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UNWIRED

VERBATIM from special correspondent – Donatas Ludditis,

as told to John Jonelis 

Albert EinsteinDonatas Ludditis reporting but you can call me Don. Today I hop train to Chicago Ogilvie station and take elevator to meeting way up in tall skyscraper. Is raining hard outside but I no care. I no go out in rain. I just get off train and take elevator to meeting.  It is in same building!

And they treat me like king here! You should eat such food! Maybe they think Einstein come back from the grave—I dunno. People say I look just like him. As a young man I yusta hate people calling me that and I break some noses. Some legs too, maybe. Now I smile. Carry his picture in wallet.  Tell them he is my big brother.

But I get down to business. I am here at MIT Enterprise Forum. It is their Wireless Innovation event. That mean smartphone gizmos.

I like these smartphones. No computer—I too old for that now. No desk—I hate desk. No lug briefcase—use cloud instead. Hey, is progress. A man cannot fight such things. So what you want I should do? I carry a cute little iPhone and big Samsung Galaxy in pockets and trousers not fall down!  Life is good!

Photo courtesy Heartland Mobile Council

Photo courtesy Heartland Mobile Council

Listen, I tell you good stuff only. I say these things once:

Einstein with Cap

Is it Me or Albert?

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Three Speakers

  • First one show us that mobile Internet just tipped world upside down while nobody is looking.
  • Second one teach us easy way to figure it all out.
  • Third one work amazing electro-gizmo. Is like magic show. I like magic!

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Ken Jones—Verge

Ken JonesKen, he tell about big change that already happen in marketing world. Smartphone owners now at 50 percent. It is—what you call—tipping point. Everything turns upside-down because of this.

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Companies yusta get message to people in this order:

  1. First in Print. Data
  2. Then Radio, TV.
  3. Then Internet.
  4. Then Mobile Internet

All changed now. Now is mobile first. Everybody always know this will happen. Well, now it happens.

Important thing, he say, is nail down ROI of your idea. So I check his website. Whoa—look at that software! Such beautiful pictures and numbers! But you must see this for yourself so click link at bottom.

Then we have Q&A.  Terrible racket come from back of crowd and I recognize the harsh voice of Rong Mayhem howling at our speaker. Somebody up front asked a question and Rong is griping that he cannot hear.  Then he shouts same thing again when next question is asked.  Then a third time.  Is enough!  “Nutilk!” I say—shut up! But he keep hollering. Pretty soon I holler too: “Prikąsk liežuvį! Užsičiaupk!” Don’t he understand what I say?—shut up, SHUT UP! But he keeps it going. In old country we know how to handle people like this. No, I take that back—I cannot remember any person like this in old country.

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Steve Zielke—Horizon Matrix

Steven ZielkeSteve says that technology take us back to basics because of mobile. No more marketspeak mumbo jumbo. Most important thing is get customers—plain and simple. Customer acquisition, he call this. You must first ask, “Who will pay for what you got?” This I like. This is what keeps business going and growing. The company that cracks this question is the company I invest money in.

He gives this great case study: Company XXX, they come up with terrific software. It fights child pornography. Is $30 billion industry, this filth.  But if perverts don’t watch it, industry just dries up. So how do you keep these depraved people from watching porn?

  1. Turns out deviates view this junk mostly at work. At home, wife and kiddies might see. So companies gotta stop it ON THE JOB.
  2. And yes! The businesses agree! Child porn is horrible stuff! But law don’t punish employers. It’s not their problem.  Why should they spend any money?
  3. In the end, you got great product nobody will buy.

After the meeting I hear deep thinkers talk. They argue over what Steve said. But lesson is simple. You gotta find customer first and do it before you invest big money.

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Martin O’Shield—Windy City SDR

Martin O'ShieldMartin, he show us new revolution. But audience not understand it, so I translate in good English: SDR stand for Software Defined Radio.

Say you got an AT&T phone and can’t get your call thru ‘cause there is no tower near you. But the guy sitting next to you babbles away it seems like forever on his phone.  He’s got Verizon or something—no problem for him. Makes you want to clobber him! Am I right?

Martin's Device

Martin’s Device

I watch him set up his technostuff and show us. A member of audience makes call on AT&T phone. Martin catches it and sends it to other phone in room—Verizon phone. It rings. We see whole hookup happen on screen! Imagine you put it in every cell tower. Customer experience makes great leap!  Cost drops to basement!

He says defense department try to develop this and cannot do it. Then private industry makes one, but it turns out way too expensive. Martin, his cost is only 1,000 bucks—hand-made! I bet he can make it for $200 mass produce.

How so cheap?  Can you believe that inside your worn-out laptop computer is Intel chip or AMD chip—either one—and both got the guts to do this job?  He uses teeny-weeny circuit board, 100 dollar laptop, and USB thingamajig.  That is it!

SDR Device courtesy Forbes

SDR Device courtesy Forbes

So I pull Galaxy out of pocket and look this up. I find Forbes article that shows SDR is already used by hackers. That makes me wonder if I understand what I just hear.  I can see this technology is real. But is scary. Hacker can hurt you and you cannot shoot them. I give you link to article.

You think I make this stuff up? I see it happen! Come to my place and we talk summore. Ludditis Shots ‘n Beer. We got potato pancakes better than Lithuania. I not even charge for sixth beer. Sveikes!

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GO TO – THE AMAZING MobiU

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MIT Enterprise Forum
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Links

MITEF Chicago

www.mitefchicago.org
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Ken Jones

Verge

www.verge2.com

kenjones@verge2.com

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Steve Zielke

Matrix Horizon

SRZielke@ameritech.net

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Martin O’Shield

Windy City SDR

http://www.americainc.com/

Martin@WindyCitySDR.com

Forbes Article on SDR

http://www.forbes.com/sites/andygreenberg/2012/10/19/darpa-funded-radio-hackrf-aims-to-be-a-300-wireless-swiss-army-knife-for-hackers/

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GO TO – THE AMAZING MobiU

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Chicago Venture Magazine is a publication of Nathaniel Press www.ChicagoVentureMagazine.com Comments and re-posts in full or in part are welcomed and encouraged if accompanied by attribution and a web link . This is not investment advice. We do not guarantee accuracy. It’s not our fault if you lose money.

.Copyright © 2013 John Jonelis – All Rights Reserved

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Filed under angel capital, angel investor, App, big money, Characters, chicago, Chicago Venture Magazine, Chicago Ventures, Data, Donatas Ludditis, Entrepreneur, Entrepreneurship, Events, Innovation, Innovation and Culture, Internet, Internet Marketing, Invention, investor, MIT Enterprise Forum, MITEF, Mobile, Mobile App, Mobile Marketing, vc, venture capital

WHO’S RUNNING THE ASYLUM?

VERBATIM by Loop Lonagan – Investor and man about town,

as told to John Jonelis

EMRLoop Lonagan here. This is a story about new tech that’s gonna clobber every one of us in our most secret and private worlds. And we can’t duck it. It’s already started and we’re gonna hafta live with whatever we get. Tonight I hear two highly placed speakers talk about how to do it the right way. The speakers figure there’s a big opportunity here, too.

I’m just outa the Chicago MIT Enterprise Forum meeting on EMR—that’s Electronic Medical Records. Yeah—all that super-personal stuff about YOU that’s gonna be there for any nurse to see. Now the foot doctor knows the ins and outs of yer sex life. You get the idea. And yeah—it’s all gonna be there for Big Brother too. Think about that a minute. Government employees. I don’t like it. But it’s the new reality so we’re gonna learn to live with it just like the rest of the stuff that hits the fan. Maybe it’ll do some good after all—I don’t know.

But I ain’t here to talk about everbody’s personal privacy problems or politics neither. Here’s the rub: Turns out, there’s a lotta friction in developing this new EMR technology. It’s complicated. There’s all sortsa human factors screwing up our quest for nirvana in healthcare. This old sage is perplexed. I guess you can say that all the forces pulling this technology in different directions flabbergasts me.

Dr. Lyle Berkowitz

Dr. Lyle Berkowitz

These are real impressive speakers here tonight – big time innovation names. Dr. Lyle Berkowitz MD, FACP, FHIMSS, and Marti Nyman. You probably heard of them. The audience seems to like ’em a lot. I end up in the back of the room and it’s hard to hear with this crowd but we’re gonna do the best we can.

The Industry

What we got here is a huge ubiquitous industry in turmoil. Everybody says, “I’m doing just fine. It’s the other four verticals in the industry that have to adapt to me, do it my way, and everything will be just hunky-dory.” And we all know that’s not the case.

Who’s running the asylum? The Technologist, the Provider, or the Patient? Are the technologists forcing the providers to adapt to their software? Are the providers forcing the technologist and the patient to adapt to the way that they deliver medicine? Or do we need to find ways to motivate better behaviors in the patients? Berkowitz says the primary driver of behavioral change in patients lies with the hospitals and doctors—and I agree. The patients can’t run the asylum.

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The Doctors

Dr Berkowitz comes from the camp that says EMR needs to focus on helping the physician jazz up his ROI insteada helping the bottom line for the technologists. His sore points are Cost, Quality, and Access. At first blush that rubs me the wrong way—I mean, doctors don’t need no financial help, right? They already make tons ‘o money.  It’s the innovators building the systems that take the risks and deserve the rewards.

But then I stop to think. Why should a doctor pay big bucks for something that eats into his precious time and gives no direct benefit to him? So Berkowitz wants the system to automate repeat tasks and make the doctor’s daily workflow a lot better. He’s got a point. Make it better for the docs and you might just make it better for everybody. He also makes a very good point that technology has to be useable.  I agree again.  Doctors are the worst Luddites on the planet.

He says EMR will create a new ecosystem within medical practices. Automation and improved daily workflow means docs do a better and more efficient job. They shuffle patients to the right kinda healthcare—sometimes cheaper healthcare. EMR is all about the providers using Big Data to save dollars and get their ducks in order. For more on Big Data go to https://chicagoventuremagazine.com/2012/10/19/the-story-behind-big-data/

Marit Nyman

Marit Nyman

Marti Nyman says he’s always worked in businesses where there’s what he calls “a convergence of crisis.” I find that an interesting turn of phrase. Within healthcare, he sees a huge, costly market that’s not easy to coordinate, control, or direct. There are so many different technologies that claim to have THE SOLUTION. It’s hard to build one platform across multiple silos.

Questions

In the end, I’m not sure anybody’s making any real progress. And I’m left with alotta questions. Nyman says “consumerization” of healthcare is gonna be important. I dunno what he means. Did he miss the election or what? Aren’t we gonna get socialized medicine now? But he says there’s all this opportunity. Everybody’s looking for ways where technology can solve the problem. I ask myself, whadda they gonna do—sell EMR systems to the government like fighter jets? So I don’t understand how that shakes out. Maybe it’ll help standardize it all but I wouldn’t bet the price of a beer on it.

Nyman gives the example of the way hospitals are at risk. If a patient comes back within 30 days, it’s on the hospital’s nickel. They didn’t handle the treatment well enough or maybe they discharged the patient too soon. They didn’t control the situation—didn’t understand it. He sees home monitoring systems and telemedicine improving the situation. Maybe that’s what he means by consumerism. But that assumes the risk will always be on the physician and the hospital. Those policies can change, especially with government in charge. So I’m left wondering if this kinda innovation will ever really happen.

Takeaways

Dr Berkowitz makes a big point of how valuable a physician’s time is. That’s a perplexing comment. Ain’t everybody’s time valuable? A doc is just a highly educated mechanic, right? What makes his time more valuable than yours or mine? As Stephen Potter sarcastically pointed out in his One Upmanship series, “The physician’s time is always more valuable than yours and in a more important way.”

But when I think about it further, this is actually a practical truth for a number of reasons. Physicians spend a big chunk o’ their lives in school, residency, and what not. That’s a big front load of capital expenditure. The years left for actual work are much more compressed than the rest of us. Surgeons need a steady hand and that’s hard to come by after you get past 50. So the career gets truncated even more. They gotta squeeze a lifetime of income outa a real short span of time. Maybe it’s not as short as football players but it’s plenty short. Then there’s the economic facts of life. Physicians are in short supply for all the reasons I just gave. And the demand is plenty high and about to get a lot higher under the National Health. The more efficient they work, the more patients they can cure. So, yeah—turns out their time is real valuable. Valuable to everybody. If tech can help that along, I’m all for it.

Speakers

One of the speakers is Lyle Berkowitz, a Primary Care Physician as well as the Chief of Medical Innovation at Northwestern Hospital, Director of IT and Innovation at another place, a serial entrepreneur, etc. etc.—the list is as long as yer arm. Maybe he’s triplets.

The other guy is Marti Nyman, Director of Innovation at UnitedHealthcare. He’s got allota VC and business development experience. Retail, Telecom, GE, Best Buy. His list goes on-and-on too.

Contacts

Find MITEF Chicago at http://www.mitefchicago.org/

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GO TO PART 2 – GOOD OUTCOMES

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Find Chicago Venture Magazine at www.ChicagoVentureMagazine.com Comments and re-posts are welcomed and encouraged. This is not investment advice – do your own due diligence. I cannot guarantee accuracy but I give you my best.

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Copyright © 2012 John Jonelis – All Rights Reserved

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