1. 11:12 6th May 2014

    Notes: 262

    Reblogged from johngushue

    Tags: techtechnologydigital life

    bobbycaputo:

    Not on App Store is a sticker designed to look like the typical “available on the App Store” badges from Apple. The project “Not Available on the App Store” by Caio Andrade, Rafael Ochoa, and Linn Livijn Wexell

    Simple, but a clever reminder that unplugging and disconnecting from the screen (be it laptop, tablet or smartphone) and exploring your immediate surroundings is good for everyone, especially young people.  I hope we don’t become a society where playgrounds are full of people (adults and kids) who are only interested and submersed in their tablets or smartphones instead of interacting with the larger, non-digital physical forms around them.     

    Make time to go out and play!

    -cch

     
  2. nickgrossman:

    "It is trust, more than money, that makes the world go round."
    — Joseph Stiglitz, In No One We Trust

    The week before last, I visited Yahoo! to give the keynote talk at their User First conference, which brought together big companies (Google, Facebook, etc), startups (big ones like USV…

    Great perspective here on how technology enabled networks have disrupted many industries and will continue to do so going forward. Long overdue in health, but innovative change is inevitable and coming.

    -cch

     
  3. toddwickersty:

    But I’m a user first and that’s the main reason why I care what happens to it. I’m skeptical if Yahoo! does take it over. It’s super easy to be skeptical for obvious reasons, but I think it’s a good time for Tumblr to sell. I know if it does happen, I’ll continue to use it…

    Good perspective here on Tumblr community and being mindful of product and customer/community culture. I do not disagree.

    HOWEVER let’s be real and clear about the essential truth of the matter: no one person, not any single person (regardless of whether a seasoned VC or fellow tried and true entrepreneur) can truly understand the perspective or mindset of the founder(s) of this (or any) particular start-up company. There are ups and downs in any startup life, but there is also the personal history and dynamic that NO ONE can relate to except THE PERSON (PEOPLE) in THOSE shoes at THAT time.

    I love social media (and Tumblr obviously) in that it amplifies good and bad in this world and in particular it gives a voice and platform to anyone who wants to share an opinion.

    But let’s be mindful of that - they are individual people’s opinions. The founders of Tumblr or any startup at the end of the day don’t owe anything to their community, their customers, their colleagues or their investors. They owe it to themselves and what they see in the mirror each morning and to their families who have been through the journey with them, supporting them through highs and lows. IF the founders decide (for themselves without outside pressure) that this is the right time to sell and this is the right acquirer and this is the right price…. then let’s cheer and applaud them for a successful journey to date and outcome and wish them well for the future; let’s not second judge or criticize them from afar for timing, for whichever company they sold to, or the price.

    -cch

     
  4. Stop Optimizing For Social and Learn SEO

    scottbritton:

    When I first started blogging, I didn’t use keywords and paid no attention to SEO. I WANTED FOLLOWERS BABY! 

    Eventually I learned basic SEO and started employing it on everything I created.

    Now organic search from long tail keywords make up more than half of my traffic. Twitter makes up a little more than 5%.

    Learn SEO. Then get good at it.

    Nice succinct post and fair argument in terms of balance between social and SEO.

    -cch

     
  5. image: Download

    A little social media & tech humor. Although I wonder if this transaction should be updated to be shown virtually or via Entelo, BranchOut or TalentBin instead of IRL.  Might be reality in the not-too-distant future!-cch

    A little social media & tech humor. Although I wonder if this transaction should be updated to be shown virtually or via Entelo, BranchOut or TalentBin instead of IRL. Might be reality in the not-too-distant future!

    -cch

     
  6. image: Download

    Good infographic here. 

All companies, big and small, must be mindful of the customer experience with their product/service offering. 

Needless to say, when companies lose site of this, it means tough times for the business sooner or later. 

To a great 2013,

-cch



fredericwilliquet:

(via Rethinking the Customer Journey in a Social World - Forbes)
    Good infographic here. All companies, big and small, must be mindful of the customer experience with their product/service offering. Needless to say, when companies lose site of this, it means tough times for the business sooner or later. To a great 2013, -cch

    fredericwilliquet:

    (via Rethinking the Customer Journey in a Social World - Forbes)

     
  7. When robots and automation do our most basic work, making it relatively easy for us to be fed, clothed, and sheltered, then we are free to ask, “What are humans for?”
    — 

    Great Wired article on the future of robots, artificial intelligence, automation and their impact on human workforces. It’s really fun (and necessary) to think about this stuff and how it will change not just our economy but our sense of purpose as a species. We live in some interesting times. (via chriskurdziel)

    Great read.

    -cch

     
  8. Insightful post by Dave McClure here: VC (r)evolution, geeks got next.  If you are involved in the start-up/innovation ecosystem, this is mandatory summer reading!  Not sure what the VC version of the above is… got to think there could be a few great tries on Draw Something. 
-cch

    Insightful post by Dave McClure here: VC (r)evolution, geeks got next.  If you are involved in the start-up/innovation ecosystem, this is mandatory summer reading!  Not sure what the VC version of the above is… got to think there could be a few great tries on Draw Something

    -cch

     
  9. image: Download

    Brilliant and thoughtful piece here: “The Social Media Revolution Betrayed”.  Basically where does social media go from here?  And no, it’s not just prompted by this week’s Facebook’s earnings report as I’ve posted about this topic before.
It will be an interesting time over the next few months for these social and digital media companies, both public and private.  For successful private start-up companies, there’s usually a complicated set of decisions around M&A overtures and exit opportunities.  But for those who always dream of being a public company and ringing the NASDAQ opening bell, here’s a nice summary of “social stock” performance. 
-cch

    Brilliant and thoughtful piece here: “The Social Media Revolution Betrayed”.  Basically where does social media go from here?  And no, it’s not just prompted by this week’s Facebook’s earnings report as I’ve posted about this topic before.

    It will be an interesting time over the next few months for these social and digital media companies, both public and private.  For successful private start-up companies, there’s usually a complicated set of decisions around M&A overtures and exit opportunities.  But for those who always dream of being a public company and ringing the NASDAQ opening bell, here’s a nice summary of “social stock” performance. 

    -cch

     
  10. image: Download

    Are we headed towards a tech bubble? I’m not smart enough to know… but this recent article from the WSJ about the status of start-ups in Silicon Valley is appropriately titled “Appsurd” and might introduce “SoLoMo” into popular lexicon.  And for those who have been around health innovation, investing, and start-ups… we will know the bubblicious-ness of tech has fully saturated healthcare (digital health, healthtech, medtech, whatever you wish to call it) when not only do you hear “it’s this for that”, but “SoLoMo” is then dropped during pitches and it might be high time to flee away screaming!  And yes… you can actually check to see if that crazy start-up or Internet or mobile app business idea is truly legit through ItsThisForThat.com.
-cch

    Are we headed towards a tech bubble? I’m not smart enough to know… but this recent article from the WSJ about the status of start-ups in Silicon Valley is appropriately titled “Appsurd” and might introduce “SoLoMo” into popular lexicon.  And for those who have been around health innovation, investing, and start-ups… we will know the bubblicious-ness of tech has fully saturated healthcare (digital health, healthtech, medtech, whatever you wish to call it) when not only do you hear “it’s this for that”, but “SoLoMo” is then dropped during pitches and it might be high time to flee away screaming!  And yes… you can actually check to see if that crazy start-up or Internet or mobile app business idea is truly legit through ItsThisForThat.com.

    -cch

     
  11. image: Download

    Apple’s Q1 2012 earnings report is astounding: ~$13B in profit which exceeds Google’s quarterly revenue of ~$11B. TechCrunch provides a great write-up with further context here vis-a-vis other tech companies and countries like Greece, appropriately titled - boom^6.  Some of the tech comparisons seem almost unfair, like the ones to Yahoo and AOL, and perhaps a better word than “comparison” should be used.  I’d be super interested to see what would happen if Apple were to tackle health; I’d proffer that because of their insane focus on design and consumer UI/UX… they’d succeed where other notable tech companies such as Google and Microsoft have stumbled.  With almost $100B in cash on the balance sheet, they could afford to pour not a little bit of money into a health skunkworks. Needless to say, the Apple earnings numbers are indeed mindboggling and let’s see if the trajectory continues to increase.  As they say - boom goes the dynamite.
-cch 
melodykoh:

It’s astonishing how a consumer electronics (hardware!) company can produce such profit. Apple- good job.
parislemon:

This is actually the craziest chart about Apple following their insane earnings today.
There is exactly one company on that entire list that is not an oil and gas company. And they’re not that far from the top. 

    Apple’s Q1 2012 earnings report is astounding: ~$13B in profit which exceeds Google’s quarterly revenue of ~$11B. TechCrunch provides a great write-up with further context here vis-a-vis other tech companies and countries like Greece, appropriately titled - boom^6.  Some of the tech comparisons seem almost unfair, like the ones to Yahoo and AOL, and perhaps a better word than “comparison” should be used.  I’d be super interested to see what would happen if Apple were to tackle health; I’d proffer that because of their insane focus on design and consumer UI/UX… they’d succeed where other notable tech companies such as Google and Microsoft have stumbled.  With almost $100B in cash on the balance sheet, they could afford to pour not a little bit of money into a health skunkworks. Needless to say, the Apple earnings numbers are indeed mindboggling and let’s see if the trajectory continues to increase.  As they say - boom goes the dynamite.

    -cch 

    melodykoh:

    It’s astonishing how a consumer electronics (hardware!) company can produce such profit. Apple- good job.

    parislemon:

    This is actually the craziest chart about Apple following their insane earnings today.

    There is exactly one company on that entire list that is not an oil and gas company. And they’re not that far from the top. 

     
  12. image: Download

    I guess this encapsulates what Steve Jobs strived for: simple, easy to use and navigate (UI/UX) technology products that all humans, young and old, technophiles and neophytes, could figure out and use… so simple, that even perhaps monkeys could too. :)
-cch
brooklynmutt:

FaceTime for Apes: Orangutans Use iPads to Video Chat With Friends In Other Zoos - Popular Science

    I guess this encapsulates what Steve Jobs strived for: simple, easy to use and navigate (UI/UX) technology products that all humans, young and old, technophiles and neophytes, could figure out and use… so simple, that even perhaps monkeys could too. :)

    -cch

    brooklynmutt:

    FaceTime for Apes: Orangutans Use iPads to Video Chat With Friends In Other Zoos - Popular Science

     
  13. image: Download

    #Tech & #publichealth trivia: Keyboards have 60x more germs than a toilet seat… yikes! I wonder what the stats are for iPad surfaces. :) I never did understand the infatuation with disposable paper toilet seat covers in public restrooms… I mean from a public health perspective, it’s not like people greet others in daily societal life with a bare bottom butt bump or tap or umm, utilize their rear ends when eating.  But clean hands are obviously important, thanks to handshakes and hugs and the use of hands when eating. So disinfect your keyboards (and remote controls) regularly!

Perhaps TMI for this Monday…

-cch

coolhealthinfographics:

Tech Germs - Remember to wipe your keyboard
    #Tech & #publichealth trivia: Keyboards have 60x more germs than a toilet seat… yikes! I wonder what the stats are for iPad surfaces. :) I never did understand the infatuation with disposable paper toilet seat covers in public restrooms… I mean from a public health perspective, it’s not like people greet others in daily societal life with a bare bottom butt bump or tap or umm, utilize their rear ends when eating. But clean hands are obviously important, thanks to handshakes and hugs and the use of hands when eating. So disinfect your keyboards (and remote controls) regularly! Perhaps TMI for this Monday… -cch

    coolhealthinfographics:

    Tech Germs - Remember to wipe your keyboard

     
  14. (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

     
  15. 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