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We love objects that interact with us on our terms. The iDesigns
Creations that provide feedback on our actions; giving us little squirts of dopamine saying: "Job Well Done!" or "WHAA, try it again."
  • The reassuring click of a seatbelt. 
  • The changing states of a hyperlink.
  • The little vibration that an Android phone gives when an application is opened.
The pieces of technology that are imbued with this most simple form of intelligence are the ones that tap into to our basic instinct to pay attention to that which is changing in our environment. The more rapid the change, the more attention it gets. We find examples of this forced change focus in many elements of the healthcare information technology ecosystem.

Fire Up The Future

More Entrants
An increased number of collaborators & competitors makes it hard to recognize partners.
Fewer Barriers
Less differentiation increases the difficulty in assessing the individual components of a value chain.
Smarter Patients 
Unpredictable workflows predicated disruptive behaviors like social networking and internet search creates for novel and unexpected ways for patients to provide and consume data.
iPads in the OR
Invasive technologies leap over status quos of clinical interaction because clinical users see want the same benefits found in consumer devices in their practices, screening rooms and labs. (Even the venerable computers on wheels or C.O.W.S. have been put out pasture!)
Ever more complex solutions and increasingly available "high tech" causes business managers and solutions architects to rapidly cycle through available web & mobile platforms looking for realistic implementation options. This dynamism makes it hard to even indentify the actual borders of "healthcare information technology" in a clinical setting.

The ground isn't just shifting beneath our feet, rather, it feels like all of these dynamic agents are turning the foundations of an enterprise EHR into quicksand. Luckily, as the world in which we work gets more hectic our creations get more serenely subtle and elegantly integrated. <Image Via Medgadget>
The evolution of technology, this process of personifying the inanimate, is quietly at work in healthcare as well as consumer electronics, gaming and wireless communication. Through the diligent creativity of "ad-hoc designers" and "user developers", solutions are being mashed up and melded together using the power of adaptive & mobile consumer devices, interconnected EHR infrastructure and vast user (a.k.a patient) centric social networks.
As the change comes fast and furious these progressively more intelligent elements in the business toolkit give the "solutions makers" better, smarter tools that firmly ground Business Analytics and Process Improvement in the language of patient centric care models. It's a brighter future for bottom lines as well because the strategic game changing answer very might well be to ask the patients to take a leadership role in designing their program of care by providing next generation web and mobile applications.
The problems may be more complex, but the building blocks already contain lifetimes worth of problem solving capacity the like of which could barely have been dreamed of even a short decade ago. And these technologies are now transitioning their lifecycle from innovations to ubiquitous solutions. <See TEDMED 2012 Simulcast>

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