Skip to main content
Category

technology

Medical Monopoly: Medicine has a major image problem

By healthcare industry, media commentary, politics, technology
image credit: Alec

When you hear the word “monopoly,” does it fill you with a warm and fuzzy feeling? (Unless you’re Hasbro, you really should say no, unless you’re a cyborg.)

Healthcare is a monopoly. We can’t DIY cancer treatment, or surgically repair a broken hip for ourselves, so we have to go to the medical-industrial complex to regain our health if we wander into the weeds, health-wise. We also have deep difficulty accessing pricing information. I’ve talked about that here over the last few years. Maybe not a monopoly in the financial-reg sense of the word, but it sure is mighty like a game of Monopoly.

This “chaos behind a veil of secrecy” (all credit for that phrase belongs to healthcare economist Uwe Reinhart) has created the impression in healthcare customers that there’s no way to tell what something will cost before you buy it. You checks the box and takes yer chances. No Get Out of the Hospital Free cards. No pass-the-admissions-counter-collect-$200 option. That’s a rotten way to run a railroad (one of the original monopoly industries in US history), and an even worse way to run a hospital.

Dan Munro wrote about this, and the star-chamber cabal that actually sets the prices in healthcare, the RUC, on Forbes.com yesterday. I’ve talked about the RUC myself. And the search for price transparency, which seemed such an outlier activity just a couple of years ago, is now popping up in the Well blog on the New York Times site, as well as on Reuters. The Reuters piece has the addition bonus of quotes from my buddy Jeanne Pinder, founder of ClearHealthCosts.com. (Yesterday was a big day in medical price transparency.)

This is the central reason I registered the hashtag #howmuchisthat with Symplur, the healthcare hashtag registry. We all have to start demanding that prices be visible, and that the RUC stop cabal-ing around with our lives and our wallets. As more and more people are finding themselves with high-deductible health insurance, asking how much things cost before you make a healthcare decision will become the norm. If a healthcare provider can’t answer that question, s/he will find that s/he’s seeing the patient panel sinking fast, along with practice revenue.

Get with it, medicine. Remake your image, and your brand, to be clear as glass and user-friendly. Outcome metrics along with pricing would be really nice, too.

2013 Manifesto: short and salty-sweet

By healthcare industry, technology

Last year’s look-ahead for 2012 was a 5-point manifesto. Reviewing progress against that list, I see that I did pretty well, with only #2 falling a little short – which is not a bad track record.

This year, I’m keeping it tight. I’m going with a 2-rule manifesto.

Rule #1: Be accountable

We’ve all got metrics to measure ourselves against. Revenue, connections, sales, errors, accomplishments – all of those are important. The trouble comes when you focus too much on one area, which usually means that other important metrics wind up taking a back seat.

If you focus exclusively on incoming revenue, you might miss some mistakes that will cost you at least some of that revenue. If you concentrate only on building more connections in the industry, you might lose some long-term relationships that are just starting to ripen.

For me, accountability this year will be tied to two metrics: raising the revenue gained from the speaking side of my business, and widening my marketing net beyond the mid-Atlantic region. Tracking both will be easy, and each will challenge me to focus very tightly on activities and outreach that will move my game-plan forward. Accountability – at least here at Mighty Casey Media – will be baked in to the spreadsheet I’ll use to track that game-plan.

What accountability will you bake in to your 2013 goals? How will you track your progress? Who will you report to? That last one is a challenge for me, since I’m a solo-preneur. Stay tuned, since one of my accountability check-boxes will be reporting progress here, on the Mighty Mouth Blog.

Rule #2: Laugh more, bark less

That’s a purposeful scrambling of the “wag more, bark less” bumper sticker I see … everywhere. My version of wagging is laughter. If I’m laughing, there’s less risk that I’ll be screaming. Given that one of my core purposes in life is working to effect positive change in the healthcare industry, I can wind up screaming pretty easily if I don’t keep myself in check.

Barking = screaming in my world. We’re all about avoiding the screaming wherever possible. That does not mean that I’ll dampen my ferocity. Hell to the no. What it does mean is that I’ll find ways to wrap the bitter medicine in a big lump of maple sugar. “Bitter medicine” is hard truth about how healthcare has to shift from paternalism and a gold-rush mentality; the lump of maple sugar (and my biggest challenge) is finding the humor that will make that medicine go down … without resorting to barking.

Those are my Simple Rules for 2013.

Happy New Year.

Mistake? I Don’t Think So…

By technology

Ever hit ‘send’ and then screamed ‘noooooooo!’

Come on, we’ve all done it. Gmail has even created a feature called ‘Mail Goggles’ to prevent what used to be called ‘drink and dial’ – initiate the feature, and Gmail will make you do math problems before you can send an email. Highly useful tool for those who hit ‘send’ while soused.

What about those moments when you’re sitting at your desk, stone-cold sober, and you find yourself hitting ‘send’, after which you think you’ve just made a huuuuuge mistake?

Well, that might NOT have been a mistake.

A client of mine called me today in a panic. Apparently, while selecting some folks in Outlook to request LinkedIn connections with, this poor soul had inadvertently selected everyone in the database, and then hit ‘send’.

And then screamed ‘nooooooo!’

I asked, ‘and this is bad news because….?’ In the time since ‘send’, a dozen ‘yes!’ responses had come back from LinkedIn. Some of these connections were people my client hadn’t been in touch with for years, and with whom she had some seriously good professional history.

Here’s the moral of this particular story: you only get what you ask for. Being a ‘private person’ is laudable. Hiding your light under a bushel won’t get you any attention at all. And it might set fire to the bushel, which has all sorts of other unpleasant consequences.

What are you doing to get some positive attention? Are there people you knew three businesses ago that would be great connections for your business today? The tools are there to reconnect.

Just hit ‘send’!

That’s my story, and I’m stickin’ to it…

The Story (& the Song) Remain the Same

By technology

I think I’m on to something.

Not that this is entirely a surprise, but it’s nice when the universe sends you positive feedback fast.

Today, the Greater Richmond Technology Council had an IT recruiter + candidate mixer called TechNOW.

Given the current landscape locally, with Qimonda closing its chip plant, Genworth dealing with a mortgage-market induced stock price meltdown, and Circuit City sinking like a dying whale, the job market is heavy on the candidate side.

Which is true in every market across the globe, I think.

What was great to see today @ TechNOW was the number of people actively engaged in discussion about consulting and project-based work, which is the non-job sort of money-for-value-given engagement I was getting at in yesterday’s post.

I had the opportunity to do some individual coaching with a guy who’s got a deep background in web-based process & usability IT. He’s got two of the area’s biggest employers on his resumé, with many years of service at both of them.

As we talked, it became clear to me, and I think to him, that he has mad skilz, and heavy experience, in that web-enabled business process development. Why not start branding himself as an expert in that area, using social media tools to engage with companies he’d like to work with?

Not work for, ’cause this is the Brave New No-Job World, baby.

I think he agreed with me.

That’s why I do what I do – I live to help you tell your very best story. Today, I think I made a difference, which makes all the difference to me.

That’s my story, and I’m stickin’ to it…

Sustainability Story Will Be Written By Technologists

By technology

The Greater Richmond Technology Council’s Sustainability Summit on Wednesday, Nov. 12, 2008 led a series of conversations about a variety of sustainability/green topics, from carbon footprint and energy resource management to implementing and best practices for ‘going green’. The discussions, led by business technology experts, touched on IT issues, but were really driven by the recognition that sustainability is a business responsibility enabled by technology.

In all of those conversations, panelists made similar points:
-Sustainability programs are becoming a business imperative, and not just for PR reasons
-Sustainability initiatives can deliver operational efficiencies with clear bottom-line value
-Getting buy-in across the enterprise is the first step to meaningful sustainability efforts
-Technology/IT has become a leading force in enterprise sustainability programs

In his opening remarks to the Summit, Gov. Tim Kaine said that 25% of all development in Virginia has happened in the last 30 years. The state is losing 60,000 acres of open space every year, putting pressure on one of the state’s leading economic sectors: agriculture. These facts make it imperative to develop a statewide environmental policy, which is under development. The Commonwealth has developed an energy plan, with buy-in increased due to rising energy costs. “Low cost doesn’t encourage conservation,” said Gov. Kaine, noting that 2009 has been designated as the “eco-year” for his administration.

Gov. Kaine is pressing the Southern Governors’ Association, whose members include 16 southern states, to adopt a regional climate change accord, matching efforts by other regional governors’ associations. This would help to address the concerns of two major industries in the Commonwealth, agriculture and forestry, both of which are highly vulnerable to climate change.

The Summit’s panel discussion “How Big Is Your Carbon Footprint?” explored the importance of determining an enterprise’s carbon impact – the first step in developing a sustainability plan. “Green” calculations have become a regular feature of RFPs, making meaningful data collection and carbon output management a requirement for ongoing business development. The economic landscape dictates change in how business approaches sustainability, which technology & IT can help drive as a central part of 21st century enterprise.

The Carbon Footprint discussion was led by Guy Chapman, Managing Director of Dominion Resources, with input from:
-Steve Cole, Program Strategy Director, IBM Energy & Environment, IBM: discovering an enterprise’s carbon footprint, and then working to reduce it, can create a competitive advantage in addition to environmental benefit.
-David Lobato, Laserjet Business Sustainability & Environmental Programs Manager for the Imaging & Printing Group, Hewlett-Packard: as simple a step as duplex printing, rather than single sheet, can save as much as 800 tons of carbon emissions annually for a mid-sized company.
-Dennis Tracz, Director, James Madison University Center for Entrepreneurship: sustainability has become a new study discipline at the JMU School of Engineering, whose graduates will bring new ideas and new business opportunities to the marketplace.
-Kevin Xiao, a senior at Maggie L. Walker Governors School: Xiao created a carbon emissions calculator that allows individuals to determine the carbon impact of their homes, schools, and workplaces, which helps create awareness and spur positive action to reduce emissions.

The second Summit panel discussion, “Implementing & Best Practices for Going Green”, looked at specific ways that companies are approaching sustainability initiatives. Led by Jeff Ziegler, President & CEO, TechTurn, the panel gave real-world examples of their company’s sustainability efforts and results:
-Kevin Gerber, President & CEO, Packet360: sustainability is an enterprise-wide practice. Intelligent data centers sense load decreases, helping decrease power consumption by consolidating virtual machines and enabling them to power off large parts of the data center in off-hours.
-Mike Magruder, Data Center Support Specialist, Federal Reserve Information Technology: consolidation and virtualization are where FRIT has seen the biggest impact, and has driven 80% of the cost savings delivered by green initiatives. What started as a power cost-savings effort helped FRIT realize how big their carbon impact was, driving ongoing efforts at reduction.
-Jim McGlone, VP Sales, Tridium: automated systems that enable communication and power conservation across all platforms of an enterprise can deliver a daunting amount of data, making both monitoring and management a challenge. However, that level of awareness can help get a 20% reduction in resource usage, in addition to the value derived from process automation.
-Jean Peters, Senior VP Strategic Analysis & Planning, Genworth: what started as a voluntary effort, led by an ad hoc committee, has become a complex journey to finding the business value in sustainability. The company has seen a big reduction in power consumption annually (900,000 kilowatts), and has fostered a company-wide culture shift that embraces ongoing carbon reduction efforts.

The third panel, “Energy – Conservation vs. Reliability”, discussed how rising demand for IT has added to the drive for energy efficiency. Jeff Zeigler of TechTurn led this conversation, with input from experts in power distribution equipment and data management:
-Dave Rubcich, Director of Sales, Emerson Network Power/Liebert: demand for IT has driven development of power management for running and cooling data centers. Centralization trends have increased demand for ways to control the impact of managing large amounts of data.
-Dennis Tolliver, ISS/Blade Specialist, Hewlett-Packard: deploying Blade servers can help a company shave 30% off the power costs of their data center. Virtualization and software management allows flexible IT asset usage and reduction of physical asset inventory.
-Mark Wensell, VP & GM, Peak 10: data centers have been accused of increasing carbon emissions, but the reality is that aggregating data operations reduces carbon emissions by creating efficiencies, while controlling the data environment, security, and liability.

George Favolaro, Managing Partner, Esty Environmental Partners, gave the Summit keynote address. Favolaro noted that sustainability has become a hot-button issue, particularly for business. Asking the question “why green business?” leads to discoveries in the impact of energy prices, energy security, regulation, and climate change on both a company and its customers. Examining that impact brings process change and efficiencies, product development, revenue savings, reputation enhancement, and brand loyalty.

Managing the entire supply chain is critical, creating a cycle of leadership from suppliers through operations to planning. In the work Esty Environmental Partners does with companies such as American Eagle outfitters, Hanes Brands, Nestle Waters, Dow, and TechTurn, Favolaro has seen how doing something as basic as standardizing the boxes that products are shipped in can have a significant impact on reducing a company’s carbon footprint.

The common themes repeated in every conversation at the Summit – that “green” is becoming a business imperative, that sustainability programs can drive operational efficiencies and revenue savings, that culture change is critical to putting a “green” initiative in place, that technology is helping business create meaningful reductions in carbon emissions – indicate that sustainability has become a core issue for 21st century business. As IT has merged into all aspects of enterprise, it has become a driver of both the power of business data, and the importance of environmentally responsible business practice.