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D.S. Profile picture
@process_x
Sep 23, 2021 • 11 tweets • 5 min read • Read on X
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Just got a chance to look more at this which is also from Appriss:

Data Driven Justice Incarceration Report - Identifying Super Utilizers with Incarceration and Prescription Monitoring Data

@maiasz

appriss.com/safety/wp-cont…
If they take this down and anyone wants a copy, let me know. It's already in my repository.
Target them for what, exactly?
This is the definition of #SurveillanceCapitalism.
Found another one. This is a presentation by David Speights, PhD Chief Data Scientist at Appriss.

@maiasz

naco.org/sites/default/…
Appriss intends to generate a new kind of score based on arrest records:

@maiasz

naco.org/sites/default/…
Care coordination:

"Appriss Health and PatientPing platform serves the largest integrated delivery systems in the U.S., including 2,500 hospitals, 7,500 post-acute facilities, 25,000 pharmacies ... every national pharmacy chain and 43 state governments."

clearlake.com/wp-content/upl…
Statement by Brad Bauer SVP Appriss Health before House Committee on Energy & Commerce Subcommittee on Health 2018 talks about linking disparate patient data such as drug court information with "integrated" PDMPs:

energycommerce.house.gov/sites/democrat…
This is a sort of scary aggregation of services and products that would support a police state with social credit as currency. It seems helpful on the surface until you understand Appriss's strategic product offerings.

appriss.com/health/wp-cont…
Doctors and other healthcare professionals will not be immune from exclusion in the Appriss social credit empire. Appriss Insights was recently acquired by Equifax for 1.825 billion.

apprissinsights.com/wp-content/upl…
And, from Appriss Safety, "Investigate, Locate, and Monitor Non-Custodial Parents"

apprisssafety.com/wp-content/upl…

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More from @process_x

D.S. Profile picture
Dec 28, 2022
Familiar?

Expert opinions misaligned with CDC & its low & no evidence guidelines are deemed “false information” by those who run simulations in the public consciousness via social & legacy media.

Public health has maimed & killed for nearly a century with no accountability. 🧵
Everyone has likely heard of the Tuskegee Study. A whitewashed name for what was once known, according to CDC, as the “Tuskegee Study of Untreated Syphilis in the Negro Male.”

It began in 1932 under the management of the federal United States Public Health Service (USPHS or PHS)
The study targeted black men & focused on recording “the natural history of syphilis,” a chronic, contagious bacterial infection that can be venereal or sometimes, congenital.

15-30% of people infected who don't get treatment will develop complications known as tertiary syphilis
Read 34 tweets
D.S. Profile picture
Jan 11, 2022
Of 143,400 people who met inclusion criteria, 15,316 (11%) filled an opioid prescription (Rx) within 14 days of surgery. Among that number, "persistent opioid use" (POU) occurred in 1,901 (12.4%) of people 30-180 days after surgery. What does this really mean? Thread. 🧵 Image
It means that 12% of patients prescribed opioids following CEID did NOT develop "POU" as PROP claims.

Instead, 12.4% (1,901 people) of the original 11% (15,316 people) who FILLED an opioid Rx within 14 days of surgery developed "POU."
This means 89.3% of the entire cohort did not even FILL an opioid Rx. 10.6% FILLED an opioid Rx but we can extrapolate to 11%.

So, 1.4% of people within the entire 143,300 person cohort developed "persistent opioid use" (POU) within 30-180 days post-op.

ahajournals.org/doi/10.1161/CI…
Read 9 tweets
D.S. Profile picture
Dec 28, 2021
ICYMI people in pain & PWUD have been harassed, endangered, and killed because of poorly designed drug policy. The ivory tower drug war perpetrated by the iron triangle of inept bureaucrats, interests, and Congress has now reached into healthcare targeting our most vulnerable.🧵
Some love to claim science can fix all our problems but in the case of drug prohibition, which now affects our sickest, those using low/no evidence "science" to justify such policies have already unleashed unprecedented harm on the American people and destroyed population health.
A "vaccine" is not a tool for PWUD to "overcome opioid addiction." Not only does this border on unethical, but it'll also be used to continue justifying deadly policies that now impact sick and injured patients. It's also likely to result in more suicides.
Read 19 tweets
D.S. Profile picture
Dec 6, 2021
People with intractable pain are more likely to need LTOT. Things like CBT are NOT going to work and haven't worked for these people and most of them have already tried everything else. Why are we spending billions on research without acknowledging this monumental difference? 🧵
People don't understand that pain is a nuanced topic. There are people who haven't developed chronic pain yet, those with chronic pain at the beginning or middle of their journey, and then there are intractable pain patients. Why isn't research catching onto this?
There should be very structured research strategies taking these differences into account. Maybe @NIH and @PCORI can explain why these differences are not being acknowledged. We need research on LTOT too and what is comparative effectiveness research without a comparison?
Read 10 tweets
D.S. Profile picture
Dec 5, 2021
NIH is allocating $270M additional funding for pain & opioid research. The researchers don't pocket this money. While I don't agree with research at the bedside without the knowledge/consent of patients & then using it to further restrict access, let's not spread misinformation.
Bad things are happening, but let's keep things in perspective. Researchers do not pocket millions in grants. The money goes toward studies which then influence the practice of medicine. This is the detail we should be focusing on. Here is an image detailing the process: Image
The policy driving the response to the OD crisis as it relates to HC is the CDC's 2016 guideline, however, federal research is certainly going to change the way medicine is practiced. That is the point of embedded pragmatic clinical trials & comparative effectiveness research.
Read 12 tweets
D.S. Profile picture
Nov 23, 2021
In case you weren't aware that the purpose of the electronic health record (EHR) is to leverage patient data for research, check out what the NAM has to say about the learning health model in “Digital Infrastructure for the Learning Health System."🧵

nap.edu/catalog/12912/…
"The ability to draw broadly from anywhere across the globe to provide relevant insights for health and healthcare improvement is a long-term goal for the learning health system."
"Meanwhile, the ability to learn from the experiences of other countries and to apply health information technology (HIT) for biosurveillance can actively facilitate progress toward this and other goals."

Note: It's unclear what these "other goals" are.
Read 11 tweets

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