What This Blog is About

A long time mentor and friend, Cicely Berry, often says: "all we do comes from our need to survive".

Cis is the Voice Director of The Royal Shakespeare Company. Her profound work and deep appreciation of the human spirit has affected diverse communities all over the world.

Will take you to my current work.

This blog is dedicated to the belief that the overall health of a community or organization is a clear reflection of their ability to communicate.

"Cada cabeza es un mundo" - Cuban proverb

"Every head is a world"

Tuesday, March 31, 2009

"It's noboby. Just the IT guy"

A new Turner Broadcast television show called Trust Me, is set in a traditional Chicago big scale advertising company.

The show has a ring of giving life to a dinosaur and not really connected to today's business environment.

I though it was an ironic moment tonight, when I caught this comment.

The senior creative director was hiding his boss in the creative director's office. Seems that his boss had been sent home to calm down after an intramural altercation.

When a copy writer (and the show has some pretty solid work place stereotypes), asked the creative director - "who's in there?" - the response was : "Oh, that's nobody. It's the IT guy".

Now, that rang true. And maybe, the only moment of the show that did.

Out of touch dinosaurs in all industries, always give themselves away with the simple language of exclusion and silo behavior.

How many organizations still think of IT as the help desk?

While it is not uncommon to respect and even publicize the IT functions of a company, it's another thing to collaborate with IT to achieve business objectives and strategies.

I am not saying anything new. In fact, that's the point.

Sometimes, pop-culture TV is more insightful than intended.


Monday, March 30, 2009

Olympus Medical Center (WA) gets approval for a $2 million GE Centricity practice EMR purchase. This board member must know hospital IT: "There are going to be changes. I just feel them. And I think all of them are going to cost money."

Posted on HIStalk today.


Wednesday, March 25, 2009

Health Care Innovation?

Posted today, on http://www.histalk.com

"An OB-GYN sues a Utah hospital, claiming the CEO forced him out and that nurses falsified charts to make him look bad. He also claims he dictated a chart note that contradicted the nurse’s fraudulent changes, but the hospital deleted it from the EMR. The HIPAA audit trail should prove it one way or another, and surely the hospital won’t publicly claim that its systems don’t have one".

Interesting perspective on electronic medical records and security.


Friday, March 13, 2009

Companies Look to Provide Infrastructure Services

Interesting announcement today from IBM about water. I wonder how this kind of innovation to "go on the offensive" can help organize issues in health care infrastructure? Like Electronic Medical Records. It does not take much imagination to consider "infrastructure" to connect with a different look at what the word means. Feeding mass data into network computing is the very heart of infrastructure in a networked economy.

Have a read. Interesting, that water is a primary survival need.



SAN FRANCISCO -IBM Corp. wants to get really deep into water.

The technology company is launching a new line of water services Friday, hoping to tap a new sales vein by taking the manual labor out of fighting pollution and managing water supplies. IBM says the overall water-management services market could be worth $20 billion in five years.

The effort is part of a wider role IBM wants to play in infrastructure services, including automobile traffic and power grids. In each instance, IBM is trying to persuade utilities and government agencies to overhaul their computer networks and link digital sensors together for better insights.

For example, instead of a meter-reader from the power company traipsing through your backyard, IBM is banking that one day your meter and your neighbors' will feed data directly into the utility's computer network.

Same for water.

IBM says its new services will help water providers become more efficient in overseeing ever-more-precious supplies and responding faster to contamination and other emergencies.

The company has been working on a project called SmartBay with an Irish marine institute to develop sensors that are monitoring pollution, marine life and wave conditions around Galway Bay and transmitting data to researchers. Among the benefits, IBM contends, is that computers can track floating debris that pose a hazard to commercial fishermen.

This "smarter planet" theme is part of IBM's strategy to keep making money in the recession. The company's chairman and CEO, Sam Palmisano , said in a letter to shareholders this week that IBM will be aggressive in drumming up business in areas like managing traffic, power grids, water, food, health care and finance. He vowed the efforts will help Armonk, N.Y.-based IBM grow by getting early starts in areas that will need help for years to come.

We will not simply ride out the storm," Palmisano wrote. "Rather, we will take a long-term view, and go on offense."

Friday, March 6, 2009

Five Sites that Let You Experience the Real-Time Web Today

"One of the most interesting trends on the Internet right now is a move towards a more real-time experience. We have seen a lot of discussion lately about how Twitter is leading the charge by creating a search engine for the real-time web, for example. However, there are also a good number of other services that already expose some of the promises of the real-time web. In this post, we will have a look at some of the most interesting ones."


Wednesday, March 4, 2009

Good Info Sent to Me Regarding Health Care Collaboration

A Disruptive Solution for Health Care

As this nation looks to a paradigm shift in order to tackle our healthcare crisis (because what we’ve been doing over and over clearly isn’t working), it’s exciting to see that leading publications carry the same theme in their reporting on this critical issue that impacts all of us:
- It’s important to find a way to get people engaged in the process instead of being the subject of the process.
- There’s a belief that disruptive innovation, as happens over and over in business, can lead to significant wealth creation opportunities, this time, along with providing enormous societal value.
- People need to find holistic incentive.
- A collaborative approach to more consistent engagement is required.
- The lead event can’t simply be more consumerism; there has to be a desire to change behavior based on the construction of personalized knowledge first.
- There is no “pill,” but rather it’s about taking a systems-based approach to create the requisite new mental model in order to come up with a sustainable solution.
- Whatever is done has to be profitable, and it has to be profitable quickly.
- The solution has to be scalable.

The following sampling of content are just a few of the many articles, peoples, blogs, reports etc all circling around the same vision and understanding.

EthoSquare captures all of these in its discovery learning application with the launch of the Quality of Life Network.

A Disruptive Solution for Health Care - BusinessWeek – 23-February-2009
Full article: http://www.businessweek.com/technology/content/feb2009/tc20090220_090975.htm

“The answers lie in understanding the concept of disruptive innovation, which explains how successful and dominant businesses can be completely upended by new players that enter the marketplace using markedly different business models. ... So if change is so difficult, how does an industry ever introduce greater quality, efficiency, and affordability? Disruptive innovations have been able to do this over and over in a myriad of industries by initially taking root and introducing change in areas of "nonconsumption."”

How to Make Electronic Medical Records a Reality - New York Times – 01-March-2009
Full article: http://www.nytimes.com/2009/03/01/business/01unbox.html

““This is really not a technology problem,” observed Erik Brynjolfsson, an economist at the Sloan School of Management at the Massachusetts Institute of Technology. “It’s a matter of incentives and market failure.” ... But the technology is just a tool, one that needs to be used properly to improve health care. ...So the legislation states that physicians will be paid only for the “meaningful use” of digital records.”

Health-Care Technology: Patient Involvement Helps - BusinessWeek – 23-February-2009
Full article: http://www.businessweek.com/technology/content/feb2009/tc20090223_182043.htm

“... getting patients involved in the effort, along with hospitals and doctors' offices, can lead to substantial benefits. The research, conducted by Harvard Medical School and two other institutions, shows that reminding patients to take a critical cancer test is actually more effective than reminding their doctors about the same test. ... Employers are showing an increasing interest in electronic records, too. ... Rather than putting all the emphasis on how physicians will use e-records, the focus also has to be on how e-records can be used to get patients more involved in their care.”

Health-Care Reform, Corporate Style – BusinessWeek – 29-July-2008
Full article: http://www.businessweek.com/magazine/content/08_32/b4095000246100.htm

“ ... If on-site clinics are beloved by boss and worker alike, why aren't all companies building them? For starters, there has to be scale. Clinic managers say there should be at least 1,000 employees in a single location to make the economics work, and the majority of workers must sign up.”