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METAFORIX MAIL


Volume 1, Issue 6  August 30, 2000
CONTENTS AT A GLANCE:

ON MY MIND: More on e-Health


ON MY MIND

More on e-Health
Last week, I gave a brief overview of the recent "e-Health Colloquium" held at Harvard University. A quick peek at the conference site will give you an idea how ambitious and wide ranging the curriculum was. You'll also find some of the presentation materials available for viewing.

There was an enormous amount of content packed into a single week and a considerable range of viewpoints among presenters and participants. As a result, I find that the flavor of the experience is best captured as a series of soundbites, in the most positive sense of the term. Not soundbites as in ephemeral and insubstantial. Soundbites as in pithy and provocative. Soundbites as in my personal take-home food for thought. For example:

Organizational development is the most overlooked issue in creating an e-health Internet business plan. -- John A. Eudes, President, Greystone.Net, Inc., strategic Internet planning firm

MCOs (Managed Care Organizations) exist at the crossroads of insurance, service, and health support, where the Internet has huge potential. The key is to wade through the technology to deliver what customers really want. -- Thomas C. Hawkins, M.D., Director of Web Development, Harvard Pilgrim Health Care

There are some good e-health ideas that nobody feels a responsibility to pay for, such as electronic patient medical records and remote doctor/patient consultations. -- Brian Dovey, General Partner, Domain Associates LLC., venture capital firm

The Three Axioms of Healthcare (from a health economist with a sharp tongue or tongue in cheek, or both):
- Americans want the best healthcare someone else will pay for.
- We demand our fair share of unnecessary and inappropriate procedures.
- When the going gets tough, the empowered consumer wants government regulation.
-- James Robinson, PhD, University of California at Berkeley School of Public Health

The coming technological revolution means that forecasts are more valuable than experience. The most valuable forecasts are visions describing what we want our technology to do for us. -- Jonathon C. Peck, Vice President, Institute for Alternative Futures

Medical literature doubles every 19 years.
AIDS literature doubles every 22 months.
2 million facts are needed to practice medicine.
Data should arrive as a by-product of clinical care. This does not happen with paper records, which have lots of information but no usable data.
-- Blackford Middleton, MD, MPH, Senior Vice President, Clinical Informatics, MedicaLogic/Medscape

Branding may be defined as the visual, emotional, and cultural image that surrounds your organization's goods and services.
"Brand Equity" = Strategic Awareness + Perceived Quality + Singular Distinction
--David Shore, PhD, Center for Continuing Professional Education, Harvard School of Public Health

Goals for a proactive Web site: Contemporize our brand. Build relationships with members. Provide state-of-the-art medical information. Cover a wide range of health and wellness issues. Improve informed decision-making. Inform and interact with customers 24/7. -- Noreen Young, Director of Marketing and Communications, Blue Cross/Blue Shield of Massachusetts.

We need to encourage "disruptive technologies" for patient care: cost-conscious demand for services individual co-design of benefits packages, with consumer-shared risk individual co-design of care itself. Disruptive technologies empower consumers. -- Molly Joel Coye, MD, MPH, CEO of The Health Technology Center and Senior Fellow, Institute for the Future

This is the era of the "impatient patient." He or she is anxious about quality of care, suspicious of health plans, aging, deluged by dubious information, and moving from "group purchase" to the "retail" model in buying health insurance. -- Harry Soza, President, Resolution Health Strategies, provider of online health management systems.

The quality challenges in medicine are to reduce errors and conduct "best practice" medicine while devoting less time and spending less money. -- Robert A. Greenes, MD, PhD, Decision Systems Group, Brigham & Women's Hospital, Boston

Providing ethical, high-quality health information content requires the cooperation of the editorial, sales, business development, design, and legal departments of an e-health business or organization. -- Mark E. Boulding, JD, General Counsel and Executive Vice President for Government and Regulatory Affairs, MedicaLogic/Medscape

The focus in education for ethical e-health practice should be on certifying people, not sites. Employees trained in e-health ethics bring these values to their next employer and spread good ethical practices throughout the industry. -- John Mack, MS, MPhil, President, Internet Healthcare Coalition

The only way to genuinely destroy electronic information is to smash, burn, and bury your hard drive. -- Alan S. Goldberg, JD, Goulston & Storrs, Boston

The elements of the information technology revolution that worry intellectual property holders carry parallel significance for individuals as personal data holders. After all, whether for profit or dignity, at the core, each group desires the same end: control over information. -- Jonathan Zittrain, JD, Harvard Law School

Have a safe and healthy Labor Day weekend. See you in September.

Cordially,


Lois C. Ambash, Editor
editor@metaforix.com


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