Customer Reviews:
This book will not get you there.......2001-12-10
This book is written as the product of an Institute of Medicine initiative to reduce the mortality and morbidity from errors in the American healthcare system. The Institute of Medicine is a private organization created by congressional charter to advise the federal government on specific matters. Their mission statement is to "advance and disseminate knowledge to improve human health." This book is the final report of the Committee on the Quality of Health Care in America. Their homepage is available by searching the Internet using the full committee name. Membership of the committee and sponsors of the project are available at that web site.
The format of the book is to present evidence for quality problems in healthcare in America and make recommendations. The operational definition of quality used in the book is "The degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." There are thirteen recommendations presented initially and are discussed in relevant chapters. The recommendations vary in scope from suggesting that multiple parties need to be committed to quality as a way to decrease the burden of disease to suggestions that specific agencies fund pilot studies to look at how reimbursement can be aligned with quality. Six major parameters are discussed as guiding quality and it is suggested that 15 specific conditions be a focus for improving quality.
There is no difficulty in identifying literature studies that demonstrate quality problems in hospital and clinical populations. A survey of current research is included in Appendix A. A review of the tables in this appendix show the types of quality markers that are typically studied in the literature. The authors make the argument that errors due to quality lapses or deficiencies need to be actively worked on and that the current high error rates are not acceptable. Health care has become a major political issue and the political factions are shaping up to be government and business on one side and physicians and other health care providers on the other. There has been a major revamping of the health care system in the past decade to control costs. That required the active cooperation of the insurance industry and government. There is still medical inflation and limited access with 40 million Americans uninsured. Should we believe that another cooperative effort between industry and government will improve quality any more than it has controlled cost or improved access?
The authors acknowledge weaknesses in their suggestions about changing the face of American medicine, but they minimize the adverse impact of the current funding mechanisms for medical care and the issue of information systems integration and security. A good example can be found in their application of engineering principles to clinical settings - - where teams see patients for four hours of direct contact time and the remaining time is for documentation and returning calls. That plan would not be economically feasible in many settings. The high cost and lack of flexibility of the current reimbursement schemes are not mentioned as a potential reason why these plans won't work.
Information technology is seen as a way to enhance both productivity and safety. The authors suggest that e-mail can lead to productive exchanges between physicians and patients. Many physicians have been doing this for years. Many have also stopped with the advent of security concerns about medical privacy. With larger IT systems the critical issue is backward compatability with older systems. That usually requires custom designs that are extremely expensive. Those problems usually need to be solved before bedside computing and decision support can be developed. Security is acknowledged as a problem that needs to be solved. In spite of a federal initiative in this area, the important precedent to remember is how the financial privacy of Americans was protected. The authors point out that medical privacy requirements need to be more stringent than other industries. At the same time they point out that some opinions suggest that there is a trade off between privacy protections and the need to advance information technology in health care. If they are suggesting that the Internet should be at the heart of this infrastructure and the Internet is not secure, what does that mean?
A practical approach might be to focus on the areas where data is entered into computer systems and make sure that non-human analysis occurs at those levels. For example, all hospitals enter pharmacy orders into computer systems. Many hospitals require that physicians write separate discharge orders. Both of these points are areas where there could be immediate improvements in accuracy. A focused study and solution could be engineered now. The necessary software and hardware requirements could be placed on a central web site and available for download by hospital and clinic IT staff. Existing reviewers could be charged with documenting the baseline level of errors and the degree of improvement.
This book succeeds as a broad survey of what has been done about quality in certain settings. It contains some interesting ideas about what can possibly be accomplished by applying conceptual advances from other fields. It does not discuss the significant drawbacks of evidence based medicine. It lacks a practical plan for transitioning to a new system and in effect creates a new chasm. With a work like this, whether you like the conclusions depends a lot on your interpretation of the evidence and your personal experience. As a practicing physician and a previous quality reviewer I have significant areas of disagreement with what is presented in this book. Areas of controversy are not elaborated upon. I suppose you could say that level of analysis is not required, but recommendations about the future of health care in America should at least meet the criteria of "evidence based" and all the evidence should be discussed.
George Dawson, MD
Essential Reading for Everyone in Health Care.......2001-12-02
If you are in anyway involved in health care, this is essential reading. Physicians, hospital administrators, purchasers, health plan execs, and grad students must immediately put this on the top of their reading list. Lives may depend on it.
In it, the highly respected Institute of Medicine builds a powerful case for how the current health care system is severely broken and how it has produced a "chasm" between what we known must be done for patients (based on current science of medicine) and what is actually done. The information conveyed is shocking but true. Even more importantly, the Institute gives us a plan for building a new, more accountable quality-driven approach to health care.
Read it and perhaps you too will be motivated to take action to improve health care delivery in America.
Amazon.com
Author Geoffrey Moore makes the case that high-tech products require marketing strategies that differ from those in other industries. His chasm theory describes how high-tech products initially sell well, mainly to a technically literate customer base, but then hit a lull as marketing professionals try to cross the chasm to mainstream buyers. This pattern, says Moore, is unique to the high-tech industry.
Moore suggests remedies for the problem that can help businesses meet their long-term goals. He coaches marketing professionals on how to move slowly through the gulf, teaching them to create profiles and target specific segments of the population rather than trying to plow right into the mainstream. He cites examples of successful chasm crossings by such companies as Apple, Tandem, Oracle, and Sun, showing what they all had in common and exposing the different weaknesses in their strategies. Moore also assigns responsibility for success to programmers and developers by suggesting they design a "whole product model." Here, because integration tasks are daunting to the mainstream market, all the components of a technological product must be in one package. Moore also describes strategies for competing with rival companies and assessing the best distribution channels for penetrating the target market.
Written not just for marketing specialists but for all employees whose futures ride on the success of a technical product, Crossing the Chasm delivers crucial information in an engaging, readable tone.
Book Description
Here is the bestselling guide that created a new game plan for marketing in high-tech industries. Crossing the Chasm has become the bible for bringing cutting-edge products to progressively larger markets. This edition provides new insights into the realities of high-tech marketing, with special emphasis on the Internet. It's essential reading for anyone with a stake in the world's most exciting marketplace.
Customer Reviews:
Crossing the Chasm.......2007-10-04
You can tell that Geoffrey Moore had been overturned by the events of the 90s in that business communication just got a million times quicker. He has updated his contents but they are still lean towards that decade. None-the less they are timeless.
His content is beyond description it is so fantastic - informative and educational. I'm not recommending this book to any of my friends as I want to keep the sharp edge and knowledge to myself - sorry Geoff.
I have put my thinking and business in the fast lane after applying the ideas, which by the way, come with an little analogy that is so simple to follow (read the book to discover his trick) it is a must for every person who has a desire to be head and shoulders above the rest and win.
It beats marketing in the formal sense and offers down to earth ideas that really work. Thanks Geoffrey.
Mike Whitenburgh
Psychoanalyst.
Bridge the Gap.......2007-08-29
Moving from early market success to mainstream market leadership is indeed a critical step for the hitech industry and this book helps you cross the chasm in confidence. It'd be a good thing to read this book in conjuction with EIGHTSTORM: 8-Step Brainstorming for Innovative Managers.
I haven't received the book.......2007-05-13
I can not give you any feedback. I haven't received the book yet.
A classic for the library of every technology marketing executive.......2007-04-18
This book remains a classic on the shelf of just about every client - most of whom have incorporated Geoffrey Moore's approach toward vertical sales and marketing into their overall business strategy. No coincidence that Moore also sits on the advisory boards of so many technology companies. ;)
A classic that will never be out of date!.......2006-12-20
This is the book that launched my career in technology and drove me to establish a more strategic approach to marketing and business. Geoffrey Moore was ahead of his time and offers priceless information on how to stand back and re-evaluate your market approach. If you know nothing about business strategy or marketing OR you consider yourself an expert, Moore's models stand the test of time and give you the tools you need to not only do your job but offers the insights that can help build consensus within a company. Apply these models to your corporate and product strategy; use it as a point of discussion with other senior executives to FINALLY drive a coherent strategy. This book changed they way I think about the business of technology it will for you too.
Amazon.com
Fans of Geoffrey Moore's Crossing the Chasm and Inside the Tornado will certainly be attracted to The Chasm Companion, a step-by-step manual by longtime Moore associate Paul Wiefels that lays out specific ways to apply his popular tech-oriented business principles in our fast-changing world. But even those who never warmed to the earlier works--which proposed a pragmatic path for successfully navigating the ever-moving environment of "disruptive technologies that force changes in both strategy and behavior"--could find this book appealing. Designing The Chasm Companion as a hands-on field guide, Wiefels opens by explaining six "inflection points" in high-tech market development (the Early Market, the Chasm, the Bowling Alley, the Tornado, Main Street, Total Assimilation) that he and Moore insist everyone must carefully watch and properly react to as internal and external conditions evolve. He then outlines models and tools developed in the consulting practice he co-founded with Moore that enable individual corporations to carefully craft relevant strategies that they can align correctly with the appropriate market phases defined earlier. Finally, he presents initiatives (strategy validation, whole product management, marketing communications planning, and field engagement strategy) to help these firms actually implement their plans. Graphics and sidebars help Wiefels drive his points home clearly. --Howard Rothman
Book Description
In The Chasm Companion, The Chasm Group's Paul Wiefels presents readers with a new analysis of the ideas introduced in bestselling author Geoffrey Moore's classic books, Crossing the Chasm and Inside the Tornado, and focuses on how to translate these ideas into actionable strategy and implementation programs. This step-by-step fieldbook is organized around three major concepts: how high-tech markets develop, creating market development strategy, and executing go-to-market programs based on the strategy.
Customer Reviews:
The Blueprint for High Tech Product Marketers.......2007-02-21
I've been familiar with Geoffrey Moore's work since hearing him speak at a Cisco Systems Partner Summit in 1998. This field book is a must for anyone who wants to understand what to do (and not to do) to successfully market a high-tech product at each stage of the Technology Adoption Life Cycle, and during the Product Life Cycle. Reading this book has helped me better understand how and why we succeeded (and failed when we failed) at my previous company in the tech bubble of the 1990s. The challenge for managers and executives when reading this book is having the courage and fortitude to apply these principles, even when they seem counter-intuitive.
It is good book but..........2007-01-11
After reading the Moore's "Crossing the Chasm", this book really bored me. Maybe the language used in the book is the problem. I am not sure. However, I highly reccommend you to buy Moore's "Crossing the Chasm". It is an excellent book.
Repetitive and could be turned into a leaflet.......2004-11-08
I have read "Crossing the Chasm" and "Inside the tornado" by Moore, both very good books! When I first laid my eyes on this book I had a slight feeling that there might be risk of overlap. I think Wiefelds saw this as well and got a good endorsement by his colleague Moore - to state that this is a complement, not a repetition. That the book was published after the dot-com, in 2002, felt reassuring though - a lot of good lessons were probably to be learned for the reader. Ok, so I had high expectations, but felt a slight doubt.
After reading the book I have two statements:
1. The book delivers some more hands on the two books it referrers to, some really good lists. All in all about nine pages of good ROI-of time material.
2. I am very sad that Wiefelds did not listen to his own good recommendation: don't talk about your product as you know it - know your target group! Wiefelds should know that I am not planning on reading this book for fun - I want a high gain/time-quota, not 352 pages that take a week to read, when a 20 page leaflet would be sufficient! Because the book is repetitive - very!
To summarize:
The book offers some good hands on tips and lists, but should have been a 20 page leaflet.
Extends beyond high tech.......2004-01-24
Wiefels get to the heart of high tech marketing. Nothing I have read has more insights or is more useful in the practical application of marketing constructs for high tech. Anybody in high tech, indeed in marketing of any sort, can benefit from these concepts.
THE guide for tech marketeers and managers.......2003-04-08
It's a very simple and clear framework to keep in mind, with VERY practical results in day-to-day activities of product management (specially for those, like me, come from "techies" backgrounds). It's reccommended to read the other 5 books of Chasm Group to fully understand the concepts, but to start using as product manager, this is THE guide.
Customer Reviews:
A book for policy planners and not clinicians.......2006-10-07
This is a book for American policy makers. It is not a book for clinicians so it is not meant for me. It has reconditions for clinicians but these recommendations are probably better made elsewhere by other sources. If you are a clinician in Australia, for example, there are a number of organisations that should be approached individually such as one's college (one's board, in other words), hospital (for ACHS and in-house measures), HIC, and, or course, one's insurer. All of those people will be able tell you exactly what to study. Insurers have money at stake so they are well motivated. I asked a legal officer at my insurer if they could help with quality issues and she said "you're kidding" and paused while I wondered if I had asked a stupid question or offended her.
I read this book so now I know what a microsystem is. I explained to my hospital CEO that I knew what a microsystem was. She said, "well, you know what `micro' is don't you?" and paused while I wondered. One can think of the provision of health care being provided by four levels: the state, the hospital, microsystem, and individual practitioners. Microsystems are administrative and clinical things that mediate between the hospital and the individual practitioner. They include ward rounds, and drug interaction software and receptionists bookings. They are important because they are they only way to decrease human factors in errors. Human factor analysis involves putting in place systems so that when people make inevitable errors, no harm is done. By definition, the individual clinician will have difficulty running these systems them self. I could not work out why airlines would be the first people to introduce human factor analysis but I suppose that when a plane crashes the pilots die and can not be punished. This book came up in an Amazon search for "human factors" and human factors are central to a clinician improving their quality, but human there was only one small paragraph about human factors in the whole book.
Reading this book, I thought of 24 ways that quality at my own hospital might be improved. I still got some ideas for improving the quality of my own practice that are not central and that I probably will not implement
~telling people the outcome statistics for my biological and talking treatments
~writing and using checklists developed from treatment guidelines
~using electronic prescription generation
~having my patient literature include sections about confidentiality and what will done if they stop turning up to see me
~using quality surveys at the termination of treatment, perhaps collecting data like the authors of "50 Ways to Fail as a Therapist" (I have not read it yet)
Book Description
This volume is produced from digital images created through the University of Michigan University Library's preservation reformatting program.
Customer Reviews:
How to get the public to love your high-tech product.......2006-12-11
This serious, detailed book offers a nonconventional marketing approach for high-tech promoters and investors. Consultant Geoffrey Moore has thought long and hard about how to market new technology, so the book sometimes reads like an intriguing personal essay. He makes an elaborate case about different technology users, citing product examples to explain why each consumer matters at certain stages in product marketing. At times, his presentation get a little strained, such as when he tries to describe how consumer groups "reference" each other or how marketers must engage in "informed intuition." Moore devised his own explanations for the successes and failures of different high-tech marketing tactics, so your level of agreement depends on how much of his detailed theory fits your marketing concerns. We find substantial interest and value in this exploration of high-tech marketing.
Average customer rating:
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1st Annual Crossing The Quality Chasm Summit: A Focus On Communities (Quality Chasm)
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- Piglets to Prep School - delightful read
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From Piglets To Prep School: Crossing A Chasm
Wendell A Duffield
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Book Description
On the universal quest for personal independence and for fulfillment of growing-up dreams, a small-town Minnesota boy turns to raising runt piglets as a way to earn spending money of his own. Then a series of mysterious and unexpected postcards from a school called Phillips Exeter Academy begins to arrive, flooding his plans with uncertainty and confusing his inexperienced parents as to what is best for their son.
From Piglets To Prep School: Crossing A Chasm describes the unanticipated and fundamentally unwanted struggle that this young boy faces as the postcards, eventually inviting him to attend the school on scholarship, continue to interrupt a comfortably familiar existence in his home town … a life of growing up in a virtual clone of Garrison Keillor's Lake Wobegon of Prairie Home Companion.
Though satisfied at home, an inner voice seduces him to abandon his youthful dreams and join the cadre of elite preppies in New England. Overnight, names of his schoolmates change from Gary Gardner and Duane Labs to David Rockefeller and Peter Benchley. The social, economic, cultural, and academic shocks of such change are immediate and stunning … yet mostly manageable.
This entertainingly illustrated book is a poignant and humorous memoir that will resonate with anyone who remembers his or her growing-up years. Share the fun, sadness, discoveries, disappointments, and pranks of a young hayseed kid uprooted from bucolic rural life and transplanted into the rocky New England garden of stuffy and highly competitive preppies. You'll be challenged to read the book without alternately laughing and crying as memories of your own early years are rekindled!
Customer Reviews:
Piglets to Prep School - delightful read.......2005-11-30
Piglets to Prep School is a delightful read. I read the book in one sitting and was enchanted by the antics and strategies of the modern day Tom Sawyer and Huck Finn type boys. Wendell Duffield has a very pleasing and conversational writing style that is easy to read, yet appropriate for both children and adults. I would have loved to have had even more and hope that there is a sequel or two. I would highly recommend Duffield's other books for those interested in volcanology and the life of a volcanologist at the Hawaii Volcanoes Observatory: Volcanoes of Northern Arizona, Chasing Lava, and When Pele Stirs (novel).
Book Description
This digital document is an article from Journal of Law and Health, published by Cleveland Marshall College of Law on March 22, 2001. The length of the article is 5625 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
Citation Details
Title: Application of administrative law to health care reform: the real politik of crossing the quality chasm.
Author: Thomas R. McLean
Publication:
Journal of Law and Health (Refereed)
Date: March 22, 2001
Publisher: Cleveland Marshall College of Law
Volume: 16
Issue: 1
Page: 65(12)
Distributed by Thomson Gale
Book Description
This digital document is an article from Clinical Psychiatry News, published by Thomson Gale on April 1, 2006. The length of the article is 1064 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
Citation Details
Title: Crossing health care's quality chasm.(quality management)
Author: Harvey V. Fineberg
Publication:
Clinical Psychiatry News (Magazine/Journal)
Date: April 1, 2006
Publisher: Thomson Gale
Volume: 34
Issue: 4
Page: 10(2)
Distributed by Thomson Gale
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