Navigator: AdvaMed & Health 2.0 Conferences

At Lodestone, we want to bring our readers information that is relevant and meaningful to the magical intersection of healthcare, technology, and life sciences.

Lodescore, our new innovative conference tracking and business intelligence tool, helps to surface and connect news with activities happening at conferences It is being called ‘the consumer reports’  and ‘moneyball’ on conferences. If you haven’t done so already, you should check it out!

Now, back to the news! Here’s just a taste of what’s happened in the past week….

Warm Regards,

Kristin Eilenberg
Founder and CEO
Lodestone Logic

 

News In The News
Distilling Noise into Specific Signals


California welcomed an influx from the healthcare and technology sectors from the AdvaMed 2015conference in San Diego, and the Health 2.0 9th Annual Fall Conference in Santa Clara.

Medical Devices

AdvaMed is also in the news for pursuing a repeal of the Obamacare Tax on medical devices. Spending has remained consistently low on medical devices over the years, according to Stephen J. Ubl, CEO of AdvaMed. A poll by AdvaMed of its member companies revealed that not only does the tax hurt spending on R&D it has also slowed hiring. Ubl has long been a thought leader and advocate for public policy and health care, and will take the reins as President and CEO for PhRMA in 2016.

The importance of medical device development to improve patient care cannot be underestimated. The FDA announced on October 5, 2015 that it had expanded indication for a medical device to treat patients with brain cancer. Glioblastoma Multiforme, or GBM, accounts for around 15 percent of all brain tumors and is typically resistant to standard treatment options.

The device, named Optune and created by Novocure, is portable and can be powered either by batteries or an outlet, and can be used independently by patients. Optune targets and prevents the division of cancer cells in the brain using TTTFields and can extend patients survival by a few months.

With last months’ scare revealing that medical devices can be hacked, companies are facing increased challenges to develop new devices and technologies. These concerns were discussed during AdvaMed 2015 at a panel led by Melissa Masters from Battle titled, The Hidden Life of Devices: Cyber security and Embedded Medical Devices.

Evolution of Healthcare

With the efficiencies gained with the adoption and integration of technology, there are new ways to conduct the business of healthcare and reduce administrative costs.  CEO of PokitDok, Lisa Maki, announced at Health 2.0 that PokitDok is doing away with transactional charges with payers that normally get coupled with insurance enrollment, eligibility checks, claims processing, and more. “The cost of moving data from point A to point B and automating what used to be done with a lot of legacy technology is close to zero,” Maki Said. “We want to start passing that savings back to all of you.”

U.S. Surgeon General, Vice Admiral Vivek H. Murthy also encouraged the evolution of healthcare in his Health 2.0 Keynote address by stressing the importance of moving our focus from treating disease, to preventing disease. Murthy tweeted that “Innovation and Technology can help us ensure that every man, woman, and child has a fair shot at good health.”

HIMSS 2015

Navigator 63 – HIMSS 2015 – Interoperability – Meaningful Use – New HIT Partnerships

Such a great HIMSS 2015 meeting last week! We learned so much, connected with old and new friends, and really soaked in the fact that healthcare is finally embracing technology and data! We had some fun as well, check out our HIMSS 2015 photos and tweets @keilenberg and @ll_insights. This week’s News highlights a few of the the hot HIT topics during the conference.

Good luck (and, be safe!) to all of our friends going to Interop 2015 next week!

Warm regards,

Kristin Eilenberg
Founder and CEO
Lodestone Logic

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News In The News
Distilling Noise into Specific Signals


As expected, there was a lot of Health IT news before, during, and after HIMSS 2015 last week. Hot topics include: the IBM Watson Health Care Cloud, new partnerships, interoperability, and meaningful use.

Interoperability:  In response to the outrage generated by certain vendors blocking data exchange and charging high fees for data release, EPIC Systems, Cerner, and AthenaHealth have at least temporarily suspended fees for information exchange.  To date, the Federal Government has invested $28 billion to promote health IT in hospitals and practices.  The ONC is working with the FTC to address information blocking.

During the closing keynote at HIMSS 2015, National Coordinator for HIT Karen DeSalvo, M.D., called for public and private sectors to work together on interoperability so that “Together, we can achieve our vision. We are in reach of every American having access to their health records, when and where it matters.”

Meaningful Use: The significant easing of meaningful use requirements proposed by the feds just prior to HIMSS was hotly contested by some at the conference.  The proposed rule reduces the required number of patients that actually access their records from 5% to just 1 patient.  Patient advocates are now calling for a ‘day of action’ or #DataIndependenceDay in which patients request their health records from all of their healthcare providers.

Partnerships

Places Places To Be
Mapping Connection and Content Opportunities


What are you scared of? 4 Real Reasons People Fear Success

Seriously. What are you scared of?

It’s a simple question that shocks people when I ask it.

I am a very positive and upbeat person. I really enjoy helping people succeed – in business and in their personal lives.  And, I am so fortunate that people trust me with their stories and helping them figure out pathways forward.

Recently, I have found that some of my most confident and successful friends are facing challenges and are getting stuck in ruts.

It’s not because they do not know what to do, it’s because they are holding themselves back.  When I ask all of the typical questions – What do you want to accomplish? What are the assets and tools that you have at your disposal to get to that goal? What’s missing? Who do you have on your ‘bus’? Are they the right people? Who needs to be with you? How are you going to convince them to take a seat? – They’ve got the answers.

Yet, something is holding them back.

They are struggling.

That’s when I ask, “What are you scared of?” The question has the effect of putting electrical panels to a person’s chest and shocking their heart. So simple, yet, it makes the person turn their focus inward. It’s not about external tactics. It’s about them. Makes them ponder what’s really happening.  Getting in touch with the core of their struggle.

My first inclination is to assume that they fear “failure”. Right? Make sense?  Don’t we all fear failure on some level?

If I had bet on it, I would have lost some money.

My friends and colleagues are NOT scared of failure.

It’s the polar opposite.

They fear “success”.

Crazy, right? Success.

I am not a certified therapist of any type, but I get this.

I’ve been there. On the edge of leaping into something that I knew would be successful. More times than not, I overcome the ‘fear of success’ and go ahead and jump… Make it happen. Get shit done.

Yet, I get it. I have had my moments where I relented to the instinct to push pause. Held back. Didn’t push forward even though every bone and muscle wants to move. I still shake my head when I think of those moments. Should’ve, would’ve, could’ve.

Why the sudden inertia forced on myself? How could the thought of ‘success’ immobilize me or any other person?

The reasons may be shocking. Based on my own experiences and what I’ve been able to glean from discussions with friends and colleagues, there are a few things… 

1. Scared of exposure

Success typically means that more people know about you. Know about your skills and abilities. Exposure is a blessing and curse. Your network expands; now, you’ve got connections to do even more! New opportunities surface and, it usually means an increased work load.

2. Scared of being promoted

Having a quantifiable success under your belt typically means that you are going to move up in an organization. If you are not prepared for this type of move up, it creates anxiety until you get the new lay of the land and really rock it out.

3. Scared of abandoning the baby

In many cases, this fear comes from being separated from work that they started. It’s their baby. They feel an obligation to care for it. However, if they succeed, they may get expanded responsibilities and their baby will be handed to someone else. That someone else may not nurture and care for the baby the way that the originator would’ve.

4. Scared of the lack of future success

What if I don’t have another successful idea or project? What if this is where I top out? I have found that the fear of not having another success stops people in their tracks. Many people would rather slow burn something then be seen as a spark or flame that burns hot and fast, but doesn’t sustain.

 

Many of my friends know that none of these fears hold water with me. Yes, I’ve been there. I let these fears influence me. I pushed pause. However, when I think of those moments, I regret not taking the leap. Getting out of my own way.

Life is uncertain. Believe in yourself. Don’t let the fears keep you from realizing your potential and achieving the success that is at your fingertips.

What are you really scared of?

 

 

Data

Ode to Data

Data. Data. Data…

Each week the news covers stories about ‘data’. A new sensor or technology to pulls data that we’ve never been able to gather before. A data breach or theft. New ways to view and analyze data. New data laws and regulations. The announcements and innovation keep coming. At Lodestone Logic, we are tracking all of these things, help our clients make sense of it all, and then DO something about it.

Last summer when the EU announced their open clinical trial data initiative, I was impressed. But, inspiration truly struck this week with the announcement that the FDA launched an open data API to over 3 million adverse events that have been reported since 2004.

It is a dawning of a new data age. The silos built in yesterday will slowly fade away. The creation of interoperable data networks to advance science and move us to treatment for  n=1 is on the horizon. It’s both exciting and scary.

And, I just couldn’t resist, I wrote an Ode to Data:
Data here
Data there
Data is everywhere

Some people do not realize
They produce volumes of data each day
There is no such thing as ‘off the grid’

You have consented to share
Mobile phones, social networks, rewards programs, fitness tracking, internet searches
In the name of connectivity, discounts, and public safety

Data is being collected, aggregated, used
On a network and in the cloud
Open or closed

Ubiquity, portability, interoperability
We are all becoming natives
Creating daily footprints that are unique and identifiable

Using data at this scale is new
Opportunities and benefits are just being realized
Uncontrolled and unprotected, data is scary

Privacy and “being forgotten” is all the rage
Data anonymization, pseudonymisation, encryption
Five data points is all that it takes to re-identify

Data is good – customized and valuable life experiences, family, retail, and health
Data for bad – manipulation, theft, and restricting access to services
Lines between access and control will take time to sort out

Big data, little data
Opportunity, threat
Data is helping us make sense of our chaotic and wonderful world

Data here
Data there
Data is everywhere

TEDx Talk – WANTED: Intrapreneurs for Digital Health (2nd post)

Writing this TEDx Talk was one of the hardest things that I’ve ever done. I was speaking to an internal audience at my former employer, Eli Lilly. And, even though I am no longer with the company, there is still a soft spot in my heart for it. It is where I spent 14 wonderful years of my career doing awesome stuff, meeting and working with phenomenal people, and learning and growing my own skills and abilities.

I wanted to make sure that my TEDx Talk inspired every single person to tap their intrapreneurial selves, mobilize, and leverage all of the digital health technologies that are available to truly transform their businesses.

This is how I did it…

WANTED: Intrapreneurs for Digital Health

Have you ever sensed that you were on the pathway of being fired? Well, about mid-way through my career at Lilly, I sensed it.

Let’s just say that things weren’t copacetic with me and my boss. I really thought that I was on the verge of being escorted out.

And, the product that I was working on was decommissioned; this always happens in R&D, but it is still hard to cope with.

So, I felt that my choice was to leave Lilly or just find a job where I could lay low for awhile… and many of you know that I don’t lay low well.

A friend of mine suggested that I consider moving to a new division and she helped set up an interview.

It was a dreary rainy March afternoon. I was sitting by myself in the newly opened building 75.
My interviewer was late.

As soon as he arrived, he looks me straight in the eyes and said…
“I have done my diligence on you. I hear that you are a troublemaker and that you challenge authority. You are not always easy to work with, but you figure out how to get things done.”

Here, I am thinking… Is this an interview or am I getting fired? But then he turned it around…

“And, if you don’t continue to behave like this, then I don’t want you reporting to me.
Any questions? We good?”

And, that was it.

I honestly didn’t know what had just happened. I sat there stunned and wondering if he really meant it. Me?

Getting to do what I do and be accepted for it? That’s just crazy talk.

Even against some of my friend’s advice, I took the job.

He was true to his word…Intrapreneur

I worked with him for 5 glorious years. During that time, I came to own the fact that I am an ‘intrapreneur’.

No, that is not misspelled. Even though in Word, PowerPoint, and even in email a red squiggly line appears underneath it. It is Intrapreneur.

So, the big question is: Are you an Intrapreneur?

Are you an intrapreneur?If you answered, ‘yes’ to at least 3 of those questions… then this Talk is for you. If you answered, ‘no’, then I want you to come on a journey with me and try to find your inner-intrapreneur. Because I know that it is there…

Even though I do not have my Lilly badge anymore, I am one of Lilly’s and the pharma industries biggest fans. I have told people that I have bled the Lilly red – pantone 485. The promise of the types of innovations that you can bring to the market is so exciting!

And, I know, first hand, how hard it is to make change happen within these walls. To do things differently. I’ve had my head lopped off and my knees taken out many times. I have been told “no”, “never going to happen”, “not here at Lilly”.

I get it.

The pharma industry has a bit more responsibility than a start-up launching a photo application.

We work in a regulated environment. We have layers upon layers of SOPs and rules. We want to make sure that all risks are mitigated… People die or have bad side effects if our products are not used correctly or don’t work the way that we claim …

And, yet, we make people’s lives better through our innovations. We help survive horrible diseases and make people well. It’s pretty darn awesome.

What’s frustrating is when there are ripe opportunities to innovate, to streamline their business, and better connect or create better patient experiences, many times all I hear are the excuses why we should pass on those opportunities… hold back. Let others take the risk.

But, in this world, if you are not the one taking the risks, then the real risk is that you will not be in business in a few years. You will become obsolete. Non-competitive.

Now is the time to re-evaluate and realize the potential of all of the things that are happening in digital health.

So, what exactly is digital health?

Digital health is the intersection of health, wellness, and technology – it’s hardware devices + software + data in the sectors of health and pharmaceuticals …

Example…

Proteus. Proteus is an innovation where an RFID mechanism is embedded into a pill. Once the pill is consumed, the RFID is activated. Biometric data that is produced for the 30 minutes Proteusafter it is swallowed. How could this innovation influence the pharma sector – wouldn’t this allow for better tracking of patient adherence, both in clinical trials as well as in real life? Patients couldn’t cheat. We’d really know if they were taking their medicines… maybe our statisticians wouldn’t have so much ‘noise’ to work through… Plus, wouldn’t the biometric data help increase the understanding about how the drug is metabolized and processed by the body? Combine this data with genomic information, and would this help us to understand why some people are responders while others are not?

I could shower you with stats for digital health

Digital Health Stats

The thing is – it’s not about the idea of digital health. An idea is just an idea. Execution is the key to realizing the true value of an innovation.

And, it is going to take really smart business intrapreneurs to figure out how digital health opportunities can be realized in the pharma sector.

Why intrapreneurs? Because intrapreneurs know the business problem that needs to be solved and are willing to challenge the status quo to test new/different ways to solve the problem.

It’s not easy being an intrapreneur. But, I will gladly claim that business evolution and change happens only because of intrapreneurs. They are the secret sauce to effective organizations that evolve and change.

How do I know this? Well, I was so curious about this topic that I did my own research and documented my findings in an eBook: The Business Intrapreneur: Unsung Heroes of Corporate America.

Are you an intrapreneur?Now, I am going to share with you the 4 things that you need to do to be a successful intrapreneur. The first 3 are no brainers… :

1) Do their day job. Do it so well and without issue that when your approach your management with your digital health ideas, they don’t even flinch. You have a proven track record and they know that you will be able to handle your day job in addition to the other tasks/responsibilities. All of the people that I interviewed were high performers and had substantial internal personal equity within their organizations; they cashed in this equity to be able to innovate.

2) Invests in their ideas. Don’t just show up and say that you want to do something. Do your homework – has this idea been done before? Did it work? If so, do you want to repeat it? If not, how did it fail? Could you improve on it and make it happen? It may surprise some folks, but I always consulted with legal and regulatory advisors prior to embarking on a ‘thrill seeking’ project. I would do my homework. I would review all of the CFRs, ICHs, etc… and make sure that I understood the true boundaries that I needed to adhere too. Then, I’d outline what risks I thought I’d be taking and how I would be mitigating them. It made for more robust discussions and advice + creation of advocates for whatever I was trying to get off the ground

3) Connects with their tribes. Who are the people that ‘get’ what you want to do? Do you know people beyond your direct function? Beyond Lilly? How can they help provide input, support, or resources for the project that you are working towards?

It is the fourth item that is really intriguing:

4) Finds cover… This was an ‘a-ha’ for my research. All of the intrapreneurs that I found talked about ‘cover’ as being an essential element to their ability to operate as an intrapreneur, to innovate, and take risks… the same is true for my experiences at Lilly…

That interview that I told you about… well, He trusted me and my skills to push the boundaries. Take risks. He created a protective space for me to operate. He extended out his own reputation… for me! He’d pull me in when I may have been entering dangerous territories or pick me up and dust me off when I flat out failed.

“Cover” DOES matter.

So, Leaders, don’t just talk the talk about innovation.

Believe in your intrapreneurs, give them cover, unleash them to move this company forward.

The world around us is changing at warp speed. We cannot remain content with our current mindsets and the technologies that we are using. We need to innovation and move to the next business model… This will require strong intrapreneurs…

wantedIntrapreneursfordigitalhealthWANTED: Intrapreneurs for Digital Health

I know that many of you qualify…

So, when are you going to ‘inquire from within’ and fill this position?

TEDx Talk – The Opportunity and Journey

It is a bold statement, but I believe that TED Talks are transforming the way that we learn. They are bite size live presentations made at a TED or TEDx events. In less than 15 minutes, the speaker delivers their unique perspectives, challenges to conventional wisdom, and/or rock our worlds with science and technology innovations. These presentations are video taped and then released to the world to consume, share, and discuss. There’s a TED website, channel, apps… They have really found a way to ensure that this information gets out.

A few months ago, I received a short email from a friend at Eli Lilly, my former employer. It was titled, “greetings, have an opportunity for you”.Tedx Lilly

They invited me to be a speaker for the private and corporate-wide TEDx event that they were organizing. They wanted me to focus on “digital healthcare evolution.” My life is helping organizations seize the opportunities in digital health/technology, data, healthcare, pharmaceuticals in the midst of regulations and budget constraints… it was a no-brainer. Of course, I accepted the invitation to speak.

As I look back over the past few months leading up to the presentation, I am now very aware of what it takes to create a TED Talk. And, it ain’t easy. It’s a lot of work with some serious self-reflection. A lot. Quite honestly, when I accepted the invite, I was naïve and had no clue what I had just signed up to do.

I am a perfectionist. I work hard. My goal is to always deliver more than people expect. It is just who I am. But, working on this talk was like having an operating system always running in the background; I was thinking about my talk during client meetings, meals, before I went to bed, when I woke up, etc. I aspired to make the talk relevant, educational, entertaining, and inspiring.

I had an outline. I knew what I wanted to share. It felt good. I compiled some statistics and trends that are influencing the opportunities and impact of digital health.

Everything seemed to be in place…

Yet, about a month before the TEDx event, it hit me… They are giving me a huge opportunity to address the entire company. I realized that I wanted to say so much more. And, it didn’t involve a talk solely on digital health.

What I really wanted to talk about was how it is going to take every single employee to realize the opportunities that are before them, take “risks”, and truly transform the way that pharmaceutical products are developed and commercialized.  They needed to stop making excuses, tap their intrapreneurial skills and capabilities, and ‘do.’

During a prep call with one of the event organizers, I made the request to alter the focus of my talk. I could hear the hesitation in his voice, but he said that he would need to check and would get back with me. Fortunately, the next day he confirmed that I could slightly adjust the focus of my talk.

This is when the rubber hit the road. My new goal was to mobilize an intrapreneurial army from within Lilly towards digital health.

I only had a few weeks to get the message just right.

I titled the talk: WANTED: Intrapreneurs for Digital Health.

What did I include in my talk? Unfortunately, since this TEDx was a private event to only Lilly, my video won’t be available publicly on the TED channel. However, my promise is that my next post will share my TEDx materials with a summary of what I talked about.