Skip to main content

I Read, I Observe, I Blog

Proposed legislation targets physician-owned hospitals, says the Wall Street Journal.

And Apple Computer reported strong first quarter profits, surprising analysts and handily beating Wall Street's expectations. Timothy Cook, Apple's COO, said he leads 35,000 "wicked smart" employees who "...were put on the earth to make great products..." (Full disclosure: I'm writing this on one of those great products (MacBook Pro), downloading music from a great service (iTunes), listening to that music on another great product (iPod Nano) while planning to buy even more (an iPhone and a 24" iMac.))

Meanwhile, Microsoft announced plans to lay off 5,000 employees. In making the announcement, Steve Ballmer, Microsoft's CEO, engaged in typically opaque execu-speak, saying "...we'll manage expenses and continue to invest in long-term opportunities to deliver value to customers...and we'll emerge even stronger..." I doubt I'm alone in not knowing what he just said.

But I do know that, in an uncertain economy, one company - the one with a vision of wicked smart employees making great products - is growing. The other - where the CEO sounds like some PR flack's ventriloquist dummy - is shrinking.

I doubt I'm alone in seeing THAT correlation.



Comments

Popular posts from this blog

Michael Porter On Health Care Reform

Michael Porter, writing in the New England Journal of Medicine, proposes "A Strategy For Health Care Reform - Toward A Value-Based System." His proposals are fundamental, lucid and right-on, meaning they're sure to be opposed by some parties to the debate, the so-called "Yes, but..." crowd. Most important, in my opinion, is this: "... electronic medical records will enable value improvement, but only if they support integrated care and outcome measurement. Simply automating current delivery practices will be a hugely expensive exercise in futility. Among our highest near-term priorities is to finalize and then continuously update health information technology (HIT) standards that include precise data definitions (for diagnoses and treatments, for example), an architecture for aggregating data for each patient over time and across providers, and protocols for seamless communication among systems. "Finally, consumers must become much mor...

Being Disrupted Ain't Fun. Deal With It.

Articles about disrupting healthcare, particularly those analogizing, say, Tesla's example with healthcare's current state, are frequently met with a chorus of (paraphrasing here) "Irrelevant! Cars are easy, healthcare is hard." You know, patients and doctors as examples of "information asymmetry" and all that. Well, let me ask you this: assuming you drive a car with a traditional internal combustion engine, how much do you know about the metallurgy in your car's engine block? I'll bet the answer is: virtually nothing. In fact it's probably less than you know about your own body's GI tract. Yet somehow, every day, us (allegedly) ignorant people buy and drive cars without help from a cadre of experts. Most of us do so and live happily ever after (at least until the warranty expires. Warranties...another thing healthcare could learn from Tesla.) Now, us free range dummies - impatient with information asymmetry - are storming healthcare...

"An Affordable Fix For Modernizing Medical Records"

...from the Veterans Health Administration and Midland (TX) Memorial Hospital. I know enough about my own strengths and weaknesses to know that I'm no IT expert. But I am acutely interested in examples of people and teams thinking differently to solve long-standing, intractable problems and, for better or worse, there are lots of those to be found in the IT realm. Yesterday, it was a story about a team adding iPhone portability to MEDITECH functionality, delivering to harried physicians better access to clinical data and more productive hours in every work day. (Wow. Apple in the boardroom AND the physician lounge. Has to be an IT traditionalist's worst nightmare. But I digress...) Today, the Wall Street Journal features a story about Midland (TX) Memorial Hospital finding an affordable, open-source alternative to proprietary EMR systems : "In the push to digitize America's hospitals, Midland Memorial faced an all-too-common dilemma: a crying need for information ...