 "Excellent analysis and a model for building a solution" | 2009-10-30 |
| - Reviewed By User: ADWGDBN495JRC |
The Innovator's Prescription is an excellent analysis of the systemic problems we see in health care in the United States. It makes a compelling case for managing health (versus managing illness), and applies Christensen's "Disruptive Innovation" model to point us down a path to help solve this.
As a lay person I didn't realize how ignorant I was regarding broader health care issues until I read this book. Highly recommended for anyone looking to better understand the problems and possible solutions. |
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| "A Must Read" | 2009-08-02 |
| - Reviewed By User: A2F15C9AHTDRL6 |
The Innovator's Prescription: A Disruptive Solution for Health Care
This book explores the problems with the US health "system" and offers some disruptive solutions. Excellent
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| "Solutions for healthcare that are both brilliant and disruptive!" | 2009-06-26 |
| - Reviewed By User: A3PA1D6XOW7QTY |
Well researched and compellingly reasoned, "The Innovator's Prescription" is exceptional medicine everyone should be taking, especially those in Washington. The book's systemic view of the current state of healthcare industry is absolutely brilliant as Christensen, Grossman and Hwang apply their "disruptive innovation" vision to the future of healthcare.
Most compelling are the book's foundational assertions that the general hospital is not a viable business model because it mixes three types of business models under the same roof, and consequently, cost problems are due to overhead, and quality problems are due to poor integration.
Truly provocative thinking at its best. Two thumbs way up!
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| "A business perspective on the change needed for health care reform" | 2009-06-15 |
| - Reviewed By User: A65DYVZWF5IIX |
According to the author, the current state of the health care industry is not unlike other heavily regulated industries before it, such as telecommunicationsand transportation, where initially providers were centralized and services were affordable only by the higherincome segment. In each case, it was not deregulation that led to change but disruptive innovation that followed it.
So the premise of the book is that health care reform cannot be achieved without disruptive innovation, and that this is mutually exclusive with a single payer model. Instead, what is needed is for disruptions in technology, business models, and value networks to act in concert to remodel the health care system. In order to allow new entrants that can disrupt existing networks and shift the sites of care from centralized to decentralized and the personnel for delivery from specialized to less specialized, there must be a heterogenous system tied together by electronic health records.
The current state of the industry is mired in centralized mixed business models that need to be separated into three types of businesses: "fee for service" solution shops that work heuristically with incomplete information to diagnose and treat disease ("intuitive medicine"), "fee for outcomes" value added process businesses that emphasize efficiency and repeatable results ("empirical medicine"), and "fee for membership" disease management networks that emphasize compliance ("precision medicine").
Right now the general hospitals have a mix of all three but still charge everything on a fee for service basis because of reimbursement policies. This has led to excessive overhead burdens on what should be "fee for outcomes" or "fee for membership" types of services. By separating these business models into separate corporate entities they can optimize their performance and value networks. The author also cites the contrast of integrated health systems such as Kaiser and Geisinger which by use of electronic health records and fee for outcome measurement can achieve much greater efficiencies, and can engender their own disruptive innovation internally because of their ability to capture the benefits.
Overall then, in order to lower the rate of cost increases in health care while maintaining quality and increasing choice, the prescription is to encourage disruptive innovation in technology and business models that enable decentralization of care and use of less specialized personnel, tied together by electronic health records to capture the outcomes data. |
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| "exceptional take on healthcare" | 2009-06-10 |
| - Reviewed By User: A3C8YX9XLKNVL1 |
| Extremely interesting, well written, a great read for those interested in getting a better understanding of healthcare and disruptive technologies |
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 "The future of medical education concept deserves a book of its own" | 2009-05-27 |
| - Reviewed By User: A3BQRECJPPZEPU |
In Innovator's Prescription, the authors spend less time reviewing the failures of the past, as was the case in Innovator's Dilemma. Exhaustive examination of failed technology business models is replaced by more of what the future of the health care industry will look like. Hospitals as we know them are not yet extinct. Also, the inefficiencies of care remain insulated from full market elasticity. However, this is changing with HSA-driven, consumer cost consciousness, and quality-inducing Medicare/Medicaid reimbursements.
Unlike contemporary books on this topic, the authors are careful not to blind readers with best technologies yet to come. More importantly, topics such as medical education and fee-for-service delivery models are deliberated with understandable eventuality amidst validated economic and market forces.
The compelling vision that is the future of medical education deserves a book of its own. The diminishing role cited of today's medical schools slaps a wake up call onto the face of this traditional cash cow. As the Toyota Production System impacts time, cost, and quality with a jump from series to parallel processes, it's suggested that the same will happen for the medical school. Just how science learning and clerkship will merge together remains to be seen. Absent from this dialogue is the "speed to competency" movement gaining ground for medical simulation and certification.
The unsustainability of medical education meeting the needs of the masses receives no better example than the following field and need disparity:
-more are being trained and less are needed (specialists)
-less are trained when more are needed (nurses)
To resolve this issue, the current Administration seeks to adopt incentives (student loan reimbursement, etc.) to offset the imbalance. This trend, however, feeds the ongoing demand for specialty hospitals as maximized quality follows free market models versus mandated models.
Innovator's Prescription concludes that `fee for service' and `direct to consumer' health care will become more prevalent. The successful business models of the future in this market space reflect disaggregation of `hospital care as we know it' services. Point-of-care diagnostics, outpatient surgery clinics, retail health clinics, are among the spectrum of simplifying innovations in health care standards of the future.
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