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Posted Comments on Fierce EMR: Should more be done to make docs happier with EHRs?

The ACA’s efforts to ensure ‘mesningful use’ of EHRs are creating backlash from practitioners and other healthcare players. Costs, operational issues, security, are among the problems often cited- these were reviewed in a May 29th article on FierceEMR (“Should more be done to make docs happier with EHR’s?”).

I posted comments emphasizing EHRs are a positive driver tor the healthcare sector, and shared a vision on what predictive analytics solutions are coming to improve healthcare quality and lower costs. EHR’s provide the foundation to help make this happen.

Here is an excerpt from my comments …

No question the EHR transition is creating challenges and physicians are on the front line here.But EHRs do provide the foundation to dramatically reshape today’s healthcare system and this is not an
overstatement. Take a step back here and look at the facts and what lies ahead

First our healthcare system is broken-most of us know the numbers, e.g., healthcare costs at 18 percent of GDP, etc. And we also see multiple studies showing the quality of U.S. healthcare lags behind most nations. I just reviewed the Social Progress Index report, created by a team led by Harvard Business School’s Professor Michael E. Porter- the report ranked 132 countries using 50 indicators. In the Health and Wellness category the United States ranks poorly at 70th, behind Mali (69th), and Nepal (68th), but, small consolation, ahead of Kuwait (71st).
Keep that in mind the next time you hear a pundit say “…our healthcare system works just fine and we don’t need to change it.” These studies are based on metrics and data analysis, not hype or talking points.

The ACA through the three stage meaningful use process is driving EHR adoption. The Commonwealth Fund surveyed doctors in 10 countries in 2012 and… READ MORE AT http://www.fierceemr.com/story/should-more-be-done-make-docs-happier-ehrs/2014-05-29

 

Paul B. Silverman writes about entrepreneurship, healthcare, analytics, and strategy management and serves as Advisor, Speaker, Educator, and Managing Partner of the Gemini Business Group, LLC, a new venture development firm, and author of “8 Building Blocks To Launch, Manage, And Grow A Successful Business.” He also serves as Adjunct Professor in the School of Business at George Mason University. See more at Paul B. Silverman Blog and sign up for Entrepreneurship Today! email updates to track latest new venture developments.

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HBR Taps Data Scientist as the Sexiest Job of the Century

HBR Taps Data Scientist as the Sexiest Job of the Century

Here is an interesting post from the Spitfire Business Intelligence blog about a recent HBR article

“The award is the business world’s equivalent of People Magazine’s annual Sexiest Man Alive designation.But who could ever have imagined that the nod would go to the data scientist, a role pioneered by the world’s Web behemoths and now being sought after by mainstream companies seeking to gain actionable business insight from sifting through large volumes of data?”

http://spotfire.tibco.com/blog/?p=14455

 

Click on the above link to read the complete post and you may also want to access the HBR article which I think most will find interesting. These are the same messages I and many others are making about analytics and its ability to dramatically reshape and improve current business processes, create more efficient operations, and drive significant new product development and other high potential revenue opportunities.

The role of creative, powerful analytics is also reshaping our traditional perspectives on industry analysis and strategy development which are being integrated into traditional business management programs. And new career and business opportunities are emerging from all sectors in many diverse organizations, and I foresee these accelerating. We should keep in  mind analytics are still in early stage of development and deployment, and today’s management is only beginning to understand how these techniques add real value and competitive edge.You can be sure exciting and challenging times lie ahead in the analytics arena.

 

Paul B. Silverman

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Understanding ‘Unknown- Unknown’ Information Drivers Addresses ‘Sea of Data’ Issues and Creates Opportunities

Understanding The ‘Unknown- Unknown’ Information Drivers Addresses ‘Sea of Data’ Issues and Creates Opportunities

I posted comments on Fast Company article discussing ‘Sea of Data’ issues Fast Company Article “Avoiding Short-Term Thinking In A World of Big Data”   http://tinyurl.com/7gaepbl

I shared my vision that predictive analytics is ‘raising the bar’ in how we manage the ‘sea of data’,  and offered comments on new directions I see in manufacturing and health care. Here is a copy of my comments posted on the Fast Company site:

The article makes the point that “…in a sea of data, how can we make sure that we’re not just reacting to the information in front of our face, but rather analyzing every possible input.”

One solution to the problem, not mentioned in the article, is the need to develop new analytics to identify key drivers which create the data ‘outcomes’. Predictive analytics enable us to identify these ‘unknown-unknown’ drivers that can only be found by analyzing data, looking for relationships and new rules that emerge developed by analyzing the data. Contrast this to today’s ‘deductive’ approach using expert opinion and well-defined rules.

This ‘data-driven’ analysis to create new rules is an inductive (rather than deductive ‘expert opinion’ based approach) and from my perspective holds great promise to radically change current business processes, improve productivity and improve our quality of life.

This may sound bold, but as the former CEO of an early stage predictive analytics company and also looking at new opportunities in analytics, I see exciting potential here.

Some possibilities:

Look at manufacturing. If a “supplier’s supplier” has a problem, supply chain management ensures quick notification, before it impacts the assembly line. Predictive analytics engines ‘raise the bar’ here by analyzing historical performance and risk data, often real time, defining future risk and performance drivers, and enabling management to optimize performance and mitigate risk.

Going beyond traditional data mining, these new predictive analytics tools analyze industry reports, government filings, trade press, and other sources to assess supplier “health,” pending regulations, and other “unstructured” data sources. Seamlessly integrating with other data, we can use these to more accurately gauge supplier and production line risk and improve performance.Driving new rules,  providing real time early warning signs that impact future supplier and business performance are the new management tools to harness ‘the sea of data’.

Look at health care, my primary focus, where PA techniques hold great promise to help our current health care system. Consider the benefits of these new capabilities which are only a small sample of what lies ahead here:

•    Tracking  Medical Diagnoses, Treatments, Medications, Outcomes, Costs,Reimbursements, and Relationships

ICD or International Classification of Disease Codes , classifies diseases on health records.CPT or Current Procedural Terminology codes developed by the AMA describe services provided by medical practitioners. Medicare employs a similar system, using ‘HCPCS’. Tracking and examining relationships among these metrics, looking at patient data, identifying processes, and key cost and patient health drivers, you can develop ‘best practices’ to improve the health
care process.

•    Identifying Adverse Drug Analyses – assessing underlying drivers to more effectively identify “at risk” patients

•    Optimizing clinical trials (candidate selection and monitoring) – predicting higher risk clinical trial candidates and assessing the key risk drivers

•    Developing directional indicators to predict the underlying drivers for treatment of chronic disease to understand how medication protocols impact treatment plans and patient outcomes

The new predictive analytic-based tools now emerging in all sectors are helping companies cope with the sea of data problem, and  “raising the bar” in how leading firms optimize business performance in today’s  dynamic global markets.

Paul B. Silverman

Paul B. Silverman writes about entrepreneurship, healthcare, analytics, and strategy management and serves as Advisor, Speaker, Educator, and Managing Partner of the Gemini Business Group, LLC, a new venture development firm, and author of “8 Building Blocks To Launch, Manage, And Grow A Successful Business.” He also serves as Adjunct Professor in the School of Business at George Mason University. See more at Paul B. Silverman Blog and sign up for Entrepreneurship Today! email updates to track latest new venture developments.

Email:      paul@paulbsilverman.com
blogs:       http://paulbsilverman.com/blog/
Linked in:  Paul Silverman
Twitter:     globalbizmentor

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Entrepreneurship in the Health Care Sector and Syndicated National Radio Interview – Entrepreneurship- New Directions

Upcoming – TV Interview :Entrepreneurship in the Health Care Sector and Syndicated National Radio Interview: Entrepreneurship- New Directions

I have agreed to do a one hour TV interview on entrepreneurship in the health care sector. The interview will be scheduled for early January and follows my recent live TV interview discussing entrepreneurship on the weekly Upside Business Show on November 21st- the program was well received – copy of broadcast now available at http://www.ustream.tv/recorded/18671440 (click on Nov.21st show if needed)

While we see enormous challenges in today’s health care market, positive developments are emerging. One perspective, which I shared in my recent book ( Amazon at http://tinyurl.com/84texaf), is the pharmaceutical market includes two primary sectors—therapeutics (i.e., drugs) and diagnostics. Therapeutics is the pharmaceutical firms’ traditional business, reported to be about a $400 to $450 billion market.

Compare that to the diagnostics business, which includes several hundred companies, including many early stage entrepreneurial companies. Revenue estimates vary, but total diagnostic sector revenues are estimated at less than $30 billion, or less than 10 percent of a major pharmas traditional business. But diagnostics reduces health care costs and improves patient care, and many exciting developments are emerging providing the tools needed to improve early disease detection and wellness. Most important, we see entrepreneurial firms creating real excitement here. In the upcoming interview, I will share my vision on new directions I foresee and also invite one or more industry representatives to also share their insights.

I also accepted an invitation for an interview on a nationally syndicated NYC radio show to discuss new entrepreneurship directions and policies.

Stay tuned for dates and times – schedules to be firmed up shortly.

 

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Teaching High School Students Entrepreneurship Drives Jobs and Economic Growth

Posted comments today on Washington Post article today “Trade Geometry Class for Entrepreneurship” http://www.washingtonpost.com/national/on-innovations/whats-the-big-idea-replace-high-school-geometry-with-entrepreneurship/2011/10/24/gIQAhYfSCM_story.html

We do need more entrepreneurs driving innovation, job creation and economic growth, and high school is a great place to start, but we also need engineers and scientists. Here are my posted comments:

Teaching High School Students Entrepreneurship Drives Jobs and Economic Growth

Promoting entrepreneurship among high school students is an excellent idea, but not at the expense of geometry and sciences- we need more engineers and scientists, not less.

Rather than a one time single course, what is needed and would work is a 2 to 4 course entrepreneurship program that provides students with an introduction to entrepreneurship, shows sample business models, provides background on the business planning process-what is it is, how it works, how to prepare a plan, and an overview of financials- how to do a forecast, develop a budget and forecasts. One entrepreneurship teaching technique I have used is to break up classes into teams of 5 students and during the semester each team creates a new venture business plan using tools and templates learned in the course. Typically you also review several case studies of real businesses (Mrs. Fields Cookies is a good one), and key concepts such as ethics, financing, legal and related issues covered as you work through the new venture development process.

These programs really create what I define as ‘entrepreneurial thinking’ which empowers students to be creative, to “think out of the room” as I define it, and help create our next generation of entrepreneurs and in-company entrepreneurs (or “Intrapreneurs”).

What I find most exciting is targeting these programs to address inner-city students to promote job creation and economic growth – a new Entrepreneurial Empowerment Program (“EEP”) I am involved with, integrating both government and private sector business resources, addresses this opportunity- I foresee real opportunity here to spur job creation and economic growth.

Keep in mind teaching entrepreneurship at the high school level is not a new concept. The University at Buffalo School of Management, Babson College, Lehigh University and many other institutions are all developing and exploring high school entrepreneurship programs.

What is needed is a more pro-active national, structured program with clearly defined objectives, standards, metrics, and courses – our high school students are a valuable, untapped resource to help us create our next generation of entrepreneurs who will help drive innovation, create jobs and spur economic growth.

 

Interview Today on Rita Cosby Radio Show to Discuss Pres. Obama Jobs Plan Speech

I was invited today to provide my insights on President Obama’s job plan in an interview on Rita Cosby’s syndicated radio show WOR 710  (link : The Rita Cosby Show WOR 710)

I offered perspectives on the current jobs plan and also emphasized the point that 64 percent of all new U.S. hires are driven by firms with less than 500 employees, smaller firms, not major corporations, really drive U.S. innovation, and we can and should do more to help drive growth of emerging firms. I also shared some perspectives on the role of emerging companies in China and other countries and what they are doing to support their  emerging business sector. A podcast of the show and interview (interview starts at minute 19:00) is available at

The Rita Cosby Show- September 8, 2011

I expect to be discussing the above in other forums and with the administration in coming weeks.

New Entrepreneurship Policies Can Help Drive New “Wall Street Order”

On Sept 6th I posted a comment on the following Blackhawk Partners, Inc. blog thread titled

“Why You Should Prepare for a New Wall Street Order….” By Ziad K. Abdelnour, President & CEO Blackhawk Partners, Inc.
The Wall Street “Masters of the Universe” are soon to be old history folks. The chickens are indeed coming home to roost, the Global Banking Cartel’s crimes are being exposed left & right… Prepare for my upcoming book “Economic Warfare” due in December of this year which will trigger it all. To start with, the Federal Housing Finance Agency (FHFA), filed last week a $196 Billion Lawsuit against 17 financial institutions, — to see the complete Blackhawk Partners discussion thread and my comments check out http://blackhawkpartners.com/Blog.aspx?id=79

My view is, while today’s challenges are significant and Ziad K. Abdelnour’s posting provides excellent insights and a sobering perspective, creative entrepreneurial policies and programs can provide a powerful tool to jumpstart our economy and will help us create a new positive vision to develop a new ‘economic world order’. Here is a copy of my comments

Paul B. Silverman said…

Ziad Excellent insightful perspective – thanks for sharing and I also look forward to your book. I am also pleased to share my comments. We have significant ‘clean up’ to do as you suggest and agree on the new world order. Today’s European banking issues look like more ‘tips of the iceberg’ of many of the issues you cited in your posting. To help us move forward and provide an economic ‘uplift’, I do believe that a national commitment focusing on emerging entrepreneurial firms can and should play a role here. We look at best practices pursued in many countries committed to helping their emerging business sector and see the economic growth results. I believe our comparable efforts deserve a failing grade and this impedes our economic growth. The numbers tell the real truth and I believe provide insights into where we can find our economic growth ‘lifeboat’ as we work towards a new world order. Here is my view: • Most new jobs in the business sector are created by major corporations. False. Most new jobs are created by entrepreneurial companies that have less than 500 employees- that is a historical fact. SBA statistics show that during the past 15 years, firms with less than 500 employees accounted for 64 percent of net new hires in the U.S. and pay 44 percent of the U.S. private payroll. Exact percentages may vary year to year but these are the facts. • Most technology innovation is driven by R&D within major corporations. False. Smaller, entrepreneurial firms really provide the rocket fuel driving our technology innovation engine. SBA statistics show small firms produce 13 times more patents per employee than large patenting firms; and these patents are twice as likely as large firm patents to be among the one percent most cited. • Most U.S. trade is driven by major corporations. True and False Major corporations do account for the bulk of U.S. exports, representing 71.1 percent of total exports in 2006. But of the total number of firms exporting goods and services, 97.3 percent of the total were entrepreneurial firms with less than 500 employees. And in 2006, the entrepreneurial firms with less than 500 employees accounted for 28.9 percent of the total $910.5 billion in U.S. exports. The above is counter-intuitive to many and I find not mentioned often in the media. Entrepreneurial, smaller firms are really fueling our nation’s job creation and economic growth. Many nations – China, India and even Canada among many others understand these numbers but we have been slow to respond and are paying a price. Let’s propose and implement new policies that help drive growth of emerging entrepreneurial firms- that will drive economic growth and maybe help shape our new world order. I may be more passionate than most about the economic leverage and value creation that entrepreneurial-driven policies provide. I do have vision here which I am discussing in many forums. Comments welcomed.

Finance Industry Today Newsletter – Press Coverage for New Entrepreneurial Management Book “Worm on a Chopstick”

Finance Industry Today newsletter coverage for new book today – more coverage expected. I have been encouraged by positive reader response from broad range of readers. Planned PR, media and related policy discussions with administration to discuss new policies to help emerging firms starts later this month

Link:http://finance.einnews.com/247pr/232520

Posted “Think Small. Create Jobs. Win-Win” on Fareed Zakaria Blog

We need to do more to reinforce the point that entrepreneurial firms, more so than major corporations,  are the real drivers of U.S. job creation and economic growth. I posted my comments titled “Think Small. Create Jobs. Win-Win” on Fareed Zakaria’s Washington Post blog addressing this issue, and will also be discussing this issue in an number of forums. We can be doing much more to support entrepreneurial firms to promote economic growth, and we are well behind many countries as I noted.  Comments welcomed.

Here is the link to Fareed Zakaria’s Washington Post blog  http://www.fareedzakaria.com/home/Articles/Entries/2011/8/18_Obama%E2%80%99s_Job_No._1__Create_jobs.html#

Here is a copy of my post:

Let me share another perspective on our job creation challenges, what I call the “Think Small. Create Jobs. Win-Win” strategy.

Today we hear we need to provide major corporations with new incentives to jumpstart job growth. We are told EPA, FDA and other agencies are impeding the ability of major corporations to grow and create jobs.

I don’t think so.

Get past the rhetoric from all sides and look at the numbers, always a good approach.  And what the numbers suggest is we need a new, aggressive, and what I call a “Think Small. Create Jobs. Win-Win Strategy” offering a more realistic, approach to jumpstart our economy and job creation.

You be the judge- here is my view:

• Most new jobs in the business sector are created by major corporations. False.

Most new jobs are created by entrepreneurial companies that have less than 500 employees- that is a historical fact. SBA statistics show that during the past 15 years, firms with less than 500 employees accounted for 64 percent of net new hires in the U.S. and pay 44 percent of the U.S. private payroll. Exact percentages may vary year to year but these are the facts.

• Most technology innovation is driven by R&D within major corporations. False.

Smaller, entrepreneurial firms provide the rocket fuel driving our technology innovation engine. SBA statistics show small firms produce 13 times more patents per employee than large patenting firms; and these patents are twice as likely as large firm patents to be among the one percent most cited.

• Most U.S. trade is driven by major corporations. True and False

Major corporations do account for the bulk of U.S. exports, representing 71.1 percent of total exports in 2006. But of the total number of firms exporting goods and services, 97.3 percent of the total were entrepreneurial firms with less than 500 employees. And in 2006, the entrepreneurial firms with less than 500 employees accounted for 28.9 percent of the total $910.5 billion in U.S. exports.

The above points are counter-intuitive and I find not mentioned often in the media. Entrepreneurial, smaller firms are fueling our nation’s job creation and economic growth.

Andy Grove, Intel’s founder, estimated that so far we have achieved less than 5 percent of the Internet’s real business and personal impact. Paraphrasing Andy Grove’s quote, my vision is we have only achieved less than 5 percent of the benefits and personal impact that “entrepreneurial thinking”, entrepreneurship programs, and creative strategies and policies will provide, implying 95 percent of the real entrepreneurship opportunities, changes and benefits lay ahead. And these include new job creation and economic growth.

We are concerned about global competition from China and India and we should be, but again look at the numbers here, such as the Forbes ranking of Global 2000 firms, i.e., the 2,000 largest companies in the world with global reach into all overseas markets. Suppose you add up revenues of Global 2000 companies by country where they are headquartered. Next look at the GDP of each of these countries and ask the question: what are the top three countries with the highest total Global 2000 revenue as a percent of GDP? Switzerland ranks highest at 245 percent, followed by the Netherlands at 218 percent, and the United Kingdom at 112 percent. And who do you think are the bottom three?  China at 4, India at 5, and Mexico at 11 percent. While the GDPs are higher in China and India, this shows the impact of major companies in the global markets. Global companies, not countries, compete in global markets. And in China and India, emerging, entrepreneurial companies are driving their economic growth tsunamis… And I can cite many other examples which can help us develop a blueprint to jump-start job creation and economic growth pursuing creative “entrepreneurial-driven” policies.

And China’s growth was not by accident but through careful planning. As I outlined in a Washington Post OpEd several years ago (“ New Ideas Needed as Jobs Shift”, Washington Post, Mar 3, 2008), clearly many countries such as China are well ahead of the U.S. in implementing successful entrepreneurship programs helping smaller firms “survive and thrive”. For example, China’s smaller businesses drive economic growth, employing about 75 percent of all urban employees, holding about 60 percent of all invention patents and accounting for about 80 percent of new products- China is pursuing a comprehensive plan to create 10,000 mostly small- and medium-size companies each year, hoping to create 100,000 new jobs. Malaysia’s MSC initiative, managed within the prime minister’s office, has an impressive track record, attracting 2,006 companies representing about sixty-three thousand knowledge workers- creative entrepreneurial policies such as R&D credits, tax incentives, strategic financing are some of the policies used to drive growth here. And I can cite many other examples which I believe can help us develop a blueprint to jump-start job creation and economic growth.

So why not here? Offering new creative entrepreneurial programs to emerging companies would not only help diversify our regional economy but also add to the tax base. Imagine 50 emerging firms, each with sales of $5 million. Helping those firms increase their annual growth from a baseline growth of  just 20 percent, up to 30 percent adds $361 million new revenue over five years, helping add new employees, increasing tax revenues and, most important, creating a more diversified, knowledge-based regional economy.

I and many others have a vision on the new entrepreneurial directions and possibilities, such as a proposed Entrepreneurship Empowerment Program (‘EEP’) I developed with a colleague several years ago to help inner city entrepreneurs, both young and old, start and grow new business ventures, with both local government and business support. And we have the opportunity to enhance our current entrepreneurial education process, building on best practices now used by institutions in selected overseas markets.

I may be more passionate than most about entrepreneurship driving business value creation and economic growth and do have a vision here. Exciting times lie ahead.

Paul B. Silverman is the author of a new entrepreneurial management strategy book Worm on a Chopstick: Understanding today’s Entrepreneurial Age: Directions, Strategies, Management Perspectives; serves as CEO of Sante Corporation creating a new vision for personal health care management; and is an Adjunct Professor in the Center For Entrepreneurial Excellence in the School of Business at George Washington University

 

New Entrepreneurial Management Book “Worm on a Chopstick” Released August 5th

I am pleased to advise my new entrepreneurial management book “Worm on a Chopstick was released on August 5th.
Amazon link http://www.amazon.com/Worm-Chopstick-Paul-B-Silverman/dp/0983537402/ref=sr_1_1?s=books&ie=UTF8&qid=1312598793&sr=1-1

Initial reviews positive – http://paulbsilverman.com/books/reviews/

Advised press release being issued August 9th and expect coverage – now scheduling and will shortly announce speaking engagements starting Sept 15th addressing entrepreneurship, new venture strategies and entrepreneurship drivers to promote economic growth

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