1. I. The Digital Health Avalanche/Tsunami
1.1. Shift Happens
1.1.1. $40B investment in Digital Health
1.1.2. Seismic Shift in all other industries
1.1.2.1. finance
1.1.2.1.1. online banking
1.1.2.2. transportation
1.1.2.2.1. uber
1.1.2.3. lodging
1.1.2.3.1. airbnb
1.1.2.4. shopping
1.1.2.4.1. amazon
1.1.2.5. communication
1.1.2.5.1. facebook
1.2. The Modern Healthcare Consumer
1.2.1. informed by shifts in other areas
1.2.2. no longer a patient patient
1.2.2.1. well-prepared
1.2.2.2. often mis-informed
1.2.2.3. demands customer service
1.3. Digital Health Innovation
1.3.1. history
1.3.1.1. Mayo
1.3.1.1.1. custom surgical tools at Mayo
1.3.1.1.2. integrated medical record
1.3.1.1.3. IMR transportation system
1.3.1.2. technologies
1.3.1.2.1. ECGs
1.3.2. dimensions
1.3.2.1. diagnosis
1.3.2.2. treatment
2. II. Technology Adoption in Other Industries
2.1. [Graham]
3. III. Technology Adoption Challenges in Healthcare
3.1. history of change resistance
3.1.1. 17 years for 50% adoption!
3.1.1.1. handwashing
3.1.1.2. vaccinations
3.1.1.3. statins
3.1.2. reduces efficiency
3.1.3. removes autonomy
3.2. history of botched adoptions
3.2.1. techno-centric
3.2.1.1. led by IT
3.2.2. no enterprise perspective
3.2.3. no workflow perspective
3.2.4. adapt/accept or your screwed
3.2.5. forcing vendor paradigms
3.2.6. [mediocre IT staff - low
3.3. [current state of]
3.3.1. project management
3.3.1.1. limited to IT, infrastructure
3.3.2. org. chg. mgmt.
3.3.2.1. rarely consciously applied
3.3.3. design thinking
3.3.4. workflow redesign
3.3.4.1. only as quality improvement
3.3.4.2. not typically applied
4. IV. A Blueprint / Roadmap / Framework for Leaders
4.1. organizational change management
4.2. collaborative workflow redesign
4.3. enterprise project management
4.3.1. enterprise perspective
4.3.2. clinical expertise, not just IT
4.4. Agile Approach
4.4.1. what's the simplest that could possibly work?
4.4.2. Proof-of-Concept - Validate Assumptions