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Steve Jobs' legacy will live on in healthcare

October 06, 2011 | Mike Miliard, Managing Editor

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It's hard to overstate the impact Steve Jobs, who died Wednesday at age 56, has had on technology for the past 30 years. In hardware, software, communications and design, Apple's contributions have been incalculable – not least in healthcare.

The online reactions last night – with many responses no doubt tapped onto iPhone screens or typed into MacBook Pros – attested to the far-reaching accomplishments of a man many have likened to a modern Thomas Edison.

[See also: Slideshow - Steve Jobs (1955-2011)]

"He changed the way each of us sees the world," said President Obama.

Federal Chief Technology Officer Aneesh Chopra called Jobs "a true visionary."

"In some ways, his death seems like Faustian bargain – revolutionize the world with products beyond our imagination, then die too young," wrote Beth Israel Deaconess Medical Center CIO John Halamka, MD.

Chilmark Research analyst John Moore put it simply: Jobs "wanted to make computers actually fun to use."

That's the key. From the start, Apple has made products that people felt they just needed to have – cool and fun and exceedingly useful.

Physicians and clinicians like smart functionality and sexy design as much as anyone. And that's a huge reason why, in barely three years, the iPhone and the iPad – and the dozens of other smartphones and tablets that have followed Apple's lead – have found such a foothold in hospitals and physician practices.

Just this week, at the launch of the new iPhone 4S, Apple CEO Tim Cook noted that "80 percent of the top hospitals in the U.S. are now testing or piloting the iPad" – using the device "to access patient records, to review medical images, to administer bedside care."

In a healthcare sector that's taken decades to digitize on a scale comparable to other industries, Apple's mobile devices have been adopted in impressive numbers. The interest from care providers is immense. (Of the stories with my byline on healthcareitnews.com, the three most popular so far in 2011 are all about the iPad.)

The innovations speak for themselves. Many big-name electronic health records vendors have developed iPhone or iPad access capabilities. There's also an increasing number of iPad-native EHRs. The devices have proved their worth from the get-go when it comes to telehealth – and the new iPhone 4S (with its 8 megapixel camera and 1080p HD video capabilities) looks to be even-better suited for remote diagnoses in time-sensitive emergencies. The galaxy of self-monitoring, smoking cessation, fitness and assorted other mHealth apps in Apple's App Store have helped bring about a new era in personal health.

And amazingly, so many of these innovations are on fronts most of us never envisioned.

It's often said – and rightly so – that health IT systems should be deployed carefully, with plenty of input from doctors, nurses and other care providers.

But Jobs, the bold visionary, took the opposite approach. As he said famously: "It isn’t the consumers' job to know what they want."

Its a testament to his genius that so many people were happy to find that out from him.

Wall Street Journal technology columnist Walt Mossberg wrote about Jobs that, "the dominant tone he struck was optimism and certainty."

As the U.S. continues the herculean task of transforming the healthcare system for the 21st century, it would be wise to follow his example.

See the next page for a selection of Apple coverage from the Healthcare IT News archives.

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Related Topics:
  • Aneesh Chopra
  • Apple
  • Deaconess Medical Center
  • iPhone
  • John Halamka
  • John Moore
  • MD. Chilmark Research
  • Mike Miliard
  • mobile devices
  • Smartphones
  • Steve Jobs
  • Thomas Edison
  • Tim Cook
  • United States
  • Wall Street Journal
  • Electronic Health Records
  • Mobile/Wireless
  • Privacy and Security
  • Quality and Safety
  • RIS and PACS
  • Telehealth

Reader Comments (4)Login to Post a Comment

FLPoggio says: You can knock me down but not out
October 13, 2011 | 3:16PM GMT

As we all know Mr. Jobs had many accomplishments in the world of hardware and mobile devices. He also had his share of failures. If we are to learn anything from him it must be reinforcing the old cliche 'you can knock me down, but not out'. One miss-step that comes to mind, but probably long forgotten, was Apple's attempt in the mid-1990's to move into the world of healthcare applications. Apple aggressively tried to move into HIT then, and created a very slick ten minute video of their vision for HIT systems (now called EMRs). After a year or two of attacking the health/medical world they packed up and left. Just like Google recently did and many bigger firms before them.

They found the HIT market was too fragmented and too complex, and would take far more investment than they were willing to commit to be leading HIT firm. When looking at the Apple video of 1995, of which I still have a copy, the vision was amazing. It touched on community health records, hand held devices, tele-radiology, Clinical Decision Support, video consults, voice driven systems, and more. Most of which we have (or are just starting to have) today. One of these days I'll get that VCR tape converted to digital and post it...somewhere.

As I have seen many times in my 35 year HIT career, Jobs and Apple had great vision but greater challenges in implementation. Today the IPAD is the mobile tool of choice. They succeeded by focusing not on healthcare applications or the underlying business logic, and not the data base, but on the presentation layer and user interface. Another lesson he left is that success comes in many forms and usually not the way we first expect.
Frank Poggio
The Kelzon Group

TomMariner says: Steve Job's Legacy
October 12, 2011 | 2:17PM GMT

To those of us who turn great ideas into great medical device products, Steve Jobs lessons ring true. Attractive, easy and intuitive to use, innovative, do what they are supposed to, not fail software and devices is a tough act to follow, but if every one of us doesn't do that, we are failing our medical professionals and patients.

Probably should be called "More than safe and effective".

pjoseph says: Behind-the-scenes Steve Jobs
October 10, 2011 | 12:36PM GMT

Steve Jobs' contribution to healthcare with iPads is impressive. A terrific tool, but only a tool.

But let's not overlook the behind-the-scenes contribution--and extremely difficult one to accomplish--that Jobs made. He managed to offer a model for music, entertainment that was so compelling that the non-techie moguls in the media world HAD to work with Apple! He set standards for how their music, entertainment would be delivered and what it would cost.

He found a way to make a bunch of competitive media knuckleheads, slow to adopt new technology, work with him, using common standards and practices. Ultimately his system served the customer in the best way imaginable at the lowest cost.

Oh, if he only could have accomplished this in healthcare so that the patient/healthcare consumer could have the best care possible at the lowest cost.

Where's healthcare's Steve Jobs, the genius that has the smarts, clout and bravery to compel competitors to work together to agree on standards, move toward interoperability--for all EMR systems to adopt common standards and to develop taxonomy standards for all provider and IT organizations!

skater1 says: Steve Jobs
October 06, 2011 | 4:35PM GMT

It is a very sad day. Steve Jobs was a visionary in a class of which there are few. He lived his life for the future and for his vision of technology. He brought us so much for our personal and professional lives.

He has revolutionized how we view patient records and I only hope his vision will live through the talented staff he has engaged for this task.

We look to the iPad 3 to do so much more than its predecessors. He set the standard so high.

My condolences to his family and to all his Apple family as well.
Steve Jobs will be missed.

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