Richard Singerman, co-founder and chief innovation officer at TrustNetMD, is trying to solve a simple problem: How to improve communication in medicine.
“Evidence-based medicine is only practiced by clinicians about 50% of the time,” said Singerman, referencing a well-known study by the RAND Corp. “The other 50% of the time, you’re either getting too much care or not enough care.”
Singerman and his TrustNetMD team, along with partners the Johns Hopkins School of Medicine and the Johns Hopkins Bloomberg School of Public Health, are building a collaboration platform to make research and resources easily accessible across the community, with a specific focus on providing evidence-based medicine resources to community health workers. The effort is funded by a $900,000 grant from the US. Department of Health and Human Services.
While attending the recent MIT Sloan CIO Symposium, Singerman sat down with me to talk about TrustNetMD and its focus on helping create a “learning health system.”
What is TrustNetMD?
Richard Singerman: TrustNetMD’s focus is on social learning, which is very simply combining organizational learning principles, the kind that Peter Senge founded out of MIT in his work on The Fifth Discipline, together with what I call social media or Web 2.0 technology. So how do you take the principles of how organizations can learn quickly and embed those principles and those workflows into modern, rapid, mobile, Web 2.0 platforms?
Why does healthcare need a collaboration platform like this?
Singerman: One of the things the U.S. Department of Health and Human Services is striving to achieve in the next 10 years is a new culture of learning, what it calls a learning health system. So how do we not only make sure that clinicians and clinician extenders, like social workers and community healthcare workers, are leveraging the best knowledge today, but also how are the results and the application of that knowledge then working out? What’s the feedback loop?
How does TrustNetMD build the bridge between hospital doctors and nurses and at-home care takers?
Singerman: There are a lot of great resources for physicians — evidence-based medicine practices and guidelines that have come from research. And then different medical societies take the research results and put them into practical guidelines for clinicians to follow.
But beyond clinicians, there are folks like community healthcare workers, who are really community-based folks quite often employed by clinics or hospitals and very familiar with the community. That’s their background; that’s their focus; that’s their strength. Similar resources have not been created for them. And yet they are spoken about in the Affordable Care Act. There are over 150,000 of them in the U.S., and they don’t have resources.
Beyond them, there’s a whole class of family caregivers — that person in a family who takes care of a sick loved one, who is basically like a community healthcare worker that doesn’t get paid for what he or she does. The latest reports indicate there are 10 million of those folks, people like yours truly who, at one point, had a 5-year-old kid and a 90-year-old parent and were caring for both of them.
So how do you put resources in the hands of people who aren’t trained clinicians so that they act on those resources? We’re not talking about new procedures for cardiology; we’re talking about how to better inform a caregiver or a health worker to support a person who has come out of the hospital within those first 30 days? Because often within the first day or two there’s some confusion, and patients ends up back in the hospital when they didn’t need to. That adds extra cost to the healthcare system. It adds extra burden to patients.
We took the idea of combining evidence-based medicine resources and evidence-based practices — those things that are not necessarily medicine but activities that support wellness in the community. So things like setting up food services, transportation services, homeless services.
There is a lot of support that can happen outside of the walls of the traditional healthcare system if there are folks like social workers, community healthcare workers, family caregivers who are empowered. The beautiful thing about Web 2.0 and mobile technologies is that we can take and aggregate a bunch of different medical articles and put them in one place in a social wrapper. Separately, we can aggregate local community social services, and can put those services together and tag them with the same kind of lexicon for human services.
We’re not talking about hundreds of thousands of medical services. We’re talking about, again, food services, transportation, housing. This blocking and tackling is really a big deal.
What’s wrong with the current system that this isn’t happening today?
Singerman: One of the big problems is that the rate of knowledge that’s increasing in healthcare is much faster than the rate at which we can learn. What the average doc may need to learn in a year is produced in a day. So that’s one — the rate of scientific knowledge.
Two, because of the changes in the way healthcare is being delivered, because of the changes in the care processes that are occurring in response to changes in financial incentives, in Obamacare, the care models are changing. Particularly, we’re going from a pay-per-volume, where docs get paid based on how much they do, independent of the results, to a pay-per-value model, where docs ideally get compensated based on what they produce as an end result (more well patients, hopefully).
Many of Apple’s revelations at this year’s Worldwide Developers Conference (WWDC) — a new streaming service, an updated Apple Maps and a revamped Siri — were not, arguably, all that revelatory. There was one standout, however, as Assistant Site Editor Brian Holak discusses in this week’s Searchlight: the new search API on iOS 9 based on deep-linking technology. Find out how mobile app developers can take advantage of the technology.
World BPO/ITO Forum 2015 is fast approaching. The theme of this year’s summit: how the cloud is making ripples in IT outsourcing and leading to business transformation. Executive Editor Linda Tucci caught up with former GM CIO Jim Noble, conference chair, to talk about how mega deals can stifle IT innovation, what soft skills CIOs need for “operating model 2.0,” and more.
When it comes to the Internet of Things (IoT), many companies hype its customer application but are often not keyed into its transformative effect on business processes. And that’s a mistake, according to a recent IoT panel hosted by the Massachusetts Technology Leadership Council (MassTLC). Senior News Writer Nicole Laskowski writes about how this transformation is giving rise to the chief IoT officer and how a “watch and learn” approach can create setbacks for companies.
When it comes to modernizing its IT delivery platforms and processes, insurance giant Aflac doesn’t exactly have it easy. For starters, the company has access to the private financial, health and payment card information of its customers, which means it has to comply with a wide range of regulatory frameworks. Over on SearchCompliance, Aflac CISO Tim Callahan dishes out five steps his company takes for successful GRC automation.
Finally, on the IT Compliance Advisor blog, we round up the top governance, risk and compliance news items of the week. The running theme this week: user privacy. Read about how the recent U.S. government breach could have affected a lot more than the reported 4 million federal employees, Apple’s expansion of Siri and emphasis on user privacy, and more.
In the digital era, top-notch IT management is essential to business success. But how do IT and business teams bridge the divide? Experts at the recent MIT Sloan CIO Symposium explain why CIOs should forget about managing IT demand and think instead about demand shaping.
Your personal data is in good hands with Apple, according to CEO Tim Cook. Earlier this week, Cook delivered strong words on consumer privacy and how other digital companies do business. In the latest Searchlight, Site Editor Fran Sales discusses Cook’s comments, the issue of consumer privacy and the CIO’s role in protecting that privacy (even if a good chunk of consumers don’t seem to care).
Who says the data center is dead? Although many CIOs are no longer building enterprise data centers, hybrid strategies offer a new direction and a chance for CIOs to bring their data centers into the future. SearchCIO Contributor Mary K. Pratt talks to CIOs about the benefits and challenges of integrating hybrid strategies into the data center.
In the last two parts of senior analyst Shamus McGillicuddy’s webcast on enterprise networking strategies to support users’ mobile devices, discover the right wireless network tool for your mobile enterprise and learn the impact of a wireless upgrade on the wired network.
In the latest issue of CIO Decisions, get your Internet of Things fix by learning how the future of IoT will depend not only on cutting-edge technology, but also on a range of partnerships that sweep through IT and the business.
Lastly, check out our most recent Essential Guide to explore project management basics and get expert tips on incorporating DevOps and an Agile methodology into your digital strategy.
The New York Times is no stranger to digital initiatives. With their blossoming digital strategy they’ve had recent successes — and failures — on their road to digital glory. Marc Frons, senior vice president and CIO at The New York Times Co., discusses the company’s culture of experimentation, which is exemplified in their niche apps.
Speaking of digital, the digital revolution has not only changed how products and services are created, delivered and serviced, but also raised customer expectations. In this expert tip, learn five BPM principles for delivering products and services to digitized customers.
At this week’s Google I/O conference, Google made it clear that it’s ready to take on the mobile payments market — and competitor Apple Pay — with their announcement of Android Pay, a new payments platform. In the latest Searchlight installment, Site Editor Fran Sales details the announcement and talks with IT experts about the CIO’s role in payments and how both new payment modes and higher customer expectations are altering the CIO role.
One topic that gained a lot of attention at the recent MIT Sloan CIO Symposium was automation. In the latest Data Mill, Senior News Writer Nicole Laskowski reports from the symposium on the dehumanizing effect of automation on the enterprise. Also from the symposium: Experts weigh in on the future of cybersecurity in this TotalCIO blog post.
The traditional Waterfall approach to development can be too rigid, as Charlie Schiappa, CIO/IT director at MassHousing, discovered. That’s why Schiappa sought out a platform-as-a-service tool that enables rapid app development without having to code. Laskowski recently caught up with Schiappa to talk about how this tool has impacted the IT-business dynamic and how he’s experimenting with bimodal IT.
What does the data center of the future look like? It may not be what you think. In this column, SearchCIO columnist Harvey Koeppel offers five tips to prepare for the great data center of the unknown.
Over on SearchCompliance, expert Bryan Barringer discusses the evolution of mobile device management and the security benefits of MDM policy development. Also, expert Jeffrey Ritter explores the compliance implications of Regulation SCI and the importance of IT records.
Finally, on the IT Compliance Advisor blog, Sales runs down the latest GRC-related news, including five major global banks being reprimanded for poor compliance standards and a study that finds unethical behavior and wrongdoing persist in the financial industry.
Robots aren’t taking over the world (just yet, anyway), but the idea that robots could take over the world is certainly taking over the conversation among techies. Earlier this week, I published a story out of the MIT Sloan CIO Symposium titled Automated systems: Dehumanizing the workplace. The story featured comments from a distinguished panel, including Robbie Allen, CEO at Automated Insights (Ai).
You may not be familiar with the company name, but you’re familiar with its work if you read the news. The Associated Press, for one, started using Ai’s “robot writers” to craft earnings reports, many of which are placed directly on the wire. Ai doesn’t get a byline, but the robot writers do get credit. At the bottom of an Ai story, a tagline states that the piece was generated by Automated Insights.
My story prompted James Kotecki, manager of media and public relations at Ai, to get in touch. (Kotecki, by the way, has a 21st century media story all his own to tell.) The “dehumanizing the workplace” headline caught his eye, he said in an email, because he had recently published his thoughts on how a company like Ai (and I’m quoting from his piece, here) “makes the world a better place to be a human.”
He offered an opportunity to chat, and I took him up on it. While some of the conversation veered toward the philosophical (an easy trap to fall into when talking about robot writers), the more relevant aspects of the conversation for CIOs had to do with the technology.
Ai’s main product is its Wordsmith platform, patented technology that specializes in “natural language generation.” Kotecki described it as “almost the inverse” of natural language processing, a technology at the heart of IBM Watson.
The Wordsmith platform takes data (such as business intelligence data, or, specifically for marketers, Google AdWords and Google Analytics data, and even personal fitness data), analyzes it for trends, measures it against the aggregate as a way to add historical context, and then turns that data into a narrative — that is, into natural language.
If businesses want to program in a specific tone, Ai can do that too. Yahoo Fantasy Football uses Ai to generate individual weekly reports for participants. Last year, according to a press release, Yahoo requested more snark — and got it — to the apparent delight of Fantasy Football fans, who shared plenty of Ai’s comments on Twitter, according to Kotecki.
“We know we’re engaging with people in a way that just a raw set of numbers and charts would definitely not be able to,” Kotecki said.
But, as Kotecki was quick to point out, machines can’t do it all — and likely won’t be able to. “A lot of folks ask us, ‘Can you write fiction? Can you write a novel,'” he said. “And the answer is, typically, we rely on structured data to do what we do and there’s a configuration process that works with the output for any given client.” When it comes to fiction, what kind of data is necessary for the Wordsmith platform to produce the next great American novel? “I don’t even know how you’d start,” Kotecki said.
Even more to the point for journalists, Kotecki believes augmentation is a better, stronger alternative than automation. “Humans are, frankly, much, much better at [adding context] than machines. And machines are better at doing that data processing and number crunching than humans,” Kotecki said.
He pointed to a recent AP story about the Disney Corp. (like this one), which includes more contextual information than your typical earnings report. At the bottom of the story, the tagline disclosed that only elements of the story were generated by Ai. “That’s usually the tell-tall sign that humans have worked on it as well,” Kotecki said.
Imagine never having to report to a boss or supervisor again. Sounds great, right? Well, not all the employees at Zappos think so. The company’s controversial new holacracy system enforces self-management instead of boss supervision and has led to a mini employee exodus. In this two-part Q&A, Senior News Writer Nicole Laskowski talks with Rod Collins of Optimity Advisors about what it means in practical terms to go bossless and how CIOs can flatten their IT organization.
With so many sophisticated cyberthreats out there, companies can’t afford to act based on outdated security assumptions or traditions. In this week’s Searchlight, Site Editor Fran Sales details cybersecurity advice from experts at this year’s MIT Sloan CIO Symposium. Plus: SAP dismisses Salesforce acquisition talk and top banks plead guilty to federal crimes.
Grappling with customer-facing processes and rapid digitization? BPM tools can help, according to Deloitte’s Craig White. SearchITChannel Site Editor John Moore recently caught up with White to discuss BPM tools and their effect on CIOs and business processes.
In this opinion piece, get SearchCIO Expert Niel Nickolaisen’s take on the data centers of the future and who should be operating them.
Over on SearchCompliance, this Q&A with IGI founder Barclay T. Blair explores the Information Governance Initiative and why companies must start considering the chief information governance officer (CIGO) role to maximize information as an asset.
Finally, why should CIOs care about the mobile payment movement? Join SearchCIO’s #CIOChat Wednesday, May 27, at 3 p.m. to discuss the how mobile payments will impact CIOs and the enterprise. See you there!
Digitization is changing the way we shop, and making strong multichannel strategies a necessity for retailers. In this feature, experts discuss how they can adapt to the growing e-commerce market by building and supporting new platforms that integrate with legacy systems.
Tech companies have been striving to mine the prosperous IoT repository, and Samsung is no exception. This week, the technology giant launched Artik, a series of low-cost chips that they hope will help catapult them into the future IoT market. This week’s Searchlight details the announcement and explores the ramifications of these cheap, IoT-centered chips entering the enterprise.
In parts four and five of SearchCIO’s webcast on shadow IT featuring IT transformation leader Derek Lonsdale, learn the keys to embracing shadow IT and four basic governance processes to help improve the IT-business relationship.
The GRC skills shortage is causing companies to re-think their candidate requirements and hiring processes in order to find the best available candidate. But, according to SearchCompliance expert Jeff Jenkins, there are certain skills fundamental to most security and compliance jobs that can be a big draw when deciding which candidate to invest in.
The journey to digital transformation isn’t easy, but it won’t even get off the ground without collaboration between IT and the business. In the latest Data Mill, Senior News Writer Nicole Laskowski reports from the CDO Summit on how to become a “digital master” by closing the IT/business gap and employing the right practices.
Integrating hybrid systems is now a core IT service. Is your company equipped to handle it? In the most recent issue of CIO Decisions, learn how integration work is evolving and how new tools are emerging to enable that shift. Plus, read Executive Editor Linda Tucci’s Editor’s note on unlocking business value in a hybrid environment.
Chuck Robbins was chosen to succeed Cisco CEO John Chambers this week. How will this affect customers and the IT environment? In this Searchlight, Site Editor Fran Sales discusses Cisco’s transition with Timothy Zimmerman, vice president at Gartner.
TechTarget, SearchCIO.com’s parent media company, introduced Charles Alvarez as its first chief data officer, at a time when CDOs continue to proliferate across enterprises. In this TotalCIO blog post, Laskowski catches up with Alvarez to ask him questions about the CDO role and the integrity of corporate data.
Modern critical infrastructures present several security challenges. They key to industrial control system security, according to SearchCompliance expert Daniel Allen, is utilizing a combination of situational awareness and compliance strategies.
Over on the IT Compliance Advisor blog, Site Editor Fran Sales runs down the latest GRC-related news, starting with SEC’s call for more executive pay transparency and the proposed law that could allow firms to keep breaches under wraps.
Finally, catch up on a recent SearchCompliance webcast series titled “Pragmatic Cloud Encryption” to learn which SaaS and app encryption option is best for your business and key management and distribution practices in an encryption system.
If you’ve got the right stuff, you could go from CIO to mogul, according to headhunter Shawn Banerji. Banjeri talks to Executive Editor Linda Tucci about a lucrative new career path for midmarket CIOs attained through private equity deals.
At this year’s Gartner Business Intelligence and Analytics Summit, analyst Doug Laney presented a list of 10 recent analytics success stories from the likes of Burberry, Coca-Cola and L’Oreal. Read the full list in the latest Data Mill column.
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Looking to read up on data ownership? Look no further. SearchCIO expert Harvey Koeppel discusses how digital business has made data ownership a CIO priority and offers eight ways to keep pace with the data ownership. Meanwhile, SearchCIO expert Niel Nickolaisen provides a data ownership manifesto for modern times.
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IT transformation leader Derek Lonsdale recently gave a webcast presentation on shadow IT (aka renegade IT) that can be seen in five parts on SearchCIO. In part one, Lonsdale gives four tips to reduce the use of shadow IT and minimize its impact. In part two, he discusses how to fix broken IT service management processes. In part three, he details the importance of thinking in terms of business outcomes rather than technology. Parts four and five of this webcast series are coming soon.
Is the chief digital officer’s star being eclipsed by the chief data officer’s? On the TotalCIO blog, Senior News Writer Nicole Laskowski discusses the less-acknowledged demand for chief digital officers. Also on TotalCIO, Laskowski further explores the chief data officer’s place in IT and analyzes Gartner’s statements that the chief data officer is an IT ally, not an antagonist.
On the CIO Symmetry blog, Sales examines the correlation between how much small and medium-sized businesses use mobile applications for work and how that impacts their productivity or business growth.
Over on SearchCompliance, GRC Expert Jeffery Ritter gives tips for modern companies on reexamining data governance and classification in the digital age. Plus, SearchCompliance contributor Caron Carlson details lessons learned from Bio-Rad’s FCPA compliance snafu. In addition, the latest SearchCompliance handbook on the best records management strategies is up on the site.
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Is there a correlation between how much small and medium-sized businesses (SMBs) use mobile applications for work and their productivity or business growth?
IDC surveyed 744 U.S. SMBs (the number of respondents was split evenly between the two groups that make up that sector) to get to the bottom of that question. According to the analyst firm’s 2015 U.S. SMB Mobile Application Usage Survey, conducted in August 2014, there does appear to be some correlation, at least in the small-business group: “Outperforming” small businesses (those with 1 to 99 employees), or those that reported net gains in revenue in the past year, were 6% more likely to use tablet apps and 13% more likely to use smartphone apps than the market average.
Interestingly, however, outperforming midmarket firms (100 to 999 employees) were only slightly more likely to use mobile apps than the average, indicating no correlation. One conclusion that can be drawn from this, according to Chris Chute, research vice president at IDC: Medium-sized firms are more similar to larger enterprises when it comes to how they consume mobile software and services.
But this apparent correlation between revenue growth and mobility has less to do with application usage than how these outperforming SMBs have positioned mobility and mobile development as a strategic priority, said Chute. “For U.S. SMBs, those that are growing the top line are more likely to have prioritized mobile strategy development in 2015 than the market average,” wrote Chute in a presentation on the survey. The stats: Outperforming small businesses are 58% more likely than the average to prioritize mobile support as a critical spending priority; midsized outperformers are 60% more likely to do so. This shows that SMBs’ attitude toward mobility as a strategic priority is evolving, said Chute. While in the past SMBs were viewed as lacking the need or means to deploy a companywide mobile infrastructure, the advent of smartphones and BYOD changed all that: “Enterprise mobility management vendors emerged, offering customers a cloud-delivered service that could provide basic MDM capabilities for Android or iOS devices,” he wrote.
The survey homed in on SMBs’ tablet app usage between 2013 and 2014, because IDC considers the tablet the most disruptive end-user computing device. The following are key findings in the firm’s analysis of the fastest-growing apps:
- While midsized businesses tend to use tablet apps more than small businesses (average usage rate of 35% versus 17% for the latter), the number of these apps used by small firms has risen from 3 to 4 in the past year.
- Besides email and personal productivity functions, payment functions were among the strongest apps used on tablets for both groups (meaning they were above the average app usage rate). IDC concluded from this that tablet apps resonated with small and medium-sized businesses in the retail industry in particular to help mobilize and enable their sales staff.
- For small businesses, email, industry-specific/customized, office productivity and IT asset management apps are among the fastest-growing applications.
- For midmarket firms, office productivity, payment, engineering, accounting and ERP apps are the fastest-growing tablet apps.
There are many insights to be taken from this data, IDC concludes. One, the growth in industry-specific apps, particularly with small firms, indicates that IT innovators (those that embrace new IT) are finding business value from using tablets for industry-specific functions, according to Chute. And midmarket firms are turning to tablets for their advanced computing capabilities.
What can SMB CIOs take away from these findings? For starters, they should view mobility as a way to drive productivity levels higher, not as a security risk. Which doesn’t mean you should totally ignore those risks, Chute said. “The cost of hardware ownership can be very low, and by owning the devices companies can ensure higher levels of security,” he wrote me in an email. Because refurbished tablets, for example, are relatively inexpensive and powerful enough to run customized applications, owning these devices (rather than letting employees use their personal devices) and thus lowering levels of security risk are now within SMBs’ reach.
At the same time, such devices can help SMBs enable their role-specific employees, such as those in outbound sales or field force, and make them more productive. “[Connected devices] ensure more timely and accurate order taking and fulfillment and take payments at the time of service,” he said.