Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone
A Health, Social Media and Technology blog by Mark Scrimshire (@ekivemark), Chief Instigator of HealthCa.mp - Empowering Health Care Engagement.
Wednesday, March 31, 2010
Friday, March 12, 2010
#whccic John Bigalke - Deloitte talking on Innovation and Creativity - survive and prosper in an uncertain health economy
More real-time notes from World Health Care Congress Innovation Congress John Bigalke: People define innovation differently. What does Innovation mean given where Health Care is in its life cycle. Innovation and Creativity - A Recipe to Survive and Prosper in an uncertain health economy AND should be OR - survival is very different mindset from prospering. Economy should be the 3 E's Economy, Environment and Ecosystem. Think Differently! John showed organizational characteristics with two halves of the life cycle [Editor Note: I think he missed the 3rd half - The declining period] Innovation is trying something people have not done before. A disruptive innovator has nothing to lose. Once they get a market they have something to lose. Then they reach the drive to sustain/tweak/survive. The core of the HealthCare industry is in the sustain mode. - HealthCare is Stagnant
- ROI is difficult to measure
- Focus is on the legacy needs of the constituents
- Unable to influence the behavior of others in the system Elements of Reform: More than the congressional legislation
There is already reform taking place at the state level. ICD-10 is underway. ARRA is kicking in.
Private employers are pushing initiatives (Editor: eg. Dossia)
Medicare implementing Episodic payments in 2013. 4 tiers of investment going on: 1. Health IT (1. e-prescribing 2.fraud detection 3.. administrative simplification 4. care coordination)
2. Comparitive effectiveness (personalized medicine, bundled payments,3. Primary Care 2.0
4. Consumerism Check out deloitte.com and check out industry landscape. A complex diagram that maps drivers, obstacles and enablers and this creates convergence opportunities. Obstacles: - risk
- embedded interests The key elements of reform are:
1. Consumerism
2. Comparaitive Effectiveness
3. Coordination of Care
4. Health Care IT Expanding the horizons of care:
- Medical Tourism
- Retail Clinics
- Remote Monitoring/Smart Homes
- Mobile Technology
- Virtual Visits States will have to change. They are dealing with many different issues that are inter connected.
The Wellness view "Wholistic"The most appropriate conversations happen at the point of care. Accountable Care Organizations are emerging and will be influential.
Data is a gold mine. The greatest asset that is not on the payer's balance sheet.Social Media - progressive organizations are embracing social media. Most in the industry have an inside-out view. But Web 2.0 is about the engaged individual. The iPhone as the newest competitor. [Editor: amen to that - Africa runs rings around us in the use of SMS Text on the simplest phones. The future requires us to be flexible. in order to handle uncertainty.
- ROI is difficult to measure
- Focus is on the legacy needs of the constituents
- Unable to influence the behavior of others in the system Elements of Reform: More than the congressional legislation
There is already reform taking place at the state level. ICD-10 is underway. ARRA is kicking in.
Private employers are pushing initiatives (Editor: eg. Dossia)
Medicare implementing Episodic payments in 2013. 4 tiers of investment going on: 1. Health IT (1. e-prescribing 2.fraud detection 3.. administrative simplification 4. care coordination)
2. Comparitive effectiveness (personalized medicine, bundled payments,3. Primary Care 2.0
4. Consumerism Check out deloitte.com and check out industry landscape. A complex diagram that maps drivers, obstacles and enablers and this creates convergence opportunities. Obstacles: - risk
- embedded interests The key elements of reform are:
1. Consumerism
2. Comparaitive Effectiveness
3. Coordination of Care
4. Health Care IT Expanding the horizons of care:
- Medical Tourism
- Retail Clinics
- Remote Monitoring/Smart Homes
- Mobile Technology
- Virtual Visits States will have to change. They are dealing with many different issues that are inter connected.
The Wellness view "Wholistic"The most appropriate conversations happen at the point of care. Accountable Care Organizations are emerging and will be influential.
Data is a gold mine. The greatest asset that is not on the payer's balance sheet.Social Media - progressive organizations are embracing social media. Most in the industry have an inside-out view. But Web 2.0 is about the engaged individual. The iPhone as the newest competitor. [Editor: amen to that - Africa runs rings around us in the use of SMS Text on the simplest phones. The future requires us to be flexible. in order to handle uncertainty.
Tuesday, March 09, 2010
Apple Change Quietly Makes iPhone, iPad Into Web Phones | Gadget Lab
Apple updated the iPhone software development kit on Wednesday to allow internet telephony apps to work on the 3G network. The little-noticed move effectively unlocks the ability for the iPhone — and the upcoming iPad — to be used as web phones.
ICall, a voice-over-Internet Protocol (VOIP) calling company, said the latest revisions in Apple’s iPhone developer agreement and software development kit enable the iPhone to make phone calls over 3G data networks. ICall promptly released an update to its app today, adding the 3G support.
Because the iPad includes a microphone and will run iPhone apps, that means the tablet will gain internet telephony, too.
The FCC on Thursday issued a statement applauding Apple’s policy change.
“I commend Apple’s decision to open its platform to 3G calling, an action that will create new opportunities for entrepreneurs and provide more choices for consumers,” said FCC Chairman Julius Genachowski.
Previously, Apple’s policy had prohibited VOIP functionality on 3G networks — Skype, for example, was crippled so that its voice calling capabilities would only work over a Wi-Fi connection. The only way to use VOIP iPhone apps over 3G was by hacking (i.e., jailbreaking) the device.
Apple and AT&T had a secret agreement to ban apps that would let iPhone users make phone calls using the 3G data connection to prevent cutting into AT&T’s profits. That agreement was revealed in summer of 2009 when the FCC asked Apple and AT&T to explain why Google’s Voice app was rejected from the iPhone store.
After the FCC announced it was planning to extend internet openness rules to mobile networks, AT&T in October 2009 announced it would extend VOIP to 3G networks for the iPhone.
It appears that AT&T’s policy change is only now coming into effect, beginning with iCall and a few other VOIP apps that can now work with 3G.
At the same time, however, Apple has put in a roadblock to true 3G openness, because most phones’ SIM cards won’t fit in the iPad’s unusual micro SIM slot.
“I applaud Apple’s decision to allow iCall to extend its functionality beyond Wi-Fi and onto the 3G networks,” iCall said in a press statement. “This heralds a new era for VOIP applications on mobile platforms, especially for iCall and our free calling model. I hope that now more developers will begin using our VOIP as a platform to integrate VOIP into their applications.”
Though VOIP services offer cheaper calling plans to consumers, Tero Kuittinen, an MKM Partners telecom analyst, said the impact of VOIP on the telecom market won’t be immediate. He noted current VOIP technologies suffer from poor voice quality compared to traditional cellular calls, and with the current state of network congestion, it’s not going to get much better anytime soon.
“There’s a handful of kids who have always wanted to just make their voice calls on VOIP, but regular consumers have not been very excited about it,” Kuittinen said. “With voice over IP over 3G, the quality isn’t going to be there for quite some time.”
He added that VOIP will probably be much more popular when telecom companies roll out their faster fourth-generation networks, dubbed Long Term Evolution.
The move won’t necessarily change things for the famously rejected Google Voice app for the iPhone. Google Voice lets users channel all their calls through a single Google Voice number, which offers cheap international calls, free long-distance calls, free text messaging and voicemail transcription.
Google Voice is not a VOIP service. The calls are placed on a cell connection and use the minutes on a mobile phone. Circumventing Apple’s blockade, Google recently released a web-based version of Google Voice, which can be accessed through the iPhone browser. But that web-based version of Google Voice still depends on the iPhone’s telephone app to actually place the calls.
Google did not have an announcement regarding Google Voice in light of Apple’s new policy.
“We haven’t heard any updates regarding our native app for the iPhone,” a Google spokeswoman said.
Many have speculated that Apple would not allow Google Voice in its App Store to protect its partner AT&T’s profits. When asked why Google Voice was rejected, AT&T said it had no part in the decision, and Apple said it had not rejected the app and was still examining it.
Apple has been considering the Google Voice app since at least July 2009.
Photo: Jon Snyder/Wired.com
See Also:
- AT&T Relents, Opens iPhone to Skype, VOIP
- Fring Announces First Video VOIP for the iPhone — They’re Half Right
- Google Voice Web App Circumvents Apple’s Blockade
- Google Voice Speaks of World Domination
- Google Voice App Rejection: AT&T Blames, Apple Denies, Google Hides
iCall Download Link [iTunes]
via wired.com
Apple needs to make one other change in their SDK. They need to enable background apps. If the VOIP app is running you won't be able to do anything else (unless Apple is implementing dashboard widgets) that can be accessed while another app is running.
Without background apps the iPad becomes no better than a Verizon smartphone while you are talking on the phone.
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