Daniel Wolfe
@wolfenyc
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Exec. Director of @UCJointCPH, UCSF/Berkeley program working at intersection of computation, public health practice and equity. Views and retweets my own.
New York
Joined May 2011
Harm reduction thinking, affordably priced medicine, minimal police involvement, and other key lessons from HIV for the COVID 19 response. My blog here:
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So long as metrics for OUD (itself a fuzzy, poorly defined category) depend on structural factors that are themselves unstable (using as prescribed when the docs change their practices, getting in trouble with the law when the laws and enforcement are variable), it’s all a mess.
I am working on content about the DSM 5 OUD dx. Mild OUD isn't seen as addiction, according to experts. But, do algorithms read them that way? I've never seen mild, moderate, or severe put in a chart of a pain pt. If Mild OUD isn't addiction then they need another word, or no word at all. Does Bamboo Health read Mild OUD as not addiction? How about the DEA? State Med Boards? Any of the payer or other risk score algorithms? Also, what's the standard of care for Mild OUD? Kolodny says Suboxone. Why? If it's not addiction and someone is stable, why Suboxone? All of this has greatly harmed pain pts.
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Returning to "X" after an absence, and with good news that my @UCJointCPH program colleague @IdaSim recognized by @STATnews as one of 50 most shaping health science. Work on democratizing data for diabetes management--with @commons_prjct--called out!
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Scandalous and routine. A symptom of system thinking obscuring humanity and common sense.
CPP stable for a decade on hydrocodone. Supposedly inconsistent pill count. Never had an issue. Nurse Called and told her to drop 50% in 1 day and she can’t talk to the dr. Pt asked about quick drop and told if she has w/d from taper to go to ER. Dr refuses to call pt.
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@sophiepinkhmmm @pressgazette @AbbieFS @1843 You are an inspiration. Proceeding to article immediately!
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Inspiring, bold project to bring the ethos of open science, shareable code, and brilliant clinicians, computer scientists, and patient advocates to transform use and impact of health data. Proud to be part. @UCJointCPH @Idasim @ucbids @commons_prjct @2i2c_org @BerkeleyDataSci
So excited to partner with @BerkeleyDataSci, @UCBIDS, @commons_prjct, @drjessilyn. We will bring an open scalable approach to sensor-based care, starting with @UCSFDGIM and @UCSFDiabetes. This project shows the power of bringing @UCSF and @UCBerkeley together through @UCJointCPH
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Algorithmic injustice: UnitedHealth used machine learning to push Medicare patients off rehab services--despite claims that algorithms were meant to guide, rather than dictate, decisions. Via .@statnews by @caseymross and colleagues.
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@shaunshelly @OSFKasia @scott_bern @mame_bougouma @ethannadelmann @HowardJosepher @TBHIVCare @SANPUD_NPO Thank you! Giving money the easy part—doing the work in SA the big lift!
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So right, and so we’ll deserved!
Over the moon to be on #TIME100Next list of emerging leaders globally. Amazing company to keep! So much love to teams @RemedyAlliance @UNC who make the #harmreduction and science happen. @ejwheeler9 @UNCpublichealth @UNC_IPRC
@TIME @TaraLaw27
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Unlocking the mysteries of the autonomic nervous system--pain while unconscious, interactions between mind and gut, and much more. @SandyaPhD to bring her cutting-edge work to @UCjointCPH, @BerkeleyDataSci, @UCSF_BCHSI and others in the field in 2024.
Thrilled to announce that Dr. Sandya Subramanian @SandyaPhD will join CPH in 2024! We're blown away by Dr. Subramanian's work developing new technologies and methods to study interactions between the brain, autonomic nervous system, and body--can't wait to have her at CPH!
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High school students from underserved communities rocking it on AI and health. Talk about Next Generation evidence.
Young, gifted and using AI--@ai4allatUCSF students present work on miscarriage, endometriosis and more at summer symposium, July 28 10:30-12:30 PT. And @UCJointCPH co-director @DrMayaPetersen delivers wisdom in her keynote speech to start (10:30-11:15). Will be fierce.
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Excited and proud to start new role as ED of @UCJointCPH , groundbreaking program of UCSF and UC Berkeley working at the intersection of machine learning, computation, clinical/public health practice and equity. Brilliant colleagues and important work ahead.
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RT @StefanKertesz: I can’t think of a group more desperately in need of hearing @speakingabtpain Kate is a sterling clear voice for the p…
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RT @speakingabtpain: My op-ed for @LATimes with @LeoBeltsky on the devastating impact of @DEAHQ proposed teleprescribing rules. https://t…
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Insurance denials, hospitals prescriptions, fraud detection—algorithm driven but rarely tested for accuracy or unintended side effects.
This @statnews investigation finds that “insurers are using unregulated predictive algorithms, under the guise of scientific rigor, to pinpoint the precise moment when they can plausibly cut off payment for an older patient's treatment.”
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@GlobalFund's @PeterASands nails it: drug policy decides who gets lifesaving help and who doesn't. Harm reduction services can't work if fear of arrest keeps people from using them. Access to justice=critical health intervention. #CND66 at 2:03
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Though indeed, that prescription may well be under your name in the prescription drug monitoring program and used in the algorithm assigning you an overdose risk score! So double thanks for nothing (and sending her/him get well wishes).
Well. Our cat is now on buprenorphine (for post-injury pain control), and I can officially say that our pets have better, easier, quicker access to bupe than all the humans I know who would like treatment for opioid use disorder. Thanks for nothing, US Drug Enforcement Agency!
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Terrible—a disincentive for overdose prevention when what is needed is incentives to make naloxone more accessible! Also, what metric will they use to approve/deny?
It has finally happened!! I prescribed naloxone for harm reduction (pt w/cancer pain requiring opioid analgesia) and the health insurer is asking for a Prior Authorization on the naloxone (which they required for a PA on the opioid). 🤦🏻‍♂️ @AmerMedicalAssn
@DGlaucomflecken
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