Sunday, 31 March 2019

Who comes first

By putting the consumer first (both patient and doctor in our case), and recognizing the need to make the team feel intimately a part of that by default, and in the end, the tokenholder will come first by default as well.

Wednesday, 27 March 2019

True Magic

When you read or dream of Hogwarts, the Marvel Universe, Tolkien or Narnia, just remember this. 

There is a real Magic, that drives all human life, all happiness, all deep satisfaction, and it is called evolution. It doesn't always tell us what we think it will, the foolish associate it with all manner of nonsense, but its path is true and its power irresistible.

Every pleasure you feel, every emotion positive or negative has been shaped by this magic and only when it is aligned does it give deep lasting happiness. To understand this is an essential step on the path to enlightenment.

Monday, 25 March 2019

We need to put the patient, the customer, and their needs back into the centre of healthcare.

Most people have no concept of how a gearbox, an automatic transmission works, or understand the works of Nikolaus Otto or Maxwell yet they know how to drive a car. You don't have to study physics to understand the laws of motion to drive a car.

You should not have to understand the byzantine depths of medical administration or thread the labyrinth of a historic health system for a doctor to get you better.

We need to put the patient, the customer, and their needs back into the centre of healthcare.

We need to delight, not disgust.

Saturday, 23 March 2019

On mass extinctions.

"If you look at our current technology level, something strange has to happen to civilizations, and I mean strange in a bad way. And it could be that there are a whole lot of dead, one-planet civilizations."

Elon Musk

No doubt stimulated from the new evidence that suggests that there are more than a hundred thousand million stars with planetary systems in this galaxy, many of which are in a potentially habitable 'Goldilocks zone' and yet no sign of alien civilizations. So why? And how does it affect us? Mr Musk clearly thinks that it does.

Incidentally, less focused individuals think that Elon Musk has a slightly random collection of transport companies in his portfolio. If you look more carefully what you see is that he is collecting the skills and technologies needed to colonize Mars (and other planets and satellites) in a large scale.   Not just rockets (SpaceX), but electric vehicles (, solar power and energy storage. Enclosed, high performance mass transit systems (Hyperloop), tunnel and subterranean structure making (Boring company), through to Neuralink and OpenAI - none of it is random.

Wednesday, 20 March 2019

On Humility

There is nothing more arrogant than to demand humility of others who have achieved more and gone further. Sure it's good for them to be humble, but it is not for us to judge their self regard or feel smug about our humility until we have matched them in what they have achieved.

Monday, 18 March 2019

On how you spend your life.

You’ve probably realized work is going to fill a large part of your life, that you’ll spend more waking time in it than any other part of what you ever do. And you’ve probably heard that the only way to be truly satisfied is to do what you believe is great work. We want to provide the canvas for truly creative, passionate people to gain that satisfaction.”

Friday, 15 March 2019

On getting things right every time

If you want to grow a giant redwood,
you need to make sure the seeds are ok,
nurture the sapling,
and work out what might potentially stop it from growing all the way along.
Anything that breaks it at any point stops that growth. 

Elon Musk 

When you are growing a new enterprise that could change the world, all this is true.  And all along people are trying to pick the leaves, cut wood from the sapling, aggressively challenge your nurturing environment in a dozen mutually contradictory ways that have little or no reason, and that they will walk away from when they fail.

Thursday, 14 March 2019

From a discussion with Drs Saqib Mukhtar and Mark Baker

1. First of all MediChain’s doctors will be registered on the GMC (General Medical Council), will be on the GMC performers list and have 5 yearly revalidation cycles. This primarily ensures that the pool of doctors available are appropriately qualified.

2. Once this is established it is followed by a rigorous interview process where the doctors have to go through 3 different clinical scenarios to ascertain their level of understanding and competence in managing patients over video-call. As part of the revalidation cycle each doctor will have yearly basics life support, anaphylaxis and child / adult safeguarding training as mandatory. Without this no doctor can work for MediChain. The purpose is to make sure that the doctors are practicing safely and according to good medical practice guidelines from the GMC. This is very important as there are a number of GPs that work only in the private sector this therefore means that they are not part of the 5 year revalidation cycle. It is expected that MediChain will not employ these GPs, as the quality of care provided cannot be validated. In essence each GP employed will also be working in and for the NHS, thus being able to transfer these skills over telemedicine/video call.

 3. There will be pre-interview training guidelines and materials to guide doctors on required standards and skills. This will allow doctors to prepare effectively, making sure that they know what is expected of them and allowing them to practise or think through how they will need to perform.

4. This will be performed by the Clinical director of MediChain. Reading material and guidelines include:

4.i GMC guidance on good medical practice.

4.ii Safeguarding policies.

4.iii Prescribing policies.

4.iv Managing conflict of interest

4.v MediChain’s best practices for consulting via video call. Each policy will need to be signed with a short self assessment to ensure that the doctors are compliant and competent. The above are necessary standards for CQC (Care Quality Commission) compliance.

5. The process is equitable to online personal professional development, and will count as learning hours for the doctor that they can put in to their appraisals. This can be done in house with MediChain or using an external provider.

6. Any concerns or questions will be directed to the Clinical Director, this will help promote a positive open and sharing environment where everyone learns from each other. Furthermore this will also drive Improvements in system processes.

7. Once we have ensured that the doctors are competent and fully compliant, an interview process shall be conducted by the Clinical Director, with three different scenarios/clinical consultations to be performed over video call. This will assess not only the clinical skills of the doctor but how well they adapt and perform in consulting patients in this manner.

8. Once the candidate has been provisionally accepted the following training takes place:

8.i System training - ensuring that the doctor is competent at working and using the MediChain system.

8.ii Video call training- performed by the Clinical Director I.e the basics of consultation including good lighting, broadband connection, confidentially to minimise disruption/interruption etc.

8.iii Bi annual audit of all calls with an annual appraisal for each doctor. This will maintain quality thus improving standards of care.

8.iv Regular MediChain Clinical meetings to discuss issues, significant events etc.

9. User Experience is key to acceptance and growth of Hypatia and so every part of the interaction needs to delight both patient and doctor. To this end we've been talking to and designing processes for this with the orchestrater of one of the world biggest retail chains going online, to make sure that the processes exceed patient (and doctor) expectations in a way that previous telemedicine systems have not done.

Monday, 11 March 2019

From pain and suffering to a better world.

Bill Gates tells us that

“The first rule of any technology used in a business is that automation applied to an efficient operation will magnify the efficiency.

The second is that automation applied to an inefficient operation will magnify the inefficiency.”

We think that the world has seen too much of the second part in healthcare and not enough of the first.

Monday, 4 March 2019

Text from Dr Mark's interview in Disruptor Daily

1.) What's the state of blockchain in healthcare today?

While at the start of 2019 we are just at the start of an amazing, transformational journey in wellness, through the year Blockchain will ensure trust across boundaries in medicine. 

2.) What's the #1 trend that will shape blockchain in healthcare next year? 

High impact, high utility medical and health projects will start to boost the value of blockchain projects such as block chain technologies and token exchanges. Blockchains and exchanges that do not support a major medical or healthcare project will plummet to value and transaction volume relative to those with actual public utility as their bubble bursts. 

3.) What's the #1 challenge to blockchain adoption in the healthcare industry? 

The challenge lies in hollow projects with no vision or utility with teams with no experience in medical transformation. Falso promises from people who have never developed solutions in healthcare from people lacking the combination of understanding blockchain, medicine and healthcare. 

4.) What's the #1 benefit blockchain brings to the healthcare sector?

Accountability. Everyone in healthcare will expect every step and every transaction to be ultimately accountable. The alternative will be unthinkable and unprofessional. This does not have to shift to blame and litigation if responsibilities and risk management are handled professionally. 

5.) What's the future of blockchain in healthcare? 

It will be a fundamental component in healthcare. While we the impact of such technologies in 2 years, we hugely underestimate the impact in 10 years. Every digital healthcare technology, every procedure, every consultation, every prescription will be on a blockchain. Blockchain technologies that don't engage today will be nowhere to be seen. Exchanges that don't trade medical utility tokens will vanish not because they are the only utility token, but because they will be a key, high volume global transaction and missing out now will leave those exchanges continually behind the curve as the MySpaces of crypto. 

Here is Disruptor Daily's synopsis

Sunday, 3 March 2019

We will accept nothing less.

We aim to delight the user, at every stage of the user’s journey, through experience and outcome and delight the doctors. We will accept nothing less.