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Showing posts with label Technology. Show all posts
Showing posts with label Technology. Show all posts
How might health care providers use technology to turn customers' mobile phones into information displays and ordering devices? A few years ago, the NY Times outlined how retailers are doing it...
"(Designer Norma) Kamali is at the forefront of a technological transformation coming to many of the nation’s retailers. They are determined to strengthen the link between their physical stores and the Web, and to use technology to make shopping easier for consumers and more lucrative for themselves.
...

Cisco Systems, the supplier of networking equipment and services for the Internet, is also a leader in the field. The company’s Mobile Concierge system is capable of connecting customers’ smartphones to retailers’ wireless networks — so a shopper could type “Cheez Whiz” into a cellphone, then pinpoint its location in the store."
Ms. Kamali's boutique installed a technology called ScanLife, "allowing people to scan bar codes on merchandise and obtain details about the clothes through video."

Potential health care applications? Let's see. It could go like this...

Perhaps cancellations and other snafus are making it difficult for your CT department to maintain a full schedule. Time is money as the hum of an empty scanner proves. Encourage patients needing a CT scan - those with flexible schedules - to download an app announcing their willingness to respond to a "We've just had a cancellation. Can you be here in 10 minutes?" message.

Now the patient arrives, lost and disoriented from the long trip in from the parking garage. Where am I? Good question. Waving her phone in front of a bar-coded icon on the wall sends a map and location to her phone.

Now the PATIENT knows where she is. You might also benefit from knowing.  And of course your CT department is also interested in smoother workflow and improved customer service, so...

Create an app to give the department a 10-minute "heads-up" prior to the patient's arrival. Patients who sign up and download the app can be detected as soon as they set foot in the hospital. Their paperwork is ready before they walk in the department's door. They're greeted by name.

What if she gets lost on her way to CT? Create an app that recognizes her current location in the facility and delivers turn-by-turn directions on her phone. Sort of a private-label, in-house MapQuest.

Need to deliver just-in-time teaching information or post-procedure instructions? Scan the appropriate procedure or diagnosis bar code and download a short teaching video to her phone.

You know when the patient arrived, now use that same app to track when she leaves, generating "time-in-the-door to time-out-the-door" data as important additions to your productivity and patient satisfaction metrics.

Once the system flags the patient's departure, send an alert to the referring physician saying something like "Thanks for your referral. Your report will be ready in 30 minutes."

As a thank-you to the patient for keeping your schedule full, send her a real-time electronic coupon for a free latte at your in-lobby Starbucks. The bar code allows for instant redemption and tracking.

Your patient needs reminders for follow-up visits, vaccinations, mammograms, cancer screenings? Apps, apps and more apps.

And of course nothing in a hospital would be complete without a committee to discuss it all. Wondering if this conference room is available for an impromptu meeting and for how long? Point your phone at the room number and and the embedded bar code will tell you.

And so ends another day at "Point & Click Hospital."

Developers include Cisco Systems with its Mobile Concierge system and I.B.M with a product called Presence.

The Sam's Club division of Wal-Mart, Crate & Barrel, Kerr Drug and Disney stores are among the retailers deploying mobile technology, with major roll-outs starting as far back as 2011.

11:46 AM
 Richard S. Foster is retiring this week after 18 years as the chief actuary for the Centers for Medicare and Medicaid Services. From an interview in KaiserHealthNews.org:

Q: How do we control health care costs in Medicare, Medicaid and the private sector?

A: Years ago, we thought that converting from cost-based reimbursement to prospective payment systems (a set payment that covers the entire cost of the admission) was the magic answer, and it helped a lot. Then, back in the early 1990s, everybody thought managed care was the magic answer. And that helped some, too, although most of their success was in negotiating lower payment rates, which you can only take so far.

We’ve had other instances -- pay-for-performance and consumer-driven health care -- that people had hoped would be the magic answer. Right now, there’s a great deal of hope that further integration of care, greater bundling of payments and other innovations like that will be the answer. I’m not optimistic that these things will, in fact, be any more successful than the best ideas of the past. I think they can all help.

All the insurers and payers tend to adopt and pay for just about any new technology that comes along -- even in instances where the value of the new technology is nowhere near its higher cost. So we could be a lot more prudent in how we adopt new technology. But that’s controversial. We saw in the Affordable Care Act the pushback on comparative effectiveness. If you do comparative effectiveness right, I think it could be very helpful.

Q: How would you adopt technology more prudently?

A: If you have something that is 10 times as expensive as the technology it would replace, and it really is not any more effective, why should we bother adopting that? And yet we do it all the time.
9:09 AM
Interesting summary of the innovators and incubators reforming education in Chicago: Smart Cities: Chicago's Collaborative and Chaotic Reform Record
"For over a generation, Chicago has served as the epicenter of for-profit, technology-enabled education entrepreneurship and investment."
"According to Patrick Haugh, The Chicago Public Education Fund, "Chicago sports not only an impressive set of ed investors (Sterling, GSV Advisors), established industry leaders, and an emerging cohort of promising edtech startups, it also possesses a vital network of innovative ed organizations with great local leadership, and creative funders."
Understatement of the waning year:  "...Chicago kids would benefit from coherent state policies aimed at equity, options, and innovation." 





9:59 AM
Computerworld - Demand for real-time data, including personal health information, is driving the market for wearable, wireless devices that will grow from 14 million items this year to as many as 171 million in 2016.

In four years, the market for wearable wireless devices is expected to achieve minimum revenues of $6 billion, according to new research from IMS Research, a subsidiary of IHS.



8:55 AM
(CBS News) "iPads not only make doctors feel more efficient at their jobs, the device actually improved their work flow according to a new study published in the Archives of Internal Medicine."

75% of residents said iPads saved them about an hour each day.

I'll bet physician loyalty and integration rank high on your hospital's agenda.  Yet what have you done lately to save YOUR docs an hour a day?  No, really, I'm asking!  Leave a comment...

Or connect with me (Steve Davis) on Twitter @whatifwhynot .
11:35 AM
From Eliot Muir, iNTERFACEWARE, Special to ZDNet:

" I hate being the bearer of bad news, but I can tell you, with 100 percent certainty, that your integration strategy is going to fail. That’s the good news. The bad news is that when your strategy fails, there will be a start-up with only a handful of employees and even less money waiting in the wings to take over your market share. I am not trying to paint a gloomy picture; I am just sharing hardcore facts upfront.
...

" ...healthcare organizations looking to inoculate themselves from integration failure should follow a few common-sense, tried and true rules: develop a clear strategy up front, keep current with technology, leverage the cloud, be flexible about standards and always look at the opportunity costs inherent in custom development."
[Read more...]

3:00 PM
Presented at AHRQ and termed a "stunning innovation in health care," Mind Field Solutions' iPhone/iPad app diagnoses which patients will disengage from treatment.  The new approach also provides a neuroscientific explanation of the underlying causes behind patient disengagement.

Says neuroscientist, Dr. Andrea LaFountain, CEO and Founder of Mind Field Solutions:

"We are excited about the potential that this innovation brings to healthcare delivery, outcomes and cost. Healthcare has suffered greatly due to the inability to effectively and efficiently engage patients in their self-care. This research provides a scientific framework for engagement that creates significant impact in outcomes and cost. Our data suggests a cost savings of $3billion per annum for Medicare diabetes alone,"


Read more here: http://www.sacbee.com/2012/01/06/4167823/mind-field-solutions-presents.html##storylink=cpy

Read more here: http://www.sacbee.com/2012/01/06/4167823/mind-field-solutions-presents.html##storylink=cpy
 

Read more here: http://www.sacbee.com/2012/01/06/4167823/mind-field-solutions-presents.html##storylink=cpy

Read more here: http://www.sacbee.com/2012/01/06/4167823/mind-field-solutions-presents.html##storylink=cpy
1:48 PM
A thoughtful article from futurist Ian Morrison on Reinventing Rural Health Care.

Among Morrison's excellent recommendations is a high-tech approach to rural health care:

"Rural communities have as much right to high-quality health care as the rest of us. But the answer can't simply be providing sufficient cost-based reimbursement to keep all systems doing what they are doing, especially if they are under scale for true quality care. In my view, the solutions will come through a reinvention of rural health care delivery, including:
  • imaginative use of contemporary information and communications technology;

  • regionalized quality improvement initiatives;

  • rationalized deployment of clinical technology and human resources."
I'm struck by the many innovative, simple, low-cost models and mobile technologies already at work in rural areas. The problem is they're in central Africa, not central Iowa. We're stuck with a Hill-Burton driven, cost-reimbursement-fueled edifice complex where it's easier to spend $20 million on a fancy new building than $20 thousand on mobile technology to help diabetics better manage their disease.




5:55 AM
I'm wasn't sure 2011's waning days needed yet another list of some kind, but Harvard Business Review's list of audacious ideas is pretty good.  Why audacious ideas?

"(Because) even though (businesses are) sitting on $2 trillion in cash, they’re risk-averse, strategically incremental, and notably lacking in fresh ideas.
"We think this stinks. The world needs invention and daring now more than ever.  Now is the time for audacity, not austerity. "
So here's HBR's list (the full article requires registration.)
  • Tackling the World Economy
    • Give People Shares of GDP, by Robert J. Shiller
    • Double Down on Start-ups, by Bruce Gibney and Ken Howery
    • Partner with China in Afghanistan, by Wayne Porter
    • Enroll the World in For-Profit Universities, by Parag Khanna and Karan Khemka
  • Tackling Science Challenges
    • Give NASA a Real Mission, by Gregg Easterbrook
    • Declare 20% of the Ocean Off-Limits, by Enric Sala
    • Electrify the Bottom of the Pyramid, by Arun Majumdar
  • Tackling Social Problems
    • Die the Way You Want To, by Ellen Goodman
    • Pay Businesses to Keep People Out of Prison, by Eric Schmidt
    • Grow More Apples and Less Corn, by Ellen Gustafson
  • Tackling Business Problems
    • Stop Tying Pay to Performance, by Bruno S. Frey and Margit Osterloh
    • Crowdsource Management Reviews, by Linda A. Hill and Kent Lineback
    • Stop Collecting Customer Data, by Doc Searls
Were it up to me, there's about 10 ideas on the list that beg for immediate implementation.  Or, at a minimum, pointed questions of each Presidential candidate (including the incumbent.)

Let the arguing and ox-goring begin.


3:30 PM
Ford Exec To Keynote Digital Health Event At CES: Gary Strumolo, global manager of health, wellness, interiors and infotainment for Ford Research and Innovation will be the day one luncheon keynote speaker for the Digital Health Summit at the 2012 International CES.

From the article:

"Just as mobile has enabled Americans to take a more active role in managing their health and well-being, automobile manufacturers like Ford are looking to develop a series of health and wellness in-car connectivity solutions designed to empower people with self-help information while they drive," said Jill Gilbert, co-producer, Digital Health Summit. "As the most progressive automobile brand in the health space, Ford has both the credibility and expertise to share insights on next generation innovations around consumer oriented health and wellness solutions on the go."



"Leveraging the Ford Sync connectivity platform and its ability to connect to mobile devices via Bluetooth, access cloud-based Internet services and control smartphone apps via voice recognition, Ford - collaborating with WellDoc, SDI Health and Medtronic - developed industry-first, voice-controlled health and wellness in-car connectivity solutions that include alerting diabetics to glucose levels through audio alerts, an allergy alert app providing location-based index levels for pollen, and health management services while on-the-go."

Interesting.  Watch where this trend goes.






6:24 AM
Bloomberg Business Week:  "And now there’s UP. “The big idea here is to help make people consumers of their own health,” Rahman says. “We probably know less about our bodies than we do about our phones.” UP is supposed to change that. The pliable rubber-coated wristband is meant to be worn nonstop for 10 days at a time, even in bed and in the shower. An accelerometer inside tracks data like the number of steps a person takes in a day and the number of calories he or she has burned. The device also monitors sleep patterns and can be programmed as an alarm that wakes the wearer, within a preset time range, at the ideal moment in their sleep cycle. The accompanying iPhone application lets users share their UP data with friends, create personal challenges, and record and track each meal they eat."

On sale later this month for $100 at Best Buy, Target and Apple stores, UP may be the best $100 you've spent on your health.

[More, here.]



6:42 AM
From The New Republic: "A Much Needed Challenge To Low-Quality Universities."  Higher education is in crisis.  Out of touch thinkers and policymakers. Skyrocketing costs (even faster than healthcare.)  Mounting student loan debts.  De-emphasized teaching and research while administrative layers grow without limit.


Despite the serenity of most college campuses,
 
"...the reality of higher education is that most students today don’t have access to..an idyllic (and expensive) college experience, never have, and never will. Instead, many get stuck in big, low-cost lecture courses of indifferent quality provided by institutions that treat students like anonymous tenants. Those are the places that are going to be transformed by technology.


"These disruptions will take many forms. While it’s impossible to predict exactly what the typical college student’s educational experience of the future will look like, the changes will almost definitely include a decline in the number of students living in or commuting to physical locations to attend classes. Instead, students will accumulate credits from a range of different online providers, each specializing in different subjects and programs. Some firms will focus on tutoring, some on career counseling, some in assessing knowledge and skills. Students will increasingly use the fast-growing library of free content being generated by the Open Educational Resources movement. The component parts of the traditional conglomerate university will be picked off by specialty providers, just as newspapers have seen different pieces of their business model attacked by Craigslist (classifieds), blogs (op-eds), Groupon (local advertising), and more.

"The institutions likely to get hit earliest and hardest include a lot of relatively non-selective regional four-year universities, many of which are continuing to raise prices in vain attempts to climb the U.S. News & World Report status ladder. They also include many high-flying for-profit institutions. The brave new world of online higher education isn’t necessarily one where everyone goes to the University of Phoenix. Publicly-traded for-profits like Phoenix, Kaplan University, Corinthian, and others have been successful primarily through innovations in marketing, business processes, harvesting federal financial aid dollars, and scale. Their actual educational programs, even those conducted online, are often quite traditional—and expensive. When technology does to higher education what it has done to scores of other industries—empower consumers, create new markets, and rip huge amounts of cost out of the system—the least innovative for-profits could be the first to fall."

Empower consumers.  Create new markets.  Rip huge amounts of cost out of the system.  Of course it happens AFTER my daughters have graduated.
6:43 AM
...your car.  From Edmunds Inside Line:

"Ford cars and trucks may soon be able to tell you when to take a puff on your asthma inhaler or test your blood glucose level, as the Dearborn automaker is poised to take its Sync communications system far beyond infotainment.

"The Dearborn automaker offered a tantalizing — if somewhat disconcerting — look on Wednesday at the potential for a vehicle to be your partner and coach when it comes to health and wellness.

"Ford said it was intent on demonstrating a paradigm shift in the way its Sync communications system is used. In the not-too-distant future, a car could let you know the UV index so you could apply the proper amount of sunscreen, monitor your food choices at McDonald's, or check your calendar to see whether you'll be playing sports that day and may need an extra puff or two on your asthma inhaler.

'"We're not trying to turn the car into a medical device," said Alan Hall, a Ford spokesman in a phone conversation with Inside Line. "We're a conduit for healthcare to become mobile."'

As they roll out their own health coaching strategies, do physicians and hospitals see Ford as competition? Maybe they should. And I'll bet Ford gets there first. 

Actually, turning the car into a medical device is fine with me. I'd much rather deal with my mechanic than my HMO or some clinic's wretched appointment scheduling system.  My mechanic only charges an arm and ONE leg.
7:32 AM
From The Daily News Blog: "Bio: Steve Jobs was a details man, even in his Memphis hospital bed."

"In Walter Isaacson’s biography of Apple CEO Steve Jobs that went on sale Monday, there’s some fascinating detail about Jobs’ stay in Memphis during 2009, when he got a liver transplant at Methodist University Hospital’s transplant institute.

"Jobs, who died earlier this month at age 56, was ever the details man, even in his hospital bed.

"There’s a moment in the book’s recounting of Jobs’ transplant when Jobs pulled off an oxygen mask, grumbled about the design and ordered someone to bring him five different choices of masks. He said he’d pick the one he liked.

"Same for the oxygen monitor on his finger.

“He told them it was ugly and too complex,” Isaacson writes of the monitor. “He suggested ways it could be designed more simply.”

So here's a question for you:  before, during and maybe even after Jobs' hospital stay, how many hospital staffers saw those same devices - O2 masks, oxygen monitors, etc. - without spotting the obvious?  How many learned nothing, noticed nothing, simplified nothing? 

Here's another question: how many other opportunities like that are lying fallow in YOUR organization? 

Wanna bet the answer is an integer significantly above zero?  Dinner?  You're on!

(Connect with me on Twitter @whatifwhynot )
3:39 PM