Barry J O'Gorman

Original disruptor reponding to new disruptors. https://lnkd.in/eAaKtAUk Looks like #Amazon responding to arrival and growth of #Temu and #Schein. Watching to see how this plays out. #retail #onlineshopping

https://lnkd.in/e6bPPzKK

'Stay left, shift left' or is this more of a 'shift left'? Interesting piece in Politico 11 May: ‘Hospital’s New Message for Patients: Stay Home’ by Daniel Payne. Obviously the article has a US focus – referencing Medicaid and Medicare and recent bipartisan support for extending cover for telehealth and ‘at-home’ care. Different parties are referencing the benefits: patient has a less gruelling experience, government anticipating reduced costs and broadening access to services (e.g. in remote communities), hospitals seeing a route to ‘balancing the books’ or making a margin. What’s enabling this? Technology and the experience gained during the pandemic. Those with the tech see an opportunity to change the model and leverage the technology to provide some of their services in a home setting (monitoring devices, communications platforms, artificial intelligence). And if they provide an improved patient experience – that’s good too. Whether this development is likely to reduce care costs is debateable. Those who have the capability to deliver this type of service are not looking to reduce their income/ margin – and will look to recover costs of significant investment in new systems and processes. Those who do not have these solutions and skills may be squeezed further or may find themselves buying the required solutions from the bigger players. To me much of this overlaps closely with the ‘Stay Left, Shift Left’ strategy outlined in 2020 (https://lnkd.in/eJaAAw8K). This focused on the urgent need for healthcare transformation through digital adoption to achieve the United Nations Sustainable Development Goal #3: ensuring healthy lives and promoting well-being for all. It highlights the concept of "Stay Left, Shift Left" (SL2), which aims to keep healthy people well and shift patient care from hospitals to community and home settings using digital technologies. Clearly moving toward models whereby services delivered in the home by providers are reimburseable is key to making this happen. Seems like both Republicans and Democrats recognise this in the US. https://lnkd.in/eUd9YvDb #stayleftshiftleft #remotemedicine #healthcare

IT Strategy - key for business. But must be anchored in understanding of the business, the opportunities and challenges, capacity of the business to change. https://lnkd.in/ePmWViSN

https://lnkd.in/etU_w9AQ

Good to see this from Brian Donaldson and Maxol - Nwbridge and Ballycoolin in the first instance. Note the comments in relation to delays in access to power supply and connecting the the grid.

Really liked this from the EDM (https://edmcouncil.org/) - member-driven trade association dedicated to elevating #datamanagement and #analytics as a strategic business priority, founded in 2005. See too many organisations ending up with #data in the #cloud - and then trying to figure out whether they have all of the approprite #controls. these 14 controls would be a good start to the planning process.

Interesting piece from Andrea Koncz (The Medical Futurist). Was thinking about this in an Irish context - and specifically private healthcare. Let's assume the provider incurs additional costs (some combination of capex and opex) in order to incorporate artificial intelligence in a diagnostic process (be that labs or radiology). And for the purposes of this let's assume the patient receives a better service as a result of this - be that faster turn around, increased accuracy, whatever. Need to understand from the provider's point of view, inter alia, whether the relevant personnel (labs, radiographer, radiologist, etc.) are employees, independent provider or contracted service providers. Will the service ultimately cost more or less than the current service - yet to be determined? What will be the attitude of the payor? What will they cover for their members under they various policies? If greater efficiencies ultimately result in a greater volume of diagnostics then the costs will be reflected somewhere in insurance costs for patients. Difficult to say at this stage. In theory if the provider can provide a more efficient, improved quality service in the long term should not cost the patient more - in fact may lead to reduced costs. But, the significant investment required to get there will need to be paid for by someone - and that will, ultimately, be factored into the cost to the patient in some shape or form. Lots to be worked out in terms of cost impact - and, of course, in terms of patient benefit. I wonder will we see patients requesting imaging and independent AI based reporting - whereby a patient attends for the images to be taken and then requests that these are forwarded to, potentially, multiple AI based reporting companies. In parallel may also request/ require a traditional Radiologist report. Interesting questions to arise in reconciling different reporting outputs. Lots to be worked out. https://lnkd.in/gGV_WQCN