Comments on: Collective Intelligence: The Network is Nirvana http://blog.crossoverhealth.com/2008/01/28/collective-intelligence-the-network-is-nirvana/ The Next Generation of Health Care Fri, 26 Feb 2010 06:55:13 +0000 http://wordpress.com/ hourly 1 By: Open Letter to Athena: Open Up the Afterburners « Crossover Healthcare http://blog.crossoverhealth.com/2008/01/28/collective-intelligence-the-network-is-nirvana/#comment-1265 Open Letter to Athena: Open Up the Afterburners « Crossover Healthcare Sat, 05 Sep 2009 09:46:25 +0000 http://crossoverhealth.wordpress.com/?p=105#comment-1265 [...] but for the entire ambulatory care space which doesn’t seem to readily get the value of the collective intelligence inherent in the [...] [...] but for the entire ambulatory care space which doesn’t seem to readily get the value of the collective intelligence inherent in the [...]

]]> By: Whats the new spelling for the AMA? S-E-R-M-O « Crossover Healthcare http://blog.crossoverhealth.com/2008/01/28/collective-intelligence-the-network-is-nirvana/#comment-1100 Whats the new spelling for the AMA? S-E-R-M-O « Crossover Healthcare Fri, 03 Jul 2009 07:20:04 +0000 http://crossoverhealth.wordpress.com/?p=105#comment-1100 [...] I am generally very much in favor and supportive of what Sermo is doing. In fact, I believe the collective intelligence within the network is a wonderful place to harness the cognitive surplus of physicians. Moreover, [...] [...] I am generally very much in favor and supportive of what Sermo is doing. In fact, I believe the collective intelligence within the network is a wonderful place to harness the cognitive surplus of physicians. Moreover, [...]

]]> By: Shad Wheeler http://blog.crossoverhealth.com/2008/01/28/collective-intelligence-the-network-is-nirvana/#comment-214 Shad Wheeler Tue, 12 Feb 2008 19:59:37 +0000 http://crossoverhealth.wordpress.com/?p=105#comment-214 Scott, you are right on the mark about the impact Athena is having with their approach. I actually have a start-up that is similar to Athena except we are a pure subscription. However we designed our system to have the network effect. Much like Athena, the more users we have the more powerful and useful our service becomes. It really is amazing to me how far behind healthcare is in adopting new technologies. Hopefully we will see more of us entrepreneurs changing that and creating new and exciting services that will help solve the many problems facing our health care system. Keep up the great writing. Scott, you are right on the mark about the impact Athena is having with their approach. I actually have a start-up that is similar to Athena except we are a pure subscription. However we designed our system to have the network effect. Much like Athena, the more users we have the more powerful and useful our service becomes. It really is amazing to me how far behind healthcare is in adopting new technologies. Hopefully we will see more of us entrepreneurs changing that and creating new and exciting services that will help solve the many problems facing our health care system.

Keep up the great writing.

]]> By: scottshreeve http://blog.crossoverhealth.com/2008/01/28/collective-intelligence-the-network-is-nirvana/#comment-198 scottshreeve Fri, 01 Feb 2008 18:00:07 +0000 http://crossoverhealth.wordpress.com/?p=105#comment-198 John, I appreciate your comment. Welcome to health care! We are typically 5-7 years behind other industries when it comes to the adoption of business technologies. Heck, we have people who are thrilled to even be able to SEND an email to their physicians, let alone understand the implications of the SaaS model within health care. Athena IS unique in bringing this knowledge from other spaces into health care. It is also the first time in health care information technology that someone has developed this type of network. It has huge ramifications within health care to help address many of the problems we are currently dealing with - cost, quality, outcomes, efficiency, discoordination, etc. John,

I appreciate your comment. Welcome to health care! We are typically 5-7 years behind other industries when it comes to the adoption of business technologies. Heck, we have people who are thrilled to even be able to SEND an email to their physicians, let alone understand the implications of the SaaS model within health care.

Athena IS unique in bringing this knowledge from other spaces into health care. It is also the first time in health care information technology that someone has developed this type of network. It has huge ramifications within health care to help address many of the problems we are currently dealing with – cost, quality, outcomes, efficiency, discoordination, etc.

]]> By: John http://blog.crossoverhealth.com/2008/01/28/collective-intelligence-the-network-is-nirvana/#comment-197 John Fri, 01 Feb 2008 17:01:16 +0000 http://crossoverhealth.wordpress.com/?p=105#comment-197 Scott, What aethna is doing is really not all that unique r as special as you make it out to be. Maybe athena is special for HIT, but in the bigger galaxy/world of business IT, no it is not for they are but replicating the model that Salesforce.com is using in the CRM space. Like the competitors of Salesforce (eg SAP, Oracle, former Siebel, etc. who have all introduced their own hosted, SaaS with very limited success) the same will hold true for HIT vendors that athena is competing against as these competitors will run into a couple of significant issues. First, moving from a traditional sales and distribution model of license with follow-on maintenance revenue to an annuity stream, ala SaaS, wrecks havoc with the sales force, particularly compensation plans. It also creates havoc on how one recognizes revenue as you move to an annuity stream, which to date Wall St has shown mixed feelings about. Secondly, is the re-architecture of the software itself to be delivered as a hosted solution for it takes far more than simply loading the software on to a Web server. My belief is that to be successful with an SaaS offering, you need to begin from scratch and build the software from the ground-up to serve in a hosted environment. I do like athena's model and they will see continued success in small practices and hoave plenty of opportunities to extend their platform to serve this very under-served market. Where they may begin to hit some speed bumps, though, is scaling up to serve larger enterprises and become part of a broader network. Scott, What aethna is doing is really not all that unique r as special as you make it out to be. Maybe athena is special for HIT, but in the bigger galaxy/world of business IT, no it is not for they are but replicating the model that Salesforce.com is using in the CRM space. Like the competitors of Salesforce (eg SAP, Oracle, former Siebel, etc. who have all introduced their own hosted, SaaS with very limited success) the same will hold true for HIT vendors that athena is competing against as these competitors will run into a couple of significant issues.

First, moving from a traditional sales and distribution model of license with follow-on maintenance revenue to an annuity stream, ala SaaS, wrecks havoc with the sales force, particularly compensation plans. It also creates havoc on how one recognizes revenue as you move to an annuity stream, which to date Wall St has shown mixed feelings about.

Secondly, is the re-architecture of the software itself to be delivered as a hosted solution for it takes far more than simply loading the software on to a Web server. My belief is that to be successful with an SaaS offering, you need to begin from scratch and build the software from the ground-up to serve in a hosted environment.

I do like athena’s model and they will see continued success in small practices and hoave plenty of opportunities to extend their platform to serve this very under-served market. Where they may begin to hit some speed bumps, though, is scaling up to serve larger enterprises and become part of a broader network.

]]> By: Mark Frisse http://blog.crossoverhealth.com/2008/01/28/collective-intelligence-the-network-is-nirvana/#comment-196 Mark Frisse Thu, 31 Jan 2008 03:41:32 +0000 http://crossoverhealth.wordpress.com/?p=105#comment-196 One of the best syntheses I have read. Thank you very much. Mark One of the best syntheses I have read. Thank you very much.

Mark

]]> By: Vince Kuraitis http://blog.crossoverhealth.com/2008/01/28/collective-intelligence-the-network-is-nirvana/#comment-189 Vince Kuraitis Tue, 29 Jan 2008 15:05:32 +0000 http://crossoverhealth.wordpress.com/?p=105#comment-189 Scott, Very insightful. If we can use the collective intelligence of the network to do all this to enhance physician business operations, imagine the opportunities in using the collective intelligence of the network to improve clinical care. Scott, Very insightful. If we can use the collective intelligence of the network to do all this to enhance physician business operations, imagine the opportunities in using the collective intelligence of the network to improve clinical care.

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