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Archive for November, 2009
Content and Technology: A Love-Hate Relationship
- Posted November 24th 2009
- Comments (0)
- by Janice
In late October I participated in a couple of conferences that underscored how information technology (IT) has changed business publishing. The first event, e-Patient Connections 2009, had a diverse audience comprised of Pharma marketers, medical communications agencies, health literacy experts, and health care publishers. Special guests included e-Patients who spoke about their use of community, content, medical expertise, drugs and devices to manage their conditions to allow them to live life as ordinarily (or extraordinarily) as they would if they didn’t have their disease or condition.
The second event, Data Content09, was the InfoCommerce Group’s 17th annual event for b2b directory and data publishers. Themes ranged from improving lead-generation applications of directories, the importance of understanding the workflow needs of your customers, and the overarching theme of how over time technology is commoditizing content.
The keynote speaker at Data Content09, Sharon Rowlands, CEO of Penton Media, described how she has aligned Penton by markets and is undertaking a thorough customer analysis to understand how the company’s information can be integrated into customer workflow and improve productivity. Sharon described why in today’s economy, in order to rise above commodity status, publishers need to offer point-of-need solutions that are tailored to each segment of their user base. Standalone reference works and print publications may still play a role, but it is an increasingly marginal one.
The final session of Data Content09 presented four examples of companies that are employing IT to their advantage. These companies (Capterra, KnowWho , Skyscape, and EDA) effectively use technology to move up the value chain. Publishers need to ask themselves how their data can be put to use to make their customers more productive: for example, can their data be integrated into the customer’s supply chain process or sales pipeline process? Or can technology and Web 2.0 tools help improve the quality of the data that are provided, through reviews and ratings, deeper verification, or mash-ups with related content? In some cases, it’s as simple as offering a mobile version or including video or interactive quizzes to enhance the experience for the user.
Forward-looking publishers recognize the inevitability of commoditization of information due to better, cheaper, and faster IT and digital distribution. These leaders use the commoditization trend (“the race to the bottom” in the words of Barry Graubart from Alacra) to their advantage by scouting more and more free inputs for their higher value information packages, and they know how to use commodity-level information as a marketing tool.
For more on the topic of content commoditization and the importance of moving up the content value chain, see the slides from my e-Patient Connections 2009 presentation (esp. slides 7-11). Although focused on the opportunities in the health content sector, these slides apply to all types of information.
Also, for detailed examples from the companies that presented at Data Content09, full video of the sessions for those who were unable to attend are available for purchase here.
Happy Thanksgiving!
Headline Commentary Nov 9-22
- Posted November 22nd 2009
- Comments (0)
- by Janice
Very good article by Linda Peitzman, MD, CMO (Medical) of Wolters Kluwer Health on benefits of order sets. Article provides some detail on how to implement order sets to ensure everyone receives latest most current version. Note, hour long interview with Linda, Nancy Greengold (of Hearst Business Media and co-founder of Zynx Health), Sundeep Karnik (fmr VP Strategy Elsevier Health) and Gary Kennedy, CEO of Remedy MD can be found here: http://www.berkerynoyes.com/pages/innovations_in_evidence_based_medicine.aspx
InformationWeek profiles Transparent health Network, which is compiling prices for direct purchases of healthcare services by patients.
IL launches its hospital compare site. Article points out that public ratings rarely reflect quality of care.
Flybridge invests in woman-owned pilates equipment seller, which has sold over $500M in equip on QVC over the past 12 years.
WSJ writes about new x-discipline collaboration among research scientists. Key point relates to how these scientists are creating their own databases. No mention of third party publishers in this new world of data-driven research.
Workflow study that follows patient through hospital identifies areas for improvement.
Jane Sarasohn-Kahn reviews recent study by Buck Consultants on growth of wellness programs in a variety of countries and compares the priorities of each country’s wellness programs. US is only one where cost-saving is key objective.
Brian Ahier writes about recent developments in electronic healthcare records with a focus on Practice Fusion and GoogleHealth’s attempts to offer patient info that is consistent with physician info.
Matt Holt comments on Practice Fusion’s announcement of patient portal to coincide with their free EHR s/w.
John Moore of Chilmark Research, who moderated closing panel, recaps the day’s highlights. I’ll add that John did a very good job on the last panel, which included Esther Dyson, Steve Munini COO Dossia, Fred Smith of CDC, and George Willock, CEO of HealthString. Audience appreciated the focus on the patient (Adam Bosworth did focus on patient, too). I believe it was Esther who said: “the patient is the most important input into health decisions”. She mentioned the “quantified self” movement and Society for Participatory Medicine also got a plug. This was the most forward-looking session that addressed social media and the exploding amount of new data that will be available for analysis.
Very good video by Nobel laureate in biochemistry, Paul Nurse, who makes the point of the importance of recording healthcare outcomes and analyzing data to prevent misunderstandings based on false correlations. He uses the vaccination scare as an example.
DataONE (Data Observation Network for Earth) is one of two $20 million awards made this year as part of the National Science Foundation’s (NSF) DataNet program. The collaboration of universities and government agencies coalesced to address the mounting need for organizing and serving up vast amounts of highly diverse and inter-related but often incompatible scientific data. Resulting studies will range from research that illuminates fundamental environmental processes to identifying environmental problems and potential solutions.
Good balanced view of response to recent breast cancer screening guidelines.
Center for Ix Therapy, which was represented at our first Health Content07 conference, to shut down Nov 30, 2009. The Center was small organization with limited resources, and suffered from trying to define a space that already existed and was far more widespread and diverse than their definition of Ix Therapy.
Lois Wingerson writes about Healthcamp NYC and ePatients.
Wonder what Lexis and Westlaw will say about this?
HR and billing IT apps are helping hospitals save money that can be applied to clinical improvements.
Makes sense. FDA and other govt sources are not best at marketing and distribution. Everyday Health (Waterfront Media) can take on that role to extend reach of FDA info.
Latest version of Allscripts (version 11) was launched before it was debugged. HDM asks if Allscripts has overreached its grasp since its merger with Misys. Note also the prices for the KLAS reports: $980 for providers; $11,850 for others!
Grove, former CEO of Intel, promotes concept of new degree to help accelerate the cycle from medical research discoveries to mass production of new treatments. Essentially, Grove wants to combine skills of researchers and engineers to disrupt current cycle that can take many years from bench research to broad availability.
ModernMed, a concierge medical service in Milwaukee, launches with 2 primary care MDs. Founder believes healthcare costs can be controlled via effective primary care.
Physician posits that dependence on checklists may not be to the benefit of good patient care if insufficient attention to individual patients is paid.
CambridgeSoft, which provides IT solutions for pharma BI (esp R&D), receives funding from Health Evolution Partner (David Brailer’s PE company). CambridgeSoft is touting its SaaS solution for pharma & chemical research.
Gary slams the morning TV shows for their promotion of junk information about weight-loss and other health issues. I agree that for the most part, TV news health info is superficial and very seldom put in context. Wouldn’t it be great if the money were spent on disseminating helpful information and pointing people to more trustsworthy sources?
“The Centers for Medicare and Medicaid Services plans to boost data sharing among its various programs that have common functions using the Medicaid Information Technology Architecture (MITA) and the nationwide health information network (NHIN).” Sounds reasonable…
How much information is optimal to share between patients & doctors? Great comments here.
Good article that points out the importance of system change (behavior change) for checklists and the like to be effective.
Article makes the point that it’s great that gov’t agencies are providing more open data, but that data needs to be put in context and displayed in an engaging manner to really have full impact. And that, dear publishers, is what you should be doing…
Another outstanding post by DC patient, who writes that een though she is an engaged patient, she never would have thought to file reports of adverse effects (AE) via FDA’s MedWatch. Her comments make it pretty clear that the MedWatch channel is not effective for monitoring Rx AEs. Patients consider many factors before they single out any particular cause.
Excellent round-up of Day 1 of FDA hearings on social media use by Pharma.
Another story on the funding for Caring.com which recently acquired the Gilbert Guide.
CVS sees value in studying interaction between genes and medication for its PBM business and for its end-customers.
Google’s proposed ad format for Pharma ads. Presented at FDA’s hearing on social media.
Dr. Pauline Chen’s column about the decline in # docs who want to go into primary care. In large part, it’s due to large number of routine cases they deal with and the amount of paperwork and coordination required. Of course, pay is an issue too. This ties with articles I’ve published about the commodization of routine health care enabled by health IT. Programming routine tasks and allowing nurses and other clinicians to take over these tasks should relieve primary care physicians of the “burden” of routine tasks.
Forrester’s CEO on how old media needs to reinvent itself for digital world where customers decide what is valuable.
Nice rundown of vetted sources of online health information from medical librarians.
Explorys, a start-up search engine, partners with Cleveland Clinic to develop search/analytics tool for patient records.
David Blumenthal’s latest statement on goals of the ONC for interoperability of electronic health records.
Chris Truelove’s review of 1st morning of #FDASM
linking patient data and related information
Very good article and great comments on hurdles that impede implementation of electronic health records/electronic medical records.
Live webcast of FDA’s hearing on use of Internet and Social Media Tools by FDA-regulated Medical Products, Nov. 12-13. Much anticipated meeting on topic of use of online media by Pharma and other FDA-regulated companies.
Geonetric survey lists top objectives of patient portals created by hospitals.
More outlets for distributing health and fitness gear as focus on wellness and prevention increases.
Pretty interesting application. Not as far-fetched as it seems.
No matter the outcome on ONC pronouncements about meaningful use, CCHIT, the certifying board for EMR/EHR systems, is continuing to play its previous role. CCHIT describes itself as a “community” and believes they offer meaningful services to small hospitals and group practices.
Lots of info on various IT standards for EMR/EHRs
Comments on Erik Engstrom’s new position as CEO of parent company Reed Elsevier. Engstrom has been CEO of Elsevier, the STM group of RE, for some time. Smart and analytical, I think he’s a good choice.
CareMedic, a Florida revenue cycle management (RCM) company, to be acquired by UnitedHealth’s Ingenix group. Ingenix now has near end-to-end platform for managing every step of the revenue cycle, from patient registration to reimbursement.
Well, even though someone’s gotta pay for the production and dissemination of information, I don’t like this alliance and don’t believe AAFP can be objective in its research on effect of sugary soft drinks if Coke is the sponsor.
WaPo on how some people may overreact to info they find on online health sites. Writer overreacts a bit herself in implying that online resources shouldn’t be used to help diagnose one’s condition. Agree that health literacy is needed; that is, consumers need better training to vet health resources. But, we’ll have hypochondriacs in the real and virtual worlds. Not everyone will gain the same benefits from online health resources.
Google now incorporating dat aon flu shot availability and mashing it up with Google Maps to illustrate where flu shots are currently available. Note, Google is compiling info provided by clinics. More proof positive that Goog is a content publisher.
SDI Health, a PA company that provides healthcare data analytics services, receives funding from Tailwind Capital.
FastIgnite site offers tools for start-up companies to calculate pre-money valuation, vesting, and more.
Article on lack of transparency in reporting health research and health statistics.
CareFocus, parat of the Clinical Xpert suite of CDS workflow solutions from Thomson Reuters (fmly Mercury MD) extends functionality of product line.
Narrated slide slow illustrating new features of reports on Patients Like Me. Impressive.
Dr. Danny Sands on why he believes in participatory medicine and informed patients.
PhRMA proposes methods for verifying FDA-approved data in health info provided to consumers. FDA logo on sites?
Good concise review of Merck Manual Professional Ed. for iPhone
Excellent slide deck that describes influence of social media in healthcare: pharma, med school, epatients, doctors, nurses.
Describes use of mobile devices to monitor steadiness of eldery to prevent falls. Good descriptions of how data from monitoring devices can be used in research to vastly improved current snapshot approach of medical research.
Focus on shortage of primary care doc and how nurses will take on more resposibility. Agree, but shortage isn’t the source of problem. Rather, commoditization of basic medical care & procedures due to digitization of health care info is source of change. See piece on “heatlh content is rapidly becoming a commoditiy” in my blog at Health Content Advisors.
Merck offers iPhone app that allows chemo patients to track symptons, etc.
Sermo creates community on practice management topics for docs to share info about healthIT and the business issues of running a practice. There are even CME activities with 8 module curriculum titled: The New Business of Medicine.
Chief scientist at Endeca, a specialist in faceted search, joins Google.
Microsoft will launch a video web series on health IT beginning Nov 11, 2009.
Review of data.gov with emphasis on healthcare data.
Long interview with David Brailer, now a PE exec, fmly Director ONC.
Emap titles Health Servie Journal and Nursing Times partners with Doctors.net.uk to share content and conduct research.
Anne Woods promoted to CNO (Chief Nursing Officer) at WK Health. She’s responsible for nursing strategy across Medical Research & journals publishing businesses.
Hope Leman’s interview w/ John Sharp of Cleveland Clinic.
Headline Commentary Nov 1 - 8
- Posted November 8th 2009
- Comments (0)
- by Janice
NYTimes on how InterMountain Healthcare is adapting EBM practices to improve outcomes.
Short article on Intermountain health and how it is adapting EBM to improve outcomes.
Initiate Systems (healthcare data mgmt) acquire Accenx, a provider of health info exchange solutions.
Express Scripts partners with Greatwater S/w to provide PBM services to patients on kiosks in doctor’s offices.
Shwen Gwee’s presentation on Social Media usage in pharma. Excellent presentation.
Michael Milken’s FasterCures foundation site.
Jeff Arnold, fmly of WebMD and more recently HowStuffWorks, to lauchn Sharecare, a consumer health info site supported by medical device from a group of physicians.
Sermo, the online community for doctors, launches new community for exchanging info on practice management for small & individual practices. Seems like a better app than their original app.
Data Advantage names to 75 hospitals in their value index.
Tim O’Reilly’s preso from PayPal Innovate 11/3/09. Good focus on “sensor data”, that is data are generated from wireless devices. Esp. important in healthcare.
Interesting review of recent report from Quintiles with thesis that pharma should take lead in establishing valuation system for their products in line with the comparative effectiveness (CER) concept.
DeepDyve’s CEO, Bill Park, provides detailed analysis of the market opportunity for their new rental model of articles. Nice to see him sharing so much detail.
HealthCentral partners with 5min, an aggregator of health & wellness videos.
Quintiles continues to build alliances with big pharma for CRO.
Mara Aspinall joins On-Q-ity as CEO. On-Q-ity (could they have created a more difficult company name to type?) was created by combining two investments of Mohr Davidow (Cellective Diagnostics and the DNA Repair company). On-Q-ity will focus on “developing new, cheaper and more effective treatments for cancer by tracking suspicious cells in a patient’s blood stream that indicate resistance to treatment, Aspinall said. On-Q-ity will focus on breast and thoracic cancers first, then prostate and other solid tumor cancers. developing new, cheaper and more effective treatments for cancer by tracking suspicious cells in a patient’s blood stream that indicate resistance to treatment, Aspinall said. On-Q-ity will focus on breast and thoracic cancers first, then prostate and other solid tumor cancers” (from PE Hub).
Qforma, a predictive analytics company that has an app that rates doctors based on their published writings along with the usual critieria, hires former WK Health (NDC) exec.
For medical coding geeks only; an MD applies ICD-9 codes to daily living….
Librarians are not pleased with redesigned PubMed, which may be fine for simple text searches, but not for complex targeted searches. My reaction: PubMed’s redesign opens the door wider for commercial publishers who can present better alternatives. Problem: they will pay for access.Need to find out what s/w PubMed is using.
Dr. Jerome Groopman (author of How Doctor’s Think) writes on limitations of current diagnostic methods and EBM.
Good commentary on recent TEDMED event. Key issue in “mainframe” mentality of existing medical system. Need to move to “health” system.
eHealth will focus on improving methods for sharing health info between patients and clinicians. Includes security features (patient ID, data privacy).
JNJ has launched project to market corporate wellness admin to other companies.
Live (and archived) coverage of BilPil healthcare “unconference” in San Diego from MedPage Today.
Some details on Nov 12-13 FDA public hearing on use of social media by pharma. list of speakers included
For medical professionals and patients.
Summary of SixUntilMe’s preso at epatient connections.
Detailed explanation of the process used by many pharma companies to find academics to serve as lead author for scholarly journal articles that are “ghostwritten” by professional writers hired by pharma.
MaryDee Ojala on DeepDyve’s new rental model for scholarly articles.
Philips introduces the Directlife device that calculates how many calories burned.
Report on some small steps taken by select providers to post prices of their services.
Susannah Fox’s preso from epatcon
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