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brucefryer

"If it hasn't been done, then it's worth doing."

Recent Activity

Misunderstanding TAM SAM SOM

I'm looking at a software product that gets a new healthcare facility, IT ready. Previously another consultant said the US Total Addressable Market (TAM) was $29B a year. Wow, that sound great. Until I looked at their work. They counted... Continue reading

Posted Mar 17, 2021 at Fryer's Blog in the Mountains

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Average and Normal are for Lazy Product Managers

After fitting thousands of boots for skiers I quickly learned that there is no such thing as an average or normal body type. I also learned that the difficult cases are the most rewarding because you have to focus intensely... Continue reading

Posted Jan 4, 2021 at Fryer's Blog in the Mountains

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Just In Time Healthcare Failure

Healthcare in the U.S. historically has been reimbursement driven. This resulted in efficiency in healthcare delivery: high utilization, lowest cost delivery. With the move to value based delivery, population management and outcomes are rising in importance. Again, driven by reimbursement.... Continue reading

Posted May 19, 2020 at Fryer's Blog in the Mountains

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Agile + New Products + Milestones = Problems

"Build projects around motivated individuals. Give them the environment and support they need, and trust them to get the job done." When you are building a new product in your startup or company, you need to have a launch date... Continue reading

Posted Oct 17, 2017 at Fryer's Blog in the Mountains

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The fatal flaw in machine learning AI

Machine learning is a great thing. The fatal flaw is our expectations of their capabilities exceed the ability of these systems as designed. Especially when they interact with people. Take the news feed on LinkedIn or Facebook for instance. Their... Continue reading

Posted Jul 29, 2017 at Fryer's Blog in the Mountains

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Centurylink not connecting with Comcast 800 numbers

A couple of days ago I got my latest Comcast bill and noticed it went up. So I called the 800 number. Got a fast busy. Tried the next morning and same thing. Tweeted Comcast Care and they said everything... Continue reading

Posted Nov 1, 2016 at Fryer's Blog in the Mountains

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My 7" 40GB $62 Traveling Tablet: Amazon Fire

On a trip to Indianapolis, I left my iPad on the plane. Tracking it did no good. I was not happy. For Christmas this year I got the cheapo Fire with a wimpy 8GB of storage. For $12 I added... Continue reading

Posted Apr 15, 2016 at Fryer's Blog in the Mountains

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Marketing: Less Stalking, More Talking

Many businesses have decided the best way to sell is by stalking people across the Internet and inserting ads. Many people find this very disturbing (hence the rise of ad blockers like Ghostery and Privacy Badger.) Other businesses build relationships... Continue reading

Posted Jan 15, 2016 at Fryer's Blog in the Mountains

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Saving Money with High Deductible Insurance: Drugs and Imaging

I have a high deductible healthcare plan and found out I needed an MRI earlier this year for a ski injury. Using the Regence Blue Cross / Shield healthsparq.com tool, the $1,011 from IHC looked OK. That's where I got... Continue reading

Posted Dec 1, 2015 at Fryer's Blog in the Mountains

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Preparing for a Knee Replacement: A Checklist for the Family

You get a phone call from Mom; "Hi honey, I'm getting my knee replaced in 4 weeks, can you help me?". Don't panic. We went through this and here are some tips to help you through this (disclaimer: this is... Continue reading

Posted Jul 18, 2015 at Fryer's Blog in the Mountains

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Business Case for FHIR and Argonaut: Patient Directed Post Acute Care

FHIR's purpose is an ambitious effort that defined healthcare standards and API's to accelerate development of useful web-like applications from Electronic Health Records (EHR). Project Argonaut is a private sector based initiative to build useful applications to drive adoption. Applications... Continue reading

Posted Jun 17, 2015 at Fryer's Blog in the Mountains

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Big Data + Analytics = A Very Large Junkyard

Have a problem, Big Data will solve it. The problem still is in data architecture and appropriate analytics. And most importantly, understanding the business reason for this Big Data (solve a problem, discover new insights, etc.) Today's tools are cheap... Continue reading

Posted Nov 12, 2014 at Fryer's Blog in the Mountains

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Protecting against data breaches in your startup company: Apple + Box

Data security can be the furthest from your mind when doing your startup company. You have a short runway to get a product out the door and get happy customers. Security? Spending scarce resources on it? I am helping a... Continue reading

Posted Oct 30, 2014 at Fryer's Blog in the Mountains

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Protecting yourself from hacked credit card readers: Google Wallet & Apple Pay

First TJX with 90 million accounts stolen, then Target with 40 million accounts stolen and now Home Depot with 56 million accounts stolen. I found it interesting that Target was hacked through a flaw in Microsoft Active Directoy. No news... Continue reading

Posted Sep 30, 2014 at Fryer's Blog in the Mountains

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Why Are You Special?

And by you, I mean your customers. How do they view you? Why did they buy and will they buy again? This is the first question I try to understand whenever I start a new project (or talk to a... Continue reading

Posted Jun 9, 2014 at Fryer's Blog in the Mountains

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Designing for Privacy & Security : All your base are belong to us

Last week I had a lively discussion with an education expert talking about privacy and security. This resulted after interpretations of FERPA resulted in universities selling student directories / email addresses to spammers third party marketing organizations. (just because they... Continue reading

Posted Apr 5, 2014 at Fryer's Blog in the Mountains

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Living in the HealthCare IT Bubble

Reality is a harsh mistress. With the advances in Electronic Health Records, patient portals and records transport ala Direct X.509, my peers and I see a very bright future for healthcare in the U.S. and talk about all the great... Continue reading

Posted Mar 24, 2014 at Fryer's Blog in the Mountains

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Changing the Language of Healthcare from Cost to Outcomes and Productivity

The US healthcare system has been warped by reimbursements for care. In Sharin's piece "The End of Hospital Cost Shifting", he talks about the impact on hospitals of the Medicare cutting reimbursements to hospitals based on work done by Austin... Continue reading

Posted Jan 12, 2014 at Fryer's Blog in the Mountains

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It's time to retire CPT® in health care

CPT (Current Procedural Terminology) is a medical billing coding system created by the American Medical Association (AMA) with the sole purpose of charging insurance companies for health care services and putting royalty money in the AMA's pocket. It's an artifact... Continue reading

Posted Dec 30, 2013 at Fryer's Blog in the Mountains

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Encyrption is easy: Key management is hard

Encryption basically has two use cases: 1. Moving information from point A to point B and not letting anyone else be able to see it during transit. 2. Making sure that when the information is at rest (data, email, etc.)... Continue reading

Posted Oct 20, 2013 at Fryer's Blog in the Mountains

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Saving Healthcare in the US: Focus on Efficiency, Efficacy and Motivation

I won't bore you with the statistics on how the US spends more and gets less than any other industrial nation in the world and consumed about 17.9 percent of GDP last year. Instead I want to focus on the... Continue reading

Posted Aug 15, 2013 at Fryer's Blog in the Mountains

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Script Relief aka National Prescription Savings Network aka RX Relief aka The HealthCare Alliance

And it is owned and run by Michael R Loeb (nice 18,000 sq ft house) of Loeb Enterprises. Will you save money vs insurance on prescriptions? Maybe. Will your name and prescription data be sold to the pharmaceutical companies. Absolutely. Continue reading

Posted Jul 23, 2013 at Fryer's Blog in the Mountains

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HealthIT 2.0: Time for the Hospitalist?

Imagine taking care of 15 patients a day. And you've never met them before. And coordinating care among three shifts of nurses, labs and specialists. That is the plight of the hospitalist. HealthIT 1.0 has failed them. Patient histories from... Continue reading

Posted Jun 18, 2013 at Fryer's Blog in the Mountains

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Why I started programming

A friend of mine asked me this week about how I started out as a developer. Did I go to school for it? The short answer is no. I taught myself initially because it helped me do my job better.... Continue reading

Posted Apr 25, 2013 at Fryer's Blog in the Mountains

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Jump Starting to Double your Sales in a Tech Company

Twice this year I've talked to two companies who have the same challenge: After a decade of getting to $20-$50M in sales , senior management has been tasked by the board to "GET BIG NOW". I have noticed the same... Continue reading

Posted Apr 15, 2013 at Fryer's Blog in the Mountains

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