Tuesday, November 29, 2011

CEBP could improve Healthcare even more: Part 2

The previous blog discussed how real time communications was improving the Pharmacy, Physician, Patient transaction process.

Here is the next step in the process improvement that hasn’t been nailed down yet. We need to use improved communication methods to improve patient care relative to medication usage. 

In the US, policymakers are painfully aware of the fact that several unhealthy lifestyle conditions including diabetes and heart disease take up a disproportionate amount of health care spending.

Researchers at the CDC have gotten even more specific with a report that  4 drugs cause almost half of the emergency visits in the US.
According to researchers, nearly 100,000 hospitalizations every year are linked to adverse drug events such as allergic reactions and unintentional overdoses. Nearly half, or 48.1 percent, of those hospitalized were adults 80 years old or older.
“These data suggest that focusing safety initiatives on a few medicines that commonly cause serious, measurable harms can improve care for many older Americans,” said lead study author Dr. Daniel Budnitz, director of the CDC’s medication safety program. “Blood thinners and diabetes medicines often require blood testing and dosing changes, but these are critical medicines for older adults with certain medical conditions.”
“Of the thousands of medications available to older patients, a small group of blood thinners and diabetes medications caused a high proportion of emergency hospitalizations for adverse drug events among elderly Americans,” he added.

Read more: http://www.thestatecolumn.com/health/according-cdc-four-drugs-er-visits/#ixzz1f1y6QKXw

Physicians, patients, and insurance companies have figured out how to improve the transaction process of filling prescriptions. We need to go the next step and use real time communications to improve the monitoring process.

One could imagine tying a regular automated daily phone call check in to any patient  taking certain medications who meets certain criteria. Outbound messaging combined with very simple DTMF gathering of information from the patient would certainly help to lower the number of ER visits.
For more information on these topics contact us at www.marketlaunchgroup.us

CEBP improves Healthcare: Part 1

Digging into a Health Information Technology press release I noticed an update on a HIPA compliance topic referred to as NCPDP Telecom D.0 (NCPDP D.0).

It took some research but this little bit of news reflects significant changes in the way that doctors, pharmacies and health insurance companies communicate with each other.

Specifically, it requires pharmacies and insurance companies to interact using real time communication standards rather than the previous batch information standards.

I know this sounds like esoteric stuff. Yet, think about your typical interaction with a pharmacy over the past year as compared to a few years ago. I deal with a very large regional drug store chain so they may be ahead of the curve.

1. If you need a monthly prescription refilled many pharmacies proactively call you to tell you it is ready. At worst, one need just call a number on the bottle and request a time to pick it up.

2. Annual updates or anything requiring your physician’s involvement can most often happen over the phone within 24 or 48 hours.

3. For the most part there is little or no involvement that is required between the patient and the insurance company regarding prescription drug processing.

4. I am also told that Drug Enforcement Agency work in conjunction with Pharmacies has been greatly improved. Unfortunately, due to the increase in prescription drug abuse this technology enhancement has been vital.

There are certainly still outlier scenarios but the vast majority of pharmacy/physician/patient interactions have become faster, better, and cheaper for all parties involved thanks to real time communications. Go to MarketLaunchGroup.us for more information on these topics.
Patrick Murphy

Wednesday, November 2, 2011

Why is the CEBP value proposition being stolen away from Telcos?

# Martin Geddes: Telcos will not be the hubs of multi-sided markets in connectivity. Commerce platforms will give away access to drive transactions.

According to Martin, I’ve been looking in the wrong place for UC/CEBP inspiration.  For background, one of the key opportunities in multisided Telco related markets has been CEBP.

Geddes is typically right on target.  For the most part, the innovative activity is not coming from Telcos or telco inspired and dependent firms, it is or will come from companies that are focused on driving consumer or business transactions.

Several major examples have made news examples.
Amazon’s Kindle has come with wireless data connectivity as a free feature for years. Of course, the KindleFire is being positioned as a one stop commerce platform. Gaming stations have Unified Communications tools baked into their systems. In theory, Microsoft’s cloud initiatives dovetails nicely with their Skype acquisition. Given track records for Skype and Microsoft it is premature to make any real predictions about successful integration and collaboration efforts.  

One can certainly see mobile content providers giving away or subsidizing the sale of low cost mobile entertainment, sms, communication devices to teenagers and young people globally under the assumption that all this demographics’ entertainment purchases will flow through their mobile entertainment, communication,commerce platforms.  

Providing mobile phones to remote villages around the globe  to encourage the use of mobile commerce via sms is already happening. Similar to  credit card companies in the US over the last five decades, get the commerce platform in the hands of the consumers anyway possible.
It seems that the important innovations so far, are with consumer driven initiatives. Obviously some of these niches like gaming, app stores, and mobile payments are very big.

Are any of these innovations and the value they are creating being driven by Telcos? Not really, as Telcos continue to deal with commoditization issues the only differentiator over the last few years has been provided by Apple’s alignment with ATT.

So, from the Telco perspective, how do we bring more CEBP/UC style innovations directly to businesses?

The irony is this challenge is no longer a technology problem.  The tools, talents, platforms or apis required to integrate most communications functionality into practically any business process are understood and affordable. Many Telcos have platforms that allow for new services and apis to provide innovative solutions to clients.  Furthermore, the client use cases and return on investment calculations are already proven.

The challenge that has not been overcome by most Telcos and telco dependent companies is their view of the customer world is horizontal.The “most” creative  Telcos and vendors may admit to several types of customers: consumers, business- class, and enterprise...alas small, medium and large is the same customer segmentation done by my local ice cream shop.

The challenge for Telcos and their vendors  is one of organizational structure and culture change on the revenue generating side of each company. Sales and marketing teams in CLECs and the vendors that support them have to get hyper focused on industry verticals...or at least CEBP vertical solutions.

Here are two examples of vertically specific opportunities that would allow Telcos to move beyond the selling of commodity voice and data services.

Healthcare is the vertical with the most money sloshing through it in the US today.
1.  The Federal government is providing $42,000 subsidies for physicians to adopt EMR technologies.  Amazingly, few of the EMRs that I have reviewed have any real communications functionality embedded in their platforms.  Here are two challenges to be solved by UC/CEBP.
First, making sure that patients don’t miss appointments has hard ROIs understood by everyone in healthcare. Secondly, the ability to securely transfer EMRs  within and between healthcare organizations and physicians has lots of lags and drags in the process.

K-12 and Higher Education continues to see above average growth while serving the most connected of our generations.
2. Outbound messaging and surveying applications have become  a standard  requirement for most schools and towns within the last six years.  Why couldn’t a CLEC provide school districts or municipalities  partner with Student Information Systems  or Municipal CRM platforms to provide outbound  student/citizen messaging applications as part of the voice and data packages.

Identifying the right types of  CEBP functionality  to add real value for customers is a matter of focus. Regardless, it does come down to a fundamental question.  Are the Telcos and all the Telco dependent firms really willing to think about customers with a bit more complexity than small, medium, or large. Then, are the best firms willing to align their sales and marketing organization to take ownership of this communications value proposition?