Monday, August 18, 2008

Fay - Storms are no fun

As I am typing this tropical storm Fay is approaching the Southwest coast of Florida. It looks like the storm will hit around the Ft. Myers area but there is still some uncertainty in the storm track. We have been working hard since yesterday preparing for her arrival. The department developed plans last year that serve as the checklist of activities starting at t-minus 96 hours. For example, backup tapes for certain systems are being shipped to Colorado each day for our cold site data center recovery plan in the event of a worst case scenario. Action teams are in place at the data center and on stand-by at home. Communication trees are established and system changes within our 400+ applications have been frozen. This is the first storm that we have dealt with since we moved into our new data center in October 2007. The data center is a tier III data center and houses 537 servers (and growing) and over 400 applications (and growing). Being in the new data center is a big relief during times like this when storms are approaching. In addition to the primary data center which is well protected we have a co-located data center on our network backbone within 20 miles that allows us to recover key data and domain controllers very quickly. Overall, the technical and DR team has done an exceptional job preparing us for a disaster. We still have a long way to go but we are making solid progress every year and have plans in place to ensure we can take care of our customers.



Sunday, August 17, 2008

Future Technologies? Will they be useful?


I have my eye on several new technologies. These technologies will inevitably have an impact on our every day lives. The primary question that I deal with is how can these technologies improve the care of the community that we serve?
This first technology is OLED (organic light-emitting diode). Wikipedia does a good job (as usual) of explaining this technology http://en.wikipedia.org/wiki/Organic_light-emitting_diode . Imagine the benefits of a display that can be as flexible as a thick piece of plastic. Not only will it be cheaper to manufacture (supposedly) but it will allow us to have more choices for displays. We literally have hundreds of large plasma and LCD televisions in our hospitals for public and private use and at least one hundred more projectors. OLED displays can reduce the physical space required for the devices and provide less of an environmental impact. Perhaps one day we can send a flexible OLED screen to a home care patient's house delivered via UPS in a document tube. We could ask them to unroll the unit and place it on wall using double sided tape. After plugging it in we automatically launch an orientation program and talk with the patient real time utilizing wireless communication and a built in camera. If these units are as cheap to produce as we hope then a unit such as this may be disposable in the future. Mass production will he here soon. An OLED unit was spotted at Sam's Club recently (Sony's XEL-1 OLED TV $1,748). Not all OLED units will be sold in a flexible form factor but I believe we will be seeing more ideas for the flexible screen application in our every day life. Imagine screens built into kids backpacks, small screens built into shirts to display names or corporate logos, displays glued to windshields of vehicles to display navigation or vehicle diagnostic information or screens molded to eye glasses that can be turned off or on via bluetooth on the cell phone you are carrying to watch videos. http://www.youtube.com/watch?v=TDuP8PtDJbE



The second technology is also a type of display but this time it is more about the user interface program. It is Microsoft's Milan table PC. Ideas for the application of this technology are still growing and the price point will determine when this becomes popular inside the the home. I can see a lot of applications for this type of surface especially because of the way it can interact with devices and users by a simple touch interface. Perhaps this will be built into our home counter tops one day to back up our portable devices and charge our PDAs? Perhaps it can serve as a smart surface to help patients determine what pills to take next or communicate with care givers. As programs develop for the enterprise and home we will see many possibilities develop. http://www.youtube.com/watch?v=eMIynrliB_g



Friday, August 15, 2008

What will be next?


Is anyone else tired of RHIOs? It looks like they are finally losing steam and quieting down within the healthcare industry. I understand that there are a lot of good intentions at play but I do not believe that RHIOs or community based HIE or the old CHINs have a chance. There are too many mis-aligned incentives for these programs to work within a large geographical area. What is the answer? I believe we must software remove vendors who use proprietary applications and interfaces from the middle of the "solution". Solutions need to be designed by the providers that serve communities and vendors should be chosen based on open standard systems and interfaces.
click on image for larger view

Participating on a Panel


Quite often I am fortunate enough to have an opportunity to participate on panel presentations at conferences and various seminars in the technology industry. I have noticed a trend lately. Panel participants are not self-aware of their actions on stage and have obviously not had any training on presentation skills. Here are a few items to keep in mind when participating on a panel at a conference. I have witnessed every one of these from fellow partipants in front of large groups.


1. Time management. If you are alloted a specific amount of time to present as part of the panel, stick to it. Running over your time is rude to both the fellow presenters and the audience.


2. Cell phones. This may seem very obvious but I have seen multiple presenters check their cell phones or smartphones during the panel presentation. If you cannot afford to turn your phone off for the one-hour presentation then you are probably too busy to be presenting anyway.


3. Habits. The following actions are unacceptable: scratching your nose, adjusting your tie, constantly checking the time on your wrist watch, picking at your ears with a pen or paper clip, cleaning your glasses, and e-mailing on your blackberry. Yes, I have actually see all of these happen at presentations. Nervous habits come forward at the worst possible time. Recognize these issues before the presentation and be mindful of what you are doing while you are in front of the audience.


4. Where to look. When you are participating on a panel discussion you should primarily look at the person speaking. While this may be odd due to positioning of the seats at the table always try to show respect for the person speaking by looking their way and acting interested.
5. Be prepared to give credit to the person before you. If you are about to speak and the person before you essentially says the same thing as you are about to say then acknowledge that and allow the discussion to move on. You do not need to restate everything the prior person said in your own words. The audience will appreciate that you kept the discussion moving onto other topics.

Thursday, August 7, 2008

Managing Expectations


I have had a few good reminders lately about how important it is to manage and communicate expectations. As a leader in a large organization it is easy to become so busy that you cannot effectively communicate with those people who are closest to you. I ask for many things from my team in a normal day but rarely do I take the time to explain in detail what I am asking for and explain why I am asking for it. In addition, I seldom explain to them what I am going to do with the information. These may seem like obvious things to talk about but when you are heads down in back-to-back meetings all day it is easily forgotten.

When I do remember to communicate expectations fully I find that people are more responsive and that it leads to a better outcome overall. Effective communication allows my team to challenge my expectations and reset them slightly. It allows us to have a dialogue about the range of options and ultimately it makes us a better team.

Wednesday, August 6, 2008

Verizon XV6800



I have been using the XV6800 Smartphone for 2 months now.
Prior to the XV6800 I was using the BlackBerry 8830 World Edition Smartphone. The bottom line is that I am going back to the 8830 BlackBerry.
The XV6800 has too many shortcomings. I have yet to have a Windows based mobile device that works well for me. I do enjoy many of the functionality enhancements in the device and I love the flexibility of being able to use a scroll wheel, touch screen or directional navigator to move around the applications. However, the slowness of the Windows platform and the work flow within the phone when using it during the day is enough to cause me to want to change back to the BlackBerry. I am a power user of smartphones. They need to be able to handle high volumes of e-mail messages and text messages and a barrage of phone calls all at the same time. When the phone locks up or is slow to respond it is very frustrating. So while I like the improvements that Microsoft has made in the Mobile Windows platform they still have a ways to go to convince me that they are ready for prime time.
8830 BlackBerry