Jen’s Posterous

In some very energetic people's lives you see something like wing flutter, where they alternate between doing great work and doing absolutely nothing. Externally this would look a lot like bipolar disorder.

Paul Graham may be a genius. Lisa Haneberg is the first person who told me to 'flap my wings' at a SIPA meeting, my first time visiting Silicon Valley, in 2006.

How right she was about being aflutter...

Related to the difficulties of delivering on time and on budget are other promises that should never be taken at face value:

"We want you to be a change agent and shake things up."

Bosses and boards often espouse change as a desirable goal but less often embrace its implications — e.g., firing old hands, closing or selling historically-core assets, or challenging organizational assumptions. Officials generally like things stirred but not shaken (unlike James Bond's martini). So if you are told that you've been hired or assigned to shake things up in the interests of change, don't believe it — even if it's clear that a turnaround is necessary.

This promise tastes dust the minute controversy surfaces. Controversy is embarrassing, time-consuming, and takes eyes off the situation needing change and onto the personality of the change agent.

From: "Promises You Should Never Believe (or Make) - Rosabeth Moss Kanter - HarvardBusiness.org."

Before you try to 'shake things up,' always consider, deeply, realistically, your motivations for doing so.

Maybe the only change agents who actually change things leave organizations where they've found 'stirring' ineffective and start their own gig?

Open to commentology...

If you still think YouTube is just for those durned kids, you're really missing out. We at FierceHealthcare have decided to present seven of our favorite healthcare videos, with topics ranging from the serious (a critique of U.S. public health efforts in controlling H1N1) to the purely silly (an anesthesiologist singing about his duty to "sit and listen to the beep.") 

For their creativity, educational value and pure passion, we hereby deem these videos Fierce! Have fun checking them out; we certainly did.

 
 Diagnosis Wenckebach

 

 
 Bringin' Safety Back

 

 
 UAB Emergency Department Rap

 

 
 Breathe

 

 
 The Anesthetist's Hymn

 

 
 H1N1 Rap

 

 
 H1N1 Influenza Update Briefing

Next: Diagnosis Wenckebach

From: "7 YouTube Healthcare Videos Worth Watching - FierceHealthcare."

PS - Chad Hurley, sorry again for not recognizing you right off at TEDMED. All the jumping around must have jostled my brain pan...

Conventional expression of the Central Dogma of Molecule Biology:
(DNA ==>2X DNA) ==> RNA ==> Protein ==> Phenotype

Read the article, and look up Shapiro's paper, especially if you're interested in genomics, RNA World theory, genoanth.

In the US, Coca Cola has done a deal with the American Academy of Family Physicians new corporate membership program, enabling it to help “educate consumers about the role their products can play in a healthy, active lifestyle”.

The AAFP today announced a corporate partnership with The Coca-Cola Co., in which the beverage giant will provide a grant for the Academy to develop consumer education content related to beverages and sweeteners for the AAFP's award-winning consumer health and wellness Web site, FamilyDoctor.org.

From: "Does public health want to be best friends with soft drinks industry? – Croakey"

Sounds a lot like pharma partnerships (or former partnerships) with hospitals, docs' offices, and medical schools, no?

Also Navigenics partnering with BIDMC for genetics education? Check out the Onion style review of the move by Gene Sherpa here: http://thegenesherpa.blogspot.com/2009/10/follow-up-to-yesterdays-wtf-harvard.html

Bet #1:
Get ready to see MANY more partnerships of this type. Market opportunities for brands, sponsorship opportunities for struggling associations with dusty, fossilized marcomm plans. 

Bet #2:
mHealth developers will be in on this action within months (branded mobile campaigns/applications for partnerships like this). Market opportunities for us, what/where they think everyone will tolerate ads moving forward. TV commercials it ain't; this is a brave new world <sarcasm/>. 

Via @laikas on Twitter (great Saturday reading from Oz + NL).

Medical records of patients treated at a private British hospital, The London Clinic, have been illegally sold to undercover investigators.

The revelations were made in ITV’s Tonight Programme report, Health Records For Sale, broadcast last night.

The programme reported that hundreds of files containing details of patients’ conditions, home addresses and dates of birth were offered to undercover reporters for just £4 each by sales executives from India, contacted online. 

is the illegal sale of your medical records, YOUR health data assets, for about $6.65 each.

From: "E-Health Europe :: Private medical records offered for sale."

We'd heard the rumors that Apple was working to take advantage of the fact that so many physicians have spent their own money on iPhones. We knew that Apple had convened a meeting among a number of healthcare software companies in Chicago a month or two ago. Now, courtesy of The Medical Quack blog, we learn that the company has turned to its Silicon Valley base--Stanford Hospital and Clinics--to test a mobile version of the Epic Systems EHR.

From: "Apple, Epic Systems teaming up on mobile EHR trial at Stanford - FierceMobileHealthcare."

I would guess Apple is doing a deal with Epic here not because they believe Epic will particularly solve the EHR problem, but to gather intel for a future healthcare offering.

Apple is the new AT&T, the new tech industrial tycoon. Why *wouldn't* they get into healthcare?

Big players like the Cerner Corporation, which maintains electronic health systems for 8,000 clients, including large hospitals and retail clinics, and smaller players like Practice Fusion, which offers its Web-based health record systems free to health care providers, say they make use of patient data collected from their clients.

A spokeswoman for Cerner, whose Web site promotes its “data mining of our vast warehouse of electronic health records,” said the company shares de-identified patient data with researchers or drug companies looking for patients to participate in clinical trials. The patient records are “double scrubbed,” she said, explaining that the company removes personal data like names and addresses before it runs a search using a numbered code for each patient.

Other sensitive information, like mental health records, might be removed before the patient data is sent out, she said.

The Web site of Practice Fusion, meanwhile, quotes Ryan Howard, the chief executive, as saying that the company subsidizes its free record-keeping systems by selling de-identified data to insurance groups, clinical researchers and pharmaceutical companies. In an interview, however, Mr. Howard said Practice Fusion had not yet started selling patient information but that it intended to do so.

NEW regulations require notifying patients if their personally identifiable medical information gets loose, and they prohibit selling protected health records. But privacy advocates said electronic health records remain vulnerable because no federal law now forbids the sale of de-identified health care data

From: "Slipstream - How Private Can Electronic Data Ever Be? - NYTimes.com."

Inexcusable. My health data is *MY* asset.

If Cerner, Practice Fusion, and Patients Like Me can make money selling my anonymized healthcare data, why can't I:

1. Sell it on my own? Who will create the Ebay for me to profit from #myhealthdata? (note: It is very early for this kind of thing to float, but give someone 5-7 years - we don't want another Carol.com for #myhealthdata).

2. Donate it to charities/nonprofits and govt. agencies doing public health research, etc. ?

In the past 3 years, presenters at Under the Radar have gone on to raise over $1.36 Billion! Other knock-your-socks-off stats from the show:

• 49% have gone on to raise funding or be acquired
• 14% have been acquired by companies such as Google, eBay, Microsoft, Yahoo and Cisco
• $14 Million average has been raised by presenting companies.

From: "Mobile Innovation Flies “Under the Radar” Nov 19th | Software Testing Blog."

Here's why I've been flying 'under the radar' lately...

Day gig = Dealmaker Media Geek in Residence (w00t!), working on events for developers and engineers who have the potential to take their code from product to company (new).

Day gig = supports 'passion project' Contagion Health.

Evening/weekend gig = Illness is viral. Health can be contagious too.

mHealth applications, a game for patient education in spec, and a consumer health platform in design. Oh yeah. If I don't return your call or email, this would be the reason.

As some very smart Stanford CS grad once told me, "most tech founders have day jobs." I sure hope he wasn't patronizing me...:)