Posts Tagged ‘disruption’

The Real Truth about Apple and Google and Arrington

August 27th, 2009 | Popularity: 2%
0 comments | Leave a reply
  • 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?

Non-Consumers: Why American Well Will Do Well « Crossover Healthcare

January 14th, 2009 | Popularity: 19%
0 comments | Leave a reply

How Apple’s iPhone Reshaped the Industry – BusinessWeek

December 13th, 2008 | Popularity: 19%
1 comment

On Being a Change Agent

October 16th, 2008 | Popularity: 16%
0 comments | Leave a reply

The 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

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

NCPDP Standard for Encoded SIGs

May 22nd, 2008 | Popularity: 47%
0 comments | Leave a reply

I 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 comments

I 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.

Pomona College Pomona College Pomona College

Voicethread; Zotero; Nice Summary of Medical Home from Deloitte

April 3rd, 2008 | Popularity: 82%
0 comments | Leave a reply

April 1st through April 2nd:

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 comments

March 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 comments

While 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 reply

March 14th through March 17th:

Getting out of IT prision through employee asset management; DC still growing up

March 15th, 2008 | Popularity: 64%
0 comments | Leave a reply

March 12th through March 13th:

Microsoft opens up; Illustration of Chartjunk; CNN fires an employee who blogs

February 25th, 2008 | Popularity: 30%
0 comments | Leave a reply

February 23rd through February 24th:

History of Airline Marketing; Going Pharma-free for CME; Closed-Journal Publishing

February 21st, 2008 | Popularity: 43%
0 comments | Leave a reply

February 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.

Toyota misunderstood by Businessweek; Enterprise 2.0 from Google

February 10th, 2008 | Popularity: 30%
0 comments | Leave a reply

February 7th through February 9th:

What about Carol.com; Top HIT Predictions and more Questions about the Federal Role

February 4th, 2008 | Popularity: 56%
0 comments | Leave a reply

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 reply

This 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:

Promising Reimbursement Methodology; More on Music and Real Estate Industries; Another Blog Post Goodbye to an Employer

January 15th, 2008 | Popularity: 45%
1 comment

January 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

An Article that Made an Impact: ROKRs, iPhones, and Health Care

January 11th, 2008 | Popularity: 15%
2 comments

Once 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

How not to lead Geeks; Being a Chief Inspriation Officer

January 10th, 2008 | Popularity: 49%
0 comments | Leave a reply

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

Industry Disruption; Managing Information using Web2.0; Jobs and Portability

January 2nd, 2008 | Popularity: 34%
0 comments | Leave a reply

I’m starting to track the disruption of other industries, like music and real estate….

December 29th through December 31st: