We assert that to disrupt within a non-working system is to bark up a pointless tree: even if you win, you haven’t altered what matters. Business planners and policy people who do this will miss the mark. Here’s what we see when we step back and look anew from the consumer’s view:
- We’ve been disrupting on the wrong channel.
- It’s about the consumer’s appetite.
- Patient as platform:
- Doc Searls was right
- Lean says data should travel with the “job.”
- “Nothing about me without me.”
- Raw Data Now: Give us the information and the game changes.
- HITECH begins to enable patient-driven disruptive innovation.
- Let’s see patient-driven disruption. Our data will be the fuel.
Well, to point #3, it’s more than just me. I wrote what Vince calls “right“, and that Dave deBronkhart (e-Patient Dave) also cites, when I was in the hospital and observed the system up close and personal, and found that others have been advocating Patient as Platform for a long time, though with different names. Kudos to all of them.
I have one small quibble, and that’s with the word “consumer.” Patients today no longer only consume. They produce. What they want and need is more responsibility for their own health care. More importantly, a patient cannot be a platform if he or she is only consuming. By nature and definition, a consumer is a subordinate creature. It lives downhill from the flow of services. Platforms stand below what they support, but are not subordinate. They are the independent variable on which the variable ones standing on it depend.