Mitre to research mining electornic records for FAA

Diagnosis codes are about getting the doctor paid; not the health of the patient/airman.
Yes, that's their primary purpose but as health records are digitized, which is not a trivial effort even with a fresh start, there is also a lot of data to be gleaned from them regarding demographics and some pretty deep dives into connections between illnesses and things like drug interactions that could yield some interesting insights for health and where to focus research. It's also key to identifying things like Medicare fraud.
 
Yes, that's their primary purpose but as health records are digitized, which is not a trivial effort even with a fresh start, there is also a lot of data to be gleaned from them regarding demographics and some pretty deep dives into connections between illnesses and things like drug interactions that could yield some interesting insights for health and where to focus research. It's also key to identifying things like Medicare fraud.



Reminds me of back in the day, they shoved the Patriot Act down our throats like it was some red-white-and-blue comfort food ‘Don’t worry, pal, it’s just to keep the terrorists from blowing up your burger joint.’ Fast forward, and now they’re digitizing your medical records, but they can’t share those, legally, so they cross pollinating them with insurance codes like some Frankenstein’s monster of bureaucracy.

If you’re naive enough to think the government’s got your back like they’re some sweet old line cook slipping you extra fries, maybe you buy the line that it’s all for your benefit. ‘Better healthcare! Fraud protection!’ they yell, waving a spatula.


This ain’t about helping you, it’s a data-mining scam with a fancy sales pitch. The Feds don’t love you; they love your info. Look at the NSA’s little party trick PRISM. Snowden blew the lid off that in 2013, showed ‘em slurping up your phone calls, your emails, your late-night WebMD searches for that rash you won’t admit to. All to ‘stop terror,’ they said, till the docs proved they were hoarding data on every schmuck with a SIM card.

This ain’t fraud prevention; it’s a power play, and your medical history’s just another ingredient in their stew.”

I’d rather have to bing in pill boxes, or have the staff have to make a few extra calls, or even risk a adverse reaction.

Don’t let them trick you into blaming your neighbor who “lied” or so you think, point your finger squarely at the FAA and those who let them play the “it’s just a billing code, you don’t support fraud do you citizen?!” game


These days people don’t understand the dance

The gov will always push for them to have more power

The people always push to have more power

The bill of rights sets some basic game rules

Now days the people in mass have allowed the gov to just take the lead, and that ain’t leading anywhere good if you enjoy anything other than sitting quietly at home when you’re not sitting quietly at work at the mega corp

TLDR, this has NOTHING to do with “safety” or “health”
 
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Mining of pilot medical records; let’s get the 30,000 ft view of the outcome of this.

After it’s all in place and working as they hope, what will this mean to pilots and safety.

I posit that (a ___-load of) money and resources will be applied and the result will be reduced flying (pilots grounded because of it), and the likelihood of preventing injury to the public or property damage will be tiny in comparison.
The other administrative goals are pointless.
 
That is so easy. Just use the same AME for renewals. I comment: "prior office visits commented upon, on last medical 09/28/2024". Done with those.
Whoa. I didn't even know that was an option - MedXpress certainly doesn't say "no need to fill these out if your AME already knows about them"...

I'll have to ping my AME and make sure he's OK with that, but it'd certainly save a lot of time.
 
Mining of pilot medical records; let’s get the 30,000 ft view of the outcome of this.

After it’s all in place and working as they hope, what will this mean to pilots and safety.

I posit that (a ___-load of) money and resources will be applied and the result will be reduced flying (pilots grounded because of it), and the likelihood of preventing injury to the public or property damage will be tiny in comparison.
The other administrative goals are pointless.
Or, best case scenario, the FAA screws over a ton of pilots by revealing "ground-able" medical issues, the unions throw a fit, and the FAA is forced to make their medical approval process more efficient/loose.

But as we all know, nothing ever happens.
 
Mining of pilot medical records; let’s get the 30,000 ft view of the outcome of this.

After it’s all in place and working as they hope, what will this mean to pilots and safety.
If I had to take a SWAG:
* there is the usual 80/20 (or whatever) split where a minority of pilots consumes the majority of CAMI resources
* underreporting is currently incentivized
* more data means you have a better baseline of what "normal" looks like
* I could imagine a health risk rating, like the credit bureaus; low risk applicants get a green light, the rest get bowling lessons.

Pure speculation on my part; suspect you'd need to get @bbchien and @schmookeeg in a room to get the real answer.

GATTACA was an allegory for aviation medicine ;)
 
The reason you have to keep reporting (over and over and over and over) is you might be going to any AME and he won't know about those past events. And FAA has to comply with the HIPAA laws.
The capability clearly exists to share data between doctors _and_ comply with HIPAA. Millions of US patients opt to share their medical data with multiple doctors by signing HIPAA releases to allow such sharing.
 
Lots of places outside the US, paying cash for medical care is illegal.
I didn't know that. Where?
"In Canada, ... private payment (i.e., extra billing or user charges) for medically necessary hospital and physician care is currently prohibited under the Canada Health Act and through similar provincial legislation."

Seems like inside the US, too, in some circumstances...

"It is actually illegal for that provider to take private pay or out-of-pocket payment from a Medicaid member," said Sybil Cummin, a licensed professional counselor in Arvada."
 
"In Canada, ... private payment (i.e., extra billing or user charges) for medically necessary hospital and physician care is currently prohibited under the Canada Health Act and through similar provincial legislation."

Seems like inside the US, too, in some circumstances...

"It is actually illegal for that provider to take private pay or out-of-pocket payment from a Medicaid member," said Sybil Cummin, a licensed professional counselor in Arvada."

Now that’s creepy
 
I'm pretty sure that those are saying that a provider may not demand extra payment for services that should be 100% covered under taxpayer funded medical services - not that it's illegal for someone to seek out private care and pay for it themselves outside of that system.
 
I work in this space. We pay $250K/yr to get full medical, rx, test results/vitals and encounter notes data on ~310MM Americans since 2010 -- with some variance based on when providers went to electronic recordkeeping. It's mostly all out there, with a few holdouts like Kaiser (for now, they seem to be headed to the darkside lately and I expect to get their data sometime soon). We buy from a commercial data broker, and these datasets are available from a half dozen different vendors with varying degrees of completeness and depth. The trick is the various "anonymization" schemes that are trivially de-anonymized that provide a thin veneer of legitimacy.

HIPAA also has a real loose interpretation of who is an "interested party" in giving care (thus unlocking access). I mainly work on the underwriting/carrier/reinsurance side of the house which is pretty far removed from the doctor-patient privilege, yet I get everything in realtime on any of our covered lives.
Wait, how is EMR not the poster child for blockchain? :p
 
Or, best case scenario, the FAA screws over a ton of pilots by revealing "ground-able" medical issues, the unions throw a fit, and the FAA is forced to make their medical approval process more efficient/loose.

But as we all know, nothing ever happens.
Well, if I were the evil billionaire looking at this I’d time the rollout of my replace a commercial pilot with AI program to coincide with my administration buddies cratering the careers of human pilots through data mining medical records
 
Well, if I were the evil billionaire looking at this I’d time the rollout of my replace a commercial pilot with AI program to coincide with my administration buddies cratering the careers of human pilots through data mining medical records

doesn't even rise to the level of a bad bond movie plot
 
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