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Booking a Trip to the ER on Your Smartphone? It’s a Breeze

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In this Sept. 17, 2014 photo, Lauren Wesolowski Toth demonstrates the InQuicker online service she used to schedule an emergency room appointment, in New York. Online services such as ZocDoc and InQuicker are enabling patients with non-life-threatening conditions to schedule everything from doctor’s office visits to emergency room trips on their laptops and smartphones, much like OpenTable users do with restaurant reservations. (AP Photo/Bebeto Matthews)

In this Sept. 17, 2014 photo, Lauren Wesolowski Toth demonstrates the InQuicker online service she used to schedule an emergency room appointment, in New York. Online services such as ZocDoc and InQuicker are enabling patients with non-life-threatening conditions to schedule everything from doctor’s office visits to emergency room trips on their laptops and smartphones, much like OpenTable users do with restaurant reservations. (AP Photo/Bebeto Matthews)

LINDA A. JOHNSON, AP Business Writer

TRENTON, N.J. (AP) — It’s like OpenTable for medical appointments.

No waiting weeks to see a dermatologist. No sitting for hours in the emergency room. No frantic calls to find a family doctor with openings.

Online services such as ZocDoc and InQuicker are enabling patients with non-life-threatening conditions to schedule everything from doctor’s office visits to emergency room trips on their laptops and smartphones — much like OpenTable users do with restaurant reservations.

Hospitals and doctors increasingly are subscribing to the services to simplify appointment scheduling for patients who dislike waiting on hold and are comfortable doing everything from shopping to banking online.

With most of the services, booking is as simple as going to a website, entering a zip code and the kind of care needed, and checking available times. Patients can get a doctor appointment within a couple days, even if they’re a new patient. And the services say most patients are seen within 15 to 20 minutes of their appointment, and when an ER backs up, patients with reservations are texted to come later.

“I truly believe talking to people on the phone to schedule doctors’ appointments will be something of the past very soon,” says Natan Edelsburg, a New York resident who has made 10 doctor appointments through one of the biggest online medical appointment booking services, ZocDoc.

Doctors and hospitals are using such services to attract and retain patients as the health care landscape keeps getting more competitive. With the nationwide proliferation of urgent care centers and pharmacy clinics open on nights and weekends, patients have more convenient options than ever before.

The booking websites also are a way for hospitals and doctors to try to please patients at a time when they face new financial incentives to do so. Starting this year, the Affordable Care Act, which requires most Americans to have health insurance, increases or reduces the Medicare payments hospitals receive each year based on patient satisfaction and quality. That can have a significant impact: Medicare, which covers Americans 65 and older and others with disabilities, pays for 43 percent of hospital patients’ care. A similar program for doctors starts next year.

“I don’t think you can compete in our medical practice marketplace without being a ZocDoc participant,” says Dr. Bobby Buka, a New York dermatologist who gets about 15 patients a week from ZocDoc.

EASY BOOKING

The services, which are free for patients but usually charge $200 to $300 per doctor a month, are benefiting from the focus on making scheduling easier for patients.

ER Express, an Atlanta startup, books reservations for more than 150 ERs and urgent care centers in nearly 30 states. It served more than 40,000 patients in 2014, up 300 percent from 2013.

Meanwhile, ZocDoc, which is based in New York, has more than 6 million patients per month making appointments for dentists, family doctors and 40-plus types of specialists in more than 2,000 cities. ZocDoc was started in 2007 by Cyrus Massoumi, who was frustrated trying to get care after his eardrum ruptured during a long flight and he had to wait four days to see an ear specialist.

“We think everyone in America will be booking online eventually,” Massoumi says.

InQuicker had a similar origin. It also was founded by someone who had some experience with the hassles of scheduling medical appointments. Tyler Kiley, who’d spent lots of time in ERs growing up because his mom was an ER nurse and his dad a hospital administrator, started it in 2006. He says he’d seen lots of unnecessary waiting, so he created software for online check-ins.

Growth surged after current CEO Mike Brody-Waite joined in 2010, bringing his marketing expertise: InQuicker now serves 224 hospital ERs, 517 doctor practices, 126 urgent care centers, and some other medical providers. The Nashville company scheduled 302,000 appointments in 2014, up more than 80 percent from 2013, and its revenue was $7 million. Revenue is projected to reach $15 million this year, says marketing chief Stacie Pawlicki.

WIN-WIN-WIN

Doctors and hospitals say the services help attract new patients.

At Northwestern Lake Forest Hospital outside Chicago, assistant ER director Dr. Steve Edelstein says ER Express sends about 40 patients a month to his ER and the hospital’s nearby Grayslake Emergency Center. A quarter are new patients, and he says those tech-savvy customers “are generally more likely to have credit cards and good insurance” than others.

“It’s been nothing but a benefit,” Edelstein says.

Jersey City Medical Center and its two urgent care centers rolled out InQuicker two years ago and use grew quickly. Together, they draw roughly 300 patients a month — 70 percent of them new patients — through InQuicker and their own healthstops.com site.

“It’s helped a lot with patient satisfaction,” says operations chief Kirat Kharode. His ER’s average wait to see a doctor is 35 minutes, versus 15 or less with a reservation.

Some patients also like the benefits of booking online. Lauren Toth, 29, made an ER reservation last spring at Jersey City Medical Center when her foot swelled up and red spots covered her leg.

“When I got there, the waiting room was packed. There must have been 50 people there, and they took me in 10 minutes,” recalls the Manhattan public relations representative.

Doctors advised rest and ice packs and sent her home for follow-up. Later, a dermatologist diagnosed inflamed blood vessels and prescribed medication.

“This could revolutionize the way emergency care is delivered,” Toth says.

___

Follow Linda A. Johnson at http://twitter.com/LindaJ_onPharma

Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Business

Newsom Signs Addictive Social Media Law to Protect Kids

Newsom said California’s approach focuses on the features that can encourage excessive social media use rather than taking the broader step of banning teenagers from the platforms altogether. He contrasted the measure with restrictions adopted in Australia and Malaysia that prevent teenagers from accessing social media or creating accounts.

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Gov. Gavin Newsom has signed a new California law targeting addictive social media features that can keep children scrolling, giving the state new authority to restrict how platforms engage young users.

AB 1709, authored by Assemblymember Josh Lowenthal (D-Long Beach) prohibits social media companies from giving children under 16 access to personalized feeds, including “For You” pages, as well as other features designed to maximize screen time, such as infinite scrolling and video autoplay.

The law does not prevent children under 16 from using social media. Instead, platforms must deactivate the covered features for those users.

“This is about actually addressing the problem, the scrolling, the algorithms,” Newsom said Sept. 10 during a bill-signing event in the San Francisco Bay Area.

Newsom said California’s approach focuses on the features that can encourage excessive social media use rather than taking the broader step of banning teenagers from the platforms altogether. He contrasted the measure with restrictions adopted in Australia and Malaysia that prevent teenagers from accessing social media or creating accounts. 

The law comes amid growing concerns about the impact of social media on children’s mental health and well-being. California lawmakers have increasingly focused on the design and business practices of technology platforms as part of efforts to protect young users.

AB 1709 is one of 13 youth online safety and privacy laws Newsom signed Sept.10. The package also includes measures regulating AI chatbots, increasing potential penalties for technology companies and establishing additional protections for children using digital services.

Lowenthal said the new rules represent a shift toward greater accountability for technology companies.

“We want oversight. We want accountability. We’re done asking nicely, and we’re demanding that there is a duty of care across these platforms — a duty that puts the wellness of our children ahead of profits,” Lowenthal said.

The law builds on California’s broader effort to regulate children’s online experiences. A separate law, AB 1043, will require users to provide their birth dates when setting up new phones or laptops beginning in January, with device manufacturers required to share users’ ages with apps.

Some youth online safety advocates have supported AB 1709 as a more targeted alternative to outright social media bans. Others have warned that the restrictions could make it harder for some LGBTQ+ young people to find support online and questioned how effectively age requirements can be enforced.

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Commentary

OPINION: The New American Fear – From 9-11 to AI

The terrorists didn’t invent American racism, xenophobia or political paranoia. We shouldn’t give 19 hijackers that much credit. But after 9/11, America built an enormous security structure around fear. Surveillance expanded. Wars followed. Congress created the Department of Homeland Security. TSA transformed airports. Immigration enforcement was reorganized and ICE was created.

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I was quiet about 9/11 until this week, when terrorism got an upgrade.

Artificial intelligence.

I have taken 9/11 seriously every year. Twenty-five years later, I was all “feeled out.”

I’ve gone to Ground Zero. I’ve written about the dead, the survivors, the first responders and those who survived that day only to become sick years later.

But this isn’t another column about where we were.

It’s about what America became.

For me, September 11, 2001, marks the beginning of a New America. Not the diverse, multicultural America I hoped was emerging.

This is the America that fear built.

I was 3,000 miles away in the Bay Area watching CNBC.

Then the planes hit.

The markets shut down.

And something else opened.

Fear.

At first, fear brought us together. We had a common enemy and, briefly, rediscovered a common good.

But fear is a terrible foundation for democracy.

The person we feared was initially the terrorist.

Then the Muslim.

Then the Arab.

Then the Sikh mistaken for an Arab.

Then the immigrant. The undocumented. The person at the border.

The category continues to expand.

Maybe that’s the real 25-year story of 9/11.

We went from finding common ground to looking for flaws that prove somebody doesn’t belong.

The terrorists didn’t invent American racism, xenophobia or political paranoia. We shouldn’t give 19 hijackers that much credit.

But after 9/11, America built an enormous security structure around fear.

Surveillance expanded. Wars followed. Congress created the Department of Homeland Security. TSA transformed airports. Immigration enforcement was reorganized and ICE was created.

Temporary emergency became permanent infrastructure.

Recently, Anthropic researcher Jacob Coxon quit his job and warned that people building advanced AI genuinely believe it could kill humanity by the end of this decade.

He walked away two months before his Anthropic equity vested.

That’s credibility.

President Trump has taken a different view. On Sept. 14 he called fears of AI destroying humanity a “HOAX” and declared, “WHOEVER WINS AI, WINS!” He said the only guardrail AI needs is a “STRONG AND SMART (High IQ!) PRESIDENT.”

We have built the threat.

We finance it. We feed it our words, photographs, voices, art and knowledge. We invite it into our homes and carry it in our pockets.

Americans are confronting something genuinely frightening.

AI could eliminate or transform jobs. And its increasingly powerful systems raise questions even some of their creators say they cannot fully answer.

So, the question what do we do with fear without surrendering our common humanity.

That requires real leadership and oversight from Congress, if not the president.

Trump insists Iran can’t have a nuclear weapon. But on AI, his emphasis is winning the race, especially against China.

That’s the trap.

Fear of China becomes the argument for going full speed ahead.

Twenty-five years after 9/11, we have another chance to get fear right.

Be smart enough to know what to be afraid of.

And make sure we stay in control of the tech.

We’ve got to be smarter than the machines.

About the Author

Emil Amok Guillermo is an award-winning journalist, commentator and comic monologist. He hosts a micro-talk show on YouTube. See him at Comedy Day at Robin Williams Meadow in San Francisco’s Golden Gate Park, on Sept. 20, around 2:45 p.m. Free.

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Business

Oakland Launches Aerbits Program to Identify, Report Abandoned Trash

“Aerbits, which was approved by the Privacy Advisory Commission, uses modern technology and best practices to help our crews clear trash faster and more efficiently, while our targeted outreach and enforcement strategies address the root causes of dumping. Together, we are going to get the job done.”

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Aerbits founder Brian Johnson(left) and OaklandMayor Barbara Lee launch Aerbits in Oakland.

On Tuesday, the City of Oakland launched Aerbits, an innovative new program that deploys AI-assisted aerial imaging technology to proactively detect and report abandoned trash on streets and sidewalks – to support timely and effective removal of illegal dumping.

By shifting from a reactive, complaint-based system to data-driven proactive detection, the City can deploy cleanup resources faster, more efficiently, and more equitably to the areas in greatest need. 

Approved by both the Privacy Advisory Commission and the Oakland City Council, Aerbits is the latest addition to Oakland’s comprehensive strategy to eliminate illegal dumping from the Town.

“Oakland residents and businesses deserve clean streets and today we are one step closer to a safer, cleaner, and greener Oakland,” said Mayor Barbara Lee. “Our strategy strengthens eradication, education, and enforcement efforts across every neighborhood.

“Aerbits, which was approved by the Privacy Advisory Commission, uses modern technology and best practices to help our crews clear trash faster and more efficiently, while our targeted outreach and enforcement strategies address the root causes of dumping. Together, we are going to get the job done.”

The impacts of illegal dumping on Oakland are profound, disproportionately burdening historically disinvested communities while threatening public health, safety, and economic vitality.

The City is united in taking action to remedy it – with the mayor, Council, administration, Public Works Department, community groups and more coming together to make change.

In May, the City Council approved the Illegal Dumping Expenditures Action Plan, which approves and funds multiple actions – including Aerbits – to help remedy illegal dumping.

This past June, Oakland secured $9.2 million from the Crankstart Foundation to scale up operations like Aerbits and break the cycle of illegal dumping across Oakland.

The Aerbits aerial imaging system photographs public rights-of-way to pinpoint exact locations, estimate waste volumes, and classify types of debris. This enables City dispatchers to understand the problem and efficiently deploy the appropriate crew and equipment to each site.

Built with privacy at its core, the technology contains no facial recognition, no license plate readers, and uses no personally identifying information. Aerbits takes pictures of trash – not of people.

“I founded Aerbits because I saw a major gap in the data that was available to City crews on the streets, and I wanted our children to have a cleaner environment” said Aerbits Founder Brian Johnson.

“Aerbits enables cleanups to be timelier, more effective, and more equitable. By providing real-time comprehensive data, automating the creation of work orders, and improving closure of cleared tickets, we are removing the problems that occur when relying primarily on a complaint-based system,” he said.

Aerbits is the latest milestone in the series of actions the City is taking to implement the City Council-approved Illegal Dumping Expenditures Action Plan. Recent actions taken by the City include:

  • Stricter Enforcement: Enacted a new Illegal Dumping Enforcement Ordinance increasing penalties and holding vehicle owners responsible; hired additional Environmental Enforcement Officers equipped with updated citation technology; and worked alongside State Senator Jesse Arreguin on legislation that allows the City to boot vehicles tied to repeat dumping offences. 
  • Community Resources: Reinstated the popular “Bulky Block Parties” offering residents free, convenient ways to get rid of bulky waste, alongside expanded public education campaigns.  
  • Expanded Fleet Equipment: Obtained new heavy-duty Lightning Loader trucks that allow us to clean up more volumes of debris faster than ever before. 

Rebecca Kaplan is a former City Councilmember-at-large for the City of Oakland.

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