1. 08:59 20th Dec 2013

    Notes: 49

    Reblogged from indianqb18

    Tags: technologymobile

    there are perhaps 900m consumer PCs on earth, and maybe 800m corporate PCs. the consumer PCs are mostly shared and the corporate PCs locked down, and neither are really mobile - at best you can take them from table to table. those 3bn smartphones will all be personal, and all mobile.
    — 

    What does mobile scale mean? — Benedict Evans

    all of this means that the operating environment looks very different, and a lot of our assumptions need to change. a lot more is up for grabs, and the scale of success looks different. when a dozen guys in a garage with a hot service get struck by lightning, that means 50m or 100m users, not 1m, and in time it might mean 1bn.

    via.

    (via indianqb18)

    The clear compelling case for why all businesses and services must have a mobile play. Make no mistake - it’s the future.

    -cch

     
  2. collaborativefund:

    by
    Founder/CEO at Collaborative Fund

    In San Francisco, you can find the “Airbnb-of-everything.” Just as Airbnb capitalized on the fact that many of us have a spare bed, bedroom, or even apartment from which we’d gladly make some money, many other industries have…

    Times… they (and industries and cultures) certainly are a-changing thanks to confluence of Internet + technology + social + mobile.

    Personally, I’m waiting and hoping that they most radically impact healthcare (including food/nutrition), education, and energy above all.

    -cch

     
  3. image: Download

    A very interesting infographic - reinforcement that vast opportunities for innovation (through mobile phones i.e. commerce, health, education, marketing, etc) lie outside of the US and in emerging and developing markets such as China and India.
-cch
fauxchart:

“El mundo de los teléfonos móviles #infogafia #infographic” #infographic http://bit.ly/xI7EY7

    A very interesting infographic - reinforcement that vast opportunities for innovation (through mobile phones i.e. commerce, health, education, marketing, etc) lie outside of the US and in emerging and developing markets such as China and India.

    -cch

    fauxchart:

    “El mundo de los teléfonos móviles #infogafia #infographic” #infographic http://bit.ly/xI7EY7

     
  4. image: Download

    Very excited for the future of education and healthcare, two huge and important industries that are ripe (and overdue) for new technology and innovation.
-cch
gjmueller:

Students Want Social Media in Schools

In its Policy Priorities report, Can Social Media and School Policies be “Friends,” ASCD provides a state-of-the union on social media use in schools. How  administrators and educators deal with federal regulations, defining  what’s legal, parsing out school responsibilities and weighing them  against the benefits of using social media to engage and communicate  with students are all addressed in this useful guide. MindShift’s Dispelling Myths About Blocked Sites is also in the lineup.

    Very excited for the future of education and healthcare, two huge and important industries that are ripe (and overdue) for new technology and innovation.

    -cch

    gjmueller:

    Students Want Social Media in Schools

    In its Policy Priorities report, Can Social Media and School Policies be “Friends,” ASCD provides a state-of-the union on social media use in schools. How administrators and educators deal with federal regulations, defining what’s legal, parsing out school responsibilities and weighing them against the benefits of using social media to engage and communicate with students are all addressed in this useful guide. MindShift’s Dispelling Myths About Blocked Sites is also in the lineup.

     
  5. (Overdue) thoughts on mHealth…

    mHealth

    At the beginning of December, the 2011 mHealth conference took place in Washington DC.  For conference attendees, it was a chance to be lost amongst thousands of others in the cavernous Gaylord National Resort & Convention Center (sans WiFi or conference supplied beverages, not to mention snacks/meals) and hear about the intersection of technology, business, research and policy.  For those that weren’t able to attend in person, and prefer watching versus reading - most all of the conference sessions were recorded and the videos have been graciously posted for free viewing here.  There have been quite a few posts written by attendees in recent weeks, and among the good ones I’ve read, John Moore’s summary from Chilmark Research is (per the usual) pretty straight forward and spot-on.

    Regardless, I promised a few folks who couldn’t make it my thoughts on the conference, the topic of “mHealth”, and broader health & technology trends in general.  So here are my (overdue) main takeways and thoughts: 

    1) We should hope for the death of “mHealth"… and soon!

    death

    • I’m not saying this simply to be controversial and say so with the utmost respect for the visionary folks behind the mHealth movement and the vibrant ecosystem that has spawned as a result.  However, smarter folks than me (including some guy named Todd Park who’s the CTO of HHS) have stated this in public.  But you might wonder why this would be my first takeaway, on the heels of the largest and most well attended mHealth summit ever (~3,700 attendees), the thick 75 page program guide, and 95 presentations recorded and thought-provoking videos posted?  Simply put, mHealth needs to be embedded within normal healthcare delivery.  At present, it suffers from the specialization and sub-specialization endemic within the healthcare profession which results in hyperfragmentation and discrete, often uncoordinated provision of services (there are ~50 main medical specialties, with about 1/2 having ~4-6 further subspecialties). Most mHealth companies (and products and services) are tackling thin vertical healthcare opportunity slices instead of being part of an integrated, horizontal package of care and value delivery.  Part of this is due to larger systemic forces; as Dr. Atul Gawande points out, there are ~14,000 known diagnoses, ~4,000+ medical surgical procedures, and ~6,000+ medications in the world today.  While those who know me know that I am a fan of any type of healthcare innovation, this hyperfragmentation doesn’t really help the industry from a holistic macro perspective (i.e. tackling one or more of the big three issues: improved efficiency, improved outcomes, reduced costs).  There are those who argue that integration of standalone mHealth technologies, products and services requires common standards and protocols, and that such collaboration must be fostered and facilitated by the government.  While the government can certainly catalyze standardization for device-to-device communication and integration, private entities can play a role as well.  The not-for-profit West Wireless Health Institute for example is working with a number of healthcare stakeholders (public and private) to develop a common infrastructure and framework along these lines, starting with their Infrastructure Independence initiative.  The sooner the term “mHealth” and all its associated forms goes away and gets folded and integrated into standard healthcare delivery, the better for the healthcare industry (and economics) of our country. 

    2) The immediate mHealth opportunities aren’t in apps, they’re in platform connectivity and data synthesis.

    Wireless sensors

    • Look, mobile apps are hot and ubiquitous, I get it.  But guess what?  Most consumers (beyond the Technoratti, the Quantified Self and Health 2.0 geeks) don’t care about their health enough to download health apps, less use those apps regularly (at least several times a week at the minimum, ideally daily).  Health apps aren’t even in the top ten of downloaded app categories for consumers: games, weather, and social networking top the list.  Health apps come in with a rank of #17 for consumers.  What about providers you ask?  Well, over 85% of healthcare professionals don’t use the apps they have downloaded - there is definitely app overload for providers and consumers alike.  So even though there are now ~12,000 health apps in the Apple store, you’re competing with literally tens of thousands of games.  And no, the solution is not “to gamify” or the “gamification” of mHealth or health apps.  The immediate value opportunities are in platform connectivity and data synthesis.  There are a myriad of mobile devices and sensors out on the market, consumer and provider targeted, fragmented and discrete for the most part as previously noted.  Ingesting the data being collected and transmitted by these proliferating devices and simply connecting them to decision support tools, and EMRs is a huge opportunity.  It might not be as sexy as a direct to consumer mobile app, but working with enterprise customers to more efficiently deliver care and improve outcomes in a timely manner solves a tremendous point of pain for providers and payors now and going forward in a world of changing risk and payment models (capitation, bundled payments, ACOs, etc).  Connectivity and then data (big or not) synthesis and analytics are clear opportunities for innovation.  Those that play in this space, probably aren’t accurately labeled or silo’ed as mHealth companies, but should be considered broader healthtech ones and for good reason.  

    3) The U.S. mHealth should learn from emerging market mHealth innovation models!

    Emerging market cell phones

    • John Moore touched on this in his mHealth Chilmark post, and I’d like to believe we share this view perhaps because of our side conversation in the hallway during the Monday session around what we thought was good so far at the mHealth summit earlier this month (and I’ve written about this before) - but we both thought that the emerging market tracks were of keen interest and value.  So what’s so compelling about emerging market mHealth innovation?  To me, it’s around distribution (a big N) and engagement (how often does that N use your product).  An mHealth post by a well known healthcare VC stated her opinion that it was a bit weird to see MNOs like Verizon and AT&T have strong presence and presenting at mHealth.  I’m scratching my head as to why this would seem odd, because it appears plainly obvious to me.  MNO’s (mobile network operators) and their devices are integral parts of the lives of those who live in emerging markets.  There are more cell phones than landlines in most of these areas, and therefore cell phones are used not just for communication, but for financial transactions and currency.  It’s a big market as well, an estimated $200 billion market for cell phone airtime in developing countries.  In short, in emerging markets most people have cell phones (the distribution N), and depend on their cell phones for daily acts of life (the engagement).  Combine this with health initiatives, it’s no surprise that in emerging markets, MNOs play an integral role in mHealth because of their device distribution and daily utilization - and they achieve this often times using 1G networks and feature phones!  With the ubiquity of smartphones in our LTE and 4G developed world, it makes complete sense to have MNOs play a more active role in mHealth in the US.  There are now more mobile devices (~328 million) in the US and it’s territories than people (315 million) which means that many people in our country have not just 1 mobile device, but several technology enabled mobile gadgets!  The MNOs are (typically) device and company agnostic: Apple or Samsung or HTC, smartphone or tablet, the MNOs simply want to push these products into consumers hands and then have consumers be dependent upon the MNOs for all the associated data consumption and service needs through these devices.  In addition, beyond solving the distribution question of devices, MNOs are in a unique position to leverage clear incentives for health use/engagement (additional data service credits, additional cell phone airtime minutes, free downloads from their app stores, etc.) and can even pre-install health apps, eliminating the friction associated with app discovery and downloads.  Having MNO’s play a big role going forward in mHealth and healthcare period here in the US seems pretty much like a no-brainer to me, but perhaps I’m way off the reservation on this one.  WellDoc, who was at mHealth, and their MNO partnership with AT&T is a prime example of a forward thinking mHealth company working to advance diabetes care with some great results thus far.  MNOs can, will, and should play an increasingly bigger and important role in mHealth in the US, not simply because of their communications infrastructure and bandwidth, but because of the prevalence of the devices they distribute which are basically human appendages at this point for most consumers, starting at earlier and earlier ages (the average age for kids who receive first cell phones is now down to less than 12 years of age).  Even assuming annual cell phone service expenditures in the US has remained at 2007 levels (~$610), this implies a current US market size of $200 billion for cell phone services given ~328 million mobile devices on the market.   Health/technology VCs (including the prior one mentioned previously) have commented on the lack of excitement around the projected $400M market for mhealth smartphone applications and services (and there was a VC panel at mHealth whereby panelists posited that the odds are low on whether there could be a billion dollar+ mHealth company), and this is a fair opinion if this discrete view is taken of “mHealth”.  However, perhaps a better rough estimate of the future market potential might be achieved by approximating if just 1% of annual US cell phone service expenditure was dedicated to health, then this results in a $2 billion dollar annual opportunity which certainly should be a bit more appealing for startups and investors alike.   The other lesson to be learned from emerging markets, I believe, is the simple distillation of healthcare problems, and the functional, utilitarian solutions that can be created to solve them without the latest technological gadgets and attempts at (shudder) “gamification”.  This can be easier said than done, as Steve Jobs said, “Simple can be harder than complex”, but perhaps the technological constraints associated with emerging markets has helped foster simple innovative solutions. 

    Those are my main (overdue) mHealth thoughts…  as always, happy to chat further about any of these viewpoints and health/tech data innovation period.

    -cch

     
  6. TabletsAccording to this NPR article, global shipments of touch enabled smartphones and tablets have increased almost 2.5x to 630 million units in just 2 years.  This is a fantastic deep dive into the history of touch enabled computing and interface technology.  My friends Jason & Andres from OnSwipe had the foresight into this technological UI/UX paradigm shift and are capitalizing on this change in consumption (as evidenced by this post from about a year ago).  The future looks exciting, as touch enabled devices will disrupt not just standard industries that utilize technology heavily, but also important ones such as education and healthcare.

    -cch

     
  7. image: Download

    Very interesting report (and charts) on the state of mobile apps.
The top 5 most popular apps:
Games
Weather
Social Networking
Maps/Navigation
Music
Interesting mix: 3 of the top 5 can be bucketed as pleasure seeking or entertainment related, 2 of the top 5 have functional utility (and yes, you can argue whether social networking is pleasure seeking vs. utilitarian in nature).   Where does health rank?  Way down the list at #17 (mHealth it seems, still has a long way to go).  Education is right after health, at #18.  Here’s hoping we can change the current world order dramatically in the years ahead, for the sake of our country and future!
-cch

    Very interesting report (and charts) on the state of mobile apps.

    The top 5 most popular apps:

    1. Games
    2. Weather
    3. Social Networking
    4. Maps/Navigation
    5. Music

    Interesting mix: 3 of the top 5 can be bucketed as pleasure seeking or entertainment related, 2 of the top 5 have functional utility (and yes, you can argue whether social networking is pleasure seeking vs. utilitarian in nature).   Where does health rank?  Way down the list at #17 (mHealth it seems, still has a long way to go).  Education is right after health, at #18.  Here’s hoping we can change the current world order dramatically in the years ahead, for the sake of our country and future!

    -cch

     
  8. image: Download

    18 billion app downloads in 2011! Interesting that games and weather trump social networks and news. Wonder when Droid app marketplace will overtake Apple app store. Only a matter of time me thinks. 

-cch


jryu:

(via Apps on tap | The Economist)
    18 billion app downloads in 2011! Interesting that games and weather trump social networks and news. Wonder when Droid app marketplace will overtake Apple app store. Only a matter of time me thinks. -cch

    jryu:

    (via Apps on tap | The Economist)

     
  9. image: Download

    "the shocking demographics of cell phone use" report: 50% of teens can text blindfolded, 49% of young adults believe it’s acceptable to text while eating and 24% while using the bathroom and 5 BILLION texts per day! 
Other nuggets? The UAE has highest average number of cell phones per person (UAE = 1.95 vs. USA not even in top 10 with 0.87).  
Forgot washing and disinfecting your hands after the bathroom, wash and disinfect your crackberry!
BTW, what is the right term (blackberry —> crackberry) for iPhone and Droid?!?! 
(Report from Wilson Electronics.)
-cch

    "the shocking demographics of cell phone use" report: 50% of teens can text blindfolded, 49% of young adults believe it’s acceptable to text while eating and 24% while using the bathroom and 5 BILLION texts per day! 

    Other nuggets? The UAE has highest average number of cell phones per person (UAE = 1.95 vs. USA not even in top 10 with 0.87).  

    Forgot washing and disinfecting your hands after the bathroom, wash and disinfect your crackberry!

    BTW, what is the right term (blackberry —> crackberry) for iPhone and Droid?!?! 

    (Report from Wilson Electronics.)

    -cch