At the Microsoft New England Research and Development Center last Wednesday evening, software innovators came together for a series of presentations and conversation about the opportunity for technology and design to effect positive change in healthcare.

The program, “Linking Healthcare, Technology and Design”, explored aspects of the changing face of the industry, and how digital solutions could provide the answer to the current crisis in healthcare delivery and patient experience. The event, sponsored and organized by Boston product design consultancy Essential and moderated by Brian Dolan, Editor of MobiHealthNews, featured four speakers: Dr. John Moore from MIT Media Lab’s New Media Medicine group; Jeremy Gilbert, Head of Commercial Products for PatientsLikeMe; Bill Hartman, Director of Research at Essential Design; and Dr. Anand Iyer, President and Chief Operating Officer of WellDoc.

The evening began with Dr. John Moore of MIT Media Lab’s New Media Medicine group, who spoke about the concept of apprenticeship in medicine — a combination of mentorship, training, and ongoing education, that enables people with chronic diseases to manage them in a more proactive fashion — essentially making the patient the center of care. Apprentices could eventually be qualified to train other new apprentices, which would allow this model to scale over time. Dr. Moore also discussed a number of examples of innovative digital programs developed by or in conjunction with the New Media Medicine group. These included a system for diabetics that provided ongoing positive reinforcement for adhering to diet and lifestyle guidelines, and a program that enabled children to monitor and report on their own asthma.

Next, Jeremy Gilbert, Head of Commercial Products for PatientsLikeMe, spoke about the positive outcomes experienced by users of the health site. Don’t call PatientsLikeMe a social network though; This Web application is a comprehensive registry of patients and their diseases, focused on real-world outcomes. PatientsLikeMe enables members to log and share their data — including condition, treatment, and symptom information — so that they can monitor their health over time, and learn from each other.

PatientsLikeMe enables members to log and share their data — including condition, treatment, and symptom information — so that they can monitor their health over time, and learn from each other.

Bill Hartman, Director of Research at Essential Design, spoke about the meaningful use of Electronic Health Records (EHR). The Health Information Technology for Economic and Clinical Health Act, which was a part of the 2009 American Recovery and Reinvestment Act (ARRA) stimulus package, provides hospitals and physicians with incentives for the meaningful use of EHRs. In addition to the intended goals of using certified EHR technology to improve both information exchange and health care quality, there will be some significant indirect benefits from the push for meaningful use, suggested Hartman. Some of these benefits may include an increased emphasis on the overall health care team rather than an individual doctor, ending the myth of doctor “infallibility”, and providing the opportunity for health care providers to focus on a more empathetic approach, in contrast with the current system. According to Hartman, the quantified self movement clearly illustrates that people want to both track their data and have conversations with their health care providers about it; successfully achieving meaningful use of EHRs will further the possibility of that these aspects may become reality for many patients.

Dr. Anand Iyer, President of digital health company, WellDoc concluded the presentation portion of the event with a review of his firm’s software framework for assisting in the management of chronic disease. WellDoc’s technology framework includes a digital patient coach, for counseling and education; secure, cloud-based analytics; and a clinical decision support system for providers. Dr. Iyer envisions a future for digital health, in which doctors prescribe software solutions — like DiabetesManager, WellDoc’s flagship software product for diabetes care — much like they do medications today, to influence patient behavior, improve outcomes, and control costs. For this to happen, Dr. Iyer believes that health-related software solutions need to enable positive outcomes, be approved the FDA for patient safety, be available on all platforms, and integrate easily into a doctor’s workflow.

In the panel discussion that followed, Brian Dolan asked the speakers to make a prediction in the health care software space for the coming year. All of the panelists agreed that patient-centered health care was coming and that software would play a huge role, but were unwilling to pin a date on the trend taking hold. The panelists also agreed that enabling doctors to focus on patient care rather than working to conform to a complex payment system was a necessity, but is remained unclear how the US could find a way forward in the debate over healthcare for all.

Tagged EHR, electronic health records, health care, MIT Media Lab, PatientsLikeMe, software, UX, WellDoc

At Involution, as a part of our commitment to learning and growing as a company, we conduct semi-regular studio critiques. This kind of critique is important to our ongoing evolution as an organization and helps everyone, from leadership to staff, understand the broad vision and values of the studio. As a part of that ongoing discussion, we’re drafting a set of principles that we believe apply to great companies, especially great design companies. Some of these principles are inspired by “Achieving Excellence in Your Design Practice” by Stuart Rose. While the book was first written in 1987 for architectural firms, the principles within it apply to modern design practices in the digital and software realms, as well. Here, then, are nine principles we believe are characteristic of great companies.

Visual note taking from principles of great companies brainstorming session.

1. Great companies focus.
It’s difficult if not impossible to be great at something if your attention is divided. The same is true of companies. Don’t try to do too much. Try sharpshooting rather than using a shotgun. Provide a unique service to clients and develop a niche business.

2. Great companies care about quality.
In our get-it-to-market-quickly world, where the greatest product is whatever is coming next, it’s ironic that quality may be the last, best differentiator. Cutting corners is far too easy, and the pressure to do so is intense. Don’t give in. It’s not worth it. Have a value set that includes quality of workmanship and make sure that every staff member and, just as importantly, every client shares and accepts that vision.

3. Great companies make things.
While it may not always be possible to have input into and control over the total system and process for designing and developing a product, it’s a worthy goal. Of course, understanding the business, technical, and user requirements and constraints for a product are critical to generating an excellent design. But being involved in the process from ideation to prototyping to production to testing to final release and onward ensures that the total product design is honored. Whether you’re designing and making something for clients or for your company, the same philosophy applies. Great companies are involved through the entire lifecycle of the product — from design to build.

4. Great companies take risks.
Experimentation is key to discovering new technologies, techniques, and potential product paths. If you’re interested in finding the next great product, it’s worth making lots of (small) bets and seeing what works out.

5. Great companies breed openness and transparency.
It’s essential that a company be able to confront the facts, not matter how brutal they may be, and face them head on. Being able to grapple with the truth about everything from internal company operations to external economic conditions is a critical component when striving for excellence. However, at the same time, while companies should be rigorous about these assessments, they should never be ruthless.

As a corollary to this tenet, employees should feel comfortable to argue, challenge, and discuss ideas across levels. Solutions can and do come from everyone, so we should embrace this kind of fluidity and ambiguity. To encourage this open discussion, and build trust, staff and leadership should have meals together.

6. Great companies decentralize decision making.
Empowering staff to make important decisions based on company principles and values, will not only improve efficiency, but also enable leadership to provide vision and guidance — steering the ship rather than manning the oars. Staff should be able to act as entrepreneurs within the larger organization, pushing projects forward and providing clients with great service.

7. Great companies measure performance.
You can’t see, analyze, or fix problems if you don’t have the data. Setting goals and reviewing results on a regular basis, not just for financial and project oriented items, but also in regards to team dynamics and client interactions and service will enable a company to continuously improve.

8. Great companies are profitable.
Profitability enables continued growth, evolution, and commitment to quality and excellence. The financial system that runs a great company should be designed for profitability so that all these elements can be honored.

9. Great companies evolve.
Especially in today’s ever changing digital world, it’s vital that a company be able to change as needed, to shift tactics when one potential solution misses the mark. We will not be doing the same jobs a year from now. As a corollary to this tenet, companies need to educate and train staff in order for them to grow, change, and remain competitive. Just as importantly, and for the same reasons, clients should receive ongoing training as well.

These are some of the principles that we strive for here at Involution. What are your key tenets for creating a great company?

Tagged Design, great companies, vision