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Alan Hilibrand commented on the post, Weekly Question #7: Complete by November 10, 2016, on the site 9 years, 1 month ago
Five years from now I hope that whenever I am “in doubt” that I will “go to the web!” As a 50-something, I have been conditioned to explore everything that is in front of me when I am looking for an answer…look through files, look through notes, look through things I’ve saved on my computer. This course has taught me how much more there is…[Read more]
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Alan Hilibrand commented on the post, Reading Question: Community of Practice, on the site 9 years, 1 month ago
Wenger’s description of the components of a “Community of Practice” suggest to me that this concept has tremendous applicability to academic medicine. I work within the “Community of Practice” of Spinal surgery. There is a local community (10 spine surgeons at our hospital along with our fellows and residents) and a national community of all…[Read more]
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Alan Hilibrand commented on the post, Reading Question: Disruptive Change and Book Publishing, on the site 9 years, 1 month ago
I have a few friends who consider themselves “authors” and love writing, and write quite well, with Masters and PhD degrees in English lit in some cases. All of them, until recently, “worked” as teachers or tutors, having struggled unsuccessfully to make any money publishing their works. Agents had little interest in them, they received minimal…[Read more]
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Alan Hilibrand commented on the post, Weekly Question #6: Complete by October 15, 2015, on the site 9 years, 1 month ago
John, I think that you are right about the need for those looking to promote open innovation between differentiated business divisions within a company to provide real incentives. There is definitely a risk that these innovators are taking when they try to collaborate with others within their company. It would be easy for the engineers from one…[Read more]
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Alan Hilibrand commented on the post, Weekly Question #6: Complete by October 15, 2015, on the site 9 years, 1 month ago
I think that one of the first considerations a company needs to make regarding open innovation is just “how open” they are prepared to be. At Siemens, Lackner experimented with all sorts of open innovation concepts, some focused internally, and some looking to external input in the form of contests. I am not surprised that the internally-focused…[Read more]
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Alan Hilibrand commented on the post, Case Question: Radiohead, on the site 9 years, 1 month ago
Will, what a great post! And I agree with your critical assessment of the effect their move would have had on a new band. How can they try to recoup their time, effort, and investment (usually borrowed money from parents and friends) by “selling” albums when the “big stars” are giving them away for free. Like you said, $40 for a seat at their…[Read more]
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Alan Hilibrand commented on the post, Case Question: Radiohead, on the site 9 years, 1 month ago
The thing I found most surprising about the Radiohead release of “in Rainbows” was that a majority of their albums were still sold as a “physical music” CD, given that 1) this was only 8 years ago, and 2) you could have downloaded it for as little as $0.00, according to the band’s website. According to an article I read, they also managed to…[Read more]
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Alan Hilibrand commented on the post, Weekly Question #5: Complete by February 25, 2016, on the site 9 years, 2 months ago
Shenita, I agree that these privacy and control issues are quite vexing when it comes to health information, which is universally protected under the HIPPA statutes. It seems that although health care provision and management is being pushed towards electronic services, we are not really able to handle the material the same way as other…[Read more]
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Alan Hilibrand commented on the post, Weekly Question #5: Complete by February 25, 2016, on the site 9 years, 2 months ago
Michael, I love your description of multi-tenancy cloud in terms of apartment building space! As I think about it, though, I still wonder about who really owns and controls the data in my apartment! Certainly, I don’t own the physical unit (in the cloud, that would be the building where the computer servers are housed). And I doubt that if I…[Read more]
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Alan Hilibrand commented on the post, Reading Question: The Cloud, on the site 9 years, 2 months ago
The cloud is essentially “somewhere else” that data and online materials are stored yet readily accessible to the user via an internet connection. I would argue that it’s not really the internet, since the material that exists “in the cloud” is in reality being stored in a large building filled with servers somewhere here or overseas. Having the…[Read more]
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Alan Hilibrand commented on the post, Reading Question: BYOD, on the site 9 years, 2 months ago
During 17 years at my current Orthopaedic practice, we have evolved from communism and “central planning” as described in the article to a “laissez-faire capitalism” with respect to devices and services. Until 10 years ago, there was little concern or worry about what device a Doc was using for their email and academic work (powerpoint talks and…[Read more]
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Alan Hilibrand commented on the post, Case Question: Globalization and Decentralization, on the site 9 years, 2 months ago
Information technology is a common medium through which a multinational company can become global because its systems of communication, product sales tracking, and personnel listings (to name just a few items) may be used to catalog all company activity in one location for reference by an individual anywhere in the company’s network. Like other…[Read more]
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Alan Hilibrand commented on the post, Case Question: Amazon Web Services, on the site 9 years, 2 months ago
The article describes four major services described by Amazon as “infrastructure web services;” Amazon simple storage service, Amazon elastic cloud compute, Amazon simple database, and Amazon simple queue service. Simple storage service offers offsite storage for data from any company, start-up, or developer, anywhere on the web or around the…[Read more]
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Alan Hilibrand commented on the post, Weekly Question #8: Complete by November 2, 2017, on the site 9 years, 2 months ago
At the Rothman Institute, we are definitely most focused on building block #4, “Customer relationships.” We consider our “commitment” to be to our patients (customers) first, followed by our employees and our community…”we strive to provide unparalleled service to our patients…” Most important in our customer relationships are the “personal…[Read more]
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Alan Hilibrand commented on the post, Weekly Question #8: Complete by November 2, 2017, on the site 9 years, 2 months ago
Under the new approach to managing IT priorities, it is not a surprise that a global supply chain project might go unfunded. In many organizations, budgets are divided among divisions and subsidiaries, with little if any accounting for the common needs of different divisions and allocation of resources to these “joint initiatives.” For VWoA, it…[Read more]
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Alan Hilibrand commented on the post, Weekly Question #8: Complete by November 2, 2017, on the site 9 years, 2 months ago
The new process for managing (in this case information technology) priorities at VWoA has many strengths. Greatest among them is the opportunity to identify synergies within the IT needs of different teams, and allowing for the establishment of a timeline which can allow the “project proposers” to understand the most logical point in time for…[Read more]
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Alan Hilibrand commented on the post, Weekly Question #8: Complete by November 2, 2017, on the site 9 years, 2 months ago
Josh:
I will be curious to see how this works out. EPIC has promised much…not only an integrated multispecialty EMR, but also capabilities for outcomes data collection and analysis, although few institutions have actually tapped into that resource. At Yale, they have had it for a couple years, yet it seems that at least in Orthopaedics they…[Read more]
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Alan Hilibrand commented on the post, Reading Question: IT Investments, on the site 9 years, 2 months ago
Nick, I really appreciate your comment about the importance of IT staff. As Paul Millhouse commented below, our systems at the Rothman Institute improved substantially when we hired more staff to cover an IT help desk that is always ready to manage anything at any of our facilities. Jefferson’s has been pretty good, too, but I wonder whether…[Read more]
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Alan Hilibrand commented on the post, Reading Question: IT Investments, on the site 9 years, 2 months ago
Paul:
You are dead on regarding the issues of medical practices and EHR. This may really be the best example of an IT investment having a huge impact on a business. Many physician practices, especially smaller ones, cannot afford the costs of installing an EHR, despite some incentive money through the PPACA. I think this is one of the major…[Read more]
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Alan Hilibrand commented on the post, Reading Question: IT Investments, on the site 9 years, 2 months ago
At The Rothman Institute, we have been fortunate to have a very forward-thinking, superstar CEO who is always ready for “the next thing” in healthcare. However, we have struggled in the IT space despite this proactive approach. Because of the inertia exerted by the practicing physicians and their allied health professionals, it was hard to adopt…[Read more]
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