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	<title>Chris Bell &#8211; iStart keeping business informed on technology</title>
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		<title>The anatomy of technology as a change agent</title>
		<link>https://istart.com.au/feature-article/the-anatomy-of-technology-as-a-change-agent/</link>
				<comments>https://istart.com.au/feature-article/the-anatomy-of-technology-as-a-change-agent/#respond</comments>
				<pubDate>Sun, 23 Mar 2014 20:39:26 +0000</pubDate>
		<dc:creator><![CDATA[Jennene Kelly]]></dc:creator>
		
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				<description><![CDATA[<p>The joint forces of data analytics, mobile solutions, social applications and cloud computing are disrupting whole industries and forcing change. Businesses that do not adapt are in danger of becoming extinct. Chris Bell asks the experts if change today actually begins with technology, and whether it should...</p>
<p>The post <a rel="nofollow" href="https://istart.com.au/feature-article/the-anatomy-of-technology-as-a-change-agent/">The anatomy of technology as a change agent</a> appeared first on <a rel="nofollow" href="https://istart.com.au">iStart keeping business informed on technology</a>.</p>
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			<p>In one of his books the Victorian-era novelist Anthony Trollope warned against considering questions involving great change: “The best carriage horses are those which can most steadily hold back against the coach as it trundles down the hill.” He was writing about parliament rather than commerce, and it would be a foolish 21st Century CEO who took his advice to heart, but he articulated the natural human response to change: to resist it.</p>
<p>Disregarding their internal culture – including employee values, beliefs and habits – can cause organisations to fail spectacularly when they attempt to change by deploying technology. <a style="color: #ff9900;" href="http://nz.linkedin.com/pub/barry-carruth/0/748/761">Barry Carruth</a>, managing director of <a style="color: #ff9900;" href="http://www.probity.co.nz/">Probity Consulting</a>, specialises in improving the infrastructure supporting corporate services. An accountant by trade, he’s seen technology projects initiated for reasons of political agenda rather than a grounding in good business sense. But since the economic downturn he’s noticed a more prudent approach to technology implementations. “Organisations are putting in more robust processes to evaluate whether a project will deliver change,” he says.</p>
<p>Carruth draws a distinction between cultural change and change management, however. “A lot of people set off with the idea of cultural change but with no end-state in mind. As a result the cultural change tends to waver and without an objective it’s like an unguided missile.” And there’s not necessarily a need to change an organisation’s culture merely to deploy a new technology, he reckons. “There is a need to put in really good change management processes and bring people along on the journey but the fundamental underlying culture of the business can remain the same.”</p>
<p>Probity helped the New Zealand Fire Service to introduce a paperless accounts payable system. “We removed all paper based purchase orders and invoices and a result of that change was a change in the policies and behaviours of the people in the organisation. This one small piece of technology had an impact on the whole business.” But it was change made in the context of its existing business processes. “If you don’t look at an application from a process perspective, looking for improvement, all you’re going to do is take a round peg out of a round hole and put another round peg back in,” Carruth cautions.</p>
<blockquote>
<p style="text-align: center;">“People set off with the idea of cultural change but with no end-state in mind. As a result the cultural change tends to waver and without an objective it’s like an unguided missile.”<br />
<span style="font-size: 8pt;"><strong>Barry Carruth</strong>, managing director, Probity Consulting</span></p>
</blockquote>
<p>There are numerous examples of organisations automating manual processes, many of them dating back to the earliest days of IT. But fundamentally changing a business to anticipate or react to external disruption is what consultants and analysts are warning 21st Century organisations they must prepare for, and this requires an entirely different approach to working, not merely a refining of processes.</p>
<p><a style="color: #ff9900;" href="http://au.linkedin.com/in/roberthillard">Robert Hillard</a> is managing partner of the technology agenda at <a style="color: #ff9900;" href="http://www2.deloitte.com/au/en.html">Deloitte Consulting</a> in Australia. “The evidence that culture matters is as simple as looking at a software product that in one company is lauded as a case study globally and in another company is thrown out and the stakeholders describe as a complete failure. Some of them might be technical issues where it’s implemented badly but the primary difference is that one suits the culture of the organisation well and the other doesn’t.”</p>
<p>In its paper ‘Digital disruption: Short fuse, big bang?’, Deloitte claims “one-third of the Australian economy faces imminent and major digital disruption”. Deloitte ranked industries and businesses according to how soon they’re likely to experience significant digital disruption. Those who’ll encounter it within the next three years it considers to be on a ‘short fuse’; those that can expect it in four to 10 years are on a ‘long fuse’. Having the human resources to address this disruption is essential, says Deloitte: “This might be achieved through training and good management or, where the pace of change is great, sourcing staff who can contribute the skills required to remain competitive.” Our interviewees unequivocally agree the latter is where many organisations fall short.</p>
<p><span style="color: #f0098b;"><b>Technology as change agent</b></span><br />
David Guazzarotto, CEO of Future Knowledge, is a Sydney-based specialist in HR, talent management and social collaboration technologies. He says technology adoption must be driven by behavioural change. “If it’s not underpinned by an alignment with a strategic imperative there’s a higher likelihood of failure. It’s about driving the people side of things.”</p>
<p>CEOs and senior executives must ask themselves whether technology is driving change or vice versa, says Guazzarotto. “You should look at the opportunity for change and the need for a better way of working and then report back with a technology that’s appropriate. But if the leaders in an organisation are not capable of supporting people effectively, no amount of technology is going to get you across the line.”</p>
<p>Organisations trying to out-manoeuvre competitors through innovation – rather than through market-dominance or lower pricing, for example – face a bigger challenge than those merely pedalling water. But knowing your industry and maintaining intelligence about your competitors may be just as effective as being the first mover, Deloitte’s Hillard claims. “Trying to identify where the change is going to come is more important than trying to come up with the disruptive technology.”</p>
<p>He provides an example from an industry using more efficient platforms and emerging technology to differentiate its offerings. “The car insurance industry is creating telematics: telemetry for motor vehicles. That could mean different packaging of insurance by the kilometre – you pay more insurance if you choose to drive faster, and so on. Customers get frustrated if they’re paying a higher premium than their driving habits dictate.”</p>
<p><span style="color: #f0098b;"><b>Add agility, not complexity</b></span><br />
IBM’s global C-Suite study incorporates everyone from CEO, CFO and CIO respondents to human resources, supply chain and marketing chiefs, and IBM says it’s based on face-to-face conversations with more than 4000 executives worldwide. Concurring with the findings in Deloitte’s paper, these CxOs foresee major changes in the business landscape within the next three to five years. Most of them regard technology factors as among most important external forces shaping business. The fact every business is today suffused with technology means CEOs – many of whom once wore IT scepticism like a badge of honour – must now embrace it.</p>
<p>“Even the most old-school CEO can’t ignore the realities of technology driving change in a macroeconomic sense in their own organisation,” says Guazzarotto. One example is in cloud services adoption, which may have the side-effect for many organisations of having to align business processes with what are, effectively, hardcoded IT systems. That contrasts with the commissioning of bespoke or highly customisable applications in the past. For such organisations, competitive advantage will be a question of how good they are at making best use of such commoditised systems, Guazzarotto says. “I come from an ERP background, and in the SAP, PeopleSoft and Oracle days we always talked about best practice. What we’re moving to in the cloud era is perhaps ‘most common practice’ rather than best practice.”</p>
<p>Meaningful change comes not from building a cool office, deploying an app then sitting back and waiting for the phones to ring. “Change is thinking about where you are as an organisation, what your strategy is and what the bigger picture threats and opportunities are,” says technology evangelist, investor, commentator and business adviser Ben Kepes, who cautions against deploying technology without first considering the underlying organisational culture. “There’s nothing worse than implementing an agile product without having an agile organisation.”</p>
<p><a href="https://istart.com.au/wp-content/uploads/2014/03/Technology-as-a-change-agent.jpg"><img class="alignright wp-image-9528 size-full" src="https://istart.com.au/wp-content/uploads/2014/03/Technology-as-a-change-agent.jpg" alt="Technology as a change agent" width="250" height="415" srcset="https://istart.com.au/wp-content/uploads/2014/03/Technology-as-a-change-agent.jpg 250w, https://istart.com.au/wp-content/uploads/2014/03/Technology-as-a-change-agent-150x249.jpg 150w, https://istart.com.au/wp-content/uploads/2014/03/Technology-as-a-change-agent-120x200.jpg 120w" sizes="(max-width: 250px) 100vw, 250px" /></a>Deloitte describes agility as “a willingness to make decisions and mobilise quickly. It’s about fostering an organisational culture that values innovation and in which people are responsive to change”. In software development a number of methods, tools and principles fall under the agile definition and they tend to be based on iterative and incremental development, where products and services evolve through collaboration between self-organising, cross-functional teams.</p>
<p>“Traditionally, change had to start bottomup, had to be cultural,” says Kepes. “What we’re seeing now is a fundamental shift. The days of the massive, multi-hundred-person organisation are drawing to a close. Those organisations just can’t be sufficiently nimble. We’re going to see the rise of project-based, team-based distributed organisations.”</p>
<p>Adding complexity – which happens as new technologies and capabilities are clipped onto existing practices and systems – causes more problems than the additional functionality solves. “We’re happy to add sophistication and complexity,” says Hillard. “But it’s hard to also remove something every time you add a capability so that your organisation doesn’t become too complex; when somebody wants to implement a new system, everybody wants to hang scope off it like ornaments off a Christmas tree.”</p>
<p>One problem with viewing the business from the standpoint of its existing processes is that it’s akin to analysing an artist’s brush-stroke without considering her source of inspiration, let alone the effect the finished painting has on the eye. Creativity, as Kepes points out, is more than the sum of its parts. “You can’t systematise innovation,” he says. “It just doesn’t work that way.” For this reason, forward-thinking industrial-scale organisations are getting creative: “They’re setting up skunkworks-type operations, where they ring-fence some budget and let people get creative because corporate structures and rigid IT systems don’t lend themselves well to that ambition.”</p>
<p><span style="color: #f0098b;"><b>All just a game&#8230;</b></span><br />
An Economist report, ‘Agent of Change: The future of technology disruption in business’, predicts new technologies will result in a general flattening of business hierarchies, “with one victim possibly being the ‘middle manager’ role”.</p>
<p>Hillard, who advises every organisation to look at change through the lens of economic fundamentals, agrees. “The middle-manager whose role was simply to facilitate bureaucracy, to interpret orders from above and execute from below, is enormously at risk. The challenge is to find career paths where people can contribute to the greatest possible degree across the widest possible footprint their ability allows.”</p>
<p>Social media, so-called gamification and virtual teams are set to help companies find new ways of defying disruption. Hillard says large bureaucratic organisations are seeing their staff create self-organised teams on various internal social media products. But companies have to change their culture before people can use them effectively; legacy performance management structures and unimaginative team incentives dissuade potentially talented new recruits.</p>
<blockquote>
<p style="text-align: center;">“By enabling social technologies in your organisation and allowing your employees to engage externally via social platforms you amplify your culture.”<br />
<span style="font-size: 8pt;">David Guazzarotto, CEO, Future Knowledge</span></p>
</blockquote>
<p>“They don’t want to sit inside a deep hierarchy and receive orders from above,” says Hillard. “If you can harness 10 people looking at a difficult strategic problem rather than one person having to make the decision you’re going to get a better outcome. It’s crowdsourcing decision-making in organisations, using social media or gamification. It’s about trying to engage large numbers of people by making our day-to-day jobs into the form of a game and getting people excited and engaged.”</p>
<p>Gamification is being integrated into help desk software and used to help increase employee productivity. It’s also being introduced as a tool for customer engagement, for encouraging good behaviour on website forums and increasing social network engagement. Some critics dismiss it as another marketing fad; others say it offers achievement only in its most artificial sense. But Hillard maintains gamification has the potential to assist adaptive, information-driven organisations. “Rather than creating a chain of command and coding that into an approval process, you need a score level in order to be confident that this expenditure or investment has appropriate approval, watching through social media how people choose to get that score.”</p>
<p>Guazzarotto agrees social media can support rapid cultural change, but it’s still enemy territory for many of the organisations he works with. “By enabling social technologies in your organisation and allowing your employees to engage externally via social platforms you amplify your culture.” Conversely, a toxic culture can quickly be exposed for that – negative viral campaigns on social media can do immense harm in a short time; as in the case of English gastro-pub The Plough that laid-off its head chef before Christmas but neglected to regain control of the business’s Twitter logon. His subsequent series of damaging tweets suggesting questionable ethics has since been retweeted multiple times.</p>
<p>Carruth agrees a skill-upgrade is underway, with fewer people engaged in mundane processing-type work, but foresees a less catastrophic evolution for middle-managers. “They possibly require less management in those roles than previously, which means there are fewer middle-management roles, but they’re declining not disappearing.”</p>
<p>Guazzarotto predicts our working methods are fundamentally changing. “I’m advocating the end of the job; in other words, we’re not going to be hired to do a particular job, we’re going to become part of collaborative structures that are centred on activities instead of jobs and responsibilities and we’ll be collaborating with people from all over the world: employees, contractors, industry influencers. Social media is the glue binding all that together.”</p>
<p>It’s sobering that nearly four in 10 respondents in the Economist’s survey worry their organisations won’t keep pace with technology change and thus lose their competitive edge. Successful change isn’t trivial; but then, neither is wasting your energy holding back a carriage horse while your competitors are overtaking you in high-powered motor vehicles.</p>

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<p>The post <a rel="nofollow" href="https://istart.com.au/feature-article/the-anatomy-of-technology-as-a-change-agent/">The anatomy of technology as a change agent</a> appeared first on <a rel="nofollow" href="https://istart.com.au">iStart keeping business informed on technology</a>.</p>
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				<pubDate>Mon, 06 Jan 2014 23:10:10 +0000</pubDate>
		<dc:creator><![CDATA[Jennene Kelly]]></dc:creator>
		
		<guid isPermaLink="false">http://testbed.istart2.com.au/?post_type=feature-article&#038;p=7694</guid>
				<description><![CDATA[<p>Technology has increased productivity and emancipated humankind from day-to day tasks, enabling automation over drudgery, hasn't it? The march of the machine continues into the digital age...</p>
<p>The post <a rel="nofollow" href="https://istart.com.au/feature-article/man-machine-and-the-productivity-story/">Man, machine and the productivity story</a> appeared first on <a rel="nofollow" href="https://istart.com.au">iStart keeping business informed on technology</a>.</p>
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			<p>It seems self-evident that information technology makes us more productive.</p>
<p>However, academics and technology sceptics know all about the productivity paradox. It was popularised in a 1993 article by <a style="color: #ff9900;" href="https://www.linkedin.com/pub/erik-brynjolfsson/0/88/b45">Professor Erik Brynjolfsson</a>, who noted an apparent contradiction between advances in computing power and the slow growth of productivity.</p>
<p>Let’s face it; technology’s transformative effect on business isn’t always apparent. Be brutally honest, even with all of your new devices and mobile working capabilities, how much more productive are you today than you were 10-15 years ago? Enough to justify every dollar you’ve spent on technology in the interim?</p>
<p>More likely your productivity is being spread more thinly over what was previously your leisure or commuting time. This is corroborated, in part at least, by responses to a Clarian Human Resources study completed in conjunction with Massey University this year, the <a style="color: #ff9900;" href="http://clarian.co.nz/Pdf/GR8NZ%20Employment%20Survey/Survey%20report%202013%20Final.pdf">Great New Zealand Employment Survey 2013</a> (a nationwide online survey based on 334 responses). For example, one comment read: “Constantly accessible. People expect faster responses. Too easy to keep checking in on emails at home and on leave”. Respondents cited “excess workload” as a barrier to performance and nearly two-thirds of respondents felt IT led to spending more time on work.</p>
<p>It’s partly a perceptual problem, of course; just because you’re at work doesn’t mean you’re working. As the Economist’s contributor Buttonwood wryly noted, the ability to watch funny cat videos doesn’t count as increased productivity, and the same publication has been saying new technologies don’t automatically lift productivity since at least 2003: “Firms need to work out how to reorganise their business to make best use of any important new technologies before they can reap the full rewards.”</p>
<p>Back in 2000 <a style="color: #ff9900;" href="http://www.economics.northwestern.edu/people/directory/robert-gordon.html">Professor Robert Gordon</a> at Northwestern University in the US wrote a paper (Interpreting the ‘One Big Wave’ in US Long Term Productivity Growth) in which he asked whether the computer and internet revolutions are as important as the first industrial (steam) and second industrial (electrical and internal combustion) revolutions. He contended many of the inventions that initially led to the deployment of computers occurred in the 1970s and 1980s and since then the majority of notable developments had been in communications and entertainment.</p>
<p>“But that was before the effects of the internet,” you reasonably respond. “Now we have the cloud, cheap storage, reliable web search and robust, free email!” So why aren’t these innovations unambiguously reflected in our productivity figures? Well, for one thing, says Oxford University economist <a style="color: #ff9900;" href="http://www.oii.ox.ac.uk/people/?id=20">Paul David</a>, by comparison there was no notable productivity growth until at least 40 years after the introduction of electric power. It took until around 1920 for US machinery to be connected and for organisations to re-engineer themselves for the benefits of electricity. David also calculates that a technology only begins to significantly affect productivity when it has reached a 50 percent penetration rate. US computer use, for example, only reached this mark in around 2000.</p>
<p><b>More input, less output</b><br />
The Australian government’s Productivity Commission is studying the problem of manufacturing’s contribution to the decline in productivity growth and undertaking work to identify its causes. Its findings aren’t expected until after this edition goes to print. But in its June 2013 National CEO Survey, the Australian Industry Group says the fact Australian businesses have been keen technology adopters over the past two decades has had a positive impact on productivity at a company level. To maintain this momentum, it concludes, significant new policy initiatives are required, including the development of a national workforce skills strategy for the digital economy.</p>
<p>Meanwhile, a September 2012 paper by the New Zealand Productivity Commission, Productivity by the numbers: The New Zealand experience, finds New Zealanders working more hours but producing less than workers in other countries: “New Zealanders work about 15 percent longer than the OECD average to produce about 20 percent less output per person,” the paper says. New Zealand’s labour productivity has been falling behind other OECD countries for decades, it seems. Productivity commissioner Murray Sherwin has also said that even though the country has invested heavily in ICT technology, many organisations have failed to turn their investment into meaningful productivity growth.</p>
<p><b>Healthy scepticism</b><br />
Some digital commentators are sceptical about the metrics traditionally used to measure productivity. Geof Heydon is director of business development for the information sciences group at the Commonwealth Scientific and Industrial Research Organisation (CSIRO) in Sydney. “If you take something that’s been happening for 100 years and try and work out how much it’s improved, there’s a fairly good chance that you won’t find massive improvement,” Heydon cautions.</p>
<p>However, he is dubious about research findings suggesting technology isn’t increasing productivity. “More often than not those research programmes are run by various big consulting companies, and quite often the outcomes are very much dependent on who’s funding the research. The research required to get proper answers on these things is extensive and mathematically complex.”</p>
<p>Underscoring the difficulty of measuring productivity in the digital age, Heydon says it’s challenging to analyse an entire economy and understand what’s happening to it from a computing perspective. “It’s easy to miss critical aspects of what’s digital and hard to be completely thorough and detailed about it.”</p>
<p><b>Technology timeline</b><br />
Pinpointing the source of productivity gains when new forms of power were introduced was relatively straightforward but seems to have become more elusive with each progressive innovation. For example, from the mid-1880s, electrification dramatically increased the productivity of factories. Also, the centralisation of electricity generation meant more businesses could afford electricity because they paid only for the power they used.</p>
<blockquote>
<p style="text-align: center;">“If you take something that’s been happening for 100 years and try and work out how much it’s improved, there’s a fairly good chance that you won’t find massive improvement.”<br />
<span style="font-size: 8pt;">Geof Heydon, director of business development, information sciences group, CSIRO</span></p>
</blockquote>
<p>The earliest information technology hardware took the form of adding machines and unit recording equipment, which processed data by running punched cards through tabulating machines. Comparable human calculations required more manpower and were subject to greater levels of human error. The first completely transistorised calculator dates back to 1955 when IBM introduced its 608 machine (those punched cards weren’t fully superseded until the 1980s).</p>
<p>The lack of portability of early electric typewriters in the early 1900s is one reason why they took time to realise sizable productivity gains and they didn’t wholly supplant manual machines before the very first word processors began to sweep both typewriter variants aside in the late 1970s and early 1980s.</p>

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<p>The post <a rel="nofollow" href="https://istart.com.au/feature-article/man-machine-and-the-productivity-story/">Man, machine and the productivity story</a> appeared first on <a rel="nofollow" href="https://istart.com.au">iStart keeping business informed on technology</a>.</p>
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		<title>E-health technology shows vital signs</title>
		<link>https://istart.com.au/feature-article/e-health-technology-shows-vital-signs/</link>
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				<pubDate>Wed, 21 Aug 2013 23:03:24 +0000</pubDate>
		<dc:creator><![CDATA[Hayden McCall]]></dc:creator>
		
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				<description><![CDATA[<p>From referrals systems to electronic health records and devices that allow patients to monitor their symptoms, health sector technology is evolving...</p>
<p>The post <a rel="nofollow" href="https://istart.com.au/feature-article/e-health-technology-shows-vital-signs/">E-health technology shows vital signs</a> appeared first on <a rel="nofollow" href="https://istart.com.au">iStart keeping business informed on technology</a>.</p>
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			<p>Just 70 years ago, politicians claimed to know more about what was good for our health than we did ourselves. These days it seems Google is more likely to be consulted than the family doctor.</p>
<p>To Dr Sarah Dods, research leader of health services at CSIRO (the Commonwealth Scientific and Industrial Research Organisation) in Victoria, health is the last bastion of a pre-industrial world: people making local decisions and doing things their own way because they believe that’s best.</p>
<p>“There’s a centuries-old culture around the art-form of diagnosis and the intuition a doctor is required to have to do their job. The way they’ve been trained is a very different model from quality assurance and industrialised principles.”</p>
<p>One means of evolving from that arguably outdated culture is through better technology use. Another is by getting patients more involved in their healthcare decisions. The terms eHealth and tele-health are often used inter-changeably, but each presents an opportunity to address what Dods refers to as the sector’s “strong, cultural challenges”.</p>
<p>Correctly used, eHealth is the use of information and communication technology in delivering services, including the operational use of database tools and personally controlled electronic health records (PCEHRs) of the kind being introduced by Australia’s National eHealth Transition Authority (NEHTA). Tele-health is the delivery of health services and related processes from a distance; everything from patient-care in the home and providing an emergency capability to monitoring chronic diseases and consulting patients via video conference.</p>
<p><strong>Seeing a plan come together<br />
</strong>NEHTA’s introduction of electronic health records to capture and maintain Australian patients’ medical records will be harnessed by brand new healthcare facilities, offering a glimpse of what the future of the sector might hold.</p>
<p>Western Australia’s Fiona Stanley ‘digital hospital’ project will be based on an information technology platform that the Government of Western Australia Department of Health predicts “will enable unparalleled levels of accessible, integrated and evidence-based patient-centric care”.</p>
<p>The Department says the technology will improve safety and quality of care for patients, improve coordination and delivery of healthcare services and improve privacy and security of their information.</p>
<p>In New Zealand, too, state-of-the-art facilities will be among the beneficiaries of an eHealth vision of the future.</p>
<p>Waitemata District Health Board is building a $39 million Elective Surgery Centre on its North Shore Hospital site. It says the centre will be one of the most medically advanced in New Zealand and will be dedicated solely to providing elective (non-urgent) procedures, such as joint replacements. “It will significantly reduce patient waiting times for elective surgery, ensure a more efficient service for patients, and increase the number of procedures performed each year by 1500,” says Waitemata DHB. The Centre is due to be completed by mid-2013.</p>
<p>Graeme Osborne is director of New Zealand’s National Health IT Board. He’s taking a realistic approach to executing his National Health IT Plan.</p>
<p>You’d expect it to be based on a mature strategy, especially since it’s already well underway. But although there have been two high-quality reports on health sector reform so far this century – 2001’s Working to Add Value through E-information (WAVE) report and the 2005 Health Information Strategy – neither was fully realised.</p>
<p>Writing strategy is one thing, executing it entirely another.</p>
<p>Osborne says the National Health IT plan is an action plan with enough strategy in it to make it useful. “We’d already seen the other two strategies had some wonderful people developing them and the right ideas but they weren’t able to turn them into something people delivered against.”</p>
<p>Although New Zealand was an early adopter of systems for GPs, Osborne acknowledges it’s been slow in areas that haven’t directly benefited clinicians – clear business cases and clinician demand are needed for technology investment to low. “The major investments that need to be made in core IT solutions have not been prioritised as highly as they should have.”</p>
<p><strong>People, data and supply chain<br />
</strong>Healthcare vendor Oracle’s vice president of healthcare and life sciences, responsible for Japan and Asia-Pacific, is Mehdi Khaled. He warns of the dangers of trying to compare and contrast the needs of the Australian and New Zealand health sectors. “New Zealand is a small country with a very limited budget. Politics in Australia also play a much bigger role than in New Zealand and the scale of implementation is different.”</p>
<p>He says New Zealand and Australia diverge on their approaches because their health priorities differ.</p>
<p>“Australia, being a very large country, has rural health challenges and remote populations. For New Zealand it’s a problem of capacity, of harmonising the delivery of care across the DHBs.”</p>
<p>The ‘eHealth vision’ enshrined in New Zealand’s National Health IT plan is that “each patient will have a virtual health record, with information stored electronically and accessible regardless of location by linking to existing systems run by healthcare organisations”. And yet Osborne has been dismissive of electronic health records; most notably in Australian magazine PulseIT (‘New Zealand’s eHealth Agenda’, Kate McDonald) in which he describes PCEHRs of the kind being introduced by NEHTA in Australia as “pretty boring”.</p>
<p>PCEHR proponents say they bring important health information from different systems together and present it in a single view, much as described in Osborne’s plan, so how does he reconcile that with his published comments? “Electronic health records, as well as being complex, don’t give you any sense of what your clinician’s trying to do with you. They’re quite static. That’s why I say they’re boring. You need an action plan, everyone to be on the same wavelength. You need more of a Facebook-type concept where people are able to network and work out how they’re going to work together to get you recovered.”</p>
<p>Others in the industry see more scope for savings and gains from better use of systems already in place. For Tranzsoft Group’s CEO, Rod Hall, the biggest need in the health sector relates to supply chain integration. “On the one side you’ve got the supply chain – getting stock and requirements to the patient for treatment – and the patient management side.</p>
<p>Both have had difficulties addressing integration. If you don’t have good data to begin with, how do you populate patient management records, clinical records and implant registers? If it’s done manually, that’s a risk.”</p>
<p>While technologies such as RFID (radio frequency identification) tags are being deployed in the New Zealand supply chain, Hall says it’s been a slow process. “In theatre, medical devices and implants, most of the leading orthopaedic suppliers in New Zealand use Magellan, the RFID tunnels we’re agents for. All of the big orthopaedic suppliers in Australia use RFID in their warehouses and they’re then adopted in New Zealand.”</p>
<p>However, whereas in Australia hospital stock passes through warehouse RFID tunnels, is checked off and that’s replicated in hospitals, reaching a decision to roll out that dual functionality in New Zealand has been beset by delays.</p>
<p>“Each installation would be less than $80,000,” says Hall. “When you think of the high cost for a lot of items around health, that’s minor. NEHTA has released reports, not only about ROI but also the accuracy and risk mitigation they’ve discovered using RFID tunnels. If an initiative is proven to be good, shouldn’t hospitals adopt it as a small, discrete project?”</p>
<p><strong>Transforming the patient experience<br />
</strong>As founder and CEO of Orion Health, vendor of Concerto, the clinical workstation product chosen by the National Health IT Board (and also the clinical data repository used by some DHBs), Ian McRae can afford to sound upbeat. He says the sector is about to enter a phase of fundamental change, driven in part by patient empowerment. “A lot of people have iPhones or Androids and want to see their lab results. Ultimately, there are going to be devices whereby you can continually monitor the chronically ill and thereby improve their healthcare, make people live longer and keep people out of hospitals. That’s going to be the trend over the next 10 years, in my opinion.” He says the incremental approach to technology improvement taken in the sector over the past 20 years will no longer deliver the required returns. “It’s wrong to think we’re going to take the current health systems and tweak and add to them. We’re about to go through a period of internet-style rapid change based around new technology and patients demanding access to information.”</p>
<p>The DHBs in the four regions (Northern, Midland, Central and Southern) are “turning off” their local versions of clinical workstation – the system that displays patient information and provides decision support – and moving to a single, regional instance of Orion Health’s Concerto. As a result they’re faced with varying degrees of complexity, depending on how far their local versions of the clinical workstation are integrated into their local systems. “It’s about getting the right champions who’ll see the value of the regional instance, rather than their local instance,” says Osborne. “The South Island is our ‘poster child’, they’ve taken South Canterbury and West Coast onto the Canterbury version. They have a great relationship with Orion in the way they do support and keep updated with the latest versions of software.”</p>
<p>Thanks to the internet, patients today have more medical information at their disposal than GPs had 50 years ago: the “I Googled it” factor. But change for patients isn’t exclusively technology driven; some of it stems from them becoming less trusting of the medical profession, according to Orion’s McRae. “We’ve spent a couple of decades squeezing efficiencies out of the health system, making doctors and nurses work harder, taking all sorts of costs out of the hospitals – and there are still some gains to be had – but you’re into diminishing returns and you’ve got to do some things that haven’t been done before.”</p>
<p>That may include exploiting scientific discoveries that demand a higher degree of trust in the medical profession by patients than is presently there.</p>
<p>Oracle’s Translational Research Center has created a platform to support what it calls ‘the biomarker lifecycle’, from discovery to clinical use, based on a databank designed to enable scientists and clinicians to identify and explore patient sub-populations.</p>
<p>It’s working with pharmaceuticals companies to store that information and compare benchmarks for genetic profiles against specific diseases, says Khaled. “Instead of making every patient in cancer therapy become a new clinical trial – which was the case up to  ive years ago – we can say, ‘What’s the likelihood that this patient with this genetic profile and this cancer will respond to this treatment?’ And you have more evidence to do so. We’re moving the boundaries of personalised care.”</p>
<p>The idea of using your genetic profile to improve your health may evoke Aldous Huxley’s Brave New World, but it’s no closer to sci-fi than a story on The Economist website, ‘The dream of the medical tricorder’. These hand-held diagnostic devices are similar to the scanner-like gizmos used to deliver healthcare on the USS Enterprise on TV’s Star Trek.</p>
<p>There are some thought-provoking reader comments from doctors, including one about software company Visensia, which has developed a calculator that can predict cardiac arrest 15 hours ahead of the event. By combining patients’ vital sign data it produces a real-time risk measure to warn patients and specialists.</p>
<p>The idea that patients will more actively be able to prevent health events is enticing; although, as another reader comments on The Economist article, it’s one thing collecting data and another knowing what to do with it.</p>

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<p>The post <a rel="nofollow" href="https://istart.com.au/feature-article/e-health-technology-shows-vital-signs/">E-health technology shows vital signs</a> appeared first on <a rel="nofollow" href="https://istart.com.au">iStart keeping business informed on technology</a>.</p>
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		<title>Cloud resilience at what price?</title>
		<link>https://istart.com.au/feature-article/cloud-resilience-at-what-price/</link>
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				<pubDate>Sun, 10 Jul 2011 22:07:09 +0000</pubDate>
		<dc:creator><![CDATA[Jennene Kelly]]></dc:creator>
		
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				<description><![CDATA[<p>What factors should businesses consider, and what questions should they ask prospective providers, to ensure their operations and their business critical data stay safe in the cloud?...</p>
<p>The post <a rel="nofollow" href="https://istart.com.au/feature-article/cloud-resilience-at-what-price/">Cloud resilience at what price?</a> appeared first on <a rel="nofollow" href="https://istart.com.au">iStart keeping business informed on technology</a>.</p>
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			<p>The Canterbury earthquake recovery operations are driving home to New Zealand businesses that no amount of preparation guarantees the safety of data and applications in the event of a <em>force majeure</em> – the “superior forces” usually exempted from insurance policies. But working in the cloud, at least theoretically, separates your data and applications from your physical infrastructure and places them on a remote platform.</p>
<p>As discussed in previous <em>iStart</em> features, there are multiple definitions for cloud computing. We’ll simplify matters here by giving cloud services the umbrella definition of any model of computing where services and applications are hosted securely and accessed through the internet.</p>
<p>New Zealand organisations weren’t among the respondents to the Acronis Global Disaster Recovery Index, but our Australian neighbours emerged as laggards, ranking poorly on their ability to avoid downtime in the event of a serious incident, suggesting we’d have fared little better. However, if stated intentions are anything to go by, the ability to quickly recover IT and systems following a disaster is of growing concern. More than two-thirds (71 per cent) of all businesses surveyed by Acronis expect to include cloud computing as part of their backup and disaster recovery (DR) strategy by the end of the year.</p>
<p>Many onshore providers offer infrastructure as a service (including but not limited to Datacom, Entrada, Gen-i, IBM, ICONZ, OneNet and Revera), and even more of them offer hosting in the cloud, including Appserv, Datacom, Fronde, Fujitisu, Gen-i, IBM, ICONZ, Intergen, Maxnet, OneNet and Revera. Before you even begin to evaluate your provider’s resiliency in the event of the unexpected, you need to ask yourself how quickly you really need to be able to recover your data in the event of a disaster – the answer will have a direct impact on the cost of the service.</p>
<p><strong>Business (almost) as usual</strong><br />
For some Christchurch businesses, having cloud services as part of a DR strategy pre-earthquake meant being able to continue operating uninterrupted, lessening the impact on their earnings. Brett Roberts, a partner in BusinessIQ, knows of at least one such example. “We’ve got two people in Christchurch working out of a small serviced office in the CBD. They haven’t been able to get in there for weeks and they’re still working. They don’t have a server down there; it’s all in the cloud.”</p>
<p>The Christchurch earthquakes shunted businesses around the country to think more carefully about data recovery and backup. CEOs are evaluating risks that are normally obscured by the day-to-day minutiae of running a business. As a result, at least one of our interviewees predicts a boom-time for disaster recovery experts.</p>
<p>It’s worth bearing in mind that a cloud provider’s scale and existing infrastructure can potentially offer resilience of a kind you could never afford to provide yourself. Gen-i’s 12 data centres are co-located in Telecom’s exchange buildings, which were built to withstand natural disasters. Due to the vital contribution telecommunications make to recovering from a civil defence emergency, telcos receive priority assistance at government level.</p>
<p>Neil Osmond, strategy manager, technology, is on the team developing Gen-i’s cloud strategy. He says the emphasis of conversations with customers, particularly since the Christchurch events, isn’t so much on technical features as it is on trust, reliability and availability. He underscores the importance of infrastructure resilience: “Our data centres have seismic bracing and a lot of backup systems, batteries and diesel generators. In a large event like Christchurch, diesel is immediately rationed. Some areas are zoned-off and you can’t get people in. But being a telco, and being part of the civil defence response, we have access to the buildings and diesel, and we’re escorted into the buildings immediately to keep communications for the emergency services open. In thinking about resilience, you’re obviously going to rely on providers who are able to act in extreme circumstances.”</p>
<p><strong>Seismic mindshift </strong><br />
Steve Matheson, chief operating officer of Datacom New Zealand, says the earthquakes highlighted an eventuality people hadn’t fully recognised. “People have always thought that if the power went off, they’d just move their computer somewhere else. This has also rammed home, from a vendor’s perspective, a force majeure situation on a customer.”</p>
<p>Datacom had fortunately invested in strengthening its capabilities prior to the earthquake. Its new Christchurch data centre had been seismically engineered, and even though it’s situated inside what became the red zone, it ran continuously without customer outages. “We had the power go off on us and all the facilities and the bracing on the racks all worked.”</p>
<p>The provider also had a dual fibre link; one half of which was lost during the earthquake when a building it passed through collapsed. Matheson says network resilience proved its worth: “We were still able to access all the systems in Christchurch from Auckland. In fact, we used staff in Auckland to manage the systems for some time during the earthquake.”</p>
<p>Cameron McNaught, executive general manager solutions, Fujitsu Australia and New Zealand, says plans for a New Zealand data centre have firmed up since we last spoke to him in October 2010, when he predicted it would open one this year, subject to customer demand. “We now have internal approval. We’re doing some work with our current facilities to be able to offer services out of Wellington.”</p>
<p>Fujitsu views this as “a starter service”, but it’s also seeing interest from its New Zealand customers in having their data and applications hosted on Australia-based cloud platforms. McNaught says one New Zealand government department is already using a Fujitsu platform for its development test services, as a pilot to evaluate the cloud for larger scale projects. McNaught says he hopes expansion of Fujitsu’s Wellington facility on Taranaki Street will allow it to offer cloud-based services from August or September.</p>

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			<p><strong>Download the full pdf article:</strong><br />
<a style="color: #ff9900;" href="https://istart.com.au/wp-content/uploads/2015/01/iStart-Q3-2011-Feature-Cloud-resilience-at-what-price.pdf">Cloud resilience at what price?</a></p>

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<p>The post <a rel="nofollow" href="https://istart.com.au/feature-article/cloud-resilience-at-what-price/">Cloud resilience at what price?</a> appeared first on <a rel="nofollow" href="https://istart.com.au">iStart keeping business informed on technology</a>.</p>
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