Is it Clean? Is it Safe? Is it Effective?

A typical consumer’s phone has more bacteria than the average toilet seat

The misrepresentations in the market regarding the use of consumer systems for broad medical uses has increased dramatically over the past 9 months. This is stunning since the products in question totally lack infectious disease safety, HIPAA certifications and would be a roadmap for the greatest increase of health disparity in the history of US healthcare.

This topic has been addressed in prior blogs and in special videos produced by GeaCom that debunk the myth that this approach is appropriate, safe, effective, less expensive or even legal but it seems the battle continues. Here is another approach in the form of 10 key questions to ask before considering consumer platforms a reasonable approach to modernized healthcare:

  1. How would you plan to meet or even approach infectious disease standards? One transmission, just one, can lead to irreversible tragedy. Notice what happens when frontline healthcare staff becomes effected for example.
  2. Does it seems that the wealthier will have better devices and therefore better access? Mobile devices have a price tag exceeding $800 each and not everyone has the same versions, OS, platform or capabilities. With over 20 versions of operating systems running, how do you think these solutions will standardize?
  3. How will this effect continuity of care? Networks are expensive, unreliable and not capable of mission critical service. Many network service are limited to less than 1GB (this can be consumed in one visit) and many network services ‘throttle’ bandwidth.
  4. Since virtual health applications are 1:1 use cases how do you think this sort of approach scales? There is a physician and nurse shortage that is progressively getting worse.
  5. How will the additional cost of secure data entry be accounted for in the consumer model? Phones and consumer systems are not connected to the Electronic Medical Record and there are security concerns.
  6. How would consumer models address vital Civil Rights requirements? Language services on live calls is fraught with error and cost.
  7. Will healthcare also be distributed unevenly based on private network companies business models? Rural America has limited cell and WiFi capabilities.
  8. How do you account for the high risk, high cost groups? The elderly, vision impaired and low literacy make up the bulk of healthcare consumption but all have little or no ability to work with consumer devices.
  9. How do you deal with producers who do such nefarious things that would effect health outcomes? Consumer device makers such as Apple and Samsung have been found guilty, in court, of purposefully slowing devices to incentivize purchase volumes.
  10. How are would you ensure vital security to legal standards? Consumer systems are nearly 100% hacked and exploited. Each has 1000s upon 1000s of examples of data exploitation. The systems are literally designed to share user locations and data making HIPAA activities impossible.

The above is only a partial list of simple examples of the impossibility of the consumer model but if you can’t address even these effectively then you can’t recognize a path to establish this model.

Is Civil Rights and Equity on a Consumer Platform Possible?

Absolutely not.  You can’t start an equity path from a platform manufactured in a communist country employing forced labor.  100% of the patient engagement systems that are not Phrazer/Kitsune are developed in countries with horrible human rights records.

You can’t have privacy on a platform designed to productize users.  100% of consumer devices are designed to monetize users by sharing their data, without permission, openly and unethically.  

You can’t support local economy and healthcare stability by sourcing from a company that doesn’t pay taxes in your country.  Apple, Samsung and many others are not U.S. Companies and they utilize extensive loopholes to avoid paying taxes.    The very taxes that help support infrastructure and medical systems are the ones Apple and Samsung avoid.

Realities of Resistance to Change in Healthcare

Why is there not an immediate and complete transition the proven CITE Systems in the market resulting in legendary commercial success?  All claims are true, so why do people still suffer the legacy failed service realities?  The answer is deep in human nature and insidious.  Human resistance to change operates in an inconspicuous and seemingly harmless way but actually comes with grave effect to humanity.  With all things well designed, applied and proven, the innovator still has work ahead in the form of change management.   

Patients Don’t Respond Well to Change

Society has its engrained standard expectations, long established, that it is reluctant or even unable to shrug off.  What if your physician walked into the examination room in cutoff jeans and a tattered t-shirt?  More seriously though methods of care are antiquated, absurd, but somehow still sustain as natural and ongoing, against all logic and reason.  The established healthcare process for example itself is absurd but broadly expected and generally demanded.  Processes of waiting, paper work, waiting, being disconnected, etc. are a routine.  Appearance of facilities, doctors, nurses, care rooms and more remain generally unchanged for the past 150 years.  Some of these standards are partly to blame for the fact that medical error is the #3 killer in North America or has massive inequities and we all know it but somehow push these facts to the back of our minds.  Going to the hospital can and often does make health issues worse or even introduces new issues due to standardized methods and yet, demand these and go back for more.  And despite the need and call for it, any change to the established process does seem to cause challenge to the patients.  When ongoing healthcare problems seem to be amorphous and vague, the “new change” has always been automatically suspect and provides a specific thing to point to as the reason for the vague issues.  

Staff doesn’t Easily Accept Change

The “I go to work, I do my job well, I’m good at it, I go home and ultimately I get paid.” mantra is pervasive.  Knowing something is wrong with the care model is also demanding a form of special self awareness from staff.  Any light shown on the ongoing issues, specific to patient and staff engagement, can and often does get taken as a reproach.  Cognitive dissonance is real and deeply rooted in the healthcare space.  Like the patient, staff is often looking for something specific to point to for explaining the issues pervasive in healthcare; and nothing is easier than the most recent change.  GeaCom’s experience is that our innovations create objectively positive patient results, staff champions and oddly some staff detractors.  Complaints are always louder and more urgent than compliments and accomplishments.  The health outcomes should be all that matters to commit to CITE Solutions and then those uneasy with change should participate in molding it to their best application ideas rather than expend energy to support failing status quo.  The “I go to work, I do my job well, I go home and ultimately I get paid.” mantra comes to play when detractors point out that it feels like their being asked to do something more and not getting remunerated for it or that the new thing threatens their perceived value (it seems easier to not change).

The System is Change Resistant

Budgets, infrastructure, architecture, habits, processes, billings and more are designed for the status quo.  The top fifty medical suppliers are all top 100 largest business interests in the world.  Do you suppose these fat cats are interested in change or ethics?  These suppliers spend $100s of billions on keeping the status quo.  From the sellers of furniture and beds to the legacy suppliers of patient education and entertainment they fight to keep the status quo, they help design the buildings, fund the medical schools, establish the supply chains and all things that make the economic of healthcare the mess they are.  Somehow, the administrators and staff know this but surrender to the cost and challenge of change being too high.

Examples of Recent Change

A space unwilling and unable to change had the Affordable Care Act (ACA) foisted upon it to bring modernized medical records, improved community health, streamlined billing and other modernization initiatives to play through legislation.  To make these changes the Federal government had to mandate it and provide trillions of dollars to press it into play (like a bribe).  Many of these changes objectively had to happen.  The results you know; fighting, rejection, political turmoil, wasted funds, a desire to go back to the way it was and a total ignoring of the reality of issues and failures the market faces.  Anger and rejection are simple human responses especially when it comes to change.  Look to the strength of complaints regarding change due to ACA and measure that against the responses to learning medical error is the #3 killer or that inequities based on race are pervasive, or the myriad of other real concerns that cause deep daily suffering and you’ll see the absurdity pointed out here.  People fight change harder than they fight for justice, for morality and for innovation.

This blog outlined the high level reality of change resistance but for more detailed reasons, search these topics:

Inequities in healthcare

Total national healthcare budget

Error rate in healthcare

Doctor and healthcare staff burn out

EMR inefficiencies

Cognitive Dissonance in Healthcare

Civil Rights amendment

American’s with Disabilities Act

Healthcare resistance to change

Change management strategies

These searches should have you driving into interesting and shocking directions on the topic.

Made the world’s BEST! Pop the cork? Wait…

Now more to do…

Creating the world’s best of anything valuable is an extremely rare accomplishment.  Celebrate, but know the journey to commercial success is is still ahead and non-trivial.

Before diving into this, first, let’s tick off the objective, proven facts so that there is clarity on the proven claim of being the best, most ethical, most economical and safest medical engagement platform and solution:

  • CITE is hard science and proven the most effective method of complex human interaction
    • Communication, Information Theory Empowered technologies have the full weight of strong scientific validation, proven efficacy and unparalleled results.
  • Phrazer/Kitsune is proven the best medically qualified patient/staff engagement hardware
    • In bench tests it is faster than the iPad, it is antimicrobial, rugged, totally single source data secure, is more cost effective and in application more stable, accepted and effective.
  • CITE Systems on Phrazer/Kitsune are the only capable of global language coverage
    • Proven in over 20,000,000 validated market engagements the solution has the greatest demographic coverage, highest accuracy and most adaptive engagements. It objectively engages any demography better than alternatives.
  • GeaCom’s is the only solution capable of meeting Civil Rights requirements
    • The Constitution is clear (as is the American’s with Disabilities Act), on the U.S.’s commitment to equity.  CITE Systems are the only to have been validated to achieve the regulatory requirements.
  • Application of CITE System is the most economical
    • There is no training required for patients, minimal for staff and the platform is the most interoperable.  Implementation, benefits from novel self generating networks (takes mere days to successfully bring up), it meets regulation and generates new revenue while offing never before possible benefits.

There is more to be shared on the special value but the fact is that GeaCom has produced the highest performing medical engagement hardware, providing the most safe and secure engagements, equally applied to any demographic, resulting in significantly improved efficacy without massive costs and efforts.  Proofs, medical trials, bench tests, self evident performance realities and other validations are available to fully qualify the above assertions.  This begs the question:  why is this not an immediate wildfire adoption in the market?  Because change, especially holistic change, to fundamental, foundational social structure is the hardest known change to mankind.  In the next blog entry here will dive into the realities faced. Also available in the general Phrazer/Kitsune blog is a more insight 🙁

AI is academic without CITE

The promise of AI is access to deeper, more sophisticated information, unencumbered by human flaws, to empower staff to make improved diagnostics and care decisions.  The most effective use of machine enhancement today is in image reading (machines don’t have ‘form blindness’ or detail limitations).  Generally removing human limitations and prejudice seems sensible… but, perfect knowledge is of no value without perfect application.  How does AI matter if it has no functional ability in practical application to ensure addressing:

  • Bias (confirmation, racial, agism, social, etc)
  • Patient Performance
  • Trust
  • Comprehension
  • Capability to Adhere to Care Plan (Compliance)

To be inhuman comes with new insights at the cost of natural human factor benefits.  So your AI helps you know, based on data (demographics, symptoms, outcomes, etc.) what the “best” direction to take is… so, now what?  Someone, somehow ultimately must apply the AI knowledge as an authoritative flawed human to flawed patients.  How do we make the ‘last mile’ work? The answer is CITE; the most important factor of AI application.

GeaCom owns the patents and experience related to effective human decision making, likelihood of successful treatment adherence, informed by patient culture, and CITE realities.  To learn more, contact the world experts at GeaCom.


Proper language and culture engagement is objectively ethical, urgent and required for indigenous populations.  Of course having these issues even to this day is a global embarrassment and must be addressed ASAP.  The ongoing cultural disrespect and medical disparities only compound with further delays.

GeaCom is pleased to be the world’s most culturally experienced, effective MedTech innovator.  Expertise with “orphaned” unwritten languages and isolated cultures is a point of pride for GeaCom.  There is only one company with the experience, track record, science, technology and commitment for success in addressing this tragic ongoing societal failure.

Legacy methods of equal engagement and attempts at disparity resolution for indigenous populations have all failed fantastically.  There is only one proven method to address this moral imperative and that is the CITE Method.  There is only one Company with the experience and track record with indigenous populations and that is GeaCom.  There is only one CITE Solution available and… of course it is Phrazer/Kitsune.

To learn the detailed rollout of proven CITE engagements for Indigenous populations, contact GeaCom leadership.

Vision and Values: Deeper

Why GeaCom Exists:

GeaCom provides pathways to harmonize patient, staff and system performance through innovative CITE Solutions. We are the leading innovator for health delivery methods on a foundation of science, ethics and appropriate technology.  GeaCom’s solutions define a new era of healthcare with total equity, quality and continuty. GeaCom empowers all patients, staff and healthcare institutions to enter the future of healthcare by eliminating broken health systems that unequally treat people at the most vulnerable and vital points in their lives. GeaCom seeks to collaborate with excellent health workers of high personal quality to best employ CITE Solutions as the method foundation for the future of healthcare.  Because it is the most tragic universal system failures and the most important endeavor to address.  Right now, this instant and each following until change comes, patients suffer on our watch, waiting for empathy, innovation, change.

GeaCom Values:

  • Science – as a foundation for reliable, repeatable and replicable experience
  • Equity and Civil Rights – as the driving forces for a new era of healthcare
  • Quality – as people and concepts of value deserve special levels of quality
  • Take bold steps to change the status quo that is harmful to people

GeaCom’s Vision and Goals:

  • Become a source of intelligent collaboration and strategic diversity to combine for stunning innovation
  • Reinvent the broken inequitable health system of the past with a more equal, effective future model
  • Provide the highest level of ethical behavior and performance in the market (fair labor, trade, pricing)
  • Provide empowering solutions to patients and staff
  • Provide solutions to improve interpersonal skills and effectiveness of healthcare workers
  • To influence the intercourse between patient, staff and system performance to improve experience
  • To create a realtime, adaptable and interoperable influencing system for improved efficiency, equity and health outcomes

Mission & How: Harmonizing Patient, Staff and System Performance

We start by normalizing the patient variable. The patient variable is the largest, unmanaged dynamic variable component to healthcare. Patients come to care with different socio-economic backgrounds, literacy levels, language, cultural needs and other impactful traits. These variables express affect care in deeply meaningful forms such as:
• The amount of time needed
• The speed of material conveyance
• The level of trust and understanding
• The overall need and use of resources
• Honesty in disclosure
• Compliance to the care plan
• and many other vital factors

Through CITE method on Phrazer/Kitsune our mission to ‘normalize’ the patient variable has become a reality. With GeaCom’s CITE Solutions medical centers can predictively calculate time of engagement, comprehension, address culture and literacy needs and effectively communicate in every language. From this follows process and flow opportunities never before possible.

Additionally, CITE Solutions normalize the staff performance through specialized messaging, tracking, process adherence guidance and cues. No other entity has sought so effectively to normalize performance of staff despite the time of shift, the patient load, the experience levels and other key factors. GeaCom’s Multi-path Realtime Messaging (MRM) feature combined with mesh tracking capabilities effectively coordinates staff usage, activities, engagement styles and process. This reduces the gamble experience of patients and ensure continuity and quality of care.

By empowering the patients and ensuring they predictively provide objective, accurate, timely information while coordinating staff process and enhancing their patient engagement excellence the entire dynamic of the system improves and enables more effective use of system resources. The CITE system further enhances this breakthrough by eliminating rote activities, by performing patient-direct-to-chart entry, by eliminating unnecessary and ineffective utilities and services such as:
• computers on wheels
• survey systems
• paper interfaces and printers
• scribes
• translators
• data entry tools
• thin client interfaces and more

Ultimately, as has been proven time and again, the CITE Method on the Phrazer/Kitsune system has established the breakthrough of:
Harmonizing patient, staff and system performance.

And this means nothing less than full Civil Rights coverages, improved patient flow, enhanced staff performance and significantly improve economic and ethical performance. The exciting aspects are that this is easier to implement than status quo systems and is revenue positive.

Ethical Innovator

Every minute, of every day patients and staff are needlessly suffering due to antiquated methods and status quo models that apply exclusivity. When new solutions come online, these typically perform for the dominant culture, race, language, literacy and socioeconomic backgrounds while ignoring other population’s needs.

If a patient is not male, English as a second language (ESL), low literacy, non-caucasian, has lower socioeconomic status, is a senior, is not of the regional culture and faith, or a myriad of other deviations from the dominant population then:

▪ Wait times are significantly longer
▪ Error levels are significantly higher
▪ Cost to the system is significantly greater
▪ Experience of prejudice is real, reliable and untenable
▪ Challenges to staff are compounded
▪ Satisfaction is lower
▪ Efficacy is measurably reduced

This is not okay, this is not ethical and this should not be accepted any longer. The exclusive application and methods are literally killing people.

GeaCom is an ethical innovator that collaborates with medical and K-12 systems to bring about meaningful innovation that applies equally, uses modernized methods, is scientifically validated, proven, scalable and of lower cost. Every solution on CITE platforms is for the entire population, equally. When GeaCom says it is the only Civil Rights solution in the market this is not only an ethical statement but also a rational approach that has wide reaching benefits. Ethical innovation is the only that aligns with the hippocratic oath and social mission of healthcare.

2019: Breakthrough Phrazer/Kitsune & CITE Solution Advancements

The fastest, most affordable equity innovation is GeaCom’s promise (and literally the only proven equity solution).  The unmatched, blazing innovation pace is only realized due to purpose built, medical grade CITE tools that include hardware, user interfaces, operating system, specialized server stacks and direct content development.  A full feature rich foundation for rapid market driven innovation is proving unparalleled.  Without further preamble, here are the 2019 breakthrough advancements: 

CITE Engagements

GeaCom’s greatest value is the proven capability to more effectively engage anyone despite language, literacy, gender, culture, age and more.  During 2019 the uncontested world leading engagements expanded by more than 4 fold. 

Virtual Health

A new feature for rapidly transitioning from CITE engagements to on-system (live video) physician engagements and back, seamlessly was incorporated.  Patients and staff now engage and advance care more effectively, even in the ‘waiting room’.  This feature is also used for care provided out in the community where mental health assessments or general engagements identify populations with greater need and bring the care team directly to them (in their homes, at work or in the community), at the moment of need.

Fast Track

In concert with seamless live engagements, GeaCom and its medical advisors added identifiers to determine which patients could be “fast tracked” to care and discharge without even being roomed.  This feature enables physicians, in facility or out, to see patients who can be quickly engaged, assisted and discharged without further impact on resources.  Estimates from medical research indicate that as many as 40% of ER and Urgent Care visits can be fast tracked, saving time, money and resources while improving patient experience. 

Mesh Network Functionality

Integrating new, highly responsive technology in a burdened infrastructure can be expensive, daunting and additive but with the new Mesh functionality the entire integration is run on a self generated network.  No wiring, no additional network hooks, no routers and load balancing hardware; just place Phrazer/Kitsune and it handles the rest.

MRM Enhancements

Multi-path Realtime Messaging is at the core of CITE functionality.  Previous iterations focused on one-to-one benefits (one patient, one staff listener) but now the expanded MRM adds custom messages to individual staff members.  This feature directs staff to most efficient performance, process adherence and constant patient awareness that is highly specific to the individual staff member.  Additional MRM use of EMR, alert boards and the caregiver Kitsune bring vast possibilities to this breakthrough feature.  The most stunning advancement of the new MRM is that it can engage staff offsite as well for realtime, live updates enabling fast track and virtual engagements.


The new Patient Entertainment Portal and Services feature adds a whole new interface set that patients LOVE.  In the patient’s own language and appropriate to their age and culture, this interface provides self guided health engagements and avast array of entertainment.

Tethering and Network Sharing

Often medical systems have poor network or patients can’t access their cell networks and now in these cases, Phrazer/Kitsune can create custom private networks for patient’s friends and family to access and use for both PEPS and Internet services.

Screen Casting 

This new feature provides the ability to ‘cast’ what is on a Phrazer/Kitsune screen to one or multiple other screens.  You can cast PEPS to a large screen or host group  video conferences from Phrazer/Kitsune.  The casting also makes it possible to send live updates to all patients or a sub-group by casting a master screen.  This feature also opens possibilities for controlling content to waiting room TV screens and hosting group trainings.

OHA Expansions

The Open Handset Alliance feature enables a secure, isolated access for incorporating Android or iOS applications, natively, onto Phrazer/Kitsune.  GeaCom has added live translation partners ‘Apps’ such as LanguageLine, CyraCom and Google translate solutions.  Also added are games, podcasts, books and specialty staff reference tools.  The OHA means you can run your favorite Apps on the most secure, fastest and only qualified platform without any additional coding or costs.

PPV and Revenue (sponsorships and advertisements)

GeaCom certified as a JP Morgan Chase payment gateway which enables Pay-Per-View and other commerce features on Phrazer/Kitsune.  This feature enables patients to access more premium services.  Also incorporated are sponsorship and advertising interfaces so users may choose free services while the managing system experiences increased revenue.

Faster EMR connections

Our partners and GeaCom have worked diligently to ensure faster, lower cost and more expensive EMR connectivity.  During 2019 the cost has dropped by more than 50% while the time required to integrate decreased by up to 80%.

OpenGL Engagements

After years of development GeaCom is ready to unveil the new high speed, high response 3D interfaces.  Fully interactive and dynamically adaptive human models, matching the patient, are now available for countless CITE engagements to further enhance the look, feel and value of the experience.

Process Improvement and Adherence 

With the new Mesh Network, casting, new caregiver Kitsune and enhanced MRM, vast horizons in process improvement, staff adherence and realtime patient/staff/system coordination have opened.  Realtime touch to all assets can now coordinate with AI to create best performance facilities.

Staff Competency Development

Phrazer/Kitsune staff training and competency engagements are now available for everything from cultural competency to policy and procedures and CMEs to CDC notifications. For new on-boarding staff to reinforcement for established staff; staff competency on the CITE platform educates, confirms and assures everyone is on the ‘same page’.

K-12 and Community Engagements

After 3 years of in market research, performance and breakthrough results, the new CITE Althing was released with rich K-12 and community interfaces and features.  Bridging best of class hardware, CITE engagements and education with community services is proving to be the most powerful community health and services technology ever conceived.  Seamless transitions from pediatric to community to shared decision making interfaces; all community focused and owned is a new breakthrough of CITE.

OTA Updating

Secure “Over The Air updating” is fully enhanced for realtime evolution of Phrazer/Kitsune engagements.  No IT overhead, no delays and even use of the new mesh function enables realtime updates, fast, lightweight and reliably.   With innovation as a cornerstone OTA brings high speed innovation to reality. 

What Really Matters

Never loosing focus on equity in engagements, the Civil Rights benefits, innovation and being the best of class platform remains GeaCom’s core philosophy and during 2019 it was well maintained and enhanced.