Another topic raised by Nadaa Taiyab during today’s SoCal Tech Forum meeting was ambient clinical intelligence. See her comments on how AI benefits diametrically opposing healthcare entities here.
There are three ways that a health professional can create records during, and/or after, a patient visit.
Typing. The professional has their hands on the keyboard during the meeting, which doesn’t make a good impression on the patient.
Structured dictation. The professional can actually look at the patient, but the dictation is unnatural. As Bredebot characterizes it: “where you have to speak specific commands like ‘Period’ or ‘New Paragraph.’”
“Ambient clinical intelligence, or ACI, is advanced, AI-powered voice recognizing technology that quietly listens in on clinical encounters and aids the medical documentation process by automating medical transcription and note taking. This all-encompassing technology has the ability to totally transform the lives of clinicians, and thus healthcare on every level.”
Like any generative AI model, ambient clinical intelligence has to provide my four standard benefits: accuracy, ease of use, security, and speed.
Accuracy is critically important in any health application, since inaccurate coding could literally affect life or death.
Ease of use is of course the whole point of ambient clinical intelligence, since it replaces harder-to-use methods.
Security and privacy are necessary when dealing with personal health information (PHI).
Speed is essential also. As Taiyab noted elsewhere in her talk, the work is increasing and the workforce not increasing as rapidly.
But if the medical professional and patient benefit from the accuracy, ease of use, security, and speed of ambient clinical intelligence, we all win.
“State-to-State (S2S) Verification Service is a means for a state to electronically check with all other participating states to determine if the applicant currently holds a driver license or identification card in another state. The platform that supports S2S, the State Pointer Exchange Services (SPEXS) was successfully implemented in July 2015. Participation in S2S does not commit a state to be in compliance with the federal REAL ID Act. However, if a state chooses to be REAL ID compliant, the Department of Homeland Security generally looks for S2S to be part of their compliance plan.”
Not all states participate. As it turns out, neither California nor Oklahoma are part of S2S. Oklahoma is slated to join, but this may not happen.
“Oklahoma lawmakers have asked the state Supreme Court to immediately block the transfer of driver’s license and identification card data to a national interstate data exchange run by the American Association of Motor Vehicle Administrators (AAMVA).
“The lawmakers argue that the planned transmission exceeds statutory authority, violates state privacy protections, and collapses a key distinction that Oklahoma law makes between REAL ID-compliant and noncompliant credentials.”
Based upon past history, it’s no surprise that some in Oklahoma oppose big guvmint and AAMVA S2S participation.
(As an aside, take a moment to think about how a state in enforcing the privacy of Social Security Numbers, which are assigned at the federal level. And also think about how Social Security Numbers are NOT supposed to be a national ID number. The mind boggles.)
So what do the other states do if someone claims to have a California driver’s license, but California won’t confirm this because of privacy concerns? Here’s what Tennessee does.
“All states and jurisdictions in the United States participate in S2S, except for California, Connecticut, Illinois, Kentucky, Nevada, Oklahoma, and West Virginia. New or returning Tennessee residents transferring from these nine states must obtain a Motor Vehicle Record (MVR) from their former state. The MVR be issued within 30 days of applying for a Tennessee license or ID.”
“Data Privacy Day is marked each year on January 28….Data Privacy Day began in the United States and Canada in January of 2008 as an extension of its European counterpart. In Europe, Data Protection Day commemorates the January 28, 1981, signing of Convention 108, the first legally binding international treaty on privacy and data protection.”
“This Convention is the first binding international instrument which protects the individual against abuses which may accompany the collection and processing of personal data and which seeks to regulate at the same time the transfrontier flow of personal data.
“In addition to providing guarantees in relation to the collection and processing of personal data, it outlaws the processing of “sensitive” data on a person’s race, politics, health, religion, sexual life, criminal record, etc., in the absence of proper legal safeguards. The Convention also enshrines the individual’s right to know that information is stored on him or her and, if necessary, to have it corrected.”
A lot has happened since 1981, but it all had to start somewhere.
(An aside: I wrote this post on Saturday, November 8, 2025. On that date I asked Google Gemini when the next biometric-related holiday was, and this is what came up.)
Now anyone reading that article over the weekend was probably very confused, since the death of Alex Pretti isn’t exactly a DATA breach.
And, of course, Minnesota doesn’t have a “department of homeland security.”
It does, however, have a Department of Human Services…and THAT was what was breached.
“A single user inappropriately accessed private data within the Minnesota Department of Human Services (DHS) ecosystem, potentially impacting 303,965 individuals, officials report.”
This was not a hack per se, but a case in which a legitimate person accessed something they shouldn’t have accessed. Certainly a breach, and the person’s access was terminated.
My 2024 offboarding post discussed the short-term aspects of how Bredemarket wraps up business with its clients. But it didn’t cover the long-term aspects.
What I didn’t say in 2024
You’ll recall my description of the end of a particular contract.
In 2023 I signed a contract with a client in which I would bill them at an hourly rate. This was a short-term contract, but it was subsequently renewed.
Recently the client chose not to renew the contract for another extended period.
But there’s one thing I didn’t say.
The client (whom I’ll call Client 1) failed to tell me that it wasn’t renewing my contract. In fact, in my last discussion with the client, I did not perceive that it wasn’t planning to renew.
Surprise! In fact, I learned of the non-renewal from a third party, not the client itself.
Of course, the client had every right to choose not to renew without advance notice.
But read on.
What happened in 2025
Contrast that with my relationship with two other existing clients, both of whom contacted me personally and let me know that they weren’t renewing my contract.
Both took the time to explain why they were not renewing. Nothing to do with my performance, but having to do with internal issues at each company (which I am not at liberty to discuss).
I went through the aforementioned data scrub process with both clients, and my obligation to both was done.
But read on.
Two little twists
Add these facts.
There was an interesting connection between Client 2 and Client 3. My primary employee contact at Client 2 was previously a consultant at Client 3 until they were let go (again, not because of performance, but because of internal issues).
And a little while later, my employee contact at Client 2 was let go from Client 2 themselves (again, internal issues).
The long term
Bredemarket completed its contractual obligations to all three firms: the one that let me go in 2024 (Client 1), and the two that let me go in 2025 (Client 2 and Client 3).
But what happens after that?
It depends.
If my employee contact at Client 3 requests help, or if I see something of interest to Client 3, I’ll be more than happy to help or share.
If my employee contact formerly of Client 2 requests help, or if I see something of interest to Client 2, I’ll be more than happy to help or share.
If I see something of interest that affects Client 2, I may or may not share.
If I see something of interest that affects Client 1, I probably won’t share…except to Client 1’s competitors.
There is a lot of discussion about data scraping, an activity in which Company 1 takes the information publicly posted by Company 2 and incorporates it into its own records.
In the identity world, this takes the form of a company “scraping” the facial images that were publicly posted by a second company, such as a social media company.
I think that we all know of one identity company that is well-known (a euphemism for “notorious”) for scraping facial images from multiple sources. These not only include government-posted mugshots, but also content posted by private social media firms.
Needless to say, the social media companies think that data scraping is completely evil and terrible and identity vendors that do this should be fined and put out of businress. The identity vendor is question has a different view, even stating at one point that it had a (U.S.) First Amendment right to scrape data.
But what happens when someone wants to scrape data FROM an identity company?
The case is CITY OF SEDRO-WOOLLEY and CITY OF STANWOOD, Washington Municipal Corporations vs. JOSE RODRIGUEZ. The following are findings of fact:
“On April 10, 2025, Defendant, Jose Rodriguez made a Public Records Request to the Snohomish Police Department. He requested all of the city’s Flock cameras pictures and data logs between 5 pm and 6 pm on March 30, 2025.”
This particular record does not indicate WHY Rodriguez made this request, but 404 Media provided a clarification from Rodriguez himself.
“I wanted the records to see if they would release them to me, in hopes that if they were public records it would raise awareness to all the communities that have the Flock cameras that they may be public record and could be used by stalkers, or burglars scoping out a house, or other ways someone with bad intentions may use them. My goal was to try getting these cameras taken down by the cities that put them up.”
The City of Stanwood (don’t know its relation to Snohomish) answered Rodriguez in part:
“Stanwood PD is not the holder of the records you’re seeking; you may be able to request the records at FlockSafety.com.”
Incidentally, this is a common issue with identity databases using vendor softwares; who owns the data? I’ve addressed this before regarding the Milwaukee Police Department.
Now some legal talent may be able to parse what the word “holder” means, especially in regard to data hosted in the cloud. Perhaps Stanwood PD was trying to claim that since the records weren’t on site, it wasn’t the “holder.”
Anyway, the defendant subsequently made a similar request to the City of Sedro-Woolley, but for a different date. Sedro-Woolley didn’t provide the images either.
Then it gets weird.
What happened to the data?
“The Flock records sought by Defendant from Stanwood and Sedro-Woolley have been auto-deleted.”
Well how convenient.
And the listed statements of fact also contain the following:
“The contract between Flock and Stanwood sates that all Flock images generated off Flock cameras located in Stanwood are the property of Stanwood.
“The contract between Flock and Sedro-Woolley states that all Flock images generated off Flock cameras located in Sedro-Woolley are the property of Sedro-Woolley.”
The judge’s ruling
Fast forward to November 6, when Judge Elizabeth Neidzwski ruled on the cities’ claim that the Flock camera data was not a public record.
“IT IS HEREBY ORDERED, ADJUDGED AND DECREED that Plaintiff’s motion for Declaratory Judgment that the Flock camera records are not public records is DENIED.”
404 Media noted that the cities argued that they resisted the request to…protect privacy.
“In affidavits filed with the court, police argued that ‘if the public could access the Flock Safety System by making Public Records Act requests, it would allow nefarious actors the ability to track private persons and undermine the effectiveness of the system.’ The judge rejected every single one of these arguments.”
Of course, there are those who argue that the police themselves are the “nefarious actors,” and that they shouldn’t be allowed to track private persons either.
But the parties may take the opposite argument
This is not the only example of conflicting claims over WHO has the right to privacy. In fact, if the police were filming protestors and agitators and wanted the public’s help in identifying them, the police and the protestors would take the opposite arguments in the privacy issue: the police saying the footage SHOULD be released, and the protestors who were filmed saying it SHOULD NOT.
“Before launching into these regulatory changes, remember that the CCPA is the California Consumer Privacy Act, while the CPPA is the California Privacy Protection Agency. (There’s also a CPRA, the California Privacy Rights Act.)”
Well, one of the entities, the agency (CPPA), is trying to extricate itself and differentiate and be cool and stuff.
“The California Privacy Protection Agency has chosen the new public-facing name of CalPrivacy. The name underscores the agency’s commitment to operationalizing privacy rights and delivering clear, consumer-friendly guidance to all Californians.”