Alan Kay recently outlined some of the principles that he thought made Xerox's PARC so successful (if you don't know who Alan Kay is or why PARC was so special, you should try to find out). One was: "'It's baseball,' not 'golf'...Not getting a hit is not failure but the overhead for getting hits." That doesn't quite square with my impression of golf, but I take the point. It's about the price of success. As psychologist Dean Simonton pointed out in Origins of Genius: "The more successes there are, the more failures there are as well." "Quality," he wrote, "is a probabilistic function of quantity." We talk a lot about innovation these days, especially "disruptive innovation." Why not? It sounds cool, it allows people to think they're on the cutting edge, and it often excites investors. But perhaps we've lost sight of what it is supposed to actually be...
disruptive innovation
See the following -
Crowdfunding Health Innovation: Disruptive Companies And Funders Meet To Change Health Delivery
Two of the most significant pieces of legislation in decades, the Patient Protection and Affordable Care Act (ACA) and the Jumpstart Our Business Startups (JOBS) Act, are poised to transform the entire spectrum of health care. The ACA regulates everything from health insurance requirements to tax collection.
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Halamka Explains Background to athenahealth/BIDMC Collaboration
BIDMC and athenahealth announced a new and unique collaboration. The collaboration between the two organizations provides athenahealth the chance to take BIDMC’s experience to a much larger audience, hopefully making a difference to providers, patients, and payers across the country. athenahealth will also accelerate its ability to develop expanded functionality more rapidly than doing it alone. Read More »
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Healthcare Innovation: Think Bigger, Fail Often.
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Pistoia Alliance Launches New Open Innovation Platform
The Pistoia Alliance has today launched its new online Interactive Project Portfolio Platform (IP3) in order to encourage the entire life sciences research community to generate and share new, innovative ideas and drive the creation of novel, collaborative solutions that break down barriers in life science R&D. Read More »
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The Postmodern EHR: What are the Enablers?
Traditional monolithic EHR architectures focus on stability and standardization at the expense of agility. Along with innovation, cloud based deployment and integration of things, agility is the main differentiator when describing the requirements of application architecture for the Postmodern EHR. Achieving agility is impossible for the vast majority of healthcare applications today as they are an inseparable mix of code for user interface, decision logic, workflows and data definitions. New architectures promote agility and reuse by turning the applications inside out and layering the four types of programming into portals, rule engines, process engines and XML data. Let’s look at some examples, layer by layer:
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The Postmodern EHR: What can Health IT Learn from the Evolution of the ERP Market?
It seems the pattern is clear. From best of breed to integrated (mega)suite to a new world of innovative, agile, mostly cloud based and multivendor solutions. This is what Gartner calls “Postmodern”. According to Christensen, disruption like this becomes possible when the established players start exceeding the requirements and expectations of their customers, providing only sustaining innovation – i.e. adding more and more features to their products. This is what was happening in the personal productivity space with the Office products. Similarly, the ERP market today has well defined requirements and this allows the newcomers to disrupt, meeting the base expectations and adding innovation and agility while lowering costs.
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