Risk Insider: Jeff Driver

Hooba-Dooba! Digital Health Care Reality

By: | May 1, 2017 • 2 min read
Jeff Driver is the Chief Risk Officer- Stanford University Medical Center and the Chief Executive Officer - The Risk Authority, LLC. He can be reached at [email protected]

“Jane, stop this crazy thing!” George yells.

He’s stuck on a treadmill that he can’t turn off, and seems in peril of being flung into the sky. In addition to “Hooba-Dooba,” (indicating both surprise and appreciation) this is George Jetson’s common response to interacting with the once fantastical technological advances of his life in Orbit City.

The Jetsons predicted it all. From video calls to smart homes, delivery drones to flying cars, the technology once only imagined by the animators at Hanna-Barbera has altered the shape of contemporary life. These technologies are no longer a futuristic dream; rather, they are an emerging reality.

Health care too is embracing revolutionary and rapidly evolving digital medicine that a decade ago we could hardly conceive of.

Experts explain digital medicine as the convergence of the digital and genomic revolutions with health care to better track, manage and improve our health to live better, more productive lives and to improve society. In many cases, it can also impact inefficiencies in health care delivery, such as improve access to care, reduce health care costs, increase quality, and make the delivery of care more personalized and precise.

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For examples, several apps exist for the early detection of melanoma, offering users the ability to snap photos of moles and skin conditions and send them in for almost instant analysis. Smart, cell-based therapeutics are being developed that can monitor and even regulate insulin delivery through the use of a smart phone. There are also apps to assist with mental health, including guided meditation, reduction in negative thinking, and mindfulness. These programs integrate almost seamlessly with our every day lives.

But in health care risk management, we know that it’s not quite so simple, and the “rewards” that digital medicine can offer do not come without risk. It’s our job to identify and mitigate these emerging risks; which can have potentially damaging effects on patients and organizations:

Cyber security/Privacy/Hacking: As medical devices are increasingly connected to the internet, hospital IT systems, and other medical devices, there is a higher risk of hackers collecting sensitive information, or worse, interrupting life-critical systems that protect human life.

Misdiagnosis/Inaccuracy: While rife with potential for preventative health care, some apps have been developed without being validated for diagnostic accuracy or utility using the highest standards in research methods.

Ethical Breaches: As digital data production, storage, and analysis continue to advance, the way that biomedical research is conducted has changed; the ethics of data-driven biomedical research must keep pace with these transformative developments.

With of each of these risks arise salient questions, potential vulnerabilities, and possible solutions, which we will explore further in PART II of this segment. Digital medicine will continue to grow and spread, in fact, the FDA has allocated resources to facilitate its development. We look to a future full of both risk and possibility, particularly as these rapidly evolving technologies are applied in healthcare.

Hooba-dooba indeed.

More from Risk & Insurance

More from Risk & Insurance

Risk Management

The Profession

Pinnacle Entertainment’s VP of enterprise risk management says he’s inspired by Disney’s approach to risk management.
By: | November 1, 2017 • 4 min read

R&I: What was your first job?

Bus boy at a fine dining restaurant.

R&I: How did you come to work in this industry?

I sent a résumé to Harrah’s Entertainment on a whim. It took over 30 hours of interviewing to get that job, but it was well worth it.

R&I: If the world has a modern hero, who is it and why?

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The Chinese citizen (never positively identified) who stood in front of a column of tanks in Tiananmen Square on June 5, 1989. That kind of courage is undeniable, and that image is unforgettable. I hope we can all be that passionate about something at least once in our lives.

R&I: What emerging commercial risk most concerns you?

Cyber risk, but more narrowly, cyber-extortion. I think state sponsored bad actors are getting more and more sophisticated, and the risk is that they find a way to control entire systems.

R&I: What is the riskiest activity you ever engaged in?

Training and breaking horses. When I was in high school, I worked on a lot of farms. I did everything from building fences to putting up hay. It was during this time that I found I had a knack for horses. They would tolerate me getting real close, so it was natural I started working more and more with them.

Eventually, I was putting a saddle on a few and before I knew it I was in that saddle riding a horse that had never been ridden before.

I admit I had some nervous moments, but I was never thrown off. It taught me that developing genuine trust early is very important and is needed by all involved. Nothing of any real value happens without it.

R&I: What about this work do you find the most fulfilling or rewarding?

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Setting very aggressive goals and then meeting and exceeding those goals with a team. Sharing team victories is the ultimate reward.

R&I: What is the most unusual/interesting place you have ever visited?

Disney World. The sheer size of the place is awe inspiring. And everything works like a finely tuned clock.

There is a reason that hospitality companies send their people there to be trained on guest service. Disney World does it better than anyone else.

As a hospitality executive, I always learn something new whenever I am there.

James Cunningham, vice president, enterprise risk management, Pinnacle Entertainment, Inc.

The risks that Disney World faces are very similar to mine — on a much larger scale. They are complex and across the board. From liability for the millions of people they host as their guests each year, to the physical location of the park, to their vendor partnerships; their approach to risk management has been and continues to be innovative and a model that I learn from and I think there are lessons there for everybody.

R&I: What is the risk management community doing right?

We are doing a much better job of getting involved in a meaningful way in our daily operations and demonstrating genuine value to our organizations.

R&I: What could the risk management community be doing a better job of?

Educating and promoting the career with young people.

R&I: What have you accomplished that you are proudest of?

Being able to tell the Pinnacle story. It’s a great one and it wasn’t being told. I believe that the insurance markets now understand who we are and what we stand for.

R&I: Who is your mentor and why?

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John Matthews, who is now retired, formerly with Aon and Caesar’s Palace. John is an exceptional leader who demonstrated the value of putting a top-shelf team together and then letting them do their best work. I model my management style after him.

R&I: What is your favorite book or movie?

I read mostly biographies and autobiographies. I like to read how successful people became successful by overcoming their own obstacles. Jay Leno, Jack Welch, Bill Harrah, etc. I also enjoyed the book and movie “Money Ball.”

R&I: What is your favorite drink?

Ice water when it’s hot, coffee when it’s cold, and an adult beverage when it’s called for.

R&I: What does your family think you do?

In my family, I’m the “Safety Geek.”

R&I:  What’s your favorite restaurant?

Vegas is a world-class restaurant town. No matter what you are hungry for, you can find it here. I have a few favorites that are my “go-to’s,” depending on the mood and who I am with.

If you’re in town, you should try to have at least one meal off the strip. For that, I would suggest you get reservations (you’ll need them) at Herbs and Rye. It’s a great little restaurant that is always lively. The food is tremendous, and the service is always on point. They make hand-crafted cocktails that are amazing.

My favorite Mexican restaurant is Lindo Michoacan. There are three in town, and I prefer the one in Henderson as it has the best view of the valley. For seafood, you can never go wrong with Joe’s in Caesar’s Palace.




Katie Dwyer is an associate editor at Risk & Insurance®. She can be reached at [email protected]