How "Search" is Changing Healthcare

Here are a few companies are thinking about market values:

Exxon / Mobil - $ 464B

General Electric - $ 302B

Wal-Mart - $ 224B

Google - $ 180B

General Motors - $ 10B

Exxon Mobil is this size, because there are two different companies a few years ago. GE owns NBC, Universal Studios, Telemundo, and all equipment. Wal-Mart has more than 7,300 stores. Years ago there was a corresponding statement about GM - "as GM goes, so goes the U.S.". And Google is a searchEngine began in 1998, but its market value is up there with the powerhouses of the stock market in recent years.

The financial markets are a declaration that the "Search" is changing the way we work and what is more important, how we work. In other words, the responses of "search will" change the driver. Saying it is yet another way the questions to ask ourselves now, and expects "to answer search", in changing the way we work. "Search" will continue to be adisruptive technology.

It is a breakthrough technology because it changes the playing field. Cars were a breakthrough technology, the whip manufacturers. PC's were a disruptive technology, the typewriter, and a few other things. A new set of rules followed by new industries, and to rise with them.

Where is Search Going

"Search" is content to draw from something developed. It has, and still is, developed into a collaboration tool. On the horizon, will develop as "Search", into solve real problems. This has far reaching implications for all sectors, but can use on some specific characteristics and advantages when it comes to health care.

Let us explain first, the content-collaboration-to-problem-solving cycle. For example, we will use one of the most popular topics in many households - Pokemon. I can search to discover all sorts of things about the Charizard EX card. I can get it out of the fire is Red / Green Leaf Box, stock are 160Hit points can inflict 200 points of damage and is responsible for up to $ 150 on eBay (hard to find). I can discuss with other pokemon, which will receive the card, strategies, how to play it and the benefits of having this versus Charizard EX Wailord EX. What I can not even get, is the automatic real-time feedback on how to use many energy cards when I'm fighting another pokemon.

These are good examples of the content-to-Collaboration-to-problem-solving cycle. Content is the properties ofCharizard EX. Collaboration is the discussion and post about it. Problem solving is the immediate feedback on the current situation.

For content, we need the knowledge base is to be created, published, complete and accessible. For cooperation, we must include the people, said knowledge base to interpret, present a strong opinion about it and make these comments. To solve problems, we need the knowledge base with automated methods (aka services) are linked to the sameCoordinate positions on our concrete situation, and those benefits must be based on demand.

We are using Pokemon in a language-in-cheek way. Imagine health care "search" is developing along the same lines, and the benefits we can solve problems with real online reach. We see a lot of online content and co-present in healthcare, but it lacks two important components:

It is not that it does not consider a person's own medical history, personalized.
Real ProblemSolution is still far away. Sites like WebMD are still together.

Google, Microsoft and Yahoo are the leaders in the "Search". The undisputed majority of search engines to go through that. The word "Google" is this generation "Xerox". This market should relativize Google's dominance. Google has the vision to see other search limits on the content. One of these limits is Google Health.

The Health Information Network

Google is already theThe starting point for most health searches. A large part of the core content and collaboration exists, but does not solve the personal data or the problem. Enter Google Health. Google Health is the first step for creating Google's own Health Information Network (HIN) to ensure that relevant, organized and timely information to consumers and health care is available.

For the reader, Google Health, we put a few things about what is included. For starters, itcollects the basic building blocks of information:

Age, sex, height, weight
Terms
Allergies
Drugs
Procedure
Test Results
Vaccinations

Secondly, it collects part of history by imports from other medical data. One can import medical records from the following sources:

Longs Drug Stores
Medco
CVS
Quest Diagnostics
Walgreens

Finally, you can online medical services as follows:

EPillBox - Creating aMedication schedule based on your requirements and your preferences
VaccineView - Heck, how your immunization history meets the guidelines of the U.S. Centers for Disease Control and Prevention
iHealth - patients can communicate with their physicians online
Life Star - create a view on your health history, which can be printed or for exchange with healthcare providers, families, export and carers
NoMoreClipboard - deliver your messages to your doctor before you give your next visit ora loved one emergency access to your health information
MCT-Diabetes - Diabetes monitoring tool that improves health and wellbeing in patients with diabetes

Google is not the only kid on the block to deployment of these services. There are at least 250 other online health information networks. Most are taken by them or merged by other companies.

Google Health and other Huns are mainly related to content-based search evolution. Demographic and medical history are nothingmore than part of the collective knowledge bases. It is on the personal side, but it is still content. The medical service crawl pages approaching the cooperation equation. What's missing now is to solve the problem of this. The possibility of a user of the site does say a drug that is not the problem. Telling a user the likelihood that a page on your medical history and impact on the combination, with its test results this morningProblem-solving.

Moving Slowly

Healthcare is well known, behind advances in IT. There is little imperative to move from the existing health care software companies and hospitals that buy their products. Progress on electronic health records and the distribution of the records that moves much slower than it should be. This is particularly worrying when you are the potential benefits of the health care community does not realize realize.

There are manyReasons for the lack of progress. Doctors will feel the patient is well served as. This is more than understandable, most of them work 40% 2B hours a week doing nothing, but the patient. The patients themselves will not require that doctors move to e-records format, or clinics have their systems are interoperable. The vision of the benefits of "search" is too far for most absorbing.

ROI not there yet

The cost of the relocation of the IT strategiesstill have an attractive return on. A typical practice management (PM) system or electronic health record (HER) system can run a private practice $ 10,000 to $ 50,000. Community health centers that have greater functional needs, you can price tags of $ 20,000 to $ 200,000. These systems are broad and deep, given the level of functionality and complexity of IT. We now want an interoperability layer (aka services) on top of a broad spectrum can be used by other systems. Onlythe price of the development effort alone is high.

This interoperability layer can not be lightly made. A mistake can have devastating effects, such as a misdiagnosis or a lost life. Because of the high stakes, companies must be stringent in their requirements and QA processes.

Everyone was talking about that network failures can not occur. In 2008, a large ISP to learn the news because they come to a blackout that lasted more than 48 hours. They had a literal explosion intheir data centers, that a power outage caused by more than 9000 servers. The fire department would not be allowed to turn on their backup generators for security reasons. When people's lives or health depends on this one needs more than redundancy as a hosting facility.

This kind of requirements, development, QA, and infrastructure costs money. A lot of money. The ROI for a clinic or medium-sized software companies is not good if these precautions, you need to be planned. You do not haveAchievement of this unwillingness to risk $ 30,000 or even $ 300,000.

Acceleration

Google Health and Microsoft is trying, through the online health records to bring attention to the need to "search" to move forward in healthcare. Without short-term economic returns, or they demand drives the need for interoperable health information has only a single driver to move forward - the vision and investment that a company will see the long-term benefits andRevenue.

Google, Microsoft and several others have the deep pockets and vision to start the process. Google Health will also receive 2 million people, about their medical history, and 100 new online store partner, until the current EHR and PM systems out there decide to be in the networks to link progress slowly. The EPA and PM software is where the tire meets the road ambulances. These are the main sources of new patient information and doctor visits. Without these systems, our"search" will stay content.

As Google and Microsoft continue to grow their HINs, the EHR and PM software companies will be motivated to progress. Many will see this as a means to create a competitive advantage. Others will view it as a "grow or die" scenario. Regardless, the more Google Health expands, the greater the list of meaningful partners that will be added to it.

As a clinic or practice, there are things to do to help progress. When selecting and EHR or PM, go with a company who actively speaks of a service-oriented architecture (SOA). SOA is the building block for more companies to integrate with Hins. The companies say and do something about it now are the leaders in this movement, and that still stand.

If a software company is not yet implanted in an SOA strategy, it should consider. This is a competitive advantage. These companies should also establish relationships with Hins. Not all of the Huns is stillwill be around in five years, but the software companies are working with them.

"Search" has and is changing the nature of the business. The most important part of this change is the questions we ask and expect that answer easily. When "Search" course of business and healthcare customers will consider of great benefit. While the change and motivation for change has been slow and sometimes hard to justify, in the business of "search" and the creation of new devices thatHealth care for all motivated to realize the benefits of the "Search".

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