategies. He is also a trusted adviser who brings a unique breadth of healthcare market experience and understanding, ranging from reimbursement policy, market strategy, technology development, and executive development. 


    WellSaid connects seniors to Alexa for their healthy independence and so that their loved ones can have peace of mind. Through their MyDay skill, they support healthier behaviors, connects seniors to loved ones and bridges the digital divide for a fuller and happier life.


    Key Points from Dr. Williams!

    • The aging in place Alexa skills that he is producing to apply voice technology to the challenges of staying healthy, active, and independent as one gets older.
    • The role patients should be taking as the users of the healthcare system versus how much of the responsibility is on the administrators and healthcare providers.

    Background

    • He trained as a cardiologist (Heart failure and transplant specialist).
    • Being in healthcare, he saw some of the failings of the healthcare system and how people with chronic diseases really fell through the cracks and lacked the systems and support they needed to stay healthy and out of the hospital.
    • They built a program that provided resources in both a hospital setting and home setting to help people and also stay on top of where the patients were having challenges.
    • They got into voice technology and created an app (interactive voice response) that allowed heart failure patients to report in every morning on how they were feeling and how they were doing.
    • That enabled them to prevent 50% to 60% of hospitalizations in that group of people. That led to an opportunity to look into other chronic diseases and see if the model could apply elsewhere.
    • Between 2000 and 2004 they got the opportunity to commercialize their technology and form their first startup.
    • At some point he had to give up his clinical practice to focus on voice technology.

    How WellSaid Came About

    • As they were growing their initial company (Pharos Innovations), they started to hear about and see voice assistant technologies starting to emerge.
    • They saw an opportunity in incorporating the voice technology into their platform as another interface.
    • They had a challenge with the fact that smart speakers at the time were not set up for HIPAA Compliance. They also had a disadvantage in the fact that they were often at an arm’s length from the users of their technology.
    • They therefore made the decision to venture into the “Aging in Place” industry and started another company from Pharos. And that’s how WellSaid was created.
    • Their goal was to use voice technology with the older adult population to help them stay healthy, active, and independent.
    • They created a prototype and tested it out with 50 seniors which taught them a lot that helped them improve on the technology.

    All About MyDay

    • It promotes healthy and independent aging.
    • It links seniors with their family, friends and caregivers through daily interactions.
    • Seniors use a smart speaker to go through a daily program that looks at and assesses seven different dimensions of well-being that are known to create challenges to their independence like cognitive decline, nutrition status, mobility, and others.
    • Within the program, a senior can learn each day more about those areas, get coaching, or go through exercises or other interventions to help strengthen different areas of their well-being.
    • As a result of all that information, the seniors and their loved ones can understand where there may be risks and vulnerabilities, and where they may need additional support.
    • The back-end of the product is a companion app that allows family members to pair with a senior. The senior gives permission for their data to be shared with others so their loved ones can track how they’re doing.

    Better Every Day Flash Briefing

    • It focuses on seniors and has the goal of helping inform, educate, equip and inspire them to stay on top of active healthy aging.

    Administration of Healthcare Vs Proactivity in Personal Care

    • While the healthcare system is great at taking care of patients when they are in healthcare facilities, they do a poor job of helping equip people to stay healthy outside of the healthcare facilities.
    • Dr. Williams and his team aim at supporting consumers who bear the problem of not staying independent.
    • Voice in healthcare technologies are already emerging as HIPAA compliant and many people are taking advantage of that.

    The Uniqueness of WellSaid/MyDay

    • Their technology leverages their expertise around the aging population from an ethnographic understanding where they have interacted with hundreds of thousands of seniors. Over 10,000 seniors have so far interacted with WellSaid/MyDay.
    • They are learning very rapidly by leveraging existing technology platforms to bring the competencies of implementation as well as the competencies of implementation, content development, and aging expertise.
    • Other companies in the same space have just chosen to just create devices or their own unique versions of smart speaker software.
    • They also have some continuous learning and optimization advantages with their platform.

    Links and Resources in this Episode


    Hosted on Acast. See acast.com/privacy for more information.

    17 March 2020, 7:00 am
  • 25 minutes 36 seconds
    Voice Technology in Healthcare Book Launch

    In this episode, Teri will give us a preview of the Voice Technology in Healthcare book that he co-wrote with David Metcalf (PhD), Sandhya Pruthi (MD), and Harry Pappas.

     

    Teri has made a compilation of a number of different people who contributed to the book which will be officially launched at HIMSS (Healthcare Information and Management Systems Society), a major medical information conference which will take place in Orlando, Florida on March 10th 2020. The book brings together the expertise of 32 thought leaders in different areas at the intersection of voice technology and healthcare.


    Key Points!

    • The Voice Technology in Healthcare book and how it can be useful to all of us.
    • How the book covers a cross section of the voice technology industry; where the industry is at today, a history of it, what is available right now, and its future.

    The Voice Technology in Healthcare book

    • It’s divided into four main sections. Section one is made up of four different chapters and they serve as an introduction to voice technology. They cover some of the key concepts of voice technology in healthcare. The chapters include:

    Chapter 1

    • This was written by Teri and includes an overview of why voice is such an important concept when it comes to healthcare and technology. Teri shares why he feels voice will transform healthcare and become the next operating system (Voice Operating System).

    Chapter 2

    • It was written by Ilana Meir who has spoken at different voice events. She is the world’s most foremost expert on Voice User Interface design (VUI), and how it applies to healthcare. This will help in the design of voice applications because VUI is critical.

    Chapter 3

    • It was written by Audrey Arbeeny, the founder and CEO of Audiobrain. The chapter is titled, “The Science Behind Sonic Branding: How Audio Can Create Better Patient, Caregiver, and Healthcare Provider Outcomes.” She discussed her 25 years’ experience working in healthcare, how the brain processes music and sound, and why sound is the perfect tool for communicating, helping to heal, and promoting wellness. She discusses some of the projects her company has worked on, the history of the voice industry, and where it’s headed in the future.

    Chapter 4

    • It was written by Nathan Treloar from Orbita and it’s titled, “Secure Voice”.

    Section 2

    • This one has seven chapters which look at voice technology and the patient experience. The authors of these chapters are mostly people who have had experience with creating voice applications and how they impact patients. The chapters include:

    Chapter 5

    • It’s titled, “Automated Virtual Caregiving Using Voice First Services: Proactive, Personalized, Holistic, 24/7, and Affordable” It was written by Stuart Patterson from Lifepod.


    Chapter 6

    • This is about voice and wearables and was written by Dave Kemp.

    Chapter 7

    • This was written by Rupal Patel and it’s about synthetic voices for healthcare applications. Rupal has been doing some amazing work looking at how people can create voices for brands, but also for the medical field where a voice can be created for someone who is losing their voice.

    Chapter 8 & 9

    • These include edited versions of podcast interviews that took place in Voice First Health Podcast. Teri wanted to incorporate the interviews in the book to bring a real personal aspect to the narratives that readers will be reading in the book.
    • Chapter 8 is titled, “Voice First Health Interview: An Diabetes Care Plan” This was with Anne Weiler who actually won an award for her diabetes Alexa skill.
    • Chapter 9 is titled, “Voice First Health Interview: Alexa Skills for Pediatrics” This interview was with Devin Nadar speaking about some of her experiences with creating skills specifically for kids.

    Chapter 10

    • This one was written by Robin Christopherson, and it’s called “The Rapid Rise of Voice Technology and its Awesome Power to Empower” It’s all about accessibility and he wrote about how the Echo and voice first technology more broadly represents a fantastic opportunity for people with people with disabilities.

    Chapter 11

    • It’s titled, “An Overview of Voice Technology and Healthcare” and it’s by a team of authors from Macadamian Technologies.

    Section 3

    • It’s titled, “Voice Technology and the Provider Experience” and it’s all about what the healthcare provider is experiencing with voice technology.

    Chapter 12

    • It’s titled, “Mayo Clinic: Patient Centered, Innovation Driven” and it’s written by a team at the Mayo Clinic, including Dr. Sandhya Pruthi who is one of the cover authors of the book.

    Chapter 13

    • This is another Voice First Health interview titled, “Voice Technology for Behavioral Changes” where Teri talked to Dr. Matthew Cybulsky about how we can use voice technology to really influence positive behavioral changes with the hope of positive health outcomes.

    Chapter 14

    • It’s called “The Laws of Voice” and is written by two lawyers, Heather Deixler and Bianca Phillips.

    Chapter 15

    • This one is based on a Voice First Health Podcast interview, and is called “Medical Documentation in the Voice First Era” It features Dr. Harjinder Sandhu from Saykara and he talks about medical documentation through voice.

    Chapter 16

    • It’s written by Yaa Kumah-Crystal and Dan Albert from Vanderbilt University and they are looking at creating a voice enabled EMR (V-EVA). They discuss the considerations for designing a voice user interface like Siri or Alexa, to help doctors ask for information from the electronic health record, and have it summarized back by the computer in words. 

    Chapter 17

    • It’s titled, “The Power of Voice in Western Medical Education” and it was written by Dr. Neel Desai and Dr. Taylor Brana. They are leaders when it comes to using voice to educate the next generation of medical students. They have an Alexa skill, MedFlashGo, that is doing just that.

    Chapter 18

    • This was written by Michelle Wan and is titled, “Voice First Health Interview: Voice Technology for Educational Simulations”

    Chapter 19

    • It was written by Ed Chung and is called, “Voice Control of Medical Hardware”. Ed talks about how voice is such a wonderful way to control medical hardware in a number of settings.

    Section 4

    • Its titled, “Voice Technology and the Future of Healthcare” and has four chapters, namely:

    Chapter 20

    • It’s titled, “Voice First Health Interview: Voice Applications with Dr. David Metcalf” and is about the fascinating things Dr. Metcalf and his team are doing that incorporate voice technology and healthcare.

    Chapter 21

    • This is titled, “Voice First Health Interview: Vocal Biomarkers and the Voice Genome Project with Jim Schwoebel” and Jim talks about some fascinating areas of vocal biomarkers and being able to diagnose diseases by listening to someone’s voice.

    Chapter 22

    • It was written by Suraj Kapa and is called, “Artificial Intelligence and Voice Analysis: Potential for Disease Identification and Monitoring” Suraj talks about how we can use voice to analyze different types of diseases and monitor diseases as well.

    Chapter 23

    • This is a roundtable discussion amongst Dr. David Metcalf, Dr. Sandhya Pruthi, and Teri. They talk about some of the themes, trends, and aha moments that they noticed in putting the book together.

    Links and Resources in this Episode


    Hosted on Acast. See acast.com/privacy for more information.

    3 March 2020, 8:00 am
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