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Right Answer, Wrong Question- New CIO EHR Survey

October 29 in Uncategorized by Paul Silverman | Comments Off on Right Answer, Wrong Question- New CIO EHR Survey

New Survey- “CIOs Say Usability, Search-Related Problems Prevalent Among EHRs”

iHealthBeat reports on new Frost and Sullivan survey focused on CIO EHR perspectives. I believe we need to refocus today’s EHR dialogue on the many benefits EHR provides- this vision seems to be missing. We are playing catch-up to many countries who have embraced EHRs. Survey highlights and summary of my comments posted on iHealthBeat http://www.ihealthbeat.org/articles/2014/10/27/cios-say-usability-search-related-problems-prevalent-among-ehrs . I see many parallels between the e-commerce revolution in the 1990’s and today’s EHR debate. Copy of my unedited comments below.

 

Right Answer, Wrong Question…

Asking CIOs how they feel about EHR’s, you would expect comments that today’s EHRs are challenging, slow, and have operational problems. That is the right answer, but in my view the wrong question. While the information gained provides insights into perceptions, the more important question to address is from the CIO perspective, what do they see as the most immediate EHR applications they need to change and/or enhance their current operations, including meeting ACA guidelines and improving their cost/performance benchmarks. What I am suggesting is let’s move the discussion to focus on specific process enhancements that EHRs will drive. My thinking is driven by what we saw in the e-commerce market evolution.

E-commerce, new electronic services that displaced paper, was a driver of the Internet revolution in the late 1990’s. Many saw the vision that cost/performance benefits, not paper or admin cost reduction was the real driver here, but we faced formidable challenges, e.g., lack of standards, privacy, multiple technology platforms, training issues, complexity compared to ‘simple’ paper forms, and others.

From my perspective, sure sounds like exactly what we are facing with today’s migration to EHR. So looking back, what did we learn and what does experience tell us about today’s EHR “revolution.” I see three key directions based on my experience.

First, e-commerce winners understood that changing process, not solely displacing paper, was the key benefit. For example, using electronic purchase orders rather than paper saved paper and admin costs and were more efficient, but they also enabled analytics to optimize supply chains and improve profitability- that could not be done with paper. This was a key point driving e-commerce revolution which myself and others reinforced, i.e., “implementing e-commerce systems will cost more, but you will achieve cost and operational efficiencies and improve your competitive position.” This was not accepted by all at the time. Key point here- today’s EHR’s may cost more but they don’t just automate paper-based record keeping- they really open the door to create new processes and dramatically reshape healthcare. That is the message we should be reinforcing backed up with solid cost- effective applications.

Secondly, new e-commerce applications emerged and many new ventures were spawned contributing to e-commerce market growth. And these were entrepreneurial ventures, targeting sectors and all value chain functions to improve operations, e.g., supply chain management, distribution channel optimization, marketing analytics, and so on. Market growth at the time was fueled by venture capital and creative entrepreneurs, not the major firms. In today’s EHR environment, expect to see many new ventures accelerate in areas of remote telemonitoring, predictive analytics, and others- healthcare is a significant target, long overdue for major cost performance step up, and EHR is the accelerator to make it happen. VCs in my view are still behind the curve here but I believe approaching a critical mass here.

 

Finally, e-commerce was a global business and, at the time, many new technologies and e-commerce structures emerged overseas. Today, recognize that many countries have EHR adoption rates greater than 90 percent, and we are playing catch-up with EHR adoption at less than 70 percent and CIO resistance based on the survey . In these overseas markets today, EHR is embraced and driving new applications, analytics, and solutions which I expect will play a role as the US market for enhanced EHR achieves what I believe will be exponential growth in the next decade.

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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Posted “Emerging Business Models Driven By Predictive Analytics” in Business Model Innovation Forum

September 4 in Business, Business Intelligence, Entrepreneurship, Health care, Healthcare, intrapreneurship, Predictive Analytics, startup, Strategy, Uncategorized, Venture capital by Paul Silverman | Comments Off on Posted “Emerging Business Models Driven By Predictive Analytics” in Business Model Innovation Forum

Agreed to serve as a member of the Business Model Innovation Forum. Good discussion here on all aspects of business models and where we are heading. I posted following comments today as an initial contribution – more information in the Forum at www.businessmodelhub.com. I am pleased to share a copy of my posted comments:

Emerging Business Models Driven By Predictive Analytics

I am pleased to contribute to the Forum and look forward to discussions with other members.

Two areas related to business models in my view should be discussed. First, predictive analytics which is reshaping traditional business models and changing the competitive landscape. These new tools analyze millions of “information records”, develop “rules” to explain the outcomes with major improvement in speed and accuracy. Note information records may include traditional databases, as well as unstructured “text analytics” from news feeds, messaging, maybe doctors notes related to an electronic health record (EHR). Seamless analysis of both traditional structured and unstructured data is a powerful new direction and where we are heading.What we are seeing are new services emerging, creating new markets, many driven by entrepreneurial firms. New clinical diagnostic services to improve healthcare outcomes and reduce costs- results show dramatic improvement. Technology Assisted Review or TAR, using advanced analytics in the legal arena to assist in identifying relevant and priviliged documents reviewing millions of documents for class action and other major legal cases. Continuous Audit, Continuous Monitoring or “CA/CM” using real time analytics in Fortune 1000 companies to identify problem, possibly fraudulent transactions pre-audit saving time and money and reducing exposure.

I have been involved in these and can cite many others. Key point- we are creating new business models here- some based on outcomes, others based on client savings maybe linked to longitudinal or total costs. So today what looks like a traditional software product, services, or solutions business may be competing with “transaction based” players, oftentimes entrepreneurial firms using creative business models and pricing structures.

Secondly, while we often focus on the internal, company- centric elements of the business model which are essential, lets keep in mind that external factors play a major role in shaping a firm’s business model and strategy. In 2013, I made this point in comments on an excellent business planning post by Accenture. You can see my comments and the Accenture link at http://tinyurl.com/ozugkl9

Bottom line here- we can expect to see many new, creative business models emerging which “push the envelope” demanding that management acquire new business planning and analysis skills. “Business as usual” will not be a successful strategy. Many of these new emerging business models in my view will be driven by agile entrepreneurial firms creating both new investment and value creation opportunities as well as challenges for traditional players,

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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Data Marketing 101: New Directions. Infographics +Predictive Analytics

August 19 in Advertising, Business, Business Intelligence, Entrepreneurship, Health care, intrapreneurship, Predictive Analytics, Product Development, startup, Strategy, Uncategorized, Venture capital by Paul Silverman | Comments Off on Data Marketing 101: New Directions. Infographics +Predictive Analytics

Excellent article by Shannon Byrne on how startups can use Infographics – good insights here. Check out http://thenextweb.com/dd/2014/08/18/data-marketing-101-startups-can-put-data-work/

Coupling Infographics with predictive analytics pushes the boundary here and I shared some thoughts – here is copy of my posted comments

Shannon. Excellent post. Thanks for sharing. Infographics is an exciting area and I see predictive analytics pushing the boundary further and opening new possibilities. For example as you say need to ‘mine data that’s helpful to your audience’ and you suggest several questions to address.
But suppose we mine data and use PA tools to identify drivers that are not known – predicting the ‘unknown-unknowns’ and showing these in Infographics provides exciting and powerful capabilities. For example, suppose you are showing attributes of your customers and show typical data, e.g., sales by region, sector, customer size and so on. But suppose you can also identify and show that the highest sales are driven by sales staff with certain backgrounds who sell to certain sectors. Or you identify and show how sales rank based on variations in the sales process; I.e., response to RFP, sales call center query, direct sales call, and so on.
Key point here- the relationships I suggested here and the questions to ask will be defined by the PA model not the Infographic data modeler- that is the real power of predictive analytics ‘technology and a concept still not fully understood by many.

In the healthcare sector for example, we use PA tools to optimize clinical treatments based on data going well beyond a patient’s condition and symptoms. Mining data using PA defines ‘ inferences’ and the rules between business metrics. Fast forward here and we can envision many exciting Infographic applications that will push the boundary enabling us to improve clarity and communications of complex and insightful business metrics

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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SaaS Metrics 2.0 – A Guide to Measuring and Improving what Matters- Post By David Skok

August 17 in Business, Business Intelligence, Entrepreneurship, Health care, International business, intrapreneurship, Predictive Analytics, startup, Strategy, Uncategorized, Venture capital by Paul Silverman | Comments Off on SaaS Metrics 2.0 – A Guide to Measuring and Improving what Matters- Post By David Skok

Excellent post by David Skok at http://www.forentrepreneurs.com/on using a using analytics to manage a SaaS business. I posted comments also emphasizing need to use analytics to assess changing markets/external factors for #entrepreneurial ventures. Also strongly recommend the site – http://www.forentrepreneurs.com/- excellent resource for entrepreneurs

Below is a copy of my posted comments – you can review the original post at http://www.forentrepreneurs.com/saas-metrics-2/

Here is a copy of my posted comments..

David

Excellent article- thanks.

Several months ago I was invited to do a guest blog post and serve as an Advisor for Funding Profiles, a Santa Clara-based company offering a powerful suite of financial analytic tools that “integrates with existing business applications to continuously translate traditional financial metrics into the language of business strategy”. For companies with thousands of products, infrastructure, and processes spanning the globe, the ability to ‘drill down’, examine ‘what-ifs’, and assess how and if global LOBs meet KPIs and support the strategic plan, is a powerful planning tool. Your post reinforces this point.

But markets and technology are moving quickly, consumer power is increasing, and external global factors will impact all global businesses which creates risk and uncertainty. In fact, one study shows macro-environment, competitive and corporate positioning factors account for about 80 percent of ROA variation among LOBs. So optimizing the company’s internal resources, processes, and KPI’s really address only 20 percent of the planning challenge based on these findings. My post “How Analytics is “Raising the Bar” for Corporate Strategy: Understanding the External Environment” talks about how new analytic tools can provide a competitive edge, creating what Tom Davenport (Author- Competing on Analytics: The New Science of Winning) defines as “analytic competitors”.

Bottom line- while emphasis of the above is larger corporations, my view is entrepreneurs that also understand how to analyze markets, external opportunities and threats, and how to use analytics with Porter’s Five Forces Model, STEEP, and competitive benchmarking tools can achieve a competitive edge. Properly used, external market analytics provide a competitive edge for evaluating, strategy positioning, and managing entrepreneurial ventures. During the past six months, I have looked at ventures in areas of wearable healthcare monitoring devices, clinical analytics, analytics for fraud detection, legal analytics, and solar energy among others. To accurately gauge outlook and opportunity for these and others, venture evaluation must go well beyond the typical “size of market, expected market share” and ‘drill-down’ to understand external market threats and opportunities. We have a way to go yet in educating the entrepreneurial community but I believe today’s “hyper competitive” dynamic global markets will help accelerate the adoption of these new analytics capabilities.

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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PR/Advertising Lessons for Entrepreneurs from P.T. Barnum

August 12 in Advertising, Business, Business Intelligence, Entrepreneurship, Predictive Analytics, startup, Strategy, Venture capital by Paul Silverman | Comments Off on PR/Advertising Lessons for Entrepreneurs from P.T. Barnum

Here is wisdom from circus showman P.T. Barnum I have often shared with early stage #entrepreneurs to reinforce the last point- end game here is to create short and long term sales-  the rest is ‘showmanship’ and important not to confuse this point. Also note the need to emphasize benefits to build on adv/promotion and actually close the sale (i.e.,”explain how much fun they’ll have spending money at the booths, answer their questions…”). Good counsel and insights here for early stage entrepreneurs.

“ If the circus is coming to town and you paint a sign saying “Circus Coming to the Fairground Saturday,” that’s advertising. If you put the sign on the back of an elephant and walk it into town, that’s promotion. If the elephant walks thru the mayor’s flower bed, that’s publicity. And if you can get the mayor to laugh about it, that’s public relations. If the town’s citizens go to the circus, you show them the many entertainment booths, explain how much fun they’ll have spending money at the booths, answer their questions and ultimately they spend a lot at the circus, that’s sales.”

                                                                                                                                                                                P.T.Barnum

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Annie Oakley Wisdom for Entrepreneurs…

August 8 in Business, Entrepreneurship, intrapreneurship, startup, Strategy by Paul Silverman | Comments Off on Annie Oakley Wisdom for Entrepreneurs…

Annie Oakley Wisdom for Entrepreneurs

Annie Oakley lived in the late 1800’s, was a sharpshooter and exhibition shooter, and had a starring role in Buffalo Bill’s Wild West show.

But Annie Oakley faced many obstacles- the fifth of seven children, mother widowed twice, poverty, raised in the county poor farm, and sent to an adoptive family for several years. Suffered more mental and physical abuse, often locked outside when snowing. After she returned to the county poor farm, reunited with her family and her mother had married a third time and had more children.

Annie Oakley succeeded despite a most challenging childhood. That is why her quotation is even more powerful when you understand her path to success and the many obstacles she had to overcome:

 “Aim at a high mark and you will hit it. No, not the first time, not the second time and maybe not the third. But keep on aiming and keep on shooting for only practice will make you perfect. Finally you’ll hit the bull’s-eye of success.”

 Good counsel here for entrepreneurs and worth sharing …

                                                                     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.

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The 7 Biggest Founder Mistakes

August 5 in Business, Business Intelligence, Entrepreneurship, startup, Strategy, Venture capital by Paul Silverman | Comments Off on The 7 Biggest Founder Mistakes

Good counsel here for all entrepreneurs … Mistakes to avoid when starting new entrepreneurial ventures

http://www.inc.com/dana-severson/the-7-biggest-founder-mistakes-that-you-can-learn-from.html?cid=sf01001

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.

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How to Create a Killer Business Plan- Martha Stewart Perspective

August 5 in Business, Entrepreneurship, intrapreneurship, startup, Strategy by Paul Silverman | Comments Off on How to Create a Killer Business Plan- Martha Stewart Perspective

Good counsel on creating a ‘killer’ business plan from Martha Stewart who many may not know offers excellent resources for entrepreneurs.

Note the recommendations to “… be concise, compelling, complete” – the “3 C’s”. While good points here, the article missed one critical point- the need to emphasize and show a winning management team. I shared the following comments:

Good counsel here and I like the ” 3 C’s ” recommendations. Article emphasizes business plan essentials but we know investors often invest in management more than plans. Reinforcing the depth of management experience in the venture; creating a strong Management Advisory Board; structuring a Product Advisory Council- these are low cost, smart steps that add great value to business plans based on my experience .

Check out article at

 http://www.marthastewart.com/266952/how-to-create-a-killer-business-plan

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.

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How To Be A Startup CEO– Interview with Bing Gordon Kleiner Perkins

July 24 in Business, Entrepreneurship, International business, intrapreneurship, startup, Strategy by smartauthorsites | Comments Off on How To Be A Startup CEO– Interview with Bing Gordon Kleiner Perkins

I am reviewing materials for an upcoming entrepreneurship book and found an excellent interview on how to be a startup CEO with Bing Gordon, partner at VC firm Kleiner Perkins Caufield & Byers, a leading Silicon Valley venture capital firm. While posted in December 2011, Bing Gordon’s counsel for startup CEO’s is right on target today, particularly his points about the need to “Quantify Objectives with Trackable Milestones”. Gordon describes Intel’s ‘OKR’ or ‘Objectives and Key Results’ management approach – managers set objectives and identify and track 2 to 3 results, and managers are expected to achieve 70 percent of results. Very important discipline which helps companies grow and send messages to Boards and investors. Gordon also makes excellent points about “The CEO’s Need to Balance Management and Entrepreneurial Responsibilities”, emphasizing the need to nuture and balance entrepreneurial culture with clear focus on tightly managing results. Not an easy tightrope to walk as we all know, but a “build it and they will come” philosophy clearly doesn’t work in today’s rapidly changing global entrepreneurial market.

 You can view Bing Gordon’s presentation at http://tinyurl.com/6vc5hy8 . The 28 minute video is well worth watching. At the time, I also posted comments on the video which you may find helpful- you can see these at       http://tinyurl.com/l7nfuzo.   

                                                                                          Paul B. Silverman   July 2014

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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HOW BOOK MARKETING/PROMOTION DRIVES CLIENT BUSINESS AND SELLS PRINT BOOKS

June 12 in Business, Entrepreneurship, International business, intrapreneurship, Product Development, startup, Strategy by Paul Silverman | Comments Off on HOW BOOK MARKETING/PROMOTION DRIVES CLIENT BUSINESS AND SELLS PRINT BOOKS

BOOK SIGNING AND MEET THE AUTHOR AND  EVENT AT  EXPO EAST CONFERENCE  ATLANTIC CITY : HOW BOOK  MARKETING/PROMOTION DRIVES CLIENT BUSINESS AND SELLS PRINT BOOKS

I was invited to do a book signing and “Meet the Author” event June 5th at the Expo East promotions expo in Atlantic City, NJ. for my first book in the   “Worm on a Chopstick” series,   Understanding Today’s Entrepreneurial Age: Directions, Strategies, Management Perspectives, and discuss my second book planned for release in late 2012.

One of the largest promotions/marketing conferences, the trade-only event attracts major corporate buyers, sales reps, promotion/marketing companies, ad agencies, and others.  Today we see explosive growth of  e-books which is driving market demand, and also see the demise of traditional ‘brick and mortar’ bookstores.

However, before we writeoff the traditional print book market, it is clear to me based on discussions at this event and elsewhere, that print books are supporting many creative marketing and promotion initiatives to create new markets, promote major lines of business, and sell books in large quantities. While we may typically think about print books sold in bookstores, airport kiosks, via Amazon or other mail order channels, the following are some of the marketing and promotion channels I have discussed now being used to support business and sell books:

  • Major bank develops a “Small Business Corporate Library’ to offer selected clients to strengthen their relationship with small business customers and reinforce their brand
  • Pharmaceutical firms integrate nutritional health and wellness programs with one or more selected books
  • Insurance companies use selected ‘branded’ planning/lifestyle texts to create new educational programs for their clients
  • Emergency services (local police and fire) ‘private label’ educational publications for children to provide safety education
  • State governors add ‘tip-in’ pages in a customized version of a business/entrepreneurship or other book to support economic development and attract businesses to the region (“tip-in” pages are custom pages inserted upfront into print books)

All of the above are driven by a basic need – companies want to attract, educate and strengthen relationships with customers. Traditionally, you may have received an imprinted calendar, pen or notepad from your favorite bank, and probably still will, but the above are some of the many new creative and exciting marketing/promotion activities we see emerging now. Given today’s intense global competition, I expect these initiatives to accelerate and others to emerge also linking social media, print books, and e books- we are seeing major new, exciting market opportunities developing here.

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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