Clayton Christensen, as many of our readers know, pioneered a theory of disruption in business models and a three-step cycle of innovation (empowering, sustaining and efficiency, now quite broken indeed). With two other writers, he applied these theories to healthcare in the 2009 book ‘The Innovator’s Prescription’ which this Editor heard co-author Jason Hwang, MD present in 2009 at the Connected Health Symposium and at a private meeting in 2011. One would think that we’d be well into disruption, which is part of the empowering innovation cycle and which the authors championed in the book as underway. The surprise at... Continue Reading
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Wearables solving real ‘jobs to be done’
[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/03/orcam-device-web11.jpg” thumb_width=”200″ /]This Editor strongly believes that the heart of a great product is that it addresses, in Clayton Christensen’s terms, a ‘job to be done’–or as pre-social media marketing writing put it, ‘not a ‘nice to have’–a must-have’. Venture Beat, usually a facilitator of the D3H (Digital Health Hypester Horde), has an unusually sober and personal article from writer Christina Farr highlighting five wearable devices and how they could be ‘must-haves’, improving quality of life for significant groups of everyday people. The OrCam computer-assisted vision device (above) for those with low vision, which interprets nearby visual inputs, including... Continue Reading
The CES of Health: post-scripts
...view advocated by investor Vinod Khosla who would dearly like to eliminate doctors, the more equivocally viewed ‘efficiency innovations’ in Clayton Christensen’s cyclical model. In thinking about the patient ‘longitudinally’, Ms. Suennen advocates ‘convergence’ but not in the usually understood data crunching sense. Rather, companies will move toward merging health IT, medical devices and healthcare service delivery. The patient wins (outcomes) and everyone else wins in better business. And the technology? Ms. Suennen quotes the aim of Don Jones of Qualcomm, “Good technology disappears into the background.” It’s a read for the weekend to ponder. Published in Pat Salber’s The... Continue Reading
The convergence of health systems with technology (US)
Intermountain Healthcare has been well-known for its proactive approach to healthcare models–it moved early to a fixed-fee integrated delivery system (IDS), helped to pioneer the evidence-based healthcare approach and was an early adopter of EMRs. It was one of the main providers cited in the influential The Innovator’s Prescription written by Clayton Christensen, the late Jerome Grossman, MD and Jason Hwang, MD. It’s now further backing technology development and integration through its new Healthcare Transformation Lab. Founding members Xi3 and Intel, and ‘collaborators’ Dell, CenturyLink, NetApp, and Sotera Wireless are participants in the new 20,000 square foot facility at Intermountain’s... Continue Reading
Harvard Business School + Harvard Medical School = Forum on Healthcare Innovation
...Forum’s website. The one certainly worth watching is Clayton Christensen’s as moderator of Panel 4 – Improving the Patient Experience (link) which focused on decentralizing care–pushing care out to consumers via clinics and decentralizing the innovation process. (The Innovator’s Prescription discusses this at length.) What is notable from the initial reading is that no one is discussing ‘technology’, HIT or mobile health specifically or as a panacea–but it is shadowing everything : effectively using patient data, the quality of that data, and ways patients can use information to guide their choices. This doesn’t seem like a single shot effort, so... Continue Reading
Is Silicon Valley-style thinking right for healthcare?
...specific problem (or in Clayton Christensen’s terms ‘a job to be done’) and then being gratified when you do, actually, find a way to change the world and yes, you make some money for your investors. The Epic EHR started quite modestly. Silicon Valley observers are onto the hype cycle there– “the contrast between grandiose ambitions and disappointing delivery.” You should be too. If you’re in health tech, steer clear of the hypesters and the cocktail parties. In fact, be more like Dr. Shaywitz’s colleagues at MIT, understanding “the limitations of your work and the enormity of the unanswered questions... Continue Reading
Toward a better understanding of US care models
HIMSS’ publishing arm, which has grown to several publications including ones we cite frequently, such as HealthcareITNews and GovernmentITNews, is launching an online site, Future Care, that will focus solely on “new and innovative models of care that improve individual and community well-being, while also reducing healthcare costs.” It has original material plus pickups from HIMSS Media’s other publications, and is supported by IBM’s Smarter Care initiative. (Related to its Smarter Cities initiative and telecare in Bolzano?) The current selection focuses on whether ACOs are set up to fail (Center for Connected Health’s Dr. Joseph Kvedar rebuts Clayton Christensen and... Continue Reading
Quantified Self fail: nighty-night for Zeo
Brian Dolan in Mobihealthnews exclusively broke the news this morning that Quantified Self darling and pioneer (2009) Zeo has likely shut down, turning in not just for the evening but for the foreseeable future. Unfortunately for the founders, employees, investors and users, it illustrates how Clayton Christensen’s disruptive innovation works fast, fast, fast in the real world. Its sleep monitor/coach was perhaps too good or complex for the market, and certainly too expensive at $400. Consumers traded off sophistication and features for less expensive (Lark at $160) and better value in the wider ‘jobs to be done’ in health tracking... Continue Reading
The Innovator’s Prescription (video)
Essentially the same presentation as his week-earlier keynote at last October’s Connected Health Symposium (see this editor’s report here), but you can now see this important presentation for yourself: from ePatient Connections, Jason Hwang, M.D. on disruptive innovations in healthcare decentralizing care, and the historical futility of cramming new technology into old business models. Dr. Hwang is Executive Director of the Innosight Institute and co-author of The Innovator’s Prescription: A Disruptive Solution for Health Care, with Professor Clayton M. Christensen and the late Jerome H. Grossman. Thanks to Paul Sonnier of CommNexus (San Diego) for bringing this to our attention... Continue Reading
Connected Health Symposium Thu 22 Oct 2009
...WiFi on Acela – why?) and (finally) at home. Drink your morning coffee and read on….it may have been like drinking from a fire hose, but it was worth every drop…DC The first morning keynote extended the ‘Overhauling Healthcare’ theme with a ‘disruptive’ and I believe significant presentation by Jason Hwang, MD, Executive Director of the Innosight Institute. How Disruptive Innovation Will Change Healthcare was researched for and drawn from his book, The Innovator’s Prescription, co-authored with Clayton Christensen and Jerome Grossman, MD. Disruptive innovations are breakthroughs in technology that, in their adoption, upset existing business models and force decentralization... Continue Reading
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