Telemedicine Going Mainstream - Is Telefitness Far Behind ?

Reliable video conferencing is having great impact on a variety of industries with health care now being one. There are not enough doctors and in particular not enough specialists available when and where they might be needed. Furthermore, the cost of delivering care when patients don't have access is much more costly than the relatively less expensive alternative of telemedicine. As a result, firms like NuPhysicia have emerged to deliver physician services anytime and anywhere.

As NYT reporter Milt Freudenheim recently reported in his article, "The Doctor Will See You Now, Please Log On":

The interactive telemedicine business has been growing by almost 10 percent annually, to more than $500 million in revenue in North America this year, according to Datamonitor, the market research firm. It is part of the $3.9 billion telemedicine category that includes monitoring devices in homes and hundreds of health care applications for smartphones.

Christine Chang, a health care technology analyst at Datamonitor’s Ovum unit, says telemedicine will allow doctors to take better care of larger numbers of patients. “Some patients will be seen by teleconferencing, some will send questions by e-mail, others will be monitored” using digitized data on symptoms or indicators like glucose levels, she says.Eventually, she predicts, “one patient a day might come into a doctor’s office, in person.”

If reimbursements for lower cost options like telemedicine in "sick-care" are emerging, why not fitness and wellness which generate an even greater ROI ? The day is coming when a combination of the economic incentive for being well, and the available technologies for delivering high value wellness and fitness services to individuals via new tools like videconferencing will emerge. Watch the brief video on NuPhysicia and welcome to the revolution.

Innovation Corruption - Why Our Government Isn't Working

For those of you who follow my writing, you know of my admiration for Professor Lawrence Lessig. He is one of the most relevant thinkers of our time. His recent speech “Innovation Corruption” was delivered May 20th at the Yahoo! campus in Santa Clara, CA (video below). The message was clear: government and business are corrupted by money. This corruption blocks innovation because regulation is designed not for everyone's good but to maximize money paid to Congress. The system Lessig referrs to is the “economy of influence.” Our government is completely corrupted, that it is why it doesn't work and people better wake up and pay attention.

From the Obama presidency, to the food business, to the broadband deployment problem in the U.S. and EU, Lessig cites examples of money's influence from a number of sources. His plea to the audience was to do something: the public is very much a part of the problem when clearly there are corruptive patterns that no one does anything about.

Did you know almost half of all senator and house members become lobbyist when they retire or lose their office ? This is just the beginning. Watch to learn more about just how corrupt the system is.

Update on 2010-05-29 16:37 by Bryan K. O'Rourke

When you think of what Lessig is saying about institutional corruption the British Petroleum disaster comes to mind. Read this excerpt from  Bob Hebert's  May 28, 2010 Op-ed in the NYT's "An Unnatural Disaster" :

The oil companies and other giant corporations have a stranglehold on American policies and behavior, and are choking off the prospects of a viable social and economic future for working people and their families.

President Obama spoke critically a couple of weeks ago about the “cozy relationship” between the oil companies and the federal government. It’s not just a cozy relationship. It’s an unholy alliance. And that alliance includes not just the oil companies but the entire spectrum of giant corporations that have used vast wealth to turn democratically elected officials into handmaidens, thus undermining not just the day-to-day interests of the people but the very essence of democracy itself.

Bob is right, but as Lessig points out, its up to us to do something about it.

Some Call It an Evolution - I Call It the Revolution

I enjoy the media futurist, Gerd Leonhard. In a post from earlier this month, Gerd was at it again, this time promoting an upcoming movie, which you'll see some of below, and leading into his article with this title:

The Creative Landscape Is Changing, Some Call It a Revolution Others Call It a Natural Evolution. These Changes Effect Everything From Creation to Distribution From Artist to Consumer.

What Gerd is talking about is an upcoming film titled, Press Pause Play, about the future of creativity. This important work is about the huge changes in production, distribution and consumption of creative works - an important topic which reflects much of Gerd's other work (see here, here, here and here). Of course Gerd and I share similar views, with the exception that I do call it the revolution exclusively.

This is from the film's web-site: "A new generation of global creators and artists are emerging, equipped with other points of reference and other tools. The teachers arenʼt certified schools anymore - itʼs web sites, discussion forums and a “learn by doing” mentality. We see the children of a digital age, unspoiled or uneducated depending on who you ask. Collaboration over hierarchy, digital over analog - a change in the way we produce, distribute and consume creative works. PressPausePlay is the first film to capture this new ecosystem.

Thanks Gerd and watch the trailer below to learn more.

How Health Care Can Deliver Better Quality at Lower Costs

I know, we are all sick and tired of the health care debate. But, while reading Don Clark's article in the WSJ today titled Chip Pioneer, Genetech Vet Bring High-Tech Sensibility to Medicine, the answer to how improved quality and lower costs will be achieved becomes clearer; and the solution won't be akin to rearranging the proverbial deck furniture on the health care Titanic. Therefore, I thought it worth a brief exploration.

The WSJ article sets forth a unique partnership of people interested in changing a system that does not make sense. You see technologist and former Intel Chairman Andy Grove and the charming and accomplished Susan Desmond-Hellmann , now Chancellor for UCSF, come from two very different industries, high tech and health care, but they see the same problem in how the health care system is broken and are doing something REAL to fix it. Kudos to Don Clark for identifying the two and their efforts.

We see this in industry everywhere. Existing leadership invested in past modalities having little affect on real outcomes because they are not REALLY changing how things are done. Health care is no different. As an example when asked why the system of health care is not driving costs down, Ms. Desmond-Hellman reflects:

There are a number of reasons, but the most important one is that there are no real incentives that drive cost as being a key parameter. If you are in product development, if you are developing new therapies, the most important barrier is Food and Drug Administration approval. The FDA has two metrics for success: safe and effective. Neither of those metrics has anything to do with cost. It's entirely different than every time you get a new iPod—it's got new features and it's cheaper.

She's right and more and more industries must adopt new models in order to have a real impact on the problems they are facing. Andy Grove shared a similar view when explaining why he is involved in doing something about health care:

The problem that actually bothered me is that there are dozens of ways of dealing with cancer in mice or neurological diseases in mice, and none made it across the chasm [to market].

Now UCSF is collaborating with the University of California, Berkeley to offer a two-year master's degree in "translational medicine," the discipline of transferring lab breakthroughs to the marketplace. The MBA-style program, which he helped establish with a $1.5 million donation, will target students from both medical and high-tech fields. Hopefully Mr. Grove's idea of using Silicon Valley-style techniques to speed and improve medical research will pay off.

Again, great article Don. Thanks for sharing it. Watch Susan's address on health care innovation below to learn more.

Fitness Industry Should Pay Attention to Changing Bookstore Biz Model

I am reading Jeff Trachtenberg's article in the WSJ this morning titled "E-Books Rewrite Bookselling". The article includes an important quote from Arthur Klebanoff, who is chief executive of New York-based RosettaBooks LLC, an e-book publisher. Arthur says "It's fair to say that the leadership folks at the major trade publishers didn't believe until very recently that e-books had any economic life in them." The important words here are "VERY recently".

I write and lecture about radical change happening in business today with a particular emphasis on the fitness and wellness industry. What I attempt to share with leaders and organizations is that the rate of change is exponential, not linear as many of us assume. Jeff's article on how the E-Book business is revolutionizing bookselling illustrates the circumstances all business models are facing TODAY. Unfortunately, as with the book business, most industry leadership doesn't understand the true pace of radical change and therefore does not see the disruption coming until its to late. As Jeff explains:

Nowhere is the e-book tidal wave hitting harder than at bricks-and-mortar book retailers. The competitive advantage Barnes & Noble spent decades amassing—offering an enormous selection of more than 150,000 books under one roof—was already under pressure from online booksellers. It evaporated with the recent advent of e-bookstores, where readers can access millions of titles for e-reader devices. Even more problematic for brick-and-mortar retailers is the math if sales of physical books rapidly decrease: Because e-books don't require paper, printing presses, storage space or delivery trucks, they typically sell for less than half the price of a hardcover book. If physical book sales decline precipitously, chain retailers won't have enough revenue to support all their stores.

Barnes and Noble has 1,362 stores, including 719 superstores with 18.8 million square feet of retail space: the equivalent of 13 Yankee Stadiums. That's a lot of fixed cost. As Jeff points out, Borders Group, the nation's second-largest book chain, saw same-store sales decline 14% at its superstores for the quarter ended Jan. 30. Of the 797 B. Dalton Booksellers stores that Barnes & Noble acquired in 1987, only four remain. And the number of independent booksellers continues to fall. As Indigo Books CEO Heather Reisman put it: "The days of filling the shelves and just opening the doors are gone."

Today the fitness industry is in a similar situation. Lots of high fixed costs and looming disruptive innovation. In an industry that loses almost half of its customer base each year, the days of filling a facility with equipment and just opening the doors are quickly coming to an end as well, but does anyone see what's coming? What is most telling, as identified in the WSJ article, was that Barnes and Noble was once a leader in the E-Book industry, investing in NuvoMedia in 1998. In a classic example of a market leader focusing on sustaining innovation as opposed to disruptive, the company abandoned the technology in 2003. B&N could have been the leader in E-books, but they gave up on the vision. Will leaders in the fitness industry make the same mistakes?

Watch and learn how new technologies are creating new innovations in publishing.