This is a summary of a talk I gave at the Vanderbilt Healthcare Conference 2012 in Nashville.
It focused on answering a couple of key questions:
* What does innovation in healthcare mean?
* Where are the major areas in healthcare where innovation is required?
And had a few key takeaways:
* Understand health tech buy fallacies
* Understand PBU: Payer vs. Benefiter vs. User
* Understand why healthcare businesses buy stuff so you can build the right thing
Differentiating your products and services at the HIMSS 2013 ConferenceShahid Shah
Provide actionable advice on how to make the HIMSS Conference experience more effective and learn how to have your marketing and sales messages rise above all the noise. We covered the following major subjects:
* Describe the expectations of attendees and why they attend
* Provide suggestions for how to clearly differentiate your products and services
* Explain some of the common mistakes exhibitors make
* Plan what to do before, during, and after the conference
If you'd like to hear it with audio, please visit www.influentialnetworks.com/himss-2013-conference-services/
How medical devices help fill EHRs with clinically useful data for comparative effectiveness research and data interoperability. This talk was given at the IEEE Baltimore Section EMB Society
Reasons why health data is poorly integrated today and what we can do about itShahid Shah
Presented at StrataRX 2012: http://strataconf.com/rx2012/public/schedule/detail/25953
While the entire healthcare community, for decades, has been clamoring for, cajoling, and demanding integration of its IT systems, we’re actually in a pretty elementary stage when it comes to useful, practical, health IT systems integration beyond on-premise and in-building hospital software. Our problem in the industry is not that engineers don’t know how to create the right technology solutions or that somehow we have a big governance problem; while those are certainly issues in certain settings, the real cross-industry issue is much bigger – our approach to integration is decades old, opaque, and rewards closed systems.
For decades, starting in the 50’s through the mid 90’s before the web / Internet came along, systems integration meant that every system had to know about each other in advance, decide on what data they would share, engage in governance meetings, have memoranda of understanding or contracts in place, etc. After the web came along, most of that was thrown out the window because the approach changed to one that said the owner of the data provides whatever they decide (e.g. through a web server) and whoever wants it will be provided secure access and they can come get it (e.g. through a browser or HTTP client). This kind of revolutionary approach in systems integration is what the health IT and medical device sectors are sorely lacking and something that ONC can help promote.
Specifically, the following things are holding us back when it comes to poor integration in healthcare and what future EHRs can do about it:
• We don’t support shared identities, single sign on (SSO), and industry-neutral authentication and authorization. Most health IT systems create their own custom logins and identities for its users including roles, permissions, access controls, etc. stored in an opaque part of their own proprietary database. ONC should mandate that all future EHRs use industry-neutral and well supported identity management technologies so that each system has a least the ability to share identities. Without identity sharing and exchange there can be no easy and secure application integration capabilities no matter how good the formats are. I’m continually surprised how little attention is paid to this cornerstone of application integration. There are very nice open identity exchange protocols, such as SAML, OpenID, and oAuth as well as open roles and permissions management protocols such as XACML that make identity and permission sharing possible. Free open source tools such as OpenAM, Apache Directory, OpenLDAP, Shibboleth, and many commercial vendors have drop-in tools to make it almost trivial to do identity sharing, SSO, and RBAC.
Life expectancy is increasing and what used to kill humans 100 years ago is very different than what kills humans today and that patients need to be empowered more to improve their own health. This talk was given at the IEEE Baltimore Section EMB Society
The EMR/EHR and Health IT Landscape for Sales ProfessionalsShahid Shah
This presentation was made to multiple national sale force teams who are selling EHRs and other health IT products.
Topics covered:
* Where do EMRs / EHRs fit and why?
* What are the most important considerations for customers?
* What are their top problems?
* How to approach customers with marketing messages that matter.
* How to cut through sales clutter.
The future of empowered patients is in wireless capable medical devices with ...Shahid Shah
This presentation was given at the Tenth Annual Healthcare Unbound Conference in Denver. It covers the following topics:
* Things that kill and harm human beings today are very different than just 100 years ago
* Health policy and payments are shifting to deal with new realities
* Marketplace and industry challenges for device vendors
* Why wireless connectivity is good business
* Why wireless connectivity is a disruptive innovation
Key takeaways include:
* Wireless is a business enabler but there’s a lot to consider.
* Hardware, sensors, and software are transient businesses but data lives forever. * He who owns, integrates, and uses data wins in the end.
* Data from devices is too important and specialized to be left to software vendors, managed service providers, and system integrators.
The Barriers to Military Healthcare Technology Innovation and What We Can Do ...Shahid Shah
This briefing was presented at the Military Electronic Healthcare Records Symposium in Washington DC. It answers the following questions:
* Is disruptive innovation in military healthcare technology possible?
* What does innovation in military healthcare mean?
* Where are the major areas in military healthcare where innovation is required?
Differentiating your products and services at the HIMSS 2013 ConferenceShahid Shah
Provide actionable advice on how to make the HIMSS Conference experience more effective and learn how to have your marketing and sales messages rise above all the noise. We covered the following major subjects:
* Describe the expectations of attendees and why they attend
* Provide suggestions for how to clearly differentiate your products and services
* Explain some of the common mistakes exhibitors make
* Plan what to do before, during, and after the conference
If you'd like to hear it with audio, please visit www.influentialnetworks.com/himss-2013-conference-services/
How medical devices help fill EHRs with clinically useful data for comparative effectiveness research and data interoperability. This talk was given at the IEEE Baltimore Section EMB Society
Reasons why health data is poorly integrated today and what we can do about itShahid Shah
Presented at StrataRX 2012: http://strataconf.com/rx2012/public/schedule/detail/25953
While the entire healthcare community, for decades, has been clamoring for, cajoling, and demanding integration of its IT systems, we’re actually in a pretty elementary stage when it comes to useful, practical, health IT systems integration beyond on-premise and in-building hospital software. Our problem in the industry is not that engineers don’t know how to create the right technology solutions or that somehow we have a big governance problem; while those are certainly issues in certain settings, the real cross-industry issue is much bigger – our approach to integration is decades old, opaque, and rewards closed systems.
For decades, starting in the 50’s through the mid 90’s before the web / Internet came along, systems integration meant that every system had to know about each other in advance, decide on what data they would share, engage in governance meetings, have memoranda of understanding or contracts in place, etc. After the web came along, most of that was thrown out the window because the approach changed to one that said the owner of the data provides whatever they decide (e.g. through a web server) and whoever wants it will be provided secure access and they can come get it (e.g. through a browser or HTTP client). This kind of revolutionary approach in systems integration is what the health IT and medical device sectors are sorely lacking and something that ONC can help promote.
Specifically, the following things are holding us back when it comes to poor integration in healthcare and what future EHRs can do about it:
• We don’t support shared identities, single sign on (SSO), and industry-neutral authentication and authorization. Most health IT systems create their own custom logins and identities for its users including roles, permissions, access controls, etc. stored in an opaque part of their own proprietary database. ONC should mandate that all future EHRs use industry-neutral and well supported identity management technologies so that each system has a least the ability to share identities. Without identity sharing and exchange there can be no easy and secure application integration capabilities no matter how good the formats are. I’m continually surprised how little attention is paid to this cornerstone of application integration. There are very nice open identity exchange protocols, such as SAML, OpenID, and oAuth as well as open roles and permissions management protocols such as XACML that make identity and permission sharing possible. Free open source tools such as OpenAM, Apache Directory, OpenLDAP, Shibboleth, and many commercial vendors have drop-in tools to make it almost trivial to do identity sharing, SSO, and RBAC.
Life expectancy is increasing and what used to kill humans 100 years ago is very different than what kills humans today and that patients need to be empowered more to improve their own health. This talk was given at the IEEE Baltimore Section EMB Society
The EMR/EHR and Health IT Landscape for Sales ProfessionalsShahid Shah
This presentation was made to multiple national sale force teams who are selling EHRs and other health IT products.
Topics covered:
* Where do EMRs / EHRs fit and why?
* What are the most important considerations for customers?
* What are their top problems?
* How to approach customers with marketing messages that matter.
* How to cut through sales clutter.
The future of empowered patients is in wireless capable medical devices with ...Shahid Shah
This presentation was given at the Tenth Annual Healthcare Unbound Conference in Denver. It covers the following topics:
* Things that kill and harm human beings today are very different than just 100 years ago
* Health policy and payments are shifting to deal with new realities
* Marketplace and industry challenges for device vendors
* Why wireless connectivity is good business
* Why wireless connectivity is a disruptive innovation
Key takeaways include:
* Wireless is a business enabler but there’s a lot to consider.
* Hardware, sensors, and software are transient businesses but data lives forever. * He who owns, integrates, and uses data wins in the end.
* Data from devices is too important and specialized to be left to software vendors, managed service providers, and system integrators.
The Barriers to Military Healthcare Technology Innovation and What We Can Do ...Shahid Shah
This briefing was presented at the Military Electronic Healthcare Records Symposium in Washington DC. It answers the following questions:
* Is disruptive innovation in military healthcare technology possible?
* What does innovation in military healthcare mean?
* Where are the major areas in military healthcare where innovation is required?
The shift from Fee for Service to Outcomes-Driven care means huge opportuniti...Shahid Shah
I presented this opinionated look at why the Medicare Shared Savings plans, ACOs and other outcomes-driven payment models are being promoted over fee for service (FFS) models and what that means for service providers and integrators. Evidence driven healthcare is required to help reduce costs and data drives evidence – the problem is that institutions are having trouble pulling together all the data they need. Current health IT systems integrate poorly and anyone that can improve that data integration to help with pricing transparency, cost transparency, care coordination, and population health management will have work for years.
Open Source is a great opportunity for EHR, Digital Health, and Health IT Int...Shahid Shah
Presented at the OSEHRA Summit 2014, this talk focused on:
* OSEHRA is major business opportunity for ISVs and systems integrators
* Open source software and associated business models can satisfy most needs.
* There’s nothing special about health IT data that justifies complex, expensive, or special technology.
Achieve Internet VP of Operations Marc Hermsmeyer and Dexcom Inc., Senior Marketing Manager Tom Hall speak about technology solutions for the Healthcare Industry using Open Source software, such as Drupal.
The Government is forcing technology innovation within the Healthcare industry yet there are very few solutions out there that are tailored for the specific requirements and needs of the Healthcare market. In past experiences with Dexcom and other Healthcare clients Achieve has leveraged the power of Drupal to create powerful solutions that drive patient outcomes, improve workflows, and remain compliant with rigorous regulatory requirements.
This presentation shines a light on the technology needs of the Healthcare market and how Drupal can meet those needs.
How to Use Open Source Technologies in Safety-critical Digital Health Applica...Shahid Shah
Presented at 3rd Annual Open Source EHR Summit - Key Takeaways:
* Outcomes driven care (vs. fees for service or volume driven care) is in our future
* Because outcomes now matter more than ever, open source digital health solutions are even more important
* There are new realities of patient populations driving open source even faster
* How to use open source reliably and and securely in a safety-critical environment like medical devices
Building safety-critical medical device platforms and Meaningful Use EHR gate...Shahid Shah
This is an in depth technical presentation delivered at OSCon 2012 on how to define, design, and build modern safety-critical medical device platforms and Meaningful Use compliant EHR gateways. The talk starts with a quick background on comparative effective research (CER) and patient-centered outcomes research (PCOR) and the kinds of data the government is looking to leverage in the future to help reduce healthcare costs and improve health outcomes. After defining why data is important, the workshop will cover the different techniques for collecting medical data – such as directly from a patient, through healthcare professionals, through labs, and finally through medical devices; the presentation will cover which kinds of data are easy to collect and what are more difficult and how technical challenges to collection can be overcome.
After covering the data collection area the workshop will dive deep into a modern medical device platform architecture which the speaker calls “The Ultimate Medical Device Connectivity Architecture” – providing an in-depth overview and answering questions around architecture, specifications, and design or modern (connected) medical devices.
Presentations of open source software and other inexpensive design techniques for implementing connected architectures will be covered. Finally, the talk will cover details about medical device gateways, what new Meaningful Use rules might require when connecting EHRs to gateways, and how to design and architect gateways that can stand the test of time and be interoperable over the long haul.
GCC-HIMSS Webinar "What’s next for healthcare information technology innovati...Shahid Shah
My Greater Chicago Chapter of HIMSS webinar on “What’s Next for Healthcare Information Technology Innovation?” The screencast with audio is available here: https://www4.gotomeeting.com/register
Med Device Vendors Have Big Opportunities in Health IT Software, Services, an...Shahid Shah
If you’re in the medical device manufacturing or hardware sales business your revenue growth (CAGR) is under pressure like never before. You’re being asked to do more with less but you’re probably going to find that hard to accomplish because of one or more of the following challenges:
* Longer product development timelines caused by more FDA and other government regulations
* Increased demand by customers to have your devices deliver user experiences that are more like “consumer” devices such as cell phones and tablets
* Lower margins as a reaction to commodity competition (your sensor hardware business will be commoditized faster and faster over time)
* More complex and longer sales cycles because devices are now being approved for sale not by facilities and clinical executives alone but increasingly by CIOs and IT teams
* Increased cost of risk management and compliance caused by connectivity requirements
Any one of these challenges is difficult to meet but these days you’re probably being asked to meet more than one simultaneously. The solutions are not simple but the good news is that medical device manufacturers have many revenue generation opportunities today that can fund the new strategic imperatives you’ll need to put into place to meet the challenges listed above.
This briefing, presented by Netspective CEO Shahid Shah, describes some of the opportunities and how device vendors can take advantage of them.
The biggest opportunities in digital health for Turkey's Medical Sector Shahid Shah
This was presented at the Digital Health Summit Turkey 2014 in Istanbul. It is an American healthcare expert's viewpoint on what should matter to Turkey based on lessons from the USA. Designed for a mixed audience of providers, pharma, and bio entrepreneurs and executives.
CHC Briefing: OSEHRA is a great business opportunity for healthcare IT ISVs a...Shahid Shah
An opinionated look at why current health IT systems integrate poorly and how it’s a big opportunity for the OSEHRA Community
Topics Covered:
* An overview of VA, VHA, VistA, and OSEHRA
* The macro healthcare environment and why OSEHRA is am important participant
* What’s needed by the industry that OSEHRA can provide
Key takeaways:
* OSEHRA is major business opportunity for ISVs and systems integrators
* There’s nothing special about health IT data that justifies complex, expensive, or special technology
Architecting, designing and building medical devices in an outcomes focused B...Shahid Shah
Keeping your medical device designs relevant in an era of value based and outcome driven care is not easy. In this talk, I cover the following topics:
* “Connected EHRs”, device interoperability, and “Accountable Tech” are the future of med devices
* Hardware, sensors, and software are transient businesses but data lives forever. He who owns, integrates, and uses data wins in the end.
* Data from devices is too important and specialized to be left to software vendors, managed service providers, and system integrators.
Reasons Why Health Data is Poorly Integrated Today and What We Can Do About ItShahid Shah
Presented at the 3rd Annual Open Source EHR Summit - Key takeaways:
* Any enterprise app which acts like a consumer app that doesn’t integrate well into hospital or ambulatory systems and workflows is doomed
* There’s nothing unique about health IT data that justifies complex, expensive, or special technology.
* There’s a lot unique about healthcare workflows that require common technologies to be adapted properly.
HxRefactored: Stop dreaming about fluid data interoperability and start focus...Shahid Shah
This was presented at Health 2.0's HxRefactored 2014 Conference in Brooklyn.
Background:
* Many enterprise apps are being built these days, but most are designed to work as a stand alone system similar to consumer apps
* Healthcare-specific software engineering and integration tools are going to do more harm than good (industry-neutral is better).
Key Takeaways:
* Any enterprise app which acts like a consumer app that doesn’t integrate well into hospital or ambulatory systems and workflows is doomed
* There’s nothing unique about health IT data that justifies complex, expensive, or special technology.
* There’s a lot unique about healthcare workflows that require common technologies to be adapted properly.
OSEHRA Summit 2012 Lunch Keynote: Current health IT systems integrate poorly ...Shahid Shah
OSEHRA Summit 2012 Lunch Keynote - The Myth of Health Data Integration Complexity. This is an opinionated look at why current health IT systems integrate poorly and how it’s a big opportunity for the OSEHRA Community.
Background:
* A deluge of healthcare data is being created as we digitize biology, chemistry, and physics.
* Data changes the questions we ask and it can actually democratize and improve the science of medicine, if we let it.
* While cures are the only real miracles of medicine, big data can help solve intractable problems and lead to more cures.
* Healthcare-focused software engineering is going to do more harm than good (industry-neutral is better).
Key takeaways:
* Major opportunity for systems integrators
* Applications come and go, data lives forever. He who owns, integrates, and uses data wins in the end.
* Never leave your data in the hands of an application/system vendor.
* There’s nothing special about health IT data that justifies complex, expensive, or special technology.
* Spend freely on multiple systems and integration-friendly solutions.
The Myth of Health Data Integration ComplexityShahid Shah
At Health:Refactored (San Francisco) I presented a practical and technical look at why current health IT systems integrate poorly and how we can fix it.
AI for Healthcare Leaders: The New AI Frontier for Improved Leadership Decisi...Health Catalyst
A new frontier is expanding AI from artificial intelligence to augmented intelligence. Traditional AI has focused on improving analytics efficiency and effectiveness. Augmented Intelligence is about improving the decision-making ability of healthcare leaders.
Our goal is to support leaders in driving systemwide outcomes improvement—do we have more opportunity in readmission or depression, how should we staff the ED on weekends, how long does a nurse manager need to improve safety culture, and so on. There is an opportunity to include AI to assist in decision making in new and innovative ways. In this webinar, you will see specific frameworks and tools to use AI to close the information gap for leaders to drive outcomes improvement.
In response to the onslaught of new AI solutions and products on the healthcare market intended to support physicians, how can organizations ensure the algorithms are clinically relevant? The process of operationalizing an algorithm in live clinical workflows requires an enterprise-wide roadmap and cross-departmental buy-in. Learn how you can assess an AI-related product for clinical relevance with a checklist developed in collaboration with a physician/solutions advisor, Dr. Alan Pitt of the Barrow Neurological Institute.
The shift from Fee for Service to Outcomes-Driven care means huge opportuniti...Shahid Shah
I presented this opinionated look at why the Medicare Shared Savings plans, ACOs and other outcomes-driven payment models are being promoted over fee for service (FFS) models and what that means for service providers and integrators. Evidence driven healthcare is required to help reduce costs and data drives evidence – the problem is that institutions are having trouble pulling together all the data they need. Current health IT systems integrate poorly and anyone that can improve that data integration to help with pricing transparency, cost transparency, care coordination, and population health management will have work for years.
Open Source is a great opportunity for EHR, Digital Health, and Health IT Int...Shahid Shah
Presented at the OSEHRA Summit 2014, this talk focused on:
* OSEHRA is major business opportunity for ISVs and systems integrators
* Open source software and associated business models can satisfy most needs.
* There’s nothing special about health IT data that justifies complex, expensive, or special technology.
Achieve Internet VP of Operations Marc Hermsmeyer and Dexcom Inc., Senior Marketing Manager Tom Hall speak about technology solutions for the Healthcare Industry using Open Source software, such as Drupal.
The Government is forcing technology innovation within the Healthcare industry yet there are very few solutions out there that are tailored for the specific requirements and needs of the Healthcare market. In past experiences with Dexcom and other Healthcare clients Achieve has leveraged the power of Drupal to create powerful solutions that drive patient outcomes, improve workflows, and remain compliant with rigorous regulatory requirements.
This presentation shines a light on the technology needs of the Healthcare market and how Drupal can meet those needs.
How to Use Open Source Technologies in Safety-critical Digital Health Applica...Shahid Shah
Presented at 3rd Annual Open Source EHR Summit - Key Takeaways:
* Outcomes driven care (vs. fees for service or volume driven care) is in our future
* Because outcomes now matter more than ever, open source digital health solutions are even more important
* There are new realities of patient populations driving open source even faster
* How to use open source reliably and and securely in a safety-critical environment like medical devices
Building safety-critical medical device platforms and Meaningful Use EHR gate...Shahid Shah
This is an in depth technical presentation delivered at OSCon 2012 on how to define, design, and build modern safety-critical medical device platforms and Meaningful Use compliant EHR gateways. The talk starts with a quick background on comparative effective research (CER) and patient-centered outcomes research (PCOR) and the kinds of data the government is looking to leverage in the future to help reduce healthcare costs and improve health outcomes. After defining why data is important, the workshop will cover the different techniques for collecting medical data – such as directly from a patient, through healthcare professionals, through labs, and finally through medical devices; the presentation will cover which kinds of data are easy to collect and what are more difficult and how technical challenges to collection can be overcome.
After covering the data collection area the workshop will dive deep into a modern medical device platform architecture which the speaker calls “The Ultimate Medical Device Connectivity Architecture” – providing an in-depth overview and answering questions around architecture, specifications, and design or modern (connected) medical devices.
Presentations of open source software and other inexpensive design techniques for implementing connected architectures will be covered. Finally, the talk will cover details about medical device gateways, what new Meaningful Use rules might require when connecting EHRs to gateways, and how to design and architect gateways that can stand the test of time and be interoperable over the long haul.
GCC-HIMSS Webinar "What’s next for healthcare information technology innovati...Shahid Shah
My Greater Chicago Chapter of HIMSS webinar on “What’s Next for Healthcare Information Technology Innovation?” The screencast with audio is available here: https://www4.gotomeeting.com/register
Med Device Vendors Have Big Opportunities in Health IT Software, Services, an...Shahid Shah
If you’re in the medical device manufacturing or hardware sales business your revenue growth (CAGR) is under pressure like never before. You’re being asked to do more with less but you’re probably going to find that hard to accomplish because of one or more of the following challenges:
* Longer product development timelines caused by more FDA and other government regulations
* Increased demand by customers to have your devices deliver user experiences that are more like “consumer” devices such as cell phones and tablets
* Lower margins as a reaction to commodity competition (your sensor hardware business will be commoditized faster and faster over time)
* More complex and longer sales cycles because devices are now being approved for sale not by facilities and clinical executives alone but increasingly by CIOs and IT teams
* Increased cost of risk management and compliance caused by connectivity requirements
Any one of these challenges is difficult to meet but these days you’re probably being asked to meet more than one simultaneously. The solutions are not simple but the good news is that medical device manufacturers have many revenue generation opportunities today that can fund the new strategic imperatives you’ll need to put into place to meet the challenges listed above.
This briefing, presented by Netspective CEO Shahid Shah, describes some of the opportunities and how device vendors can take advantage of them.
The biggest opportunities in digital health for Turkey's Medical Sector Shahid Shah
This was presented at the Digital Health Summit Turkey 2014 in Istanbul. It is an American healthcare expert's viewpoint on what should matter to Turkey based on lessons from the USA. Designed for a mixed audience of providers, pharma, and bio entrepreneurs and executives.
CHC Briefing: OSEHRA is a great business opportunity for healthcare IT ISVs a...Shahid Shah
An opinionated look at why current health IT systems integrate poorly and how it’s a big opportunity for the OSEHRA Community
Topics Covered:
* An overview of VA, VHA, VistA, and OSEHRA
* The macro healthcare environment and why OSEHRA is am important participant
* What’s needed by the industry that OSEHRA can provide
Key takeaways:
* OSEHRA is major business opportunity for ISVs and systems integrators
* There’s nothing special about health IT data that justifies complex, expensive, or special technology
Architecting, designing and building medical devices in an outcomes focused B...Shahid Shah
Keeping your medical device designs relevant in an era of value based and outcome driven care is not easy. In this talk, I cover the following topics:
* “Connected EHRs”, device interoperability, and “Accountable Tech” are the future of med devices
* Hardware, sensors, and software are transient businesses but data lives forever. He who owns, integrates, and uses data wins in the end.
* Data from devices is too important and specialized to be left to software vendors, managed service providers, and system integrators.
Reasons Why Health Data is Poorly Integrated Today and What We Can Do About ItShahid Shah
Presented at the 3rd Annual Open Source EHR Summit - Key takeaways:
* Any enterprise app which acts like a consumer app that doesn’t integrate well into hospital or ambulatory systems and workflows is doomed
* There’s nothing unique about health IT data that justifies complex, expensive, or special technology.
* There’s a lot unique about healthcare workflows that require common technologies to be adapted properly.
HxRefactored: Stop dreaming about fluid data interoperability and start focus...Shahid Shah
This was presented at Health 2.0's HxRefactored 2014 Conference in Brooklyn.
Background:
* Many enterprise apps are being built these days, but most are designed to work as a stand alone system similar to consumer apps
* Healthcare-specific software engineering and integration tools are going to do more harm than good (industry-neutral is better).
Key Takeaways:
* Any enterprise app which acts like a consumer app that doesn’t integrate well into hospital or ambulatory systems and workflows is doomed
* There’s nothing unique about health IT data that justifies complex, expensive, or special technology.
* There’s a lot unique about healthcare workflows that require common technologies to be adapted properly.
OSEHRA Summit 2012 Lunch Keynote: Current health IT systems integrate poorly ...Shahid Shah
OSEHRA Summit 2012 Lunch Keynote - The Myth of Health Data Integration Complexity. This is an opinionated look at why current health IT systems integrate poorly and how it’s a big opportunity for the OSEHRA Community.
Background:
* A deluge of healthcare data is being created as we digitize biology, chemistry, and physics.
* Data changes the questions we ask and it can actually democratize and improve the science of medicine, if we let it.
* While cures are the only real miracles of medicine, big data can help solve intractable problems and lead to more cures.
* Healthcare-focused software engineering is going to do more harm than good (industry-neutral is better).
Key takeaways:
* Major opportunity for systems integrators
* Applications come and go, data lives forever. He who owns, integrates, and uses data wins in the end.
* Never leave your data in the hands of an application/system vendor.
* There’s nothing special about health IT data that justifies complex, expensive, or special technology.
* Spend freely on multiple systems and integration-friendly solutions.
The Myth of Health Data Integration ComplexityShahid Shah
At Health:Refactored (San Francisco) I presented a practical and technical look at why current health IT systems integrate poorly and how we can fix it.
AI for Healthcare Leaders: The New AI Frontier for Improved Leadership Decisi...Health Catalyst
A new frontier is expanding AI from artificial intelligence to augmented intelligence. Traditional AI has focused on improving analytics efficiency and effectiveness. Augmented Intelligence is about improving the decision-making ability of healthcare leaders.
Our goal is to support leaders in driving systemwide outcomes improvement—do we have more opportunity in readmission or depression, how should we staff the ED on weekends, how long does a nurse manager need to improve safety culture, and so on. There is an opportunity to include AI to assist in decision making in new and innovative ways. In this webinar, you will see specific frameworks and tools to use AI to close the information gap for leaders to drive outcomes improvement.
In response to the onslaught of new AI solutions and products on the healthcare market intended to support physicians, how can organizations ensure the algorithms are clinically relevant? The process of operationalizing an algorithm in live clinical workflows requires an enterprise-wide roadmap and cross-departmental buy-in. Learn how you can assess an AI-related product for clinical relevance with a checklist developed in collaboration with a physician/solutions advisor, Dr. Alan Pitt of the Barrow Neurological Institute.
The presentation of Capgemini's Jude Umeh on the Bright talk summit.
Enterprise Architecture can play a more prominent role in bringing innovative business models to life. However, EA has an image problem which must be fully addressed in order to take its place as a key enabler for innovation.
Adobe & East Tennessee State University Alliance to teach Adobe's Digital Mar...Stephen Marshall PhD
This is our presentation from the May 4, 2016 news conference announcing ETSU's unique, first-ever alliance with Adobe. Our alliance brings Adobe's Digital Marketing Cloud into curriculum while transforming digital experiences across our entire campus.
BACKGROUND: This is an enterprise software license agreement for the entire university. Students will be learning on live data by publishing and optimizing within the university environment. There is no other comprehensive experiential program like this in the country.
OUTCOMES: Internships/careers, digital literacy, enhanced brand experiences and digital publications.
SUMMARY: The university benefits from the partnership through enhanced digital experiences delivered via the Adobe Marketing Cloud solutions. Students benefit because they graduate recruit-ready and prepared to enter our digital economy.
Please let me know if you would like more information.
Presented at CONNECT Web Experience '15 Basel June 25.
How the Adobe on Adobe team used AngularJS and AEM to build out a single page application site. One of the main goals with this proof of concept project was that the pattern had to be super simple to develop in. It had to be JSP free. It had to function smoothly on everything from a mobile device to a desktop and everything in between. The site also needed to be SEO friendly. Follow along to see the process and the challenges.
Необхідно визнати, що виховання справжніх лідерів, представників національної еліти, просто неможливе без комплексної системи виховання, яка з раннього віку поступово наділяла б людину необхідним знаннями, навичками та уміннями для особистісного розвитку. Ми бачимо, що за період незалежності в Україні не з’явилося нових лідерів, здатних очолити і повести суспільство європейським шляхом розвитку. Лідерів, які ставлять національні інтереси вище особистих. Адже сучасний український лідер повинен бути не просто професійно підготовленим, але й розуміти та відчувати історію свого народу, його цінності, ідеали, потреби.
** If this presentation wins, all proceeds will go to ChristmasFuture TM **
This Christmas, change the world for good! ChristmasFuture empowers you to give a new kind of holiday gift—one that helps eradicate extreme poverty and changes the way we all think about giving.
I heard about this contest from slideshare
Getting Beyond the Hype of “Disrupting Healthcare” and Focusing on Actionable...Shahid Shah
This was a Keynote Address I gave at Healthcare Unbound 2013 and focused on what’s needed for healthcare technology innovation in a value- and outcomes-driven model.
There’s a ton of hype surrounding disruptive technology innovation in healthcare but nothing is truly making a dent in the healthcare sector the same way as disruptions have occurred in other major segments of our economy. The slow but sure march from Fee For Service Based Care to Outcomes Driven Care has certainly started but it’s neither fast enough nor substantial enough to bend the cost curve or improve value to patients in the short term.
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* Where are the major areas in healthcare where innovation is required?
Important takeaways this session included:
* Understand PBU: Payer vs. Benefiter vs. User
* Understand why healthcare businesses buy stuff so you can build the right thing
5 Business Strategies to Grow Your Telehealth EnterpriseVSee
To carry on the discussion in real life, join us at Telehealth and Secrets to Success Conference, Sept 20-22, Silicon Valley:
https://goo.gl/95zHZG
For more information of the presentation such as recording and transcript, please visit: https://vsee.com/blog/5-business-strategies-to-grow-like-zocdoc/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
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Part 1 of HealthXL’s ‘Digital Health Success Stories’ report is now available and delves into some of the recent successes in medical tech and asks the experts what it all means.
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The winners in digital health will be those who provide real solutions to problems at a reduced cost.
Part 1 of HealthXL’s ‘Digital Health Success Stories’ report comprises an in-depth view of the progress of digital health, case studies, along with opinion from some key players in the industry.
Digital health empowers us with ways to improve outcomes and increase efficiency.
Part 2 of our report will look at how we can learn from failures in digital health, available [when available and how to access].
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* Never leave data in the hands of the application only.
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The third webcast in this series focuses on ways to meet your health system’s specific needs and achieve a 360-degree view of your patients, processes, physicians, and costs without purchasing multiple, disparate solutions, and creating information silos.
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Security and Regulatory Compliance aren’t the same thing – but they’re often confused. When you’re working in a government, healthcare, or financial environment there’s a tendency to think that if you’re FISMA-compliant or HIPAA-compliant or any other X-compliant that you must have good security.
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What’s next for healthcare information technology innovation?
1. What’s next for healthcare
information technology innovation?
Vanderbilt Healthcare Conference 2012
Shahid N. Shah, CEO
2. NETSPECTIVE
Who is Shahid?
•
•
•
•
20+ years of software engineering and multisite healthcare system deployment
experience
12+ years of healthcare IT and medical
devices experience (blog at
http://healthcareguy.com)
15+ years of technology management
experience (government, non-profit,
commercial)
10+ years as architect, engineer, and
implementation manager on various EMR
and EHR initiatives (commercial and nonprofit)
www.netspective.com
Author of Chapter 13, “You’re
the CIO of your Own Office”
2
3. NETSPECTIVE
What’s this talk about?
Questions answered
Key takeaways
• What does innovation in
healthcare mean?
• Where are the major areas
in healthcare where
innovation is required?
• Understand PBU: Payer vs.
Benefiter vs. User
• Understand why healthcare
businesses buy stuff so you
can build the right thing
www.netspective.com
3
4. NETSPECTIVE
What I mean by “innovation”
Innovation in healthcare is especially hard to define given the wide variety of constituencies
For this presentation, we’ll assume that “innovation” means
either:
a) You have made the job of identifying, diagnosing,
treating, or curing diseases faster, better, or cheaper for
clinicians through the use of information technology (IT)
OR
b) You have made the job of self-diagnosing, self-treating,
or preventing diseases and improving overall wellness of
patients through the use of IT
www.netspective.com
4
5. NETSPECTIVE
What Is the Business of Health Care?
What business are you in? The Emergence of Health as the Business of Health Care
• It's always better to define a business by what
consumers want than by what you can produce or
build
– For example, whereas doctors and hospitals focus on
producing health care, what people really want is health
• In the future, successful doctors, hospitals, and health
systems will shift their activities from delivering health
services within their walls toward a broader range of
approaches that deliver health.
Source: http://www.nejm.org/doi/full/10.1056/NEJMp1206862
www.netspective.com
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6. NETSPECTIVE
PBU: Payer vs. Benefiter vs. User
If you don’t understand the exact interplay between PBU your product will fail
The person or group that
actually uses the product.
User
The person or group
that benefits most
from the use of the
product.
www.netspective.com
Benefiter
Payer
The payer is the
person/entity
that writes the
check for your
product.
6
7. NETSPECTIVE
What problem will you be solving?
Focus on jobs that need to be done, not what you want to build
Improve
medical
science?
Improve access
to care?
Reduce costs?
Improve
therapies?
Improve
diagnostics?
Improve drug
design?
Improve drug
delivery?
Create better
payment
models?
www.netspective.com
7
8. NETSPECTIVE
How to identify the best opportunities
From “Jobs to be Done” to the “Five Cs of Opportunity Identification”
Circumstance
• The specific
problems a
customer
cares about
• The way they
assess
solutions
Context
• Find a way to
be with the
customer
when they
encounter a
problem and
• Watch how
they try to
solve it
Compensating
behaviors
Constraints
• Develop an
innovative
means around
a barrier
constraining
consumption
• Determining
whether a job
is important
enough to
consider
targeting
• One clear sign
is a customer
spending
money trying
to solve a
problem
Criteria
• Customers
look at jobs
through
functional,
emotional,
and social
lenses
Source: http://blogs.hbr.org/anthony/2012/10/the_five_cs_of_opportunity_identi.html
www.netspective.com
8
9. NETSPECTIVE
Do you have ideas in payment design?
Payment models going fee for service to outcomes-driven care
The business needs
The technology strategy
• Quality and performance
metrics
• Patient stratification
• Care coordination
• Population management
• Surveys and other directfrom-patient data collection
• Evidence-based surveillance
•
•
•
•
•
•
•
•
www.netspective.com
Aggregated patient registries
Data warehouse / repository
Rules engines
Expert systems
Reporting tools
Dashboarding engines
Remote monitoring
Social engagement portal for
patient/family
9
10. NETSPECTIVE
Can you repurpose or enhance health data?
Try to use existing data to create new diagnostics or therapeutic solutions
Economics
Administrative
www.netspective.com
Phenotypics
Behavioral
Biochemical
Genomics
Proteomics
IOT sensors
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11. NETSPECTIVE
Some stuff not to focus on
Incremental innovation is easier, disruptive innovation is probably more useful
• Don’t go for simple incremental innovation if
you can be bold and disruptive
• Don’t look at mHealth, look at mobility in
healthcare
• Don’t look at apps, look at entire systems
www.netspective.com
11
12. NETSPECTIVE
Forget mobile apps, focus on health IOT
• With all the attention being paid to mHealth
there’s been an useless focus on mobile apps
• For the mobile apps, instead focus on
mobility in healthcare through “health
internet of things (IOT)” and self-care
technologies
www.netspective.com
12
13. NETSPECTIVE
Healthcare Industry Fallacies
• Healthcare folks are neither technically challenged nor
simple techno-phobes (they’re busy saving lives)
• Most product decisions are no longer made by clinical
folks alone, CIOs are fully involved
• Complex, full-featured, products are not easier to sell
than simple, stand alone tools that have the capability
of interoperating with other solutions are
• Hospitals will not buy unless one proves value.
• Selling into doctors offices is not easy.
www.netspective.com
13
14. NETSPECTIVE
What makes your products successful
•
•
•
•
•
•
•
•
•
•
•
Easy to explain
Defendable and differentiated
Attractive partnership opportunities
Word of mouth opportunity
Potential for PR
Scaleable staff and systems
Scaleable product — build once, sell many times
Uncomplicated
Focused
Sales model is scaleable and predictable
Own relationship with and information about customers
www.netspective.com
14
15. NETSPECTIVE
Why healthcare businesses buy stuff
Healthcare businesses have complex buying processes – figure out why and what they buy
Increase
revenue
(topline)
Maintain
capabilities
Reduce costs
(bottomline)
Attract new
patients
Increase staff
productivity
Find your
reason
www.netspective.com
15
16. NETSPECTIVE
The Customer Relationship
If you can’t figure out why they buy, see if any of the things below make sense
Customer Gives
You Get
•
•
•
•
•
•
•
•
Money
Time
Energy
Commitment
Referrals
Past experience
Expectations
Knowledge
www.netspective.com
You Give
Customer Gets
•
•
•
•
•
•
•
•
Product
Price
Value
Convenience
Selection
Service
Warranty
Brand
16
17. NETSPECTIVE
Defining your customer is really hard
Don’t focus on market segmentation, but do try to figure out who your customer is
Target health
sector?
Number of
employees?
Annual sales
volume?
Geography?
Number of
hospital beds?
Number of
patients?
Type of
patients?
The list goes on
and on…be
specific!
www.netspective.com
17
18. NETSPECTIVE
Health technology sector has many ups and downs
Make sure you understand where your product fits in the hypecycle
Source: Gartner; “Hype
Cycle for Healthcare
Provider Applications and
Systems, 2010”
www.netspective.com
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