MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'disruptive'. Sat, 03 Sep 2011 02:05:45 +0100 http://www.medworm.com/index.php?rid=5169596&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F08%2F27%2Fbook-review-the-googlization-of-everything%2F In conclusion, the author proposes a bold new project, The Human Knowledge Project, which appeals to the need to have more public control over knowledge through libraries and democratic processes rather than commercial interests. One might agree with him since the recent demise of Google Health. If Google Books are not profitable in 5-10 years, will this project also be abandoned leaving the legacy of digitalized books behind? Yet much of the books skepticism about Google and fears are overdrawn. Perhaps Google’s service to higher education through Gmail and other services will help it keep a commitment to educational and knowledge resources in the future. This book by Siva Vaidhyanathan has the provocative subtitle “And why we should worry”, which defines the subtext o... eHealth blogs http://www.medworm.com/rss/comments.php?id=5169596 Sat, 27 Aug 2011 14:19:43 +0100 5169596 http://www.medworm.com/index.php?rid=5139935&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F08%2F18%2Fmore-on-health-apps%2F The Mobile Health LaunchPad will be announce winners who will pitch their products on September 19. They want apps that are more than content, in an early stage and ones that can actualize utilize capital. The Blue Button initiative from the VA  will award $50,000 for a non’government provider to add the Blue Button on a PHR website or create a PHR with one. The blue button is a function to allow patients to download their medical records. Submissions open until Oct. 19th. The Cleveland Clinic announced a incubator for Health Care Apps. This according to according to Scott Linabarger, the Clinic’s director of Internet marketing, speaking at the World Congress Leadership Summit on mHealth. Jen McCabe is making news with combine HealthMonth and Contagion Health to make a new com... eHealth blogs http://www.medworm.com/rss/comments.php?id=5139935 Fri, 19 Aug 2011 02:32:59 +0100 5139935 http://www.medworm.com/index.php?rid=5159385&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2FPf6p7JTU-tI%2Fmoving-mhealth-forward-through-evidence.html There is something magical that happens when talking about mHealth. People start believing all of the wonderful things that a phone, together with the right gadget, can do: remind me to take my medicine, monitor my vitals, inform my doctor when something goes wrong, just plain automatically keep me healthy. The last few years have seen a huge growth in cell phone companies, technology companies, governments, application and device developers rushing to deliver product in this space. Just look at the over 500% increase in attendance between the 2009 and 2010 mHealth Summit (with the 2011 meeting promising to be even larger.) Along with the hype and the hope, people are beginning to ask for evidence and to question the value of growing a collection of isolated gadgets and apps. I’d say tha... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=5159385 Thu, 18 Aug 2011 23:00:00 +0100 5159385 http://www.medworm.com/index.php?rid=5028538&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F07%2F13%2Fhealth-app-development-and-innovation%2F Two quick notes: HHS kicks off $5M ‘i2′ Health IT app development program – contracts awarded for this, more innovation opportunities looking to: Allow an individual to securely and effectively share health information with members of his or her social network. Provide patients, caregivers and/or clinicians access to rigorous and relevant information that can support real needs and immediate decisions. Allow individuals to connect during natural disasters and other periods of emergency. Facilitate exchange of health information while allowing individuals to customize the privacy allowances for their personal health records. Also announced, the Cleveland Clinic Medical Pavilion on Innocentive and the first challenge posted. (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=5028538 Thu, 14 Jul 2011 02:54:52 +0100 5028538 http://www.medworm.com/index.php?rid=4968634&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F06%2F23%2Fcan-social-media-save-lives%2F This provocative title of a webinar to be held next week is part of the growing optimism about the potential for social media in the process of health care. Some recent examples come to mind: Report from the Change Foundation in Toronto on Using social media to improve the quality of patient experience (I was on the advisory board for this report) An App that Looks for Signs of Sickness – Mobile-phone activity can provide a warning of disease flare-ups. Community Health Data Initiative – more on this later Case Study: Radboud Hospital Supports Young Cancer Patients With An Online Community We are witnessing a shift from social media for pure marketing toward engagement and beyond, to changing the care process. (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=4968634 Fri, 24 Jun 2011 02:58:56 +0100 4968634 http://www.medworm.com/index.php?rid=4934439&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F06%2F16%2Finnovation-opportunities-abound%2F A new conference has been announced by the NIH: Crowdsourcing: The Art and Science of Open Innovation. Speakers incude Tim O’Reilly and ” will focus on the key aspects of this new approach that include: how to identify problems that can be solved through open innovation; how to communicate a scientific problem across disciplines.” Another open innovation opportunity has been recently announced called Merit Awards which is offering $50,000 on the topics of citizen engagement, defense, emergency response, entitlement reform, work force management and motivation, back office operations, results achievement and waste. Another opportunity is a developer community called TopCoder “revolutionizing the software design and development process by tapping in to our unlimited g... eHealth blogs http://www.medworm.com/rss/comments.php?id=4934439 Fri, 17 Jun 2011 02:36:39 +0100 4934439 http://www.medworm.com/index.php?rid=4862664&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F05%2F25%2Fmore-on-innovation-the-need-for-actionable-ideas%2F An excellent post on Venture Valkyrie discusses why Innovation is not enough in healthcare. The author views that “there is no doubt that innovation is necessary to respond to the challenges of our current healthcare system”  while “over-breeding of ideas that are innovative but not actionable.” It is important to consider innovation not just a good in itself, especially in healthcare where we are trying to impact personal health, as only good if it leads to real change. Some innovation will always fail, so the encouragement toward innovation should not have barriers that are too high, but realistic evaluation of these ideas, testing their viability, needs to occur. Another note on innovation comes from the site udemy, a site which enables the creation of courses. ... eHealth blogs http://www.medworm.com/rss/comments.php?id=4862664 Thu, 26 May 2011 00:52:52 +0100 4862664 http://www.medworm.com/index.php?rid=4841656&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F05%2F18%2Fpromoting-healthcare-innovation-through-challenges%2F Innovation in healthcare is now pervasive.  To continue the wave of innovation, hospitals can now earn new incentives based on competitions. These are government-sponsored, industry-sponsored challenges, and even have the potential for becoming business ventures. Here are some competitions hospitals can enter to help expand industry innovation: Health Challenges at Challenge.gov – These include video challenges, National Library of Medicine apps, Flu apps and more. Many offer monetary rewards. Health 2.0 Developer Challenge – Developed by the Health 2.0 Conference folks, this includes online challenges and live competitions including a Code-a-Thon which most recently occurred in February A Code-a-Thon is a day long competition to build an application. Winners... eHealth blogs http://www.medworm.com/rss/comments.php?id=4841656 Wed, 18 May 2011 20:06:14 +0100 4841656 http://www.medworm.com/index.php?rid=4753803&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FxLWKxHLiDZs%2F Healthcare needs positive role models for innovation…and we have a real-time mentor in Netflix. If you have a Netflix subscription, you probably identify with the company as providing a convenient DVD rental service — order on the web, the DVD arrives by mail, send it back in the handy pre-paid envelope when you’re done. Today’s ReadWriteWeb describes Netflix’ latest letter to shareholders and explains how the company is preparing for the demise of DVDs: (more…) Tags: business model, disruptive innovation (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4753803 Mon, 25 Apr 2011 22:52:16 +0100 4753803 http://www.medworm.com/index.php?rid=4734260&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F04%2F19%2Fbook-review-data-source-handbook%2F This new book from O’Reilly Media, written by a former Apple engineer, Pete Warden, is a catalog of code for connecting to publicly available APIs for all kinds of sites. It shows data sources by websites (whois, delicious), people by email (Amazon, FriendFeed), people by name (white pages, LinkedIn), search terms (Bing, Google), location (Google geocoding, US census), companies, IP addresses, books, films, music, products. The brief reviews and code for each source includes those which use REST/JSON, YQL and other languages. Overall the book is a very practical guide for programmers wanting to integrate public data into their websites or creating mashups. However, the book lacks any data sources related to health although many existing on the web from PubMed to ClinicalTrials.gov. ... eHealth blogs http://www.medworm.com/rss/comments.php?id=4734260 Wed, 20 Apr 2011 00:53:02 +0100 4734260 http://www.medworm.com/index.php?rid=4734268&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FokDK9gkw3iE%2F (click on the graphics to link to original sources) Regular readers know that I find Professor Clay Christensen’s theory of disruptive innovation to be a useful lens to explain industry evolution. Let’s look at two recent health IT initiatives and see why one is working and the other is stalled. (more…) Tags: disruptive innovation, EHR, interoperability (Source: e-CareManagement) e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4734268 Tue, 19 Apr 2011 00:26:45 +0100 4734268 http://www.medworm.com/index.php?rid=4684479&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F04%2F07%2Ftedxmaastricht-technology-and-participatory-hope%2F April 4 in Maastricht, Netherlands, was an event full of optimism but not simply about how technology can transform healthcare.  Lucien Engelen envisioned this conference as about health, not healthcare and full participation by the patient as an equal partner. To what extent was this accomplished? The answer is in much of what was said: - health as homeostasis rather than disease and cure - you can’t outsource your health - inforgs -by Luciano Floridi - society has seen the separation passion and profitability - in education ere are too many questions for faculty to answer, students must be full participants - use of a flight simulator as a safety team building tool - add travel history to your personal health record - singularity – artificial intelligence, nanotechnology, i... eHealth blogs http://www.medworm.com/rss/comments.php?id=4684479 Thu, 07 Apr 2011 14:06:41 +0100 4684479 http://www.medworm.com/index.php?rid=4670193&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F04%2F01%2Ftedx-maastricht-the-future-of-medicine%2F In anticipation of the International event on April 4, I wanted to share some links. Although many conferences which claim to be futurist meccas for healthcare, this one is bringing together a group of people including a very strong patient perspective which all are thinking innovation. Also, it is completely full and is being simulcasted to several countries. Website, speakers Some of the attendees via a tool which exploits LinkedIn mashup on VPRO Simulcast schedule – I am being interviewed at 11:15 local time Follow tweets at #tedxmaastricht (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=4670193 Fri, 01 Apr 2011 19:17:06 +0100 4670193 http://www.medworm.com/index.php?rid=4622324&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F03%2F22%2Fhearing-atul-gawande-speak-about-checklists-and-health-policy%2F Atul Gawande Just returned from live tweeting of Atul Gawande at Cleveland Clinic Ideas and full of quotes and ideas. For instance, the evidence is building for use of checklists showing significant reduction in mortality and complications so that he states that if there was a drug that showed this kind of effect it would be adopted immediately, even faster than Viagra. Gawande also discussed two of his well known New Yorker articles: The Cost Conundrum - What a Texas town can teach us about health care The Hot Spotters: Can we lower medical costs by giving the neediest patients better care? In the end, he challenged the audience and the country to find one hospital which could reduce costs while not causing harm to set a model. He predicted that in the coming hospital wars, the ones w... eHealth blogs http://www.medworm.com/rss/comments.php?id=4622324 Wed, 23 Mar 2011 00:50:26 +0100 4622324 http://www.medworm.com/index.php?rid=4577940&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F03%2F12%2Freport-from-amia-all-diseases-will-become-orphan%2F The first speaker I heard at the American Medical Informatics Joint Summit was Kenneth Buetow from the National Cancer Institute. In his typical provocative manner, he challenged the audience on the transition day from the Translational Bioinformatics to the Clinical Research Informatics Summits.  He began with promoting the P4 Medicine as the new model for healthcare: personalized, predictive, preemptive, participatory. Although throughout the conference little was articulated on the participatory aspects with one exception. More on that later. Buetow talked about defining cancer on the molecular level and the challenge of the exponential number of patients required to do genetic screening for a single disease. He referred to Pharma 3.0 from the Ernst and Young report on Progressions 20... eHealth blogs http://www.medworm.com/rss/comments.php?id=4577940 Sat, 12 Mar 2011 07:18:27 +0100 4577940 http://www.medworm.com/index.php?rid=4527785&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F02%2F27%2Fsocial-media-at-himss%2F Meet the Bloggers: Provider EditionI had the privilege to present three times at HIMSS11  on social media, twice at the social media center and twice on panels. My presentation at the social media center, Social Media in Health IT: Rapid Dissemination and Collaboration was brief but well received. A Social Media Panel | Provider Edition: with David Kibbe and  John Marzano was moderated by Rich Elmore was a great opportunity to interact and compare notes on social media and blogging. It was recorded - The Meeting the Bloggers panel on Wednesday was well attended and worked well. The talented panel included @ahier @cthielst @microsoftmd @dleyva08 . We received a very positive review by iMedExchange titled “To Blog or Not to Blog.” Thanks to Ceasar Torres and his team wh... eHealth blogs http://www.medworm.com/rss/comments.php?id=4527785 Mon, 28 Feb 2011 02:36:15 +0100 4527785 http://www.medworm.com/index.php?rid=4507387&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F02%2F21%2Ffirst-day-at-himss-11%2F The two highlights of my day were the HIT X.O track and the Social Media Center. HIT X.O: Beyond the Edge is a new track to predict and discuss the future of Health IT. Beginning with a presentation of the dozens of statistics and predictions on the future of wireless and ended with the Geeks Got Talent brief demos and judges going at it. The multimedia experience was unique as was the live tweets at the bottom of the dual screens. The next stage of the competition continues tomorrow. The social media center is expanded this year, with an afternoon of presentations. I was glad to be on a panel with Rich Elmore, David Kibbe and John Marzano this afternoon.  John’s Orlando Health Facebook page and complimentary YouTube channel are a great example of what hospitals can do with social m... eHealth blogs http://www.medworm.com/rss/comments.php?id=4507387 Tue, 22 Feb 2011 03:10:52 +0100 4507387 http://www.medworm.com/index.php?rid=4472992&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F02%2F13%2Fon-the-bookshelf%2F While I read The Myths of Innovation as an eBook, my next three are all paperbacks: Reading in the Brain: The New Science of How We Read by Stanislas Dehaene Innovation and Entrepreneurship in the Healthcare Sector: From Idea to Funding to Launch by Luis G. Pareras, MD Keys to EMR/EHR Success: Selecting and Implementing an Electronic Medical Record by Ronald B. Sterling. The last two are Greenbranch Publishing. Watch for book reviews in the near future. (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=4472992 Mon, 14 Feb 2011 01:09:09 +0100 4472992 http://www.medworm.com/index.php?rid=4470456&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2011%2F02%2F11%2Finnovation-and-social-media-at-himss%2F HIMSS emphasis on social media has grown every year. From a humble meeting of bloggers at a bar several years ago, to a social media center on the exhibit floor this year. Quite a change. I have the privilege of presenting 3 times at the social media center – providers panel on Monday, a solo presentation,   Social Media in Health IT—Rapid Dissemination and Collaboration, and a meet the bloggers on Wednesday another Meet the Bloggers panel. Plan to join the tweet-up as well and tweet throughout using the #HIMSS11 hash tag. On the innovation front, I helped plan the HIT X.O track which is new to HIMSS this year. Thinking from the future will stretch everyone’s thinking. Covering everything from futuristic mobile apps to personalize medicine in the next 10 years and military... eHealth blogs http://www.medworm.com/rss/comments.php?id=4470456 Sat, 12 Feb 2011 04:02:47 +0100 4470456 http://www.medworm.com/index.php?rid=4225409&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F12%2F02%2F1165%2F As a follow up to the recent article on the Cleveland Clinic Chronic Kidney Disease Registry, there is now an accompanying editorial by William Hersch of Oregon Health Sciences University titled: Electronic Health Records Facilitate Development of Disease Registries and More.  He states, “Their study shows that the quality of data in the registry is comparable to that of the data that would come from a much more labor-intensive and expensive process of human abstraction. This registry will be used for quality improvement, clinical research, and other important tasks. ” He also makes good points about the importance of CPOE in the process as well as the benefits of secondary use or “reuse” of data. (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=4225409 Fri, 03 Dec 2010 02:27:31 +0100 4225409 http://www.medworm.com/index.php?rid=4225434&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2FbpMzT8MNBp8%2Ftim-oreilly-to-host-unconference-for-health-tech-leaders.html Today we announced a grant to O’Reilly Media  to  sponsor the Foo Health Camp in 2011, a cross-discipline, immersive, informal 'unconference' that will take advantage of a growing interest in applying Web 2.0 and open-source thinking in health care to spark ideas that can expedite changes in the ecosystem of health care services. This event is being announced on the heels of last summer’s O’Reilly Open Source Convention, where we helped sponsor the event’s first-ever health track. A full report of that event’s takeaways is now on our Web site. The Foo Camp-unconference format was pioneered by visionary Web leaders Tim O’Reilly and Sara Winge of O'Reilly Media. O’Reilly Media is a leading technology publisher, conference organizer and supporter of the f... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=4225434 Thu, 02 Dec 2010 00:00:00 +0100 4225434 http://www.medworm.com/index.php?rid=4155292&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F5_ghuH5y_qA%2Ftime-to-accelerate-innovation-takeaways-from-this-years-mhealth-summit.html I just returned from the mHealth Summit in Washington, D.C. We’ve been sponsors of the event for 2009 and 2010 – both years it’s been held. Last year there were about 400 people who attended. This year there were about 2,500, including prominent guest speakers like Francis Collins, Bill Gates and Aneesh Chopra, among others. There was also a large hall with lots of exhibitors and an extensive poster session. I guess this means that means mobile health is coming of age. I liked it a lot, but not for the reason you might think. At most of these types of events the presentations tend to expand on the great things that are going on in the field. Here there was a good, healthy dose of skepticism. And there’s a lot to be skeptical about. There are the “show me” skeptics, the ones tha... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=4155292 Wed, 10 Nov 2010 00:00:00 +0100 4155292 http://www.medworm.com/index.php?rid=4151938&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F11%2F08%2Femr-article-gets-positive-press%2F The article I coauthored in the Clinical Journal of the American Society of Nephrology, Development and Validation of an Electronic Health Record–Based Chronic Kidney Disease Registry,  received a nice press release from the American Society of Nephrology which was picked up by both medical and health IT news sources: Medscape: CKD Registry Could Help Physicians Improve Patient Care Healthcare IT News: EHR-based registry could transform chronic kidney disease care Healthcare Informatics: ??????Study: Kidney Disease Registry Could Help Patient Care Blogs: Science Centric: Health registry could transform chronic kidney disease care Drugs-Expert: Chronic Kidney Disease Care Could be Transformed by Health Registry I think that this registry is a model for others which utilize EMR data t... eHealth blogs http://www.medworm.com/rss/comments.php?id=4151938 Tue, 09 Nov 2010 04:01:39 +0100 4151938 http://www.medworm.com/index.php?rid=4139349&cid=t_369112_122_f&fid=36582&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSharpBrains%2F%7E3%2FxLZj9ZGW-Rg%2F Discussions >Industry Activity from October 2010 (Posit Science, Dakim, Zeo, NovaVision, Lumosity) >Pearson starts to promote Cogmed working memory training (press release) Research & Policy Discussions >New report on workplace mental/physical health >Non-invasive electrical stimulation of the brain can improve numerical abilities >JAMA trial finds no evidence of DHA Supplementation impacting on cognitive decline in Mild to Moderate Comment of the week Philip Toman on the potential of computer-administered CBT and heart-rate variability (HRV) biofeedback Idea of the week We now have a very fun Ideas feature that allows Council Members to submit and to vote on ideas and suggestions on anything that crosses your mind. Please visit the new Ideas section and challenge you... SharpBrains blogs http://www.medworm.com/rss/comments.php?id=4139349 Sat, 06 Nov 2010 04:28:40 +0100 4139349 http://www.medworm.com/index.php?rid=4119190&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FvlXfojwrFQs%2F Yesterday Surescripts announced their new Clinical Interoperability Services: Extended Network Connectivity – As a network of networks, Surescripts will support and enable the exchange of all types of clinical messages between EHRs, HIEs and health systems that, today, are not connected with each other. Net2Net Connect – Allows health systems and technology vendors that already support clinical information sharing within their network to connect to Surescripts in order to receive and send clinical information outside their network (December 2010). Message Stream – Secure messaging tools for health systems and technology vendors to enable their physicians to electronically exchange clinical information (December 2010). Clinical Message Portal – Simple connectivity tools intended f... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4119190 Wed, 27 Oct 2010 00:04:26 +0100 4119190 http://www.medworm.com/index.php?rid=4027237&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fi64TWB_EG3E%2F Sometimes you read something and the full impact doesn’t hit you until hours — perhaps days — later.  As I was out mountain biking today, the importance of something I ran across yesterday suddenly hit me. Accountable Care Organizations (ACOs) are today’s cure-du-jour for reforming the health care delivery system. Bob Berensen, MD of the Urban Institute strongly questions whether the shared savings model under current legislation provides enough economic incentive for hospitals to disrupt their existing core business of acute, inpatient care. The dialogue took place at HSC’s 15th Annual Wall Street Comes to Washington Conference. Here’s the conversation from the transcript — I actually went back to dig this out of my trash: Paul Ginsburg: Actually, let me ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=4027237 Sun, 03 Oct 2010 22:16:40 +0100 4027237 http://www.medworm.com/index.php?rid=3999072&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F09%2F23%2Fimpact-of-accelerating-technologies%2F Singularity University is teaching the importance of accelerating technologies. It is teaching its students “to take advantage of exponential growth trends in order to create global change.” Salim Ismail, CEO of SU points out that many startups turn into billion dollar businesses in ever shortening time frames, sometimes as little as two years. And he says that many of the technologies we are learning today will be outdated by the time they are completed. How will we manage this accelerated growth in technology? Is there anyway to keep abreast of it? Will only rapid development approaches be successful in the near term? What about legacy systems (like many EMRs) which take years to upgrade? Maybe events like the upcoming Health 2.o Hackathon will be the real future of healthcar... eHealth blogs http://www.medworm.com/rss/comments.php?id=3999072 Fri, 24 Sep 2010 02:47:32 +0100 3999072 http://www.medworm.com/index.php?rid=3858257&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F3AXxwSJ6aqk%2Finnosight-institute-explores-disruptive-innovations-in-health-care.html This week the Innosight Institute, a not-for-profit, non-partisan think tank, released the first of six whitepapersexamining how disruptive innovations in integrated health care systems are generating higher quality care at a lower cost. We funded this research to identify critical factors necessary for facilitating disruptive innovation in health care. We’ve been long-time fans of Professor Clayton M. Christensen, and are excited to work with him because we believe that the principles of his theory of disruptive innovation could lead to significant positive changes in health care delivery.   This first case study focuses on HealthPartners, America's largest consumer-governed, nonprofit health care organization. HealthPartners’ integrated health system acts as both insurer a... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=3858257 Tue, 10 Aug 2010 23:00:00 +0100 3858257 http://www.medworm.com/index.php?rid=3687219&cid=t_369112_118_f&fid=34702&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fmspblog%2F%7E3%2Fwg9sleI9kHk%2F When jumbo jets collided in the Canary Islands on March 27, 1977, 583 passengers and crew died in the ensuing inferno; the worst aviation accident in history.  Investigation revealed mis-communication between the tower and cockpit, and the fact that the first-officer was apparently too intimidated by the more experienced captain to question his actions. The aviation industry responded by developing Crew Resource Management training, which focuses on the cognitive and interpersonal skills needed to manage a flight Recently, there has been considerable interest in developing methods to prevent intimidation and mis-communication in the healthcare setting, as evidence mounts that disruptive behavior is a significant patient safety issue.    Historically, disruptive behavior... MSSPNexus Blog blogs http://www.medworm.com/rss/comments.php?id=3687219 Wed, 23 Jun 2010 00:49:37 +0100 3687219 http://www.medworm.com/index.php?rid=3683713&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F06%2F21%2Fdeclining-marginal-returns-of-complexity%2F Just completed the book The Collapse of Complex Societies by Joseph Tainter, an archeologist. The focus of the book is on civilizations like the Roman Empire and the Mayas but it made me wonder about the complexity of health care and whether we are at the point of declining marginal returns.  It is apparent from the health care reform experience that competing stakeholders make any attempt at reform a complex and nearly impossible process. Clay Shirky wrote a blog post in April on The Collapse of Complex Business Models. Just like societies which become too complex to respond to major stressors.  While I am not predicting the collapse of health care in the US but one must wonder whether some of the complexity could be simplified by the experience of other countries, such as, single payer... eHealth blogs http://www.medworm.com/rss/comments.php?id=3683713 Tue, 22 Jun 2010 02:53:40 +0100 3683713 http://www.medworm.com/index.php?rid=3595679&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F05%2F24%2Ftechnology-and-the-future-of-chronic-care%2F Accenture has published a report on “Connected How Technology Will Transform the Future of Chronic Care.” From the Accenture Innovation Center for Health, a good source for research white papers. The paper reports that “a broad range of consumer health electronics at home, a two-way, direct-to-consumer infrastructure” and smart devices which set the stage for health care connectivity. Analytics and predictive modeling provide a second layer and visualization, decision support and collaboration provide the third. Connect health examples include the HealthVault and Cleveland Clinic home monitoring pilot and a remote monitoring trial by the VA system. There is no doubt that the convergence of technologies have the potential for revolutionizing chronic care, however... eHealth blogs http://www.medworm.com/rss/comments.php?id=3595679 Tue, 25 May 2010 02:01:52 +0100 3595679 http://www.medworm.com/index.php?rid=3564065&cid=t_369112_113_f&fid=36671&url=http%3A%2F%2Fopen.medicdrive.org%2Fblog%2F2010%2F05%2F13%2Fmedical-devices-and-disruptive-technologies%2F Thomas L.Friedman author of the bestselling book “The World Is Flat: A Brief History of the Twenty-First Century” in a recent open-ed piece in New York Times, writes about a new breed of very lean start-up, where the principals are rarely in the same office at the same time, and which takes advantage of all [...] (Source: Constructive Medicine 2.0) Constructive Medicine 2.0 blogs http://www.medworm.com/rss/comments.php?id=3564065 Thu, 13 May 2010 22:24:21 +0100 3564065 http://www.medworm.com/index.php?rid=3515486&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FC92DVSfJIdc%2F . by Dave deBronkart (e-PatientDave), Vince Kuraitis, and David C. Kibbe So far this series has looked at HITECH participation by hospitals (grumbling but in the game) and physicians (wary, on the sidelines), kudos for ONC’s three major policy points, and how HITECH is already moving the needle on the vendor side. Today we’re going to look at the reason the whole system exists: patients. It’s possible to look at the patients issue from a moral or ethical perspective, or from a business planner’s ecosystem perspective. In this post we’ll simply look at it pragmatically: is our approach going to work? It’s our thesis that although you won’t see it written anywhere, the stage is being set for a kind of disruption that’s in no healthcare book: patient-driven disruptive innovati... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3515486 Wed, 28 Apr 2010 22:42:43 +0100 3515486 http://www.medworm.com/index.php?rid=3487204&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2Fl80lXnrGK-o%2Fat-the-very-end-of-march-study-findings-were-released-in-the-online-edition-of-the-lancetindicating-that-it-is-more-effectiv.html At the very end of March, study findings were released in the online edition of The Lancet indicating that it is more effective from a cost and detection standpoint to begin screening for Type 2 diabetes in people between the ages of 30 and 45 — 15 years ahead of what established guidelines had been recommending.  Subsequent screenings should take place every three to five years thereafter. While this is an important result for the medical community, the most significant piece of this story, in our opinion, was not covered in the news.  What really caught our attention was the fact that this was the first time The Lancet has ever published a peer-reviewed paper for which the research was based entirely on a simulated population and treatment options existing within a ma... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=3487204 Sun, 18 Apr 2010 23:00:00 +0100 3487204 http://www.medworm.com/index.php?rid=3471783&cid=t_369112_87_f&fid=38368&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDisruptiveWomenInHealthCare%2F%7E3%2FVfbpbwFJYZ8%2F I’ve been called many names…and, most of the time, I ignore it and let it roll off my back. But last week, I got the ultimate compliment. I was ordained as one of the “Disruptive Women in Healthcare,” a blog site that invites anyone, particularly women, to speak up and challenge the health care status quo. Since I got formal permission to be disruptive (as if I really needed to have someone tell me it’s okay), I am going to allow myself to be a bit irreverent in this blog entry. I apologize in advance. The focus of this week’s blog is on the health benefits of personal genetic testing–an emerging area of medicine that intrigues many people when they read about it, but scares them too much to get tested themselves. Yes, the blog last week had a simi... Disruptive Women in Health Care blogs http://www.medworm.com/rss/comments.php?id=3471783 Wed, 14 Apr 2010 23:43:06 +0100 3471783 http://www.medworm.com/index.php?rid=3436308&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F04%2F03%2Fhospital-as-software-service-providers%2F In an article on HealthLeaders, how health systems can provide an EMR via Software as a Service (SaaS) is presented. Five requirements are noted: Make HIT a priority Be up-front about the risks Establish a dedicated team focused on outreach Decide what services you are truly capable of providing with this model Offer advice on infrastructure Cleveland Clinic is noted as an example. Dr. C. Martin Harris says, “”Success to me is that we are not just installing technology in an office to replace paper, but we are putting in technology that enables interoperability,” Of course, Cleveland Clinic provides other software to help hospitals and providers: explorys to utilize EMRs for research and discovery Intellis - business intelligence A PHR which connects to Google Health H... eHealth blogs http://www.medworm.com/rss/comments.php?id=3436308 Sun, 04 Apr 2010 01:50:56 +0100 3436308 http://www.medworm.com/index.php?rid=3424951&cid=t_369112_113_f&fid=34631&url=http%3A%2F%2Fehealth.johnwsharp.com%2F2010%2F03%2F30%2Fremote-health-telepresence-demo%2F At the Gigabit Breakfast Club at Case Western Reserve University, there was a demo by a professor of medicine. How does Telepresence differ from traditional telehealth? Watch and see. Other presentations included: The Transformation Potential of Fiber for Smart and Connected Communities Remote Demonstration STEM class and Lab on campus video of endoscopic hydrocephalus surgery (Source: eHealth) eHealth blogs http://www.medworm.com/rss/comments.php?id=3424951 Wed, 31 Mar 2010 02:10:53 +0100 3424951 http://www.medworm.com/index.php?rid=3359103&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2FtIF8DluMCrA%2Fchanging-the-way-a-clinician-views-a-patient.html Last week, Susan Promislo discussed the announcement of five new grantee teams selected in Pioneer’s Project Health Design second round of funding.  As she mentioned, the teams will be testing new ways to integrate patient-generated observations of daily living (ODLs) in the clinical care process.   Today, Steve Downs elaborates on the concept on The Huffington Post.  As Downs mentions, “wireless data networks, smartphones, low-cost sensors and minimal software distribution costs have created new opportunities to paint a person's health experience in vivid detail.” The teams will try different ways of analyzing, synthesizing and summarizing the data and they'll try to extract clinically significant information from all the bits and bytes. They&... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=3359103 Thu, 11 Mar 2010 00:00:00 +0100 3359103 http://www.medworm.com/index.php?rid=3157481&cid=t_369112_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2010%2F01%2Fhealthmemes-healthcare-disruptive.html In my March 2009 post "Disruptive Innovators at Healthcare Renewal: Disruptive to whom, exactly?" I wrote about a fascinating site "HealthMemes: Tracking Conversations About the Future of Health" at http://in3.org/health/ that linked to some of the posts here.The site is a blog of the organization International Informatics Institute (IN3.ORG) and identifies latest trends in health care disruptive innovations (innovations that go "outside the box").In that post I opined that:... If there are disruptive innovators, then there must be a whole taxonomy of people who are not disruptive innovators.The taxonomy might go something like this:disruptive innovatorsoothing, tradition-bound innovatordisruptive imitator (the antonym of innovator)tradition-bound imitatordisruptive non-contributortraditio... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=3157481 Sat, 09 Jan 2010 19:33:00 +0100 3157481 http://www.medworm.com/index.php?rid=2788593&cid=t_369112_88_f&fid=38961&url=http%3A%2F%2Fquantavie.net%2F2009%2F09%2Fgood-enough-healthcare%2F The Good Enough Revolution: When Cheap and Simple Is Just Fine—Wired In the case of health care, the Good Enough mindset can be seen in a new initiative by Kaiser Permanente. The largest not-for-profit medical organization in the country, Kaiser has long relied on a simple strategy of building complete, self-sustaining hospitals—employing 50 doctors or more—in each region it serves. “It’s an efficient model,” says Michele Flanagin, Kaiser’s vice president of delivery systems strategy. “It offers one-stop shopping: pharmacy and radiology and everything you want from health care in one building.” But that approach forces patients who don’t live near a hospital to drive a long way for even the most routine doctor’s appointment. As it ... quanta vie blogs http://www.medworm.com/rss/comments.php?id=2788593 Mon, 07 Sep 2009 02:26:29 +0100 2788593 http://www.medworm.com/index.php?rid=2681989&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FEHAHY8k71iI%2F Google Health…please stick around….but please also get your stuff together. Over the past few days, several of my respected colleagues have written excellent blog posts essentially asking “Does Google Health have life?” Scott Shreeve — CLEAR! Shocking Google Health Back to Life John Moore — Is Google Health Irrelevant? Will Crawford — Future of Google Health I share their observations and sentiments.  I see Microsoft HealthVault as a serious business strategy while Google Health is more like a hobby (one of probably hundreds at Google). Are there reasons Google should stick around healthcare? Absolutely!  Off the top of my head, I can think of five: Google brings unique competencies to health care information seeking. Google Health is doing a good job on a sho... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2681989 Fri, 07 Aug 2009 22:36:01 +0100 2681989 http://www.medworm.com/index.php?rid=2580276&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F0wBiPYi-N2o%2F by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA The last article in this series — Time for EHRs to Become Plug-and-Play — used words to describe a major industry shift underway in health IT. Sometimes pictures help to make a point. Here are several diagrams that you can also download as PowerPoint slides.  Computer Industry 1983 to 2002     Source: Venkatraman, N. Winning in a Network Centric Era, 2006 Blueprint for Health IT Shift From EMR 1.0 — 2008… …to Clinical Groupware/EHR 2.0 — 2012 (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and S... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580276 Sun, 21 Jun 2009 19:18:11 +0100 2580276 http://www.medworm.com/index.php?rid=2511413&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F0wBiPYi-N2o%2F by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA The last article in this series — Time for EHRs to Become Plug-and-Play — used words to describe a major industry shift underway in health IT. Sometimes pictures help to make a point. Here are several diagrams that you can also download as PowerPoint slides.  Computer Industry 1983 to 2002     Blueprint for Health IT Shift From EMR 1.0 — 2008… …to Clinical Groupware/EHR 2.0 — 2012 (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and See: What’s Unclear or To-Be-Determined (TBD) ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511413 Sun, 21 Jun 2009 19:18:11 +0100 2511413 http://www.medworm.com/index.php?rid=2580278&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FRpKJj9t7QIM%2F by David C. Kibbe MD, MBA The remarkable report, “Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home,” published in the May/June issue of Annals of Family Medicine, the Nutting Report, makes this point about the state of primary care IT offerings: Technology needed in a PCMH is not “plug and play.” The hodge-podge of information technology marketed to primary care practices resembles more a pile of jigsaw pieces than components of an integrated and interoperable system. Surprise!  Well, actually, no surprise.  We all recognize that health IT implementation in family practices, even under the best conditions and with the best of planning, is difficult and can be an ongoing challenge.    Wha... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580278 Thu, 21 May 2009 23:36:19 +0100 2580278 http://www.medworm.com/index.php?rid=2441878&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FRpKJj9t7QIM%2F by David C. Kibbe MD, MBA The remarkable report, “Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home,” published in the May/June issue of Annals of Family Medicine, the Nutting Report, makes this point about the state of primary care IT offerings: Technology needed in a PCMH is not “plug and play.” The hodge-podge of information technology marketed to primary care practices resembles more a pile of jigsaw pieces than components of an integrated and interoperable system. Surprise!  Well, actually, no surprise.  We all recognize that health IT implementation in family practices, even under the best conditions and with the best of planning, is difficult and can be an ongoing challenge.    Wha... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2441878 Thu, 21 May 2009 23:36:19 +0100 2441878 http://www.medworm.com/index.php?rid=2390045&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2FPPj07nPmnXo%2Fwe-met-with-clayton-christensenyesterday-the-harvard-business-school-professor-who-originated-the-concept-of-disruptive-inno.html We met with Clayton Christensen yesterday, the Harvard Business School professor who originated the concept of Disruptive Innovation. He’s been looking at the health care delivery system for some time now, seeking to apply his model of Disruptive Innovation in order to improve care and reduce costs.  That effort culminated in the release earlier this year of The Innovator's Prescription: A Disruptive Solution for Health Care, which he wrote with colleagues Jason Hwang and the late Jerome Grossman. It’s a fascinating read.   He’s a superb, thoughtful and gentle speaker.  If you ever have the opportunity to see him speak, take it.   We spent the better part of a day with him, so I’ll note only a couple of items that were raised. &... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=2390045 Wed, 06 May 2009 04:00:00 +0100 2390045 http://www.medworm.com/index.php?rid=2390044&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2FIngZr995_gk%2Fas-paul-tarini-just-discussed-link-to-pauls-post-we-had-a-thought-provoking-discussion-with-clayton-christensen-about-dis.html As Paul Tarini just discussed, we had a thought-provoking discussion with Clayton Christensen about disruptive innovations and health IT.  One idea that interested me in particular was the potential for electronic health record (EHR) systems that are offered on the Software as a Service (SaaS) model to serve as a disruptive innovation. Let me back up for a minute. Christensen talked about looking at the pre-conditions for disruptive innovations. One of them is when companies “overshoot” the market in terms of performance. For example, their product adds more and more features (each of which adds value to fewer and fewer customers) and becomes very expensive. They target the high-end of the market, where they make the highest margins, and as a result, they offer more than t... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=2390044 Wed, 06 May 2009 04:00:00 +0100 2390044 http://www.medworm.com/index.php?rid=2580286&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FIsmhji_JbC0%2F On March 24, Stand for Quality — a new group representing 165 diverse health care organizations — called for a new era of quality in health care. Their white paper is titled Building a Foundation for High Quality, Affordable Health Care: Linking Performance Measurement to Health Reform . The perspectives of Stand for Quality are a remarkable break from the past and have significant implications for future investment in health information technology. The Stand for Quality document unequivocally supports the dog  (disruptive innovator) POV — that providers should be paid for improvements in quality and outcomes. It rejects the cat (incumbent EHR vendors and supporters) POV — that providers should be reimbursed for simply acquiring health IT , with the expectation that quality ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580286 Mon, 30 Mar 2009 07:05:58 +0100 2580286 http://www.medworm.com/index.php?rid=2314638&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FIsmhji_JbC0%2F On March 24, Stand for Quality — a new group representing 165 diverse health care organizations — called for a new era of quality in health care. Their white paper is titled Building a Foundation for High Quality, Affordable Health Care: Linking Performance Measurement to Health Reform . The perspectives of Stand for Quality are a remarkable break from the past and have significant implications for future investment in health information technology. The Stand for Quality document unequivocally supports the dog  (disruptive innovator) POV — that providers should be paid for improvements in quality and outcomes. It rejects the cat (incumbent EHR vendors and supporters) POV — that providers should be reimbursed for simply acquiring health IT , with the expectation that quality ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2314638 Mon, 30 Mar 2009 07:05:58 +0100 2314638 http://www.medworm.com/index.php?rid=2580288&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fo1yx5yJT8jI%2F Sometimes laws are passed and the statute itself represents 95% of the work — there aren’t many details to figure out or loose ends to tidy up. That isn’t the case with HITECH. The HITECH statute is just the beginning. Whether you’re a cat or a dog, you’ll have hopes and fears about aspects of HITECH that are unclear or yet to-be-determined (TBD). These include: (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and See: What’s Unclear or To-Be-Determined (TBD) About HITECH.Can Cats Think Outside the Box? Here’s a Role Model.Stand for Quality G... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580288 Fri, 27 Mar 2009 16:09:06 +0100 2580288 http://www.medworm.com/index.php?rid=2314640&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2Fo1yx5yJT8jI%2F Sometimes laws are passed and the statute itself represents 95% of the work — there aren’t many details to figure out or loose ends to tidy up. That isn’t the case with HITECH. The HITECH statute is just the beginning. Whether you’re a cat or a dog, you’ll have hopes and fears about aspects of HITECH that are unclear or yet to-be-determined (TBD). These include: (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWill HITECH Lead to Innovation? The Continuing Cat/Dog DialogueDogged Optimism: Five Innovative Aspects of HITECHFeline Foot-Dragging: Three Non-Innovative Aspects of HITECHWait and See: What’s Unclear or To-Be-Determined (TBD) About HITECH.Can Cats Think Outside the Box? Here’s a Role ... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2314640 Fri, 27 Mar 2009 16:09:06 +0100 2314640 http://www.medworm.com/index.php?rid=2288960&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FyF5HCw4UkO0%2F What do cats (incumbent EHR vendors and their supporters) have to smile about over HITECH? A lot. …and it’s not very complicated.  HITECH directs $17 B to the cat community, and leaves scraps for the dogs. (As a refresher, the cat POV is that HITECH stimulus funds should simply pay directly for electronic health record (EHR) technology — that providers will figure out how to use the technology to improve quality and outcomes; the dog POV is that HITECH should pay for improved quality and outcomes — change incentives and IT will naturally follow. See the first post in this series for more detailed explanations.) There are three aspects of HITECH that are particularly favorable to cats: (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWil... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2288960 Thu, 26 Mar 2009 00:28:38 +0100 2288960 http://www.medworm.com/index.php?rid=2580289&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FyF5HCw4UkO0%2F What do cats (incumbent EHR vendors and their supporters) have to smile about over HITECH? A lot. …and it’s not very complicated.  HITECH directs $17 B to the cat community, and leaves scraps for the dogs. (As a refresher, the cat POV is that HITECH stimulus funds should simply pay directly for electronic health record (EHR) technology — that providers will figure out how to use the technology to improve quality and outcomes; the dog POV is that HITECH should pay for improved quality and outcomes — change incentives and IT will naturally follow. See the first post in this series for more detailed explanations.) There are three aspects of HITECH that are particularly favorable to cats: (more…) Article Series - The Dog Manifesto: A Disruptive Innovator's Guide to Health ITWil... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580289 Wed, 25 Mar 2009 23:47:25 +0100 2580289 http://www.medworm.com/index.php?rid=2580291&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FVk_cTwmT93s%2F If you’re a dog (an innovator), what’s there to smile about over HITECH?  Quite a bit. In the first post of this series, I suggested that HITECH favors cats by about 60/40 and noted that the single most cat-like feature of HITECH is providing incentives for physicians and hospitals to acquire and implement EHRs  — but only EHRs. Reader “Mark” commented: “How does this work out to 60/40? Looks to me like 100% cats.” Let’s look a bit deeper to see how HITECH creates opportunities for disruptive innovation . (As a refresher, the cat POV is that HITECH stimulus funds should simply pay directly for EHR technology — that providers will figure out how to use the technology to improve quality and outcomes; the dog POV is that HITECH should pay for improved quality and outcome... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580291 Mon, 23 Mar 2009 15:09:39 +0100 2580291 http://www.medworm.com/index.php?rid=2288962&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FVk_cTwmT93s%2F If you’re a dog (an innovator), what’s there to smile about over HITECH?  Quite a bit. In the first post of this series, I suggested that HITECH favors cats by about 60/40 and noted that the single most cat-like feature of HITECH is providing incentives for physicians and hospitals to acquire and implement EHRs  — but only EHRs. Reader “Mark” commented: “How does this work out to 60/40? Looks to me like 100% cats.” Let’s look a bit deeper to see how HITECH creates opportunities for disruptive innovation . (As a refresher, the cat POV is that HITECH stimulus funds should simply pay directly for EHR technology — that providers will figure out how to use the technology to improve quality and outcomes; the dog POV is that HITECH should pay for improved quality and outcome... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2288962 Mon, 23 Mar 2009 15:09:39 +0100 2288962 http://www.medworm.com/index.php?rid=2272523&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FwK_vcfB-VBM%2F Will the recently passed HITECH legislation — the federal stimulus funding for health IT — encourage innovation?  or will it lock in outdated electronic health record (EHR) technology? It’s a mixed bag — HITECH legislation  is both dog-like (innovative) and catlike (protecting incumbents).  I’ll refresh your memory below on more specific definitions of cats and dogs. Among many other reasons, HITECH is dog-like primarily because it has ended the question of WHETHER the U.S. is really serious about health IT reform.  HITECH spells out clear policy goals working toward interoperable health IT and dedicates an initial $19B in federal stimulus funds to begin the work. HITECH begins to create an environment for innovation in health care reform. There are many open questions a... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2272523 Tue, 17 Mar 2009 22:57:45 +0100 2272523 http://www.medworm.com/index.php?rid=2580292&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FwK_vcfB-VBM%2F Will the recently passed HITECH legislation — the federal stimulus funding for health IT — encourage innovation?  or will it lock in outdated electronic health record (EHR) technology? It’s a mixed bag — HITECH legislation  is both dog-like (innovative) and catlike (protecting incumbents).  I’ll refresh your memory below on more specific definitions of cats and dogs. Among many other reasons, HITECH is dog-like primarily because it has ended the question of WHETHER the U.S. is really serious about health IT reform.  HITECH spells out clear policy goals working toward interoperable health IT and dedicates an initial $19B in federal stimulus funds to begin the work. HITECH begins to create an environment for innovation in health care reform. There are many open questions a... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580292 Tue, 17 Mar 2009 22:11:33 +0100 2580292 http://www.medworm.com/index.php?rid=2249561&cid=t_369112_107_f&fid=36698&url=http%3A%2F%2Fminingdrugs.blogspot.com%2F2009%2F03%2Fdrug-design-paradigms-get-involved-in.html "The availability of pharmaceuticals must not be taken for granted. Pharmaceutical research requires expertise, a large commitment, a great deal of patience and the courage to take large financial risks. What counts is a sustainable framework in Germany (and other countries, too) as a location for the pharmaceutical industry. This is not a guarantee for economic success but is certainly at its foundation." [we get involved - vfa innovation]"To bring personalized medicine forward, scientists, regulators, policy makers, and pharmaceutical company leadership will need to find ways to more successfully work together, adopt a new mindset, and take a networked approach to innovation—one in which we can successfully share pre-competitive information and common platforms such as biomarkers, geno... Mining Drug Space blogs http://www.medworm.com/rss/comments.php?id=2249561 Sun, 08 Mar 2009 11:55:00 +0100 2249561 http://www.medworm.com/index.php?rid=2160628&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F530637280%2Fis-the-country-ready-for-health-reform.html Health reform seems to be on everyone’s mind these days – and why not? Our system doesn’t deliver great value overall, it is inequitable, and the economic crisis promises to make it much worse unless we can do something about it. I came across two views of health reform Sunday – one by David Leonhardt and the other by Janet Rae-Dupree – both in the New York Times. Leonhardt placed health reform in the context of big picture economic strategy over decades; Rae-Dupree brought the lens of disruptive innovation to health reform. Leonhardt singles out health because it is such a daunting fiscal problem, even in the context of the worldwide economic crisis. The future unfinanced obligations under Medicare plus a distinctly inefficient system makes the future price tag of health reform... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=2160628 Tue, 03 Feb 2009 05:00:00 +0100 2160628 http://www.medworm.com/index.php?rid=2074807&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F500424670%2F by Vince Kuraitis and David C. Kibbe MD, MBA Being big fans of Clay Christensen and his theory of disruptive innovation (DI), we have been awaiting his just-released book The Innovator’s Prescription: A Disruptive Solution for Healthcare .  The book is co-authored by Dr. Jerome Grossman and Dr. Jason Hwang. We have mixed reactions. The book is mistitled. It should have been titled "The Innovator’s Diagnosis". The book does a fantastic job at diagnosis (Dx) of problems in the U.S. health care system. It presents many new, innovative analytical frameworks and lenses through which to view the U.S. health system. However, it’s weak on prescription (Rx): many of the proposed solutions are speculative, ungrounded, and/or defy political reality. We understand that th... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2074807 Thu, 01 Jan 2009 20:40:30 +0100 2074807 http://www.medworm.com/index.php?rid=2580309&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FPXRe6iyPEIQ%2F by Vince Kuraitis and David C. Kibbe MD, MBA Being big fans of Clay Christensen and his theory of disruptive innovation (DI), we have been awaiting his just-released book The Innovator’s Prescription: A Disruptive Solution for Healthcare .  The book is co-authored by Dr. Jerome Grossman and Dr. Jason Hwang. We have mixed reactions. The book is mistitled. It should have been titled "The Innovator’s Diagnosis". The book does a fantastic job at diagnosis (Dx) of problems in the U.S. health care system. It presents many new, innovative analytical frameworks and lenses through which to view the U.S. health system. However, it’s weak on prescription (Rx): many of the proposed solutions are speculative, ungrounded, and/or defy political reality. We understand that th... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2580309 Thu, 01 Jan 2009 20:14:18 +0100 2580309 http://www.medworm.com/index.php?rid=2511425&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FPXRe6iyPEIQ%2F by Vince Kuraitis and David C. Kibbe MD, MBA Being big fans of Clay Christensen and his theory of disruptive innovation (DI), we have been awaiting his just-released book The Innovator’s Prescription: A Disruptive Solution for Healthcare .  The book is co-authored by Dr. Jerome Grossman and Dr. Jason Hwang. We have mixed reactions. The book is mistitled. It should have been titled "The Innovator’s Diagnosis". The book does a fantastic job at diagnosis (Dx) of problems in the U.S. health care system. It presents many new, innovative analytical frameworks and lenses through which to view the U.S. health system. However, it’s weak on prescription (Rx): many of the proposed solutions are speculative, ungrounded, and/or defy political reality. We understand that th... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=2511425 Thu, 01 Jan 2009 20:14:18 +0100 2511425 http://www.medworm.com/index.php?rid=2056475&cid=t_369112_107_f&fid=36698&url=http%3A%2F%2Fminingdrugs.blogspot.com%2F2008%2F12%2Fdrug-designers-are-creating-innovative.html "The FDA will approve at least 21 first-of-a-kind drugs this year, up from 18 in 2007. And the number of black-box warnings decreased by 25 percent. The boxed warnings are the most serious a drug can carry." [salon.com]It is well known that researchers in pharma are facing challenging times. Nonetheless, the FDA has approved increased the number of approved drugs last year (21 drugs compared to 18 in 2007). This in combination with the increasing innovation in pharmaceutical research gives hope for the next years.The question for me is, can this industry still be innovative with all those layoffs, and still make it a mission possible for the next years? I know that some people think that technology can help"The constant march of technology makes it possible for a smaller work force to do ... Mining Drug Space blogs http://www.medworm.com/rss/comments.php?id=2056475 Sat, 20 Dec 2008 14:54:00 +0100 2056475 http://www.medworm.com/index.php?rid=1649284&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F343667587%2Fopportunities-f.html The Innosight Institute, the non-profit think tank founded by Harvard B-School Professor Clayton Christensen, put on a conference last week called, A Forum on Disruptive Innovation in Healthcare. Prof. Christensen developed the theory of disruptive innovation and is currently working on a book on the subject. One of his co-authors is Jason Hwang, MD, MBA, who served as a judge for the Disruptive Innovations competition Pioneer sponsored through Changemakers. Those of us at the meeting were treated to a glimpse of the still-being-drafted book, which was pretty interesting. I’m keen to read the final version. Elliott Fisher, MD, of Dartmouth Atlas fame, set the stage for the forum by taking us on a flyover of "everything that’s wrong with health care in America." Fisher then p... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=1649284 Sat, 19 Jul 2008 04:00:00 +0100 1649284 http://www.medworm.com/index.php?rid=1439973&cid=t_369112_113_f&fid=35744&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fe-CareManagement%2F%7E3%2F289763443%2F This report has stirred cries of confusion and outrage. I’ll elaborate on these cries in the second posting of this series, but if you can’t wait, read here, here, here, here, here, here, here, and here. Welcome to a series of three blog postings discussing the PCMH, care management fees, and the RUC report.  I can’t claim to smooth the uproar, but I hope to frame the issues so that they can be understood and discussed constructively. The series will address numerous questions. This first post: What is the PCMH care management fee? Why is the PCMH care management fee important? Why are people confused? The second post: What is the American Medical Association/Specialty Society RVS Update Committee (RUC) ? What is the RUC’s role in the Medicare Medical Home Demonstration... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=1439973 Tue, 13 May 2008 23:00:48 +0100 1439973 http://www.medworm.com/index.php?rid=1147418&cid=t_369112_107_f&fid=36698&url=http%3A%2F%2Fminingdrugs.blogspot.com%2F2008%2F01%2Fboutique-drugs-splitting-mass-market.html "Recently, the term boutique has started being applied to normally-mass-market items that are either niche or produced in intentionally small numbers at very high prices. For example, before the release of the Wii, a Time Magazine article suggested that Nintendo could become a boutique video-game company, producing games for niche audiences, rather than trying to compete directly with Microsoft and Sony [1]" [Boutique@WP]"articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in man or other animals and articles (other than food) intended to affect the structure or any function of the body of man or other animals." [FDA definition]As found via Bio-IT/drug discovery expect analysts in the future more boutique drugs. Two main causes are mentioned.Fi... Mining Drug Space blogs http://www.medworm.com/rss/comments.php?id=1147418 Sat, 05 Jan 2008 21:15:00 +0100 1147418 http://www.medworm.com/index.php?rid=1060135&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F192488147%2Fcompetition-ent.html The competition on Disruptive Innovations in Health and Health Care was the first time that we intentionally used the Changemakers open-source competition model to scan the field for ideas that the Pioneer Portfolio might wish to invest in directly. Not knowing how the challenge of disruptive innovation would play out using this type of competition model, we were astounded by the response — more than 300 entries — and really impressed by the creativity and quality represented in the mix of innovations proposed. We're happy to announce that Pioneer staff have completed their review of the full set of entries. We had some spirited discussions about the ideas that flowed through these entries — they stand to really shake up established ways of doing things in health and health care a... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=1060135 Thu, 29 Nov 2007 05:00:00 +0100 1060135 http://www.medworm.com/index.php?rid=1147423&cid=t_369112_107_f&fid=36698&url=http%3A%2F%2Fminingdrugs.blogspot.com%2F2007%2F11%2Fandy-grove-when-silicon-indoctrinates.html Andy Grove is right and we, the drug design community, can learn something from the chip industry. Derek, can you not see it, too? This strong relationship between those two families ..."If you want to understand why something happens in business, study the disk drive industry. Those companies are the closest things to fruit flies that the business world will ever see. Drug design is a process between 9 to 15 years! So, which object to study lies in-between a fruit fly and a hard-disk? A high-throughput screening, a biological assay or an 'in silico' 3D/2D/xD model of a drug?" [Mining Drug Space] (Source: Mining Drug Space) Mining Drug Space blogs http://www.medworm.com/rss/comments.php?id=1147423 Wed, 07 Nov 2007 21:11:00 +0100 1147423 http://www.medworm.com/index.php?rid=1147424&cid=t_369112_107_f&fid=36698&url=http%3A%2F%2Fminingdrugs.blogspot.com%2F2007%2F11%2Fcommenting-on-grim-days-for-pharma.html via business|bytes|genes|moleculesBloomberg says that drug sales are forecast to grow at their slowest ever rate in 44 years. The WSJ reminds us that FDA approvals for NMEs are slow, and on a downward curve. Perhaps it’s time for the pharma industry to really think about Pharma FutorologySome of the consequences have been announced, and I think everybody hopes that those things will not happen every single year!Can innovation help us for making drug design a mission possible? If yes, what are potential key factors for success?Aligning scientists and goalsPutting scientists in the driver's seatGoal congruencePositive self-imageFair evaluation system for high-performing scientistIndustral cultures that foster innovationTake calculated risksOpenness and transparencyAdapt to constant changes... Mining Drug Space blogs http://www.medworm.com/rss/comments.php?id=1147424 Sat, 03 Nov 2007 01:35:00 +0100 1147424 http://www.medworm.com/index.php?rid=993364&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F177459498%2Fbuilding-arches.html Yesterday, I had the pleasure to publicly announce Pioneer’s largest grant to date: a $15.6 million award that will enable Dr. David Eddy and his team at Archimedes, Inc. to build ARCHeS, a powerful Web-based interface and delivery system that will allow far more health and policy decision-makers to use the Archimedes simulation model. That’s somewhat of a mouthful, so let me break it down a bit to describe why this project is exciting and has potential to transform the way that we make health and health care decisions. Archimedes So, what’s Archimedes? Perhaps the best place to start is with the problem it addresses. David Eddy—a rock-climbing heart surgeon turned mathematician and health economist—is a visionary driven to tackle the enormity of what we don’t know in med... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=993364 Tue, 30 Oct 2007 04:00:00 +0100 993364 http://www.medworm.com/index.php?rid=896829&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F160736268%2Funraveling-the-.html I've heard the state of health care described in many compelling yet disheartening ways: broken, expensive, inconsistent, complicated. But today I like this one best: health care is a hairball. Although Google suggests others coined the phrase before last Thursday, I credit Wayne Gattinella, CEO of WebMD, for introducing it to me and many of the 500 others attending Health 2.0: User-Generated Healthcare in San Francisco last Thursday. For all of us who hope the tools of the social Web might play a role in untangling health care's many problems, now we know what we're up against. Health 2.0 was the brainchild of Matthew Holt of The Health Care Blog and Indu Subaiya, MD of Etude Scientific, and they delivered a conference with many thought-provoking product demonstrations (and yes, a produ... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=896829 Mon, 24 Sep 2007 04:00:00 +0100 896829 http://www.medworm.com/index.php?rid=1147433&cid=t_369112_107_f&fid=36698&url=http%3A%2F%2Fminingdrugs.blogspot.com%2F2007%2F09%2Fsix-sigma-in-drug-design-old-hands-or.html K. Ramakrishnan asked the question Will implementation of Six sigma, TQM, ISO improve efficiency or hinder the innovation?What would be an ideal process or methodology to improve innovation in drug discovery?What would be the best methodology or way to build an integrated team with good communication and coordination to accelerate both innovation and efficiency in drug discovery?Might there be a connection to the six degrees of drug design? And what helps more? Old hands or fresh blood? Are people here just playing with buzz-words or can anybody really give some more information about those topics? (Source: Mining Drug Space) Mining Drug Space blogs http://www.medworm.com/rss/comments.php?id=1147433 Sat, 15 Sep 2007 21:54:00 +0100 1147433 http://www.medworm.com/index.php?rid=858512&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F154623923%2Fcongratulations.html You voted, and your top three entries in the RWJF/Changemakers competition, "Disruptive Innovations in Health and Health Care: Solutions People Want," are ....... Project Echo: Knowledge Networks for the Treatment of Complex Diseases in Remote, Rural, Underserved Communities, University of New Mexico Health Sciences Center (Albuquerque, NM) – Project ECHO (Extension for Community Healthcare Outcomes) teams up an academic medical center with a network of rural health clinics, the New Mexico Public Health Service and the state Department of Corrections to deliver health care to patients residing in underserved areas who have common, chronic diseases. The key component is a disruptive innovation called a Knowledge Network, through which the expertise of a single specialist is sha... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=858512 Mon, 10 Sep 2007 04:00:00 +0100 858512 http://www.medworm.com/index.php?rid=828453&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F149265923%2Fone-more-day-to.html The voting period closes at the end of Wednesday for the Disruptive Innovations in Health and Health Care competition.  The nine finalists, selected from more than 300 entries, are listed here, which is also where you can vote once you complete the quick Changemakers registration process.  We want to know which projects you think hold truly disruptive potential - cast your vote today (...and no later than tomorrow)! And sincere thanks for participating in this competition - it has been amazing to see the quality and diversity of the entries submitted, not to mention the more than 700 comments that folks around the world have logged on the competition site.  They reflect incredible vision and passion in transforming the health and health care marketplace in ways that put con... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=828453 Tue, 28 Aug 2007 04:00:00 +0100 828453 http://www.medworm.com/index.php?rid=803769&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F144941896%2Fdisruptive-inno.html The finalists for the Disruptive Innovations competition have been posted on the Changemakers site. Please take a minute to check out the finalists, and take a few more minutes to vote. I had the opportunity to be a fly on the wall during the judges' deliberations to select these finalists.  While I can't reveal who said what about which project, I did want to share some thoughts about the judging for this competition.  You can share your thoughts on the competition and on the finalists here. First, there are some incredibly cool ideas out there!  The competition drew in over 300 submissions and many were engaging proposals.  In the finalist group, there were some "far out" ideas, in terms of technology, behavior change, policy, and more.  I'm hopef... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=803769 Thu, 16 Aug 2007 04:00:00 +0100 803769 http://www.medworm.com/index.php?rid=677379&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F124841694%2Fdisruptive_inno.html We're about six weeks in to the second RWJF/Changemakers competition -- "Disruptive Innovations in Health and Health Care: Solutions People Want." We're glad to see that word of the competition continues to spread. Thanks to Amy Tenderich of Diabetes Mine, Lucy Bernholz of Philanthropy 2173, The HealthCare IT Guy blog, the folks at Nextbillion.net and others for connecting their networks with the competition. We hope people keep coming to check it out and, more importantly, enter the discussion and their ideas on Changemakers.net to propel disruptive change in the health arena. The general consensus we've heard going around is that it's time, and it's needed. Thirty-two organizations from nine countries have entered so far.  Some recent entry titles are intriguing... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=677379 Thu, 14 Jun 2007 04:00:00 +0100 677379 http://www.medworm.com/index.php?rid=651727&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F117963543%2Fmaking_a_disrup.html In introducing the RWJF-sponsored Changemakers competition on disruptive innovations in health care, Nancy Barrand spoke of “Walk-in clinics opening in Targets, WalMarts and drugstore chains across America” as an example of just such a disruptive innovation.These clinics are generating a lot of news.  For a start, the Times reported Thursday that Walgreens has just bought a chain of them. And earlier this week, The Wall Street Journal ran an Op-ed that strongly supported this type of health care, albeit primarily for economic, rather than clinical, reasons.The Journal also sponsors a health care blog that referenced the Op-ed, and the response on the blog came fast and furious.  And here’s where it gets interesting, at least from Pioneer’s viewpoint. We had at least ... Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=651727 Sat, 19 May 2007 04:00:00 +0100 651727 http://www.medworm.com/index.php?rid=651729&cid=t_369112_114_f&fid=35708&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Ftypepad%2Frwjfblogs%2Fpioneer%2F%7E3%2F117534288%2Fmany_thanks_to_.html Many thanks to the NextBillion.net blog for writing about the Disruptive Innovations competition. NextBillion.net is a comprehensive online resource from the Development Through Enterprise initiative of World Resources Institute. Their description nicely captures how the Changemakers' competition model can open new doors for foundations to do their work differently: "And that's what Changemakers is doing with this partnership - they are creating a pipeline of investible healthcare innovations from the bottom up (sorry, blogosphere, but we're the bottom in this case) and mapping them right to a funding source." (Source: Pioneering Ideas) Pioneering Ideas blogs http://www.medworm.com/rss/comments.php?id=651729 Thu, 17 May 2007 04:00:00 +0100 651729 http://www.medworm.com/index.php?rid=611523&cid=t_369112_117_f&fid=34612&url=http%3A%2F%2Fwww.thedoctorweighsin.com%2Fjournal%2F2007%2F5%2F16%2Fnew-competition-disruptive-innovations-in-health-care.html Disruptive innovations are new technologies, processes, or business models that blow status quo products out of the water and, eventually, replace them entirely. Here are some examples: • Automobiles replaced horses • Semiconductors replaced vacuum tubes • Digital cameras are in the process of replacing film cameras  Lord knows we could use a big dose of disruptive innovation in health care. Most of us are still getting care in a delivery model that is more than 50 years old. And many of us would say it no longer works well.  "Minute Clinics" are often cited as an example of a disruptive innovation in health care, although these retail-based, nurse practitioner run urgent care clinics still have a long way to go before they replace the more tradition... The Doctor Weighs In blogs http://www.medworm.com/rss/comments.php?id=611523 Wed, 16 May 2007 20:56:27 +0100 611523