#DoMoreHIT At the Crossroads: Technology and Transformation in Healthcare

#DoMoreHIT At the Crossroads: Technology and Transformation in Healthcare

Today, follow the @DellHealth for #DoMoreHIT think tank livestreaming 3/18 at 10 am CDT http://del.ly/6011gZh3

Tue Mar 18, 2014 11:00am EDT — Tue Mar 18, 2014 4:00pm EDT

Join a dynamic conversation exploring the burning issues in healthcare IT and how they will drive transformation in the year ahead.

President Clinton speaking about health care at #DellWorld 2012

Today at Dell World, Bill Clinton went on stage and spoke to the audience about the evolution in technology. Roughly 20 years ago when he took office (1993 to 2001), the average cell phone weighed 5 pounds. He sent 2 emails during his presidency.

Technology has advanced considerably since then, hasn't it?

Now, at the age of 66, Clinton is busy with the Clinton Foundation - set up to improve global health, strengthen economies, promote healthier childhoods and health and wellness, and protect the environment.

Here at Dell World, Clinton spoke about the childhood obesity epidemic that is being fought through better nutrition and changes in dietary habits. He spoke about the advances in pediatric cancer research that are possible due to collaborative data sharing. He mentioned the Health Matters conference that's organized by the Clinton Foundation.

Clinton also spoke about global economic issues around inequality, the importance of non-zero-sum, and how the future depends on creative networks of cooperation. He also entertained the audience by wearing some stylish cowboy boots, thus proving that he's a real cowboy.

Bill Clinton will be speaking at HIMSS 2013, so I look forward to seeing him again in a few months.

President Bill Clinton to speak at #DellWorld

I'm attending Dell World 2012 and the majority of my blog coverage will occur on http://www.MobileHealthComputing.com because of the focus around enterprise computing, BYOD, cloud-based infrastructure, privacy/security, and more.

The keynotes here will be delivered by Michael Dell, Bill Clinton, and the authors of Freakonomics and SuperFreakonomics: Steven D. Levitt and Stephen J. Dubner.

Follow conversations from Dell World by following the Twitter hashtag #DellWorld

Connect with Dr. Harry Greenspun on LinkedIn

Dr. Harry Greenspun, formerly Chief Medical Officer at Dell, is now Senior Advisor, Healthcare Transformation and Technology at Deloitte.  He is also the author of Reengineering Health Care: A Manifesto for Radically Rethinking Health Care Delivery. Harry maintains a very active Facebook profile, but make sure you don't miss him on LinkedIn.

Connect with Harry Greenspun on LinkedIn:  http://www.linkedin.com/in/harrygreenspun

He's a physician executive who is very connected, so you'll want to be in his network. In 2010, Modern Healthcare magazine named him one of the “50 Most Powerful Physician Executives in Healthcare.”

Leading Health IT Authority Dr. Harry Greenspun Joins Deloitte

Congrats again Harry!

WASHINGTON, D.C., April 28, 2011 — Harry Greenspun, M.D., a highly regarded leader on clinical transformation and health information technology (HIT), has joined the Deloitte Center for Health Solutions, the health services research arm of Deloitte LLP. Dr. Greenspun will focus on helping Deloitte’s health sciences and government clients address key HIT and clinical transformation issues and lead Deloitte’s research agenda on these topics.

Dr. Greenspun joins Deloitte from Dell Inc., where he served as executive vice president and chief medical officer, providing strategic clinical input to the senior management team across all health care sectors. Distinguished co-author of “Reengineering Health Care: A Manifesto for Radically Rethinking Health Care Delivery,” Dr. Greenspun is recognized as a leader in the health care industry. In addition to his professional services experience, he also has a clinical background as a former practicing cardiac anesthesiologist.

Book giveaway: Reengineering Health Care: A Manifesto for Radically Rethinking Health Care Delivery (Kindle Version)

You won't want to miss this! Reengineering Health Care: A Manifesto for Radically Rethinking Health Care Delivery
by Jim Champy and Dr. Harry Greenspun

The Kindle version is being given away for free (for a limited time). Here's a brief description of this outstanding book:

In their legendary book, Reengineering the Corporation, Jim Champy and Michael Hammer introduced businesspeople to the enormous power of a revolutionary methodology called reengineering. Using reengineering, businesses around the world have systematically retooled their processes--achieving dramatic cost savings, greater customer satisfaction, and more value.

Now, Jim Champy and Dr. Harry Greenspun show how to apply the proven reengineering methodology in health care: throughout physician practices, hospitals, and even entire health systems. You’ll meet innovative and visionary leaders who’ve been successfully reengineering organizations across the entire delivery spectrum and learn powerful lessons for improving quality, reducing costs, and expanding access.

This book doesn’t just demonstrate the immense potential of health care reengineering to revolutionize health care delivery: it offers a clear roadmap for realizing that potential in your own organization.

Get it using the link below:

Reengineering Health Care: A Manifesto for Radically Rethinking Health Care Delivery

There's a great new book by Jim Champy and Dr. Harry Greenspun that just got released. It's titled, Reengineering Health Care: A Manifesto for Radically Rethinking Health Care Delivery

Here are some editorial reviews of the book:

“Reengineering Health Care gets to the core of transforming our current system by advocating the widespread use of IT, eliminating inefficient practices, and keeping the system focused on a healthy individual and not on a broken process.”

--Newt Gingrich, Founder of the Center for Health Transformation, and former Speaker of the U.S. House of Representatives

“This book is a prescription for streamlining health care. Using the techniques that have successfully transformed business into customer-focused and efficient organizations, the authors provide a step-by-step approach to improving health care processes, guiding health care into the next generation of Lean delivery systems.”

--Dr. John Halamka, Chief Information Officer, Beth Israel Deaconess Medical Center

“It isn’t reform that will fix our ailing health care system, its reengineering. Champy and Greenspun highlight organizations that have transformed, and reinvented, themselves by reengineering care delivery–they’ve lowered costs, improved care quality and patient safety, and increased the satisfaction of those giving and receiving care. Every clinician, hospital executive, and politician should read this book.”

--Bill Crounse, M.D., Senior Director, Worldwide Health, Microsoft Corporation

This book doesn’t just demonstrate the immense potential of health care reengineering to revolutionize health care delivery: it offers a clear roadmap for realizing that potential in your own organization.

Deliver Better Care to More People, at Lower Cost

• How reengineering can lead to more efficient, safer delivery--and sharply reduced costs
• How to focus on prevention and wellness, as well as chronic disease and hospital care
• How to earn the trust, contributions, and passion of skeptical physicians and health care professionals
• How to harness technology to create more seamless, accessible, valued, and sustainable health care systems--and avoid technology’s pitfalls
• How Zeev Neuwirth transformed the Lenox Hill Hospital ER and the 700-doctor Harvard Vanguard Medical Associates practice
• How Tom Knight is revolutionizing patient safety at Methodist Hospital System, one of America’s largest private, nonprofit medical complexes
• How to start today in your own organization!

You won't want to miss this!

Summary of Healthcare Reform (from Dell Healthcare Services)

What happens when you get two physicians to work for a company like Dell?  You get a comprehensive paper on healthcare reform.

Kevin Fickenscher, M.D., CPE, FACPE, FAAFP and Harry Greenspun, M.D. from  Dell Healthcare Services have released a paper titled, "Summary of Healthcare Reform." Here's what the 42-page paper is about:

Dell Services is pleased to present the following comprehensive summary and analysis of key provisions found in the Patient Protection and Affordable Care Act (PPACA, P.L. 111-148), signed into law by President Barack Obama on March 23, 2010.

You'll definitely want to keep a copy of this in your library.

About the authors:

Kevin Fickenscher, M.D., CPE, FACPE, FAAFP
One of the nation’s visionary leaders in healthcare, Kevin Fickenscher is Chief Strategy and Development Officer of Dell Healthcare Services.

Harry Greenspun, M.D.
Dr. Greenspun is the Chief Medical Officer of Dell Services, providing strategic leadership with a clinical perspective.

You can access the Summary of Healthcare Reform (PDF) here.

New rugged tablet PC

There's a new tablet PC that looks very promising for the medical community:

• Dell Latitude XT2 XFR (rugged Tablet PC)

The best feature is that it's a "rugged" computer. Now that doesn't mean that you can throw this computer around, but it will probably survive more falls than your average tablet computer. As more physicians embrace electronic health records (EHRs) in their hospitals, clinics, and offices, we will definitely see more tablet computers used in the health care community.

Dell XT2 Tablet

Speaking of the Dell XT2 Tablet, I've noticed that Dell knows who they are targeting on their website. This image was taken from their tablet site and you can see that they are advertising the "touch feature" of this tablet PC. My Lenovo Thinkpad X200 Tablet also has this feature. I can use my stylus pen (active digitizer) to write on the tablet and enter data. I can also use my finger (or any other passive device) to tap on the screen. This type of multi-touch allows you to quickly enter information and navigate without always relying on your digital stylus pen. I love where technology is taking us in the computing field.

eClinicalWorks, Dell, and Walmart

The eClinicalWorks package at Walmart will include Dell computers. Which Dell tablet PC will be included in the package? That's right, the expensive Dell XT2 Tablet running Microsoft Windows. No Apple tablet running OS X for those who are Mac lovers. I wonder if we'll actually get the chance to play around with an XV2 in the Walmart stores. People don't recognize the value of a tablet PC and most will probably use this convertible tablet as a notebook/laptop. However, for those who take advantage of the pen-based input system, they will quickly learn how efficient they can be by using the digital stylus. What about the ultra-mobile PC platform? Sometimes I wonder about these tiny devices and netbooks. Will they gain momentum in the healthcare field?

Dell Adamo Laptop

So, what do you think about the Dell Adamo ultra-thin and light laptop? It looks really nice, but at $2k, it's hard to justify. Plus, a non-user replaceable battery? What's the purpose of an ultra-light mobile PC if you can't replace the battery when you run out of juice? That just doesn't make any sense to me and I think that the Apple MacBook Air has set a poor example.

I have had several Dell PCs and I even use one right now to run Mac OS X (x86 mod/hack running OS X 10.5.2). I also run Ubuntu and XP, so it's currently configured for triple-boot. I've been happy with Dell and I've recently purchased some from the Dell outlet for a small medical office practice. I think the Adamo has tremendous potential, but the lack of a removable battery is a deal breaker for me. I'l stick with my Lenovo Thinkpad X200 tablet and continue to use that until someone comes out with a battery that will last over 24 hrs.

Walmart to Sell Digital Health Records

You've probably heard that Walmart is getting into the e-health record space by selling eClinicalWorks. This Electronic Health Record (EHR or EMR) is a CCHIT Certified system (for 2008) and includes a suite of several different options. According to the NY Times, this move by Walmart is to target small physician offices. Speaking of Walmart, have you noticed that they've gotten rid of the hyphen between Wal and Mart? Now they're just Walmart. Anyways, the bigger question remains: will more and more physicians embrace EMRs just because it's available from Walmart of Sam's Club? Plus, what about all those people who hate Dell computers? (I'm not one of them, but I seem to meet them all the time. Some people really have strong opinions about specific PC manufacturers. Maybe that will change with the new Dell Adamo.) With only 17% of the physicians using EHRs, there is a huge marketplace to sell and offer EHRs to those who may lack those strong computer skills. Once BestBuy gets involved in this competition, you'll start seeing a lot more of those "Geek Squad" vehicles around. If you're looking to break into the Health IT industry, maybe you should get a job at Walmart selling EHR solutions and acting as an EHR consultant. I'm sure that eClinicalWorks is bolstering their support staff and preparing for all those phone calls.

What do you do with your old laptops?

I've done several different things with my old laptops. What do you do when you replace your notebook PC?

Here are some things that I've done in the past with my old Apple, Fujitsu, Dell, HP, Sony, Toshiba, and Lenovo laptops:

• Donate to charity
• Sell on eBay
• Convert to a digital picture frame
• Use it as a server
• Extra PC in another room in the house
• Movie player connected to a larger TV for DivX, MPEG, AVI, and other formats not compatible with many DVD players
• Salvage it for parts
• Give it to a family member

So what do you do?

Dell XT2 or Lenovo X200 Tablet?

If you had to purchase a tablet PC today and price wasn't an issue, which one would you choose? The Dell XT2 or the Lenovo Thinkpad X200 tablet?

I've owned several different Dells and Thinkpads.

• They both offer multi-touch screens.
• Neither offer a backlit keyboard or any type of keyboard illumination.
• Both have robust battery life.

The reality is that price is a huge issue and the Dell is overpriced. End of story.

Dell Latitude XT2 tablet

It looks like Dell incorporated some major changes and fixes to this new tablet PC. Unfortunately, the price is still way too high. However, for those who are able to afford such luxuries, the Latitude XT2 is a really nice convertible tablet. I'll stick with my Thinkpad X200 tablet for now. I really like the Thinkpad keyboard and the form factor.

I'm still waiting for the day when someone makes a really thin convertible tablet (by thin I mean Apple MacBook Air thin). Maybe a really thin MacTablet or iTablet will emerge this year. If that happens, then I may need to get ready to use OS X (unless I run BootCamp, Parallels Desktop for Mac, or VMware Fusion).