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Opening Keynote:
Replatforming Healthcare:New Rules for Disruption
10th Annual Healthcare Unbound Conference & Exhibition
July 2013, Denver, CO
Vince Kuraitis JD, MBA
Principal and Founder, Better Health Technologies
Note: Additional content and attributions are available in the PowerPoint slides speaker’s notes at http://e-CareManagement.com/?p=2931
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What do all these have in common?
• address books • video cameras • pagers • wristwatches • maps • books• travel • games • flashlights • home telephones • cash registers • Walkmen,• day timers
• alarm clocks • answering machines • The Yellow Pages • wallets • keys • transistor radios • personal digital assistants • dashboard navigation systems• newspapers and magazines • directory assistance• travel and insurance agents • restaurant guides• pocket calculators
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Commonality:all being disrupted by smartphones
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U.S. Smartphone OS Market Share2005 -- 2012
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What lessons can healthcare learn from telecom?
Replatforming Healthcare:8 Rules for Disruption*
1) NETWORKS & NETWORK EFFECTS, not silos**2) PLATFORMS, not just products3) BUSINESS ECOSYSTEMS, not just business models
of individual companies4) PULL, not just push5) PATIENT ACCESS & CONTROL, not just provider
control of health records6) STRATEGIC OPENNESS, not “Hoarding” of data and
workflow**7) PERSONALIZED CONTEXT, not just centralized
locations8) DIGITAL VALUE CREATION, not just physical value
creation* working title of Vince’s forthcoming book, end of 2013** covered in today’s presentation
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NETWORKS & NETWORK EFFECTS,
not silos
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In the Connection Economy, value will be created through:
Digital connections
Personal connections
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A 20th Century View of Network Effects
Metcalfe’s Law – the value of a network grows with the square of growth in its user base
BEWARE! People on the network do NOT have equal value.
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Network Effects:Hypergrowth Kicks in Past the Tipping
Point
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21st Century View of Network Effects – Much More Granular
• Multi-Sided platforms – increasingly common
• MUST discern types of network effects– Direct (same-sided, cross-sided)– Indirect – Positive or negative
• Potential for winner-take-all markets?• HOW TO LAUNCH NETWORK
EFFECTS?
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EHR
Platform
MDs Patients
Network effects example: Patient Portal of Physician EHR...
...potential for 4 network effects
EHR
Platform
MDs Patients
Let’s add a remote patient monitoring (RPM) app to the platform...
...potential for 9 network effects!
RPM
App
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Where are we seeing network effects in healthcare...
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• A handful of community/public Health Information Exchanges (HIEs)
• Many private HIEs (likely)
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Potential for network effects....
• Alliances– Commonwell Alliance– EHR | HIE Interoperability Workgroup (NYeC)– Blue Button +
• EHR platforms• QualcommLife 2net• MyDirectives
• ...many others
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One ear perked and listening...
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Creating Network Effects:Launch past the atmosphere (tipping point)...
...or fall back to earth
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Network Effects Action Items
1) Map the network (business ecosystem)
2) Understand/prioritize network effects
3) Strategize for successful launch
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STRATEGIC OPENNESS, not “Hoarding” of data &
workflow
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Openness Strategies Disrupt Industries
Is this you?
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From Hoarding to Sharing:3 Phases of Industry Evolution
1) Closed (default) 2) Forced (Involuntary) Openness 3) Strategic Openness: Openness as
Competitive Advantage
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Example: ACO/IDS patient leakage and open data networks
• “Our network is leaky. 30-45%+ of patients go to outside providers.”
• “We’re flying blind.”• “We need a strategy and a plan.” Options
– Closed strategy– Strategic openness
• “We’re at risk for care outside our network. Sharing data now makes economic sense.”
• “In fact, we insist you accept our data and use it to improve quality & reduce costs.”
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Use Cases/Business Models Promoting Strategic Openness
• Leaky patient networks• ER overutilization• Out-of-network care
providers• Government policy
pressure • Patient demand• Required by payer • MU requirements
– View, download, transmit– Shared care plans– Specialty referrals
• Best analytics depends on best data
• Readmission avoidance
• Liability/malpractice pressures
• Privacy as a competitive differentiator
• Open source• Care management• Minimize anti-trust
concerns• ACO efficiency and cost
savings. • ACO differentiation• Reduce reliance on HIEs• Right thing to do!
Healthcare promises to become the “ultimate” connection platform
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Brief Bio – Vince Kuraitis• Vince Kuraitis JD, MBA is Principal and founder of Better Health Technologies, LLC (
http://e-CareManagement.com). BHT consults to companies in developing strategy, partnerships and business models for clinical care and care management platforms/applications delivered in homes, workplaces, and communities.
• BHT’s clients -- both established organizations and early-stage companies -- include: Intel Digital Health Group, Philips Electronics, Office of the National Coordinator (ONC) for Health IT, Amedisys, Joslin Diabetes Center, Ascension Health System, Samsung Electronics, Siemens Medical Solutions, Medtronic, Varian Medical Systems, Disease Management Association of America, and many others.
• Vince brings 30 years health care experience in multiple roles: President, VP Corporate Development, VP operations, management consultant, and marketing executive. His consulting and work projects span 100+ different health care organizations, including hospitals, physician groups, medical devices, pharma, health plans, disease management, e-Health, IT, and others.
• Vince speaks frequently at industry conferences and corporate events. He has been the opening keynote speaker at the Healthcare Unbound conferences between 2004 and 2013 and has spoken at about 35 conferences in the past 3 years. He has experience leading strategic planning retreats for Boards and physicians.
• Vince’s experience includes: Principal, Better Health Technologies; President, Health Choice (medical call center), VP Corporate Development and VP Specialty Operations, Saint Alphonsus Regional Medical Center; Regional Director of Marketing, National Medical Enterprises (hospital chain with 100 facilities); Senior Consultant, Amherst Associates, national health care management consulting company.
• His education includes MBA and JD degrees from UCLA, and a BS degree in business administration from USC.
• Contact: [email protected], 208-395-1197
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BHT ClientsPre-IPO CompaniesRMD NetworksHealthPostCardiobeat EZWebSensitronLife NavigatorMedical Peace Stress Less DiabetesManager.com CogniMed Caresoft Benchmark Oncology SOS Wireless Click4Care eCare Technologies The Healan GroupFitsenseElite Care TechnologiesHealarium
Established organizationsIntel Digital Health GroupSamsung Electronics, South Korea -- Global Research Group -- Samsung Advanced Institute of Technology -- Digital Solution CenterOffice of the National Coordinator for Health Information
TechnologyAmedisysAscension Health SystemMidmarkMedtronic -- Neurological Disease Management -- Cardiac Rhythm Patient ManagementSiemens Medical SolutionsPhilips ElectronicsJoslin Diabetes CenterGSKDisease Management Association of America PCS Health SystemsVarian Medical SystemsVRIWashoe Health SystemS2 SystemsCorpHealthPhysician IPACentocorClinical Groupware Collaborative
