Take Two


I'm a registered nurse, case manager and life care planner with National Care Advisors in Columbus. More important, I'm a husband to Charity and a dad to Becky, Michael and Gabrielle.

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nevver:

Is that all there is?

That’s just sad…

nevver:

Is that all there is?

That’s just sad…

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This is exactly why I use Google Voice.

This is exactly why I use Google Voice.

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jayparkinsonmd:

It currently costs employers, on average, nearly $11,000 per year per employee for health insurance. In 2019, it’s going to cost $28,000. That means the 90% of Americans who have few medical needs every year will soon be paying $28,000 a year for the privilege. This is insane.

Going to the doctor, having routine surgery, buying bulk medications online—all could be radically reinvented with the application of one type of medicine: designed disruptive innovation. Combining the principles of disruptive innovation with design thinking is exactly what health care in America needs. We need to disrupt the current business model of health-care delivery. And we need these disruptions to be designed experiences that are consumer-focused. Imagine: a health-care experience truly on par with a visit to the Apple (AAPL) Genius Bar or buying a book from Amazon.com (AMZN).

But as executives at those two companies know, elegant experiences don’t just happen. They are designed from the ground up to ensure an enjoyable interaction every time. Smart, forward-thinking companies should start applying these same principles to health care. Established brands or even companies that aren’t currently in the health industry should design the future health experience today, delighting customers with innovative services and products that optimize health and happiness. These companies will be the big winners of tomorrow’s health-care system. Here’s how a design process can help them get there:

Define the Problem

Today’s health-care delivery processes are unpleasant for multiple reasons. Patients aren’t the real customers; insurance companies are. Doctors profit from sickness. Most importantly, the fee-for-service business model values quantity over quality. When doctors are paid for the frequency of illness and treatments in an aging population, health care will inevitably become more expensive—until eventually it becomes financially out of reach for many consumers.

Reframe the Problem

As premiums for traditional insurance skyrocket, consumers will look for more affordable options. The 90% of Americans who don’t need serious, complex care will turn to high deductible health plans (HDHPs) and learn to pay their own way. That’s 270 million people and some serious buying power: well more than $750 billion a year within the next 10 years. Companies that help consumers spend their money wisely will win. Because guess what?—these consumers will learn to think carefully about what they’re buying. Are they going to pay their own cash for the same tired health experience of today? Would you? I know I’d be angry paying $200 for the anxiety of an eight minute visit to a doctor’s office that wasted most of my working day or $15,000 for a routine hernia repair carried out in the opaque abyss of a large institution.

As the balance of power shifts back to the patient, the opportunity to provide a well-designed experience is also an opportunity to tap into this new market. For instance, I would pay $2,500 to have that hernia repaired in a highly focused, beautifully designed outpatient surgery center. I would also pay for affordable iPhone apps that let me know if my health is worsening and connect me to professionals who can prevent expensive problems down the line. I would pay for a robot that helps me live on my own rather than in an exorbitantly priced nursing home. Thinking differently about how to approach the field of health care could lead to exciting, radically different solutions.

Try Something Now

Time and time again, people pay for a designed experience that makes their lives better. So how about creating a Starbucks (SBUX) of urgent care? Would patients use it? I think so. The health industry should take lessons from retail. Build scalable service experiences that people love. Learn from the “positive deviants” who are experimenting outside the current business models to come up with new ideas. Design a health insurance product akin to AppleCare, the customer service guarantee offered by Apple.

Create an open source, online platform for communication, payments, and secure medical records that connects my robot, my biometric monitor (like the new Fitbit), and my calorie-tracking iPhone app (like Daily Burn) with professionals who can help me stay on top of my health and my health care-related finances. People would search out services that connect to the platform knowing that a quality experience stems from data-driven, personalized solutions. And pay doctors a bit more to join these experimental groups. After all, doctor salaries are only about 10% of total health-care costs. Everyone needs to be on board. And everyone needs to keep pushing. Iterate like hell, and improve all the time.

Most importantly, don’t meddle within traditional health care. That’s the biggest mess imaginable. Differentiate and go straight after the cash-paying consumer with elegant experiences that are human-centric, simple, data-driven, and connected to the platform. Create a network of effective, convenient solutions for simple problems. Meet 90% of the health needs of 90% of the people. Disrupt health care with design. Is it easy? No. Is it do-able? Let’s hope so.

Jay Parkinson, MD, launched the online healthcare service, Hello Health, in 2008. More recently he co-founded innovation firm, The Future Well, to design services and products that create health and happiness.


I recently started following Jay on Twitter and Tumblr.  It is nice to see disruptive innovation in the healthcare field.

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jayparkinsonmd:

franklieu:

One human cell contains 75MB genetic information.
One sperm contains a half of that; that is 37.5MB.
One ml of semen contains 100 million sperms.
In average, ejaculation lasts for 5 sec and contains 2.25 ml semen.
This means that the throughput of a man’s member is equal to (37.5MB x 100,000,000 x 2.25)/5 = 1 687 500 000 000 000 byte/second = 1,6875 Тerabyte/sec

This means that the female eggcell withstands this DDoS attack at 1,5 terabyte per second, and only lets through one(!) data package, thereby being the best freaking hardware firewall in the world!

The downside of it is that this only small data package that it lets through, hangs the system for the whole of 9 months!

The intersection of science and technology. I love it!

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[Flash 9 is required to listen to audio.]

I’m going to start posting a song every Friday, just to shake things up.

Today’s offering is from the 80’s rock band Loverboy. I admit that I did see them in concert in my youth.  Working for the Weekend is my favorite song of theirs.  I can’t help but think of Chris Farley and Patrick Swayze when I hear it.  RIP

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juliasegal:

moosiemoose:yorob:tiffanyarei:sistermarymartha:catherine-eliza:reallykatie:



Brb, printing this out for my office.




This is magnificent.

juliasegal:

moosiemoose:yorob:tiffanyarei:sistermarymartha:catherine-eliza:reallykatie:

Brb, printing this out for my office.

This is magnificent.

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I loved the original.  Can’t wait for this one.

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As President Barack Obama began his first State of the Union address Wednesday night, Kevin Fischer glanced at television above him and compared his 2008 vote for the president to ordering from an infomercial.

“You listen to the sales pitch and you’re so excited and then it arrives and you open the box and it just crumbles,” Mr. Fischer said. “It turns out you didn’t get what you thought you were going to.”

From the Wall Street Journal, January 28, 2010.

This would be me.

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On Politics

When I first went to college, I was a political science major.  True story.  I wanted to eventually either go the grad school route and teach or go to law school and be part of the machine.  Somewhere along the line I became entranced with medicine and healthcare and eventually wound up here.  No regrets.

I give that back ground because I have reached the point where I am completely disgusted with the political machine.  This includes both Democrats and Republicans.  While I tend to be fiscally conservative and socially more liberal, I think the machine is broken.  To wit, our government debt is now equal to the GDP of the country, roughly $14 trillion.  Think about that.  $14 trillion in debt with no plan to pay it off or even live within our means for the foreseeable future.  There were over ten thousand earmarks in the recent spending bills.  This is where Congress spends your money on their pet projects.  The health care bill was touted as deficit reducing but it depended on Congress cutting spending… in future years.  Does anyone really think that was going to happen.  It was a tough decision so it was put off and would have continue to be put off because there is no will to make tough decisions.

I would love to see term limits in Congress.  I would love to see the current Congress dissolved and have us start over.  This current group is currently unable or unwilling to make tough decisions and control their desire to spend.  I recommend you not vote for any incumbent in the upcoming election.

Washington is in desperate need of an enema.

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Go Colts! One more win to the Super Bowl!
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Colts vs. Jets: rematch with a Super Bowl at stake (seattletimes.nwsource.com)

Go Colts! One more win to the Super Bowl!

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juliasegal:

abhiii

I’m pretty sure this chart was missing when I was in college.

juliasegal:

abhiii

I’m pretty sure this chart was missing when I was in college.

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I am in South Florida for a couple of days for work.  It’s like taking a timeout from winter.  Needless to say, the 70-80 degree temperatures met with my approval.

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nickholmes:

Don’t laugh at this.

Not possible.

nickholmes:

Don’t laugh at this.

Not possible.

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nickholmes:

Delicious.

Separately- delish. Together? Not so much.

nickholmes:

Delicious.

Separately- delish. Together? Not so much.

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“God has not brought us here to build a steeple, but rather to plant a cross.”

Bob Schmidgall via Mark Batterson

As I prepare to make some radical changes in my own life, this is a pretty powerful statement that sums it up.

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