Healthcare technology dependent on new Healthcare Regulation

Recently, Andy Slavitt, CMS Acting administrator, wrote “Pitching Medicaid IT in Silicon Valley“. His requests are sensible and well founded, but will fail. I’m not saying he won’t have modest gains, but his gains will be held back by overly burdensome Code of Federal Regulations that regulates all regulated industries including health care providers, pharmaceuticals, utilities, etc.

I am currently working at a global Pharma company and it is embarrassing the volume of labor and the amount of paper we consume in the name of quality. We are switching to a digital system, but the effort will remain the same. Every item has to be written up for expectations, dry run testing to get 100% correct, written, printed in screen print, and then signed. Any exception such as an extra temporary file in the directory results in a hand written explanation. I’m not convinced that any of this QA work will ever add anything to quality of the pharamceuticals the company produces.

I fully get the need to test, but this test so we can’t be questioned model of micro-testing and lack of awareness of digital images will continue to hold back the industry. Cloud, at any level (IaaS, PaaS, SaaS) requires the ability to certify the template and assume all instantiations are also certified if they have no errors in the instantiation process. Again, I’m not against testing or quality, but the redundancy is a waste.

The other 2 issues that will need to be conquered for healthcare is: 1) privacy and 2) standardized data formats at least for header records. Privacy is pretty obvious in that I don’t want anyone reading my information unless required and released by me. At the same time, it is important that my “data” goes into the pool for analytics to give researchers the ability to learn from the population. There is no perfect answer for anonymizing data, but good security and good tools are well-known, understood, and can be implemented.

Data standards are not a new issue in our industry. While 80% of data is non-structured, the 20% that is structured never seems to line up so we spend anywhere from 60-80% of our analytics money messaging data. To tie together all this data, we’ll need to have at least some standards for header records.

Again, I salute the efforts by Andy Slavitt (@aslavitt), CMS Acting Administrator, for his efforts. I hope he gets his interns and can make a big impact. He’s got a big job to do.


Wish I was going to Sapphire 2016

Since 2005, SAP Sapphire meant panicking for 6+ weeks of April and half of May. Since I’m no longer in the IBM SAP Practice Global CTO, I won’t be there. I’m still deeply involved and interested in IBM‘s efforts in the SAP world. It impacts most of my clients and I spend a lot of time on the interfacing of SAP software to many of IBM’s latest capabilities like Bluemix and Watson and most recently in developing an FDA compliant cloud for SAP. SAP is still on my mind, still important, and I wish I could go to Sapphire to see my friends who have become like family over the decade.

The focus is on Digital Transformation for all IBM’s SAP Practice. It aligns perfectly with IBM’s focus on Cloud, Cognitive, and Industries. Take some of your valuable time to speak with the IBM experts in booth #104 to understand how the unique partnership between IBM and SAP on Digital Transformation can benefit you and your company.

You can go beyond just discussing Digital Transformation, you can touch it. You can touch it in the IBM Booth #104. Gagan Reen, who leads the LSS, and his team will be launching Digital Transformation Cognitive Solutions as part of the IBM and SAP Digital Transformation initiative.

Please let me know how Sapphire goes this year. What is new? What is pure hype and what is real? Have a great show and I will remain calm all of May, but I will miss of you, my extended work family, at Sapphire.


Why I believe IBM will succeed

I believe IBM will succeed even in this next era of rapid innovation. There is no doubt IBM is founded on innovation. Whether you measure it by 23 years of leading in number of patents or by sheer number of innovations found in its history (DRAM, Hard drives, Tabulation Machines, System 360, major innovation around relational datbases, etc.), IBM is innovative.

I think the question is not “can IBM innovate”, but can IBM innovate with enough speed and follow through. It is tough for any large company to move fast with heirarchies, communities, and sheer mass. It can be done.

One key is having a clear vision. IBM’s vision is Cloud, Cognitive, and Industries. Cloud in all it’s forms including IaaS, PaaS, and SaaS. Recent announcements like putting IBM Box, IBM’s cloud for file sharing, on Amazon shows a willingness to follow requirements of the market. Clients are saying no one cloud solution, even IBM’s cloud, is enough. Speed and diversity are as important as cost, or more.

Cognitive is the peak of IBM’s data strategy. Beneath is everything from ETL to IoT to cloud based integration. Getting to Watson is rarely a first step for most clients. Rather we find we need to do a lot of data hygene just to be ready for standard analytics. Eventually, they do get to Watson and Cognitive services. It is a journey.

I really find Watson on Bluemix especially interesting. IBM is offering access in nibble size chunks access to Watson via standard APIs. It is an amazing shift to see IBM offering the power of its flagship product for pennies. It is a new model for IBM. IBM has always ruled in the realm of big projects with high margins. To take on the tiny, an API at a time and a penney at a time, is huge change in business model for IBM. You can check out the services, via RESTfull API’s, on the developer cloud and for modest use it is even FREE

Under the banner of Cognitive is IoT. The ability to interact and understand our world via the digital world seems like a SciFi dream. The possibilities are endless. We see capabilities like controling our environment just by thinking about it. I love the story about the IBMer who is using his mind to control a Sphero toy. I confess, I want one.  or Youtube (~3 mins).

Industries runs through everthing at IBM. IBM’s entire organization is organized by Sector (Industrial, Distribution, Financial, etc.) and below that into Industries. Every go to market effort is passed through an industry focus and a lot of the investment in new ideas is based on the question of “what does this industry require.” You can even filter our Institute for Business Value by Industries to find unique value for your business. Watson even has its own Watson Healthcare division – another focus on an industry.

In the fast moving world of IT innovation, being innovative last year is not going to save you; however, IBM has a long history of remaining an innovation leader. We working to see how we can leverage all IBMers’ great minds.  I’m optomistic as we are now working on innovations for rapid innovation at cloud speed and beyond. Cloud, Cognitive, and Industries is great springboard into our future.