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Forrest Duncan's Radio Weblog
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14 January 2003
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Neil says..
Peer-to-peer healthcare
One thing we'd like to do with Radiology Manager is use it as a vehicle to articulate why peer-to-peer is significant for healthcare. It basically revolves around various key concepts:
- the team
- real-time communication
- asynchronous computation
- the relative uselessness of search when it comes to harnessing expertise
- eg answering questions such as 'who are the top 3 experts in the world on glomangioma and are they on line right now?'
We'll try and develop our thoughts further ...
[Neil Finlayson's Radio Weblog]
..Well, he would say that, wouldn't he?
Actually, he would .. As it turns out, we believe healthcare is a natural for peer to peer applications in many areas, whilst retaining other applications within a server based model. Actually, I wish we could replace the p2p acronym. I would prefer to have the applications we develop and the Groove platform described as 'group collaboration software' or watever. We find that in the main any endusers cannot really get the Napster picture out of their head. No bad thing, but Napster only one application of p2p. However, this may be being pedantic.
Healthcare provision, (generally from cradle to grave) is a collaborative process. The key person of course is the patient. During the patient's healthcare history, there will be various healthcare personnel that cross the patients path. Mostly, it will probably only be a GP and Dentist, but on many occasions, especially during hospitalisation, many more will be involved.
We all recognise this. But what is happening here? In commercial terms, there is an adhoc team being formed to complete a specific project. After the event, most will not need this information again. They move on to the next 'project'. The patient (the client) of course needs the information as does the Project Mgr (GP). The patient is at the edge of the health system, so why is her information not stored there too? (with backup/archive services available of course).
It would appear sensible that a 'working system' such as healthcare, that inherently works on the edge and has to forms collaborative groups, would benefit from having information systems that inherently support this way of working.
Is it too late though? Will the centre want to cede control? Ah-ha, that's a good, but different question.
12:48:06 PM 
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Woah there Forrest!. Rick's article was good, but not so good it had to be repeated three times. Sorry to anyone who got these three notifications. User error.
12:10:32 PM
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10 January 2003
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09 January 2003
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Joel says,
January 09, 2003.
Clay Shirky: “Two years and hundreds of millions of dollars later, FedEx pulled the plug on ZapMail, allowing it to vanish without a trace. And the story of ZapMail's collapse holds a crucial lesson for the telephone companies today.” Excellent. Clay has hit the nail right on the head; everybody's looking for the huge business opportunities around 802.11 and VoIP and they probably aren't really there.
[Joel on Software]
Clay's article is very good, and recommended to anyone who enjoyed David Isenberg's original Stupid Network essay which enunciated so superbly what many had been thinking around.
Many moons ago, I was the potential founder of a VoIP company called Rebel Telecom. (story another time). It has taken a lot longer than I expected for the ATA devices to become available, but these are exactly what are required for David's new treatise of encouraging incumbent old-model telcos to 'Fail Fast' to become true.
One of our best clients have the foresight in this area and are licking their lips in glee!
Gotta love it... :-)
10:09:27 PM
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Wow, Can't believe I haven't posted since New Years Day.
New Years Day very auspiscious day for us. After some running around on the day, our Radiology Manager software was used for a real patient in a real case. The results were (even if I say so myself) very cool :-)
Since then we have been extremely busy. It is funny doing all the 'basic' things again. Still, once the blocks are in place, we don't need to do them again.
9:25:55 PM
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01 January 2003
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From Jon Udell;
It's just freaking cool. The most compelling effect in Minority Report, for me, was the visualization of active paper. Last night we watched it again, and later some friends dropped by. To put this in context, I live in smalltown New Hampshire, not Silicon Valley or Silicon Alley. There is lots of dialup Internet happening here, and DSL is growing, but Wi-Fi households are rare. When a topic came up in conversation, and I flipped open the TiBook to check it out, I had an epiphany. The future really is here, albeit not evenly distributed. I didn't mention, and I'm sure it didn't occur to my friends, that I was connecting wirelessly to the Internet. It seemed completely natural that "the Internet" would be "in" this little box, whether or not wires were running to it. The technology is disappearing into the woodwork, as it should. It is becoming a small-i internet. ... [Jon's Radio]
Amen to this.
I was going to write more, but I realise it is New Year here in Scotland and I am not that sad. Fook it, I was only passing a machine that was on-line at home. I dont NEED to respond right now. New Year resolution #658.
Anyway, Happy New Year!
Back to a glass of port.
1:47:57 AM
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Forrest Duncan Weblog
2002-12-26
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