http://industry.bnet.com/technology/10004030/apple-iphone-vs-google-android-machine-vs-platform/ Google can give away Android because “we make money, and lots of it, it turns out, from advertising on mobile phones.” Not will make money, but do make money. Google can infinitely leverage its development over many handset manufacturers and carriers without worrying about maintaining margins or overexposing itself. The more places Android is, the more money Google will make.
Opening Keynote A Manifesto for Healthcare’s Disruptive Innovation of the Decade: Open EHR Technology Platform(s) and Ecosystem Vince Kuraitis JD, MBA Better Health Technologies, LLC http://e-CareManagement.com blog (208) 395-1197
Technological enabler . Typically, sophisticated technology whose purpose is to simplify, it routinizes the solution to problems that previously required unstructured processes of intuitive experimentation to resolve.
Business model innovation. Can profitably deliver these simplified solutions to customers in ways that make them affordable and conveniently accessible.
Value network. A commercial infrastructure whose constituent companies have consistently disruptive, mutually reinforcing economic models.
...early spring flowers ready to burst forth in a blossom of innovation
Drivers Toward an Open EHR Technology Platform
The Office of the National Coordinator for Health IT (ONC).
… we believe that it will be common in the near future for Certified EHR Technology to be assembled from several replaceable and swappable EHR Modules. Health & Human Services, Interim Final Rule on Standards , December 2009 p.41
Google Health and Microsoft HealthVault
The Clinical Groupware Collaborative
Free or freemium EHR offerings such as Practice Fusion
Free and open source software (FOSS) e.g., Mirth , VISTA
ONC SHARP Grant for Childrens Hospital Boston and Harvard Medical School
WG platforms (...migration toward openness)
III. Implications for the Healthcare Unbound Community
Value Creation vs. Value Capture Platform or App?
What’s the disruptive opportunity in an open EHR technology platform?
Value creation/capture battle between platforms & apps
Platform owners (e.g., Apple iPhone) want to capture the value by maintaining tight control over their platforms
Application vendors are incentivized to commoditize the platform so that value creation and value capture can migrate to the applications themselves
1) Yesterday: HU Companies (Apps with no platform)
2) Today: Walled Garden EHR Platform/Apps Platform A Size = Value capture opportunity
3) Tomorrow: Open EHR Technology Platform/Apps Platform A Size = Value capture opportunity
Beneficiaries of Open EHR Technology Platform(s)
Doctors & hospitals: competition, lower prices, no lock-in
1000s of app vendors
Other care providers
The Value of the Clinical Groupware Collaborative http://clinicalgroupwarecollaborative.org
Stages 2 & 3 of HITECH “Meaningful Use” will be a bonanza for the HU community
A Thousand Flowers of Innovation In Full Blossom