Stan Kachnowski, Director of the Digital Health Program at Columbia Business School, joins Matthew to talk about the Virtual Executive Education in Digital Health Strategy Program they have coming up from May 12-14th. The program is built around health care executives understanding and implementing digital health strategies at their organizations almost immediately after the course. For 3 days, attendees will participate in workshops, lectures, and discussions which will help them identify the key players in health tech along with which methodologies will work at their specific organizations. Matthew will also be a guest lecturer for the program where he will speak about his “Flipping the Stack” model for health technology’s future.
Indu & I have been talking about Flipping the Stack in health care for about 3 years. 2 years ago we wrote an article for a general hospital audience which appeared in the 2019 AHA SHSMD Futurescan magazine. I was talking about the changes in home monitoring that might come about due to COVID-19 and remembered this article. The one that got published went through a staid editing process. This is the original version that I wrote before which was rather more fun and hasn’t seen the light of day. Until now. Take a look and remember it is 2 years old–Matthew Holt
Over the past twenty-five
years most businesses have been revolutionized by the easy availability of
cloud and mobile-based computing systems. These technologies have placed power
and access into the hands of employees and customers, which in turn has created
huge shifts in how transactions get done. Now the companies with the highest
market value are both the drivers of and
beneficiaries of this transition, notably Apple, Facebook, Amazon and Alphabet
(Google), as well as their international rivals like Samsung, Baidu, Tencent
and Alibaba. Everyone uses their products every day, and the impact on our
lives have been remarkable. Of course, this also impacts how businesses of all
types are organized.
this transformation has been a change from enterprise-specific software to
generic cloud-based services—sometimes called SMAC
(Social/Sensors/Mobile/Analytics/Cloud). Applications such as data storage,
sales management, email and the hardware they ran on were put into enterprises
during the 80s and 90s in the client-server era (dominated by Intel and
Microsoft). These have now migrated to cloud-based, on-demand services.
years ago the web was still a curiosity for most organizations. But consumers
flocked to these online services and in recent years businesses followed, using
GSuite, AWS (Amazon Web Services), Salesforce, Slack and countless other
services. Those technologies in turn enabled the growth of whole new types of
businesses changing sectors like transportation (Uber), entertainment (Netflix),
lodging (AirBnB) and more.
What about the hospital?
Hospitals and health
systems were late comers to the enterprise technology game, even to
client-server. In the 2000’s and 2010’s, mostly in response to the HITECH Act,
hospitals added electronic medical records to their other information systems.
The majority of these were client-server based and enterprise-specific. Even if
they are cloud-based, they tend to be hosted in the private cloud environment
of the dominant vendors like Epic and Cerner. Of the major EMR vendors only
Athenahealth had an explicit cloud-only strategy, and its influence has been
largely limited to revenue cycle management on the outpatient side.
However, the hospital sector is likely to move towards the trend of using the cloud seen in other businesses.
Op-eds. Crossposts. Columns. Great ideas for improving the health care system. Pitches for healthcare-focused startups and business.Write-ups of original research. Reviews of new health care products and startups. Data driven analysis of health care trends. Policy proposals. E-mail us a copy of your piece in the body of your email or as a Google Doc.