3. A generation!
• Go down in the boiler room where it is
dark, noisy, dirty, and greasy
• Go up into the sails and feel the wind in
your face and the see the beauty of the
sea
• Remember You are called a sailor
• What is a sailor without sails?
4. World changes
• Are we like sailors in
the ship?
• When confronted with
change we say
“doctors don’t do this”
• World has changed
• Still trying to act like it
has not
• Try to do things the
same way
6. The First Teaching of a JEDI...
The Problem is in our Minds
• Going Digital is a whole new way of doing
things
“No! No Different. Only Different in your mind”
7. Different in Your Mind
Behavior as Doctors
• To extinguish old behavior-uncomfortable
• To establish a new behavior-unsettling
• We like to be competent-This is a very
different environment
13. Brain has Two Parts
Reptilian Brain with
Human Cortex on top
14. Cave Man Finding Something New:
LIMBIC
1. I must
attack it
2. I must run
from it
Emotion
15. Later Developed system?
NEOCORTEX!
Think Ahead
Positive about the new
Open- minded
Suppress emotion
16. It is really important for the
forebrain to know the Power of
Negative Thought
...Limbic
• Neutral Environment
• Four positives to equal one negative
• Be positive, positive, positive, positive
and positive
19. FEARS GENERATED
• Loss of money
• I can not do this and I will look stupid
• I may not survive
• It is too hard
• Let me wait, Let me run away, It will never
work
• Delay Dispatch Deny
• It is just too big
20. Good Potential Concern
• What is Good about this idea today?
Positive aspects first
• What Potential does this idea have for
tomorrow?
• How can we address Concerns in ways
that promote success?
• Talking Stick
• Candy
21. We Must Start With Our Minds
• Every decision has emotion
• Neutral environment
• Good potential concern
27. Beat competitors with asymmetry of
motivation
% of tons
Steel Quality
55%
Sheet steel
22%
l
Structural Stee
l
stee 8%
ed ds
uc rs & ro
rod Angle iron; ba
ill -p 4%
inim Rebar
ofm
ality
Qu
1975 1980 1985 1990
28. Characteristics
• Low quality
• Serve market that does
not need added features
or is not served
• Not a threat to traditional
market
• Companies leaving
market are praised until
the big drop
29.
30. Another Example
Major Established
Electronics Markets:
Tabletop radios, floor-standing
televisions, computers,
Performance
telecomm.equipment, etc.
Portable TVs
Pocket radios
Path taken by
Hearing Aids established
vacuum tube
manufacturers
Time
Disruptive technology: transistors vs. vacuum tubes
35. Disruptions Amongst Healthcare
Professionals
re s
n nai
io
Complex u est
Q
ph one ks
T ele e ban
n
Ph o Performance
that the
marketplace
Complexity
needs or
of diagnosis
utilizes
and
treatment
re
Se lf-ca
Simple
Time
Patient Computer Dialogue
36. Patient Computer Dialogue is
Disruptive
Role of Thalidomide Trust
• New evolving products on faster track
– Beneficiaries of Thalidomide Trust will accept
early development
• Serve market that is not served
• Not a threat to traditional market
38. Online Banking
• 40% of the banks in the U.S. offer internet banking
facilities worth mentioning
• The UK's first home online banking services[2] was set
up by Bank of Scotland for customers of the Nottingham
Building Society (NBS) in 1983
39. Online Banking
• Be that as it may, it is estimated that a total of 55
million families in America will be active users of
online banking by the year 2010.
•
• The number of online banking customers has
been increasing at an exponential rate.
http://ezinearticles.com/?History-of-Online-Banking&id=270075
41. Banking
• For example, while the cost of transaction
for money transfer was 40p for checking
and 10p for ATM, while it was only 1p for
Internet
• First ATM 40 years ago
42. Online banking
It is generally recognized that perceived risk
plays a negative role in decision to adopt a
new technology including Internet service
Regarding Internet banking, perceived risk
involves two concepts: security and trust.
Complexity is “the degree to which an
innovation is perceived as difficult to understand
and use” Ease of use”
43.
44.
45. Where is Patient Computer interaction in other industries and where in
Medicine
Where would you place yourself?
46. Characteristics
• earlier adopters have
– greater empathy
– less dogmatism
– less fatalism
– greater rationality
– great intelligence
– more favorable attitude toward change.
47. Speed of innovation
• the degree to which an
innovation is perceived as being consistent with
the existing values, past experiences and
the needs of potential of potential adopters
• negative attitudes cause resistance to
change and lack of management
commitment
