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January 25, 2012 01:40 am GMT
Editors note:This guest post was written byDave Chase, the CEO ofAvado.com, a patient portal & relationship management company that was aTechCrunch Disrupt finalist. Previously he was a management consultant for Accentures healthcare practice and founder of Microsofts Health platform business. You can follow him on Twitter@chasedave. Images are courtesy of Jason Hwang, M.D., M.B.A. Executive Director, Healthcare of the Innosight Institute and co-author of The Innovators Prescription. In the New Yorker, Dr. Atul Gawande outlined how, at the turn of the 20th century, more than forty per cent of household income went to paying for food and food production consumed nearly half the workforce. Starting in Texas, a wide array of new methods of food production were tested. Long story short, food now accounts for 8% of household budgets and 2% of the workforce. As a wide array of small innovations ultimately led to the transformation of farming, so too is a rapidly building wave of innovative new care and payment models leading to similar breakthroughs in healthcare. I call this Nimble Medicine. Traditionally, attempting a new care or payment model meant long planning and development cycles. The cost and complexity of testing new models prevented many from being tried. Even today, the leading HealthIT vendor is known to charge $100 million and up for its software. Amazingly, they require three months of training before they even let people use the software. This is a vestige of the do more, bill more model of reimbursement particularly given that healthcare is a supply-driven market (e.g., MDs who own a stake in imaging equipment order scans at three times the rate of MDs who dont). Spending nine figures doesnt sound so bad when you have capital projects planned in excess of $1 Billion. Perhaps we should refer to the legacy model as the build more, do more, bill more model. Any health analyst will tell you that the cure for healthcares hyperinflation is NOT building more healthcare facilities. Its as if a fire department argued that the way to solve a wave of structural fires was to buy more fire fighting equipment. Yes, that might help, however theres a much more cost-effective approach such as having buildings inspected for fire prevention capabilities. In their book, The Innovator’s Prescription, Clayton Christensen and Dr. Jason Hwang point out how applying technology into old business models has only raised costs. In an earlier piece (Healthcare
Original Link: http://feedproxy.google.com/~r/Techcrunch/~3/dqNFIjHNnh4/
The Rise of Nimble Medicine
Editors note:This guest post was written byDave Chase, the CEO ofAvado.com, a patient portal & relationship management company that was aTechCrunch Disrupt finalist. Previously he was a management consultant for Accentures healthcare practice and founder of Microsofts Health platform business. You can follow him on Twitter@chasedave. Images are courtesy of Jason Hwang, M.D., M.B.A. Executive Director, Healthcare of the Innosight Institute and co-author of The Innovators Prescription. In the New Yorker, Dr. Atul Gawande outlined how, at the turn of the 20th century, more than forty per cent of household income went to paying for food and food production consumed nearly half the workforce. Starting in Texas, a wide array of new methods of food production were tested. Long story short, food now accounts for 8% of household budgets and 2% of the workforce. As a wide array of small innovations ultimately led to the transformation of farming, so too is a rapidly building wave of innovative new care and payment models leading to similar breakthroughs in healthcare. I call this Nimble Medicine. Traditionally, attempting a new care or payment model meant long planning and development cycles. The cost and complexity of testing new models prevented many from being tried. Even today, the leading HealthIT vendor is known to charge $100 million and up for its software. Amazingly, they require three months of training before they even let people use the software. This is a vestige of the do more, bill more model of reimbursement particularly given that healthcare is a supply-driven market (e.g., MDs who own a stake in imaging equipment order scans at three times the rate of MDs who dont). Spending nine figures doesnt sound so bad when you have capital projects planned in excess of $1 Billion. Perhaps we should refer to the legacy model as the build more, do more, bill more model. Any health analyst will tell you that the cure for healthcares hyperinflation is NOT building more healthcare facilities. Its as if a fire department argued that the way to solve a wave of structural fires was to buy more fire fighting equipment. Yes, that might help, however theres a much more cost-effective approach such as having buildings inspected for fire prevention capabilities. In their book, The Innovator’s Prescription, Clayton Christensen and Dr. Jason Hwang point out how applying technology into old business models has only raised costs. In an earlier piece (HealthcareOriginal Link: http://feedproxy.google.com/~r/Techcrunch/~3/dqNFIjHNnh4/
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