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AlwaysOn Stanford Summit: Lessons for Healthcare from the Front Lines of Open Media Revolution

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Reporting from AlwaysOn Innovation Summit @Stanford. The media technology trends portend a sea change in healthcare.

This week I attended AlwaysOn's annual Innovation Summit @Stanford and had chance to catch up with the leading trends and people of the Silicon Valley technology and venture world.

As you can see from the Summit program, most of the major tech trends were represented. Of course, healthcare is wa-a-ay too far away from "Silicon Valley mainstream" to have significant presence, yet the program on blogging and social media was excellent.

So let me offer an executive summary of what this means to healthcare consumers, professionals and managers.

The real eye-opener was on the "How Far Will Consumer-Generated Media Go?" panel. Ironically, the panelists demonstrated the full spectrum of attitudes towards CGM by the alphabetical order of their last names and the seating arrangement:

  • Michael Robertson (CEO, MP3Tunes)
    Michael's fame comes from MP3.com of yesteryear. They bought the CDs, digitized them and put online for free - damn those pesky copyrights. Recording industry sued them out of existence and they are gone, just like Napster.
  • Chad Hurley (CEO, YouTube)
    YouTube is technically legal. You see, if a consumer uploads a copyrighted video, under DMCA it is not website's fault and all they need to do is take it down if asked. So YouTube is full of copyrighted video, no one has time to police. Media industry has resigned to treating YouTube as a force of nature.
  • David Goldberg (Head of Yahoo! Music)
    Yahoo has plenty to lose by doing anything to alienate the Media Establishment, even if technically legal. But what they are doing is licensing content and giving it to their users in a controlled sandbox to play with and remix. Works for them so far, but they are not taking the world by storm.
  • Michael Arrieta (SVP, Sony)
    Deer in the headlights. Deeply uncomfortable with CGM and trying to resist it to no avail. In their view, consumer is supposed to read / watch what they are given and leave production to "professionals". However, even they are using blogosphere to get the message out.

NOW: Replace the term "Consumer Generated Media (CGM)" with "Consumer Driven Healthcare (CDHC)". Where do you fit?

Steve Rubel, who is keynoting our Healthcare Blogging Summit 2006, was on the Blogging and Social Networking panel and offered a great way to conceptualize what is going on:

This is about Continuum between Control and Transparency

Think about it. Both total Control and total Transparency are rarely found in the real world. Everyone is somewhere on the continuum and may have reasons to be where they are. Consumers will keep pushing for more transparency and vote with their wallets. Institutions will fight to preserve control, but can only keep it to a certain point.

Till a competitor without baggage of status quo comes along.

I think that in healthcare, transparency and participation are unlikely to go as far as in entertainment. Regulations are more complex and the stakes are much higher. If things go wrong, lives are at stake. But there is no excuse for cutting consumer out of the loop either.

In the end consumers will always get their way. As Technorati's Peter Hirshberg, who moderated the panel says "Control is so 20th century". Want a graphic illustration? Watch this YouTube video:

My favorite quote (at the end of the video):

High, inside the glass towers, our greatest minds have prepared to respond:

Well, can't we just start blogging back at them? Well yeah... But where is the money in that?

LOL! Do not just "blog at them". Engage in a genuine and authentic conversation. That is the only way to go.

Adapt or die.

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Comments (4)

Submitted by Dr. Rob Lamberts on Fri, 07/28/2006 - 4:11am.

The one person left out of this mix is the artist, who gets the table scraps from Sony.  Some have taken their music directly to consumers through the internet, but is there a real business model for that?  I understand each of the perspectives in this case and think there are valid points for each of them.  Free access to copyrighted material is not right, but the monolythic presence of the recording industry is not a good thing either.

In medicine, there is no monolyth (unless you believe some of the conspiracy theorists).  Physicians are all independent from each other.  Yet there is a real question of how we are going to operate in this new world of the internet.  How do we handle those people who write on the blog with real medical questions?  How do we handle patients who want to handle their problems over the internet.  In some ways, they just want to get free medicine and take away my source of income.  Patients often seem bothered by the fact that we charge for our services.  They think we should be altruistic and be willing to give them what they want when they want it.  I am reluctant to do that, but I do understand why they feel that way.

I really dont know where this will end up in either circumstance (music and medicine).

Rob

Augusta, GA

New Websites:

Musings of a Distractible Mind

Ambulatorycomputing.com

 

Submitted by hippocrates on Fri, 07/28/2006 - 5:21am.

... how exactly this will apply in medicine. The post is intended to stimulate thinking. Even in media the business models are still in flux.

Speaking of the artists, actually YouTube offers them a great marketing channel. The ones who become popular get discovered and signed up to go pro. Witess recent Rocketboom saga. Even medical bloggers are starting to get book deals or invited to contribute to mainstream pubs. But Tom Cruises of the world will be brought down a notch. 

RE: medicine, I do not think it is in the same danger as music / TV. In person interaction counts and online medical advice does not have to be free - even though "generic" patient education could be. Finally, as the stakes are higher, I think everyone will exercise more caution.

In healthcare overall, I think the brunt of consumer pressure will come down on institutions (hospitals, health plans, pharmas, etc) rather than individual physicians, who themselves would gain influence online in a way professional associations cannot deliver. Right now phramas are taking the greatest heat. There are only a handful of them and it is a rare medical blogger who has not kicked them at least once.

My personal opinion is that pretty much every industry is going to ultimately end up somewhere between YouTube and Yahoo, if we use this continuum as analogy...

Submitted by Matthew Holt (not verified) on Fri, 07/28/2006 - 12:49pm.

I hope you notice that this is a direct spoof on HG Wells' War of the Worlds, particularly the conept album of the same name which had Richard burton doing the narration--fabulous!

Submitted by hippocrates on Sat, 07/29/2006 - 6:54am.

... and wondered if anyone else would notice.

This is some powerful imagery - that should make people think.

Painting antagonism gets attention, but the real world (healthcare included) does not have to be that scary.

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