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Trilogy Tidings
June 2014
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in this issue
Technology Deals Require Diligence on Both Sides
Adapting to Electronic Health Records
Healthcare Costs, Yet Again
What does Trilogy do?
Resources from our Archives
     This month's tidings all have to do with improving processes.  The lead piece deals with improving your success rate in executing technology deals.  Later topics deal with improving the implementation of electronic health records (EHRs) and lowering societal healthcare costs through innovation.

     As always, your comments are welcome.
Regards,
Joe
  
Technology Deals Require Diligence on Both Sides   
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     I define a technology deal as a partnering and/or licensing arrangement in which one organization gains access to a technology controlled by another.  The technology is, often by definition, not yet commercialized and often not yet realized as part of a product.  It is frequently being offered by an academic institution, emerging enterprise or solo inventor.

   

     Getting such a deal done is a dicey business and a substantial challenge to both parties.  In my experience there are usually two major roadblocks to be overcome.  First, the attitudes and awareness of the two parties are often quite different.  For one obvious example, the seller's knowledge base is likely to be rooted in the technology and its attributes while the buyer likely has a better grip on potential applications and markets.  Second, there's the knotty problem of agreeing on clinical relevance and value.

 

     These and other roadblocks can be overcome, with dedication and some difficulty, if both seller and buyer remember a few behavioral fundamentals along the way.  Here are my suggestions for navigating this process successfully.

 

     No, you will not always be successful.  But if you keep the interests of the other party firmly in mind throughout the process and behave accordingly, a better outcome is more likely.  
Adapting to Electronic Health Records   
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     Now that EHRs are upon us, we are beginning to see how unevenly they are being adopted in the practice of medicine.  Data quality has been improved, but often at the expense of strong physician complaints and patient disconnects from caregiver interaction.  The EHR threatens to alter forever the patient/physician relationship.  Ultimately, is this a good or bad thing?

 

     I believe it's a good thing because care will improve and fewer medical errors will be made.  However, the onus falls to physicians and their practices to make EHRs work.  Yet, given their historical "trust me to do the right thing" attitude, physicians are really ill-suited to integrate EHR without help.  Scribes have been proposed to improve patient interaction, and some docs swear by this solution.  A better approach, in my view, is to make better use of other caregivers - RNs, LPNs, NPs and PAs -- to assume most of the data entry and recordkeeping EHR burdens.

 

     A nice summary of the state of EHR adoption, from Medscape, is available here.

 

     There's little that product suppliers can do in this arena, except for EHR system vendors of course.  But capable advisors to physician practices and hospitals can surely play a major role in smoothing EHR adoption and altering physician attitudes.         
Healthcare Costs, Yet Again   
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     I've been beating my drum on the threat of US societal healthcare costs for years.  Of course, everyone is aware of the problem, most especially those who have personally experienced its devastating economic effects.  But we seem powerless to address the problem.  If you want to review some disturbing statistics, see this piece by Al Lewis.

 

     There is no singular solution to this problem.  Rather, every participant in the process of healthcare delivery - suppliers, providers, hospitals, insurers, regulators and the trial bar - must do their part individually to reduce the economic burdens on society and individual patients.  I think it's fair to say that suppliers are not major offenders, except for suppliers of certain proprietary drugs.  (Drug costs is a separate topic for another day.)  Nevertheless, suppliers can make a substantial difference by commercializing innovative products and services that serve to replace expensive procedures with equally effective, inexpensive ones.

 

     Make no mistake.  Any supplier that introduces such an innovative offering will reap economic rewards as a result.
  
What does Trilogy do? 
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     Trilogy Associates facilitates business growth and renewal through commercialization of new products, providing the following services:
  • Opportunity assessment
  • Business planning and enterprise growth strategies
  • New-product conceptualization, commercialization and marketing
  • Market research and competitive assessment
  • Business development and partnering
  • Market and technological due diligence
  • Assessment of the therapeutic and diagnostic potential of novel technologies
  • Design of efficient and effective development strategies for early-stage biomedical products
  • Business and technical writing/publishing

     Inquiries to establish whether and how we might support your business initiatives are always welcome.  Contact us.

Resources from our Archives 
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     Check out our Reading Room to view my published articles, presentations and white papers on a variety of topics.
  
     And, you can examine an archive of my prior newsletters (since February 2007).
Contact Information
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Joseph J. Kalinowski, Principal
919.533.6285
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