- The Real Truth about Apple and Google and Arrington – A fascinating look at the upheaval of the telephone/carrier industry brought about in a roundabout way by Apple and Google. What are the similarities in other industries, from trains, to planes, to music, and ultimately health care?
Posts Tagged ‘disruption’
The Real Truth about Apple and Google and Arrington
August 27th, 2009 | Popularity: 2% 0 comments | Leave a replyNon-Consumers: Why American Well Will Do Well « Crossover Healthcare
January 14th, 2009 | Popularity: 19% 0 comments | Leave a reply- Non-Consumers: Why American Well Will Do Well « Crossover Healthcare – Nice analysis from Scott Shreeve, MD about the impact of American Well in Hawaii.
How Apple’s iPhone Reshaped the Industry – BusinessWeek
December 13th, 2008 | Popularity: 19% 1 comment- How Apple’s iPhone Reshaped the Industry – BusinessWeek – Discussion of "disintermediation risk". I wonder if there are analogies in health care?
On Being a Change Agent
October 16th, 2008 | Popularity: 16% 0 comments | Leave a replyThe check list (for me), based on this weeks’s column and podcast from Jack and Suzy Welch (What Change Agents are Made of)
- Around 6 months to 3 years ahead of my time in my ideas (see this , this, and this)
- Willing to risk their career in support of their decisions (see this, this, and most recently, this)
- Usually not lone wolves, cultivate relationships with those who will further their vision (have you seen my BFI?)
They say that they (we) are about 10 % of the employed population. Are you one?
Hello Health-Concierge Care for All | Nexthealth
June 23rd, 2008 | Popularity: 21% 0 comments | Leave a reply- Hello Health-Concierge Care for All | Nexthealth – Hello Health is coming. This is a tweet by tweet review of Jay Parkinson, MD's demo.
Lululemon's Next Workout
June 10th, 2008 | Popularity: 18% 0 comments | Leave a reply- Lululemon’s Next Workout – Profile of a company who's CEO wants to be close to her customer. A great true north – "elevate the world through health and fitness." My own experience finding their expansion strategy – the showroom concept – could be useful to health care organizations
Aetna’s CEO Again Attacks 3rd Party PHRs « Chilmark Research
June 2nd, 2008 | Popularity: 20% 0 comments | Leave a reply- Aetna’s CEO Again Attacks 3rd Party PHRs « Chilmark Research – The "d" word is back. Reacting by innovating is a great thing.
NCPDP Standard for Encoded SIGs
May 22nd, 2008 | Popularity: 47% 0 comments | Leave a replyI learned about this at the CCR workshop. The CCR accomodates elements of this, but CMS has not endorsed it yet as a standard.
AMCP.org – Comments on Standard SIG – The NCPDP was working on the standard for Med Sigs – a little background
Photo: Bear Added Riches in Trust for Mankind
April 12th, 2008 | Popularity: 48% 2 commentsI walked past this sign, welcoming people to Pomona College, in Claremont, California. As our profession thinks about broadening consumer health informatics to help more people (from diverse backgrounds and parts of our society), we should remember to share the added riches of our learning, experience, and ideas for improving health care in trust for mankind. More innovation happens when more is shared, not less. This includes what we did well with, and what mistakes we made.
Voicethread; Zotero; Nice Summary of Medical Home from Deloitte
April 3rd, 2008 | Popularity: 82% 0 comments | Leave a replyApril 1st through April 2nd:
- Pattern Recognition » Blog Archive » I really hate Zotero – Like the concept, wants to improve the implementation
- Medical Home | Solution to Chronic Care Management? | Health Care | Disruptive Innovation for a New Primary Care Model | Center for Health Solutions – Deloitte LLP – Very nice overview of Medical Home, particularly with the rundown of stakeholders in the back, plus the medical home cost model.
- WordPress ? Support » Tags Import As Numbers, Not Words – Importing issues Wordpress
- Web 2.0 Expo San Francisco 2008 ? Co-produced by TechWeb & O’Reilly Conferences, April 22 – 25, 2008, San Francisco, CA -
- Compare Accounts | YouSendIt – Store and forward service for the times when e-mail isn’t so efficient. I use XDrive.
- Convert Your Paper to iPaper | Scribd – An ambitious project to convert paper , no extra charge
- John Furrier Says Google?s CIO is Leaving for EMI – Interesting change of employer, could the same thing happen if a Google employee was recruited to run a health care organization?
- Twitter – A Teaching and Learning Tool | ICT in my Classroom – Nice discussion of the uses of Twitter in education
- VoiceThread – Group conversations around images, docs and videos – An interesting image, video, voice annotating service. What are the applicaitons in medical group training and patient involvement
Challenging Peer Review (on several fronts); Consumerism in Health Survey 2007; Accepting suggestions from Customers using Web 2.0 at Starbucks
March 30th, 2008 | Popularity: 77% 10 commentsMarch 28th through March 29th:
- WordPress ? Search and Replace « WordPress Plugins – Wordpress 2.5 is out. I have a feeling this plugin will be useful to have handy
- JAMA — Preserving Confidentiality in the Peer Review Process, March 24, 2008, DeAngelis and Thornton 0 (2008): 299.16.jed80000 – With tremendous respect for Catherine DeAngelis’ leadership during a tough situation. I am left wondering if the best place to hide is out in the open – if peer review became more Web2.0 like. What would happen in a situation like this?
- Findings From the 2007 EBRI/Commonwealth Fund Consumerism in Health Survey – EBRI – About 2 percent of the population is enrolled in a consumer directed health plans. Significant points for me: (1) almost half of the population with a chronic condition reports not filling medications or skipping doses or delaying care due to cost. Sobering reminder that patients can and do choose to do what we doctors prescribe. (2) “There have been no significant gains int he provision of information on provider cost and quality by any health plan type over the three years of the survey. There has been no increase in the share of CDHP or HDHP enrollees who say their health plans provide them with quality and cost information about their providers, and they remain no more likely to receive such information than enrollees in more comprehensive plans.” Okay, one more point – they did not ask about the impact of involvement in care in choosing a health plan – no mention of medical records access or involvement in information sharing at the level of the encounter.
- My Starbucks Idea – How about doing this for a health care org?
- Bronson Beta – Mail.appetizer – Nice Mail notification tool, Leopard
Thoughts from the iPhone Developers Summit
March 22nd, 2008 | Popularity: 34% 9 commentsWhile in New York City this week, I happened to attend the (first?) iPhone Developer Summit, thanks to a free pass and a little wiggle room in my schedule.
I didn’t go because I am planning to learn Objective C and develop for the iPhone. I went because I wanted to see what the developer community is thinking, and I have to say I was impressed with what I saw. I sat in on a session about the new iPhone SDK and the audience looked almost to me like a group of doctors that are sitting in a room to learn about electronic health records and realizing that their lives are going to change.
There was discussion of the iPhone platform, which has far more computing power and graphics capability than any other handheld that has preceded it, coupled with the fact that Apple, Inc., has made it easier than ever for developers to distribute their applications quickly and efficiently through iTunes. Nothing like this has ever existed on other mobile platforms.
I sensed a tone of quiet resignation coupled with excitement that this will be the next revolution in computing. At the same time, the teaching was about the very basics of developing for the iPhone so it’s very early in the journey. I learned a few things, like the fact that the iPhone you use to develop on will need to be disconnected from the AT&T cellular network, so basically you will need to purchase a phone specifically for development. The SDK requires that you have a Mac running Leopard – you cannot develop on a Windows box. And an interesting revelation that was not well covered previously – the iPod Touch is also a platform for this SDK. This means that an enterprise developer could create internal applications that run off of Wi-Fi, decoupled from phone service. That’s a big deal.
After taking in this scene, I wandered with a colleague over to the Apple Store on Fifth Avenue, which provided more evidence of a transformation coming. The store was packed beyond all recognition. There was a long feeder line of customers waiting to buy things. And yet the store made all of the products available to customers and potential customers to enjoy at their leisure.
There’s something going on here. Click on any of the pictures to see them full size, and the video below to get a sense yourself.
LEAN Hospital and Public Comments; The Unconference Concept; The State of Agile (LEAN Software Development)
March 18th, 2008 | Popularity: 37% 0 comments | Leave a replyMarch 14th through March 17th:
- To build a better hospital, Virginia Mason takes lessons from Toyota plants – Nice profile of a hospital that employs LEAN. The comments are not as charitable. The challenge is both to communicate what LEAN is and make sure that the core philosophy of LEAN, respect, is a part of every transformation.
- Peachpit: How to Add WordPress Category Feed Links to Posts > Subscribing to Categories – The title says it all. A little blog geekery.
- Agile Development Whitepaper – VersionOne – Agile Software Development Management – A bit of a “state of Agile” survey among its practitioners. Data is useful in figuring out where the drive to go Agile (and by proxy, LEAN) might come from an org, and also what practices are being deployed (55% daily standup – why not in cilnical medicin
- PowerCard Project Management Software – Without embracing a computerized tool for project management, I wonder if this software’s approach most closely resembles Agile. Does it? Looks like it creates burn down charts (?)
- Unconference – Wikipedia, the free encyclopedia – Unconference, I want to experiment hosting these! How would they work for continuing medical education?
- BBC NEWS | Health | Sinus bug antibiotics ‘no good’ – How long will it take actual practice to change?
Getting out of IT prision through employee asset management; DC still growing up
March 15th, 2008 | Popularity: 64% 0 comments | Leave a replyMarch 12th through March 13th:
- DCist: Columbia Heights Target Crime Update – There’s an interesting debate going on about the value of big box retailers in urban areas. I believe a similar debate has been in play in Seattle for some time. DC is growing up. Oh, and this Target is walking distance from me.
- Business Technology : Why Businesses Banish Cool Technologies – These businesses, unlike the ones in the next link, are the ones that may find themselves challenged when it comes to recruiting GenX and GenY staff and leaders. Maybe there’s a way out, see the next link.
- Why a worker says ‘it feels like I just got out of IT prison’ | Technology | The Guardian – Employee asset ownership may be a good way for IT to support innovation in large organizations. Ask BP and Unisys. And the GenX and GenY staff that will expect to use technology to its fullest.
- AHLTA 2008 – National Forum on the Future of the Defense Health Information System; supporting care for a vulnerable population (the enlisted and returning veterans).
- Developing Rails Applications on Mac OS X Leopard – Nice guide to R on R on Leopard
Microsoft opens up; Illustration of Chartjunk; CNN fires an employee who blogs
February 25th, 2008 | Popularity: 30% 0 comments | Leave a replyFebruary 23rd through February 24th:
- Headlines – Mike and the Mad Dogs | The Daily Show | Comedy Central – Jon Stewart illustrates “Powerpoint Chart Junk” based on the work of FEMA
- Electronista | MS to publish free APIs for Windows, Office – Bravo, Microsoft. Might we soon see an Exchange-Apple Mail client? Great direction.
- Chez Pazienza: Say What You Will (Requiem for a TV News Career) – Media on The Huffington Post – CNN Producer fired for blogging. Will choice of employer soon revolve around whether they allow blogging or not? I assume the fact that my boss comments on my blog means I am okay. (Right?)
History of Airline Marketing; Going Pharma-free for CME; Closed-Journal Publishing
February 21st, 2008 | Popularity: 43% 0 comments | Leave a replyFebruary 15th through February 16th:
The first few links are from the history of diversity in various industries’ and their impact on quality, affordability, and safety.
- “Fly Me” – TIME – National Airlines pleads innocence in 1971 to the “Fly Me” campaign despite flight attendant protests.
- Classic TV Commercial Jingles: Braniff presents “The Air Strip” – A commercial dubbed “outrageously sexist” for its portrayal of flight attendants.
- Coffee, Tea or Tails? – TIME – Article from 1974 about Continental’s “We Move our Tails For You” ad campaign
- Health Care Renewal: GE: We Bring More Conflicts (of Interest) to Light – An example of a purchaser that struggles with supporting an affordable care system, and supporting an un-affordable care system at the same time.
- No Pharma Funding | When Memorial Sloan-Kettering Cancer Center in New York City stopped accepting commercial support for its continuing medical education activities last January, many at the institution had their doubts that the program would survive – CME without industry support is possible. I would tend to favor events that are less fancy and have less bias.
- apophenia: open-access is the future: boycott locked-down academic journals – A more assertive argument around locked down journals.
- Running a hospital: You can take your $15 fee and … ! – I wonder how relevant peer review is in general. I am going to start a tag cloud on this and keep track.
What about Carol.com; Top HIT Predictions and more Questions about the Federal Role
February 4th, 2008 | Popularity: 56% 0 comments | Leave a reply- Health IT Pioneer Calls for Changes in Federal Health IT Strategy – iHealthBeat – More changes requested in federal involvement around Health IT
- JAY PARKINSON + MD + MPH on Carol – Jay says it isn’t going to work. I’m not sure it will either as I think about what Apple had to do to create the iPhone. I found the CEO’s ideas compelling. We should start with what’s best for those we serve and figure out a way to make it work.
- ChangeThis Newsletter: 42.05 Ideaicide: How To Avoid It And Get What You Want by Alan Parr and Karen Ansbaugh – I would call this a nice primer on “Nemawashi” – or conversations around the office to get ideas off the ground.
- A Food Fight Over Calorie Counts – Interested more in the approach to sharing information than the issue of calorie counts (per se) – that “consumer confusion” is used as the reason to not provide information.
- Chapter 70.02 RCW: Medical records ? health care information access and disclosure – Background information; Transparency Law in Washington State
- Forrester?s Top Health-IT Predictions for 2008 ? Digital Healthcare and Productivity – Clinical analytics, EHRs gain a greater toehold, RHIOs will take a little longer. My experience in the field seems to resonate.
- The Health 2.0 Blog: Carol aims to disrupt the health care market by Matthew Holt – There’s that “d” word again, in reference to Carol.com. Can they do it? If we think about creating patient-centered HIT systems, why wouldn’t we include cost information as part of the Information part of HIT?
Possible Web2 apps for the Enterprise; Regence Health Plan lets its members provide feedback to others; Being my own CIO – update
January 16th, 2008 | Popularity: 33% 0 comments | Leave a replyThis is my iPhone 1.1.3 edition blog post. The upgrade went flawlessly. I think this is a good time to reflect on how things are going in terms of being my own CIO. Green light here. I think technology is lightweight and standards based enough that it is enjoyable to e-mail, calendar, and content manage with a few simple tools that sync well with each other, in fixed locations and on the go. The software lineup I mentioned in my first post has not changed – it has only gotten better. Data detectors in Leopard work amazingly well and are a huge time saver. I recalled about 2 years ago that I could look down at my Macintosh dock and find all 4 Microsoft Office apps running on it. Since this experience, there usually aren’t any, as they have been handily replaced by Mail, Pages, Numbers, and Keynote. This is not to say that I have a goal of replacing Microsoft apps on my desktop. I am really looking forward to purchasing Office 2008 and seeing what it has to offer. The Macintosh Business Unit there always does a great job with their products and are a good example of the benefit of having an in house innovation unit.
All of that aside, the next question for me has to be – how to get this lightweight technology into the enterprise, because this is what people are learning outside of work. Why not make it what they use at work? What is the cost of acquiring and supporting the monolithic suite of applications that most enterprises use? This is especially relevant for the next generation of leaders and staff (GenX and Y). Are there examples of CIO’s out there who are pioneering in this regard. Worthy of exploration…
Links for January 14-15:
- Flickr DNA: Discover someone new. Rediscover someone anew. – Another interesting social networking app based on Flickr
- flickr graph – marcos weskamp – A great visualization of a social network, this time using Flickr. This could be very useful in the enterprise – “Who is good at X?”
- The 2007 Medical Weblog Awards Nominees – Medgadget – www.medgadget.com – As the title says. The ranks are growing bigger…
- Is Enterprise 2.0 Bad for Business? – Yahoo! News – Lotus Notes the same as a Wiki? I don’t tihnk so….the issue is about lightweight technology that’s standards based and easy to deploy. This is what the enterprise needs.
- Report: EMI Records To Cut Workforce By 36% –
- Health Beat: Who Decides How Much Specialists Are Paid? – Historical commentary on RBRVS and its update committee. It would be interesting to see possible solutions proposed to support a more patient-centered health care world.
- PR Newswire – Healthcare/Hospitals News – Regence members in the Pacific Northwest to be able to provide feedback on their experience with providers to each other. Does this need to sit within the health plan’s web site, though?
- Report lauds VA’s focus on quality care, health IT –
Promising Reimbursement Methodology; More on Music and Real Estate Industries; Another Blog Post Goodbye to an Employer
January 15th, 2008 | Popularity: 45% 1 commentJanuary 12th through January 13th:
- Prometheus Payment, Inc. – A new payment model that supports outcomes, evidence-based care, and transparency
- The music industry | From major to minor | Economist.com – “Then they had the money and could have built the competence by buying concert agencies and merchandise companies,”…Now it may be too late.
- Coverity Incorporated Scan – Company working with the US Govt to harden open source code for use by agencies including Homeland Security. They are finding bugs and the bugs are being fixed.
- Online Real Estate Sites Work To Get A Listing Standard – Another industry that is seeing the benefits of standards, and the challenges of disruption
- Gone Indie ? Thought Palace – Interesting insight on the work environment at Apple. LEAN production? You decide. I will say, though, that even though Apple is not embracing Web 2.0 like other companies are, I have solved many problems using their hosted discussions. These actually work well on Apple’s site I think because they do a great job of leveraging their loyal customer base. Yet another blog “goodbye” to an employer.
- Lean Manufacturing Blog: 1 Hour Kaizen – Excellent template and approach to small improvements. Just takes an hour. Can we have physicians shadowing nurses and vice versa?
Great RSS Readers are Now Free; Social Networking and Herbals; What We Can Learn from the Music Industry
January 12th, 2008 | Popularity: 26% 0 comments | Leave a reply- RSS Web 2.0 Suite for Individuals – NewsGator – Big news – FeedDeemon and NetNewsWire are now FREE. RSS readers can now go mainstream. Highly recommended.
- Seth’s Blog: Music lessons – Important lessons, from one industry to perhaps many others
- Mamaherb ? What actually works in natural health – Social networking meets word of mouth for herbal treatments
- Computerworld: Can Macs conquer the enterprise? The time is ripe … – 28% of IT managers say they will migrate to Macs instead of Vista. Wow.
An Article that Made an Impact: ROKRs, iPhones, and Health Care
January 11th, 2008 | Popularity: 15% 2 commentsOnce in a while I read an article that makes an impression on me, and this is one that did.
Why?
» Read more: An Article that Made an Impact: ROKRs, iPhones, and Health Care
More on Scott Haig, MD; Retail clinics moving ahead in MA; Pharmaceutical Reps regulated in DC
January 11th, 2008 | Popularity: 34% 0 comments | Leave a reply- Online health sites | Salon Life : Is there a doctor in the mouse? – A rebuttal to Dr. Scott Haig’s article that brought me to NPR in December. I think our profession’s leaders are at our best when we react by innovating. From that perspective, I’m not sure I agree with the tone or approach of the Salon piece. If we don’t like what we see in others, let’s create the type of system that we think is better and promote that.
- State OKs clinics in stores- MassLive.com –
- D.C. Council votes to regulate pharmaceutical reps – Washington Business Journal: – Sweeping regulation of pharmaceutical reps, right in our back yard.
How not to lead Geeks; Being a Chief Inspriation Officer
January 10th, 2008 | Popularity: 49% 0 comments | Leave a reply- Providence Health Care – What’s New – Providence Legacy Project, St. Paul’s Hospital, Mount Saint Joseph Hospital, St. Vincent’s Hospitals, Arbutus, Brock Fahrni Pavilion, Heather, Langara, Holy Family Hospital, Youville Residence – The project has yielded great results, with an 87 per cent drop in the time from blood collection to the time of arrival in the lab, and a 45 per cent decrease in turnaround time from blood collection to result reporting.
- Primary Care And Health System Performance: Adults’ Experiences In Five Countries — Schoen et al., 10.1377/hlthaff.w4.487 — Health Affairs – Information about access and secure e-mail use, as well as quality measures across several countries.
- How NOT to lead geeks – This is an interesting post, although I think the title is at odds with the content (this is about leading people who develop great things for society). It adds more information to the LEAN idea that people are not the problem, it’s process.
- Toyota passes Ford as No. 2 in U.S. sales – Toyota’s ability to have humility in this situation is something a healthcare organization would be envious of.
- Running a hospital: Looking back after six years at BIDMC – I liked this. Compliment: It represents Hansei in a good way. Constructive Criticism: Thinking about applying LEAN to be more direct in the communication. Overall: More people should do this.
- Your New Title: Chief Inspiration Officer – I think I want to be this. Actually I think I try to be this. And I love it.
Adding more voices to “HIT before HIE”; Free samples Do Not Support the Safety Net
January 5th, 2008 | Popularity: 46% 0 comments | Leave a reply- RIAA Unfairly Maligned? Give Me a Break. – More on the RIAA and attempts to manage disruption, from Mashable.
- Characteristics of Recipients of Free Prescription Drug Samples: A Nationally Representative Analysis — Cutrona et al., 10.2105/AJPH.2007.114249 — American Journal of Public Health – Study demonstrating that free drug samples are not a safety net. In my practice career I have never used samples (and I’ve never prescribed celecoxib or rofecoxib, either).
- Health Affairs — eLetters for Walker et al., 0 (2005) 5101 – Comment on interoperable HIT being a net gain/loss for physicians, by Peter Basch, MD, of Medstar Health. I agree that we have to be cautious of theorized benefit in this case.
- Health Affairs — eLetters for Adler-Milstein et al., 0 (2007) 271601 – Comment from Peter Basch, MD, about the sequencing and business case for RHIOs not being ready yet.
- Dupont Circle Citizens Association – Learning more about my community. There has been an uptick in crime, unfortunately.
Industry Disruption; Managing Information using Web2.0; Jobs and Portability
January 2nd, 2008 | Popularity: 34% 0 comments | Leave a replyI’m starting to track the disruption of other industries, like music and real estate….
December 29th through December 31st:
- The Fleecing of the Avatars – The downsides of virtual worlds are starting to match the physical world.
- The Battle for Radio Royalties – Picture two dinosaurs. Both are wounded. And both are grappling with climate change that has weakened their ability to compete. Once they coexisted. Now they’ll do whatever it takes to survive?even if it means turning on one another.
- The RIAA Will Die in 2008 – Forecasting hard times for this industry protector.
- Number of Jobs Held, Labor Market Activity, and Earnings Growth Among the Youngest Baby Boomers: Results From a Longitudinal Survey Summary – Individuals born from 1957 to 1964 held an average of 10.5 jobs from ages 18 to 40.
- 12 Filtering Tips for Better Information in Half the Time | The Blog of Author Tim Ferriss – Nice overview of information management tools from the guru of efficiency. Tim Ferriss’ blog.
