New Year’s Resolutions and Plans for 2012

This morning on the way into the office I listened to a podcast from Harvard Business Review on How To Keep Your New Year Resolutions. If one of yours is to put more good in, why not listen to podcasts while your in the car. You can find HBR Ideacast here.

So yes, I had resolutions. I’m not going to share them with you here, but so far I am keeping them and I intend to have an awesome year, which I am going to put a massive effort into. Of course I have broken that down into many parts with goals and plans. I am very much into using technology, particularly in the area of lists and plans, time and people management. That’s what I wrote about in my book Unleashing The Road Warrior. The technology has changed a little since I wrote it, I now have an iPhone and iPad instead of a Palm or Windows Mobile, but the principles are the same and even the apps are still very similar if not more visual and a larger form factor.

Anyway, I was working through how I can improve my productivity and one of the things I realised was that in some cases I am a good multitasker, but in general by personality I am a sequential operator and that’s what I do best. I raise this partly as a note to self, but also as something for you to think about. Do you know how you function best? How you get the best results out of the day? Do you know what time wasting activities you get yourself bogged down in? In NLP we learn about different types of people and even school teachers are taught about whether people are tactile, auditory, kinetic etc. I’m a mixture of all of them, which is perhaps what makes me a good connector, but I digress.

I have always thought of myself as a good mutlitasker and in some cases I am. For example I am a songwriter. When I perform my songs, my left hand is up and down the fretboard, my right hand is picking or strumming, I recall the lyrics, sing them and engage with them, I monitor the audience and engage with them, I listen to make sure I am in tune, I make sure I’m breathing from my stomach and so on. That is multitasking. But it is something I have trained myself to do since the age of 9.

I can’t tell you that I can hold a phone conversation, read and comprehend an email, sort out files on my desk and monitor my websites concurrently. I can’t do justice to more than one thing at a time, especially as I get older. But the other thing I have done very well probably also since around the age of 9 is do many things sequentially and to a pattern. For example I have always read 3 or 4 books plus a few magazines sequentially, but effectively at the same time. I read a chapter out of one, then a chapter from another and so on. The same way that many of us today look at web sites, but what I do is give my full attention to those things at the time. I have intense interest but a low boredom threshold. I need stimulation.

What does that mean to my resolutions and plans for 2012? I am going to use my strengths more effectively. I am going to create a list (I like numbered lists) of things I want to achieve every day in business and in my personal life. There will be many but they will be achievable. Some will be repeated several times during the day such as

1. Calling clients
2. Contact people in my networks
3. Meeting clients
4. Calling potential clients
5. Checking Emails
6. Managing my social media accounts
7. Managing my blogs

But others will be things like

1. Take a walk
2. Think of something or someone I am grateful for or to
3. List 5 daily goals for the next day at the end of each day
4. Look after my health
5. Enjoy my family
6. Remember that the quality of my life is determined by the quality of my thoughts (I borrowed that one from someone else who had a list of 35 tips.

I will end up with a list of perhaps 20-30 things that I will read every day. They won’t be long winded, they will be practical. At the end of this year I will have had an extremely productive year in many aspects of my life and next year you can ask me how it went. Maybe I will share some of it on my blog, but this blog is normally about technology and the future rather than more personal information.

My question for you is how are you going to make this a better year for yourself, your company, your network, your family and the people you care about?

Coping with stress in Christchurch

Never before have we experienced a situation such as exists in Christchurch today. As was seen on Campbell Live last night people are at breaking point. Even the ambulance officers who were interviews, some of whom  had lost their own homes appeared to be close to losing it, fighting on because they are trained to, because “my uniform says I am there to help”. Men saying they “Cried last week for the first time in 20 years”.

The situation is looking incredibly serious. We have our 2nd largest city full of people suffering from Earthquake Syndrome. Interestingly it is very difficult to find information about the psychological impact from a New Zealand perspective, which I blogged about yesterday it seems as if the authorities are keeping it as quiet as possible, worried that it will get worse if people start talking about it.

In the absence of anything else, I think that is exactly what they should be doing, but more on that in my next blog. Maybe its naive of me, but today as a citizen of NZ with no mandate or authority I emailed Dr Martin Seligman of the Positive Psychology Centre at Penn University. In the US they experience repeated incidents of natural disasters in certain areas and of course with their military forces they also have extensive experience in PTSD. In NZ we really have no skills to understand or deal with repeat natural disasters and their human psychological consequences at a level like this, which in my opinion is why we are doing very little about it. We aren’t coping with the demands of repairing buildings, deciding which suburbs stay or go. We still aren’t dealing with the damage to buildings and the EQC is not paying trades people who are close to losing their businesses for trying to help people keep their homes habitable.

If you haven’t seen the Campbell Live tent recordings where they left people in a tent without any interviewers prompting them, to say how they feel, watch the following video and tell me you are not moved.

Electricity, disasters and Feed In Tariffs

I’ve been itching to write more about FIT for ages as you will know if you have been reading my blogs. If you didn’t, my last blog was pretty much a summary of my thoughts which started with the Christchurch earthquake.

Prior to that for a few years I have been wondering why a ‘clean green’ country like New Zealand only went so far as to provide subsidies for roof insulation and clean heating. Where is the NZ Green Party on FIT, I asked 2 years ago. I’m not even sure where the party is on much at all at the moment and its election year, when National has launched its new policies on oil and gas and other efficient power sources like coal.

In fairness I do have to acknowledge that Environment Minister Nick Smith did through caution to the wind at the NZ Wind Energy Conference this month, but he also made the point that you need windy places and probably also noted the frequent opposition any time someone wants to set up a wind farm. Personally I like them and if they are silent, I wouldn’t have a problem looking up at them on a hill somewhere.

Dutch windfarm

I have 2 interests here, the first one is renewable energy in the form of solar panels, with the ability to feed power into the grid, but also the ability to make individual households and businesses more resilient in times of crisis.

The common thread anywhere in the world when there is a disaster is that the power goes off. In my recent posts this month I have discussed a whole range of issues where we are so reliant on electricity today that there are a variety of problems after the crisis is over.

I want to again acknowledge the heroism of electricity workers and supporters who risked life and limb to get things up and running as quickly as possible.

Anyway, back to my story. Imagine if we followed on from the subsidies to put insulation into our roofs, by offering subsidies and Feed In Tariffs for installing solar panels on the roofs. This is something we should be doing anyway, but imagine if a large number of people were still able to have at least some electricity when the grid is down. They would still potentially have phone communication, they would have lighting, heating, the ability to wash themselves and much more.

We could find ourselves with a renewable energy source that doesn’t pollute, makes people much more aware of power consumption, involves the community and provides greater resilience while allowing us to get closer to meeting our commitments to reducing carbon waste that we so obligingly adopted with the Kyoto Protocol.

It has been said that I am wont to be verbose. I don’t necessarily want to change that because I am intensely interested in what I write about, however I don’t want to lose you dear reader (borrowed that from Stephen King). So here’s what I’m going to do. I am going to write an new series of shortish blogs on the benefits of FIT for New Zealand in the hope that more people will understand the massive potential benefits to New Zealand and put some pressure on the politicians and energy authorities to do something about it.

I’ve done some reading on the topic and found the paper by Miguel Mendonca of the Birkbeck Institute of Environment, Birkbeck College, University of London particularly helpful. He also wrote the book Feed-in-Tariffs Accelerating the Deployment of Renewable Energy. You can find more information here. He discovered that FIT could work in the UK, that it had many positive benefits above and beyond the basics of a renewable energy source and I plan to discuss some of these from a New Zealand context. I also find it interesting that some people (who perhaps are the ones who wanted Henry Ford to breed faster horses instead of horseless carriages) say there is not enough sunlight in NZ to create an acceptable level of energy. Kiwis who go to UK for their OE’s don’t often come back recounting stories of endless sunny days.

So lets explore what FIT’s and solar power can do for NZ, for our resilience, for our GDP, for our commitment to the environment, for industry, for entrepreneurs and to generally show the world that we are in fact as green as we say we are. There are some amazing benefits to be had along the way.

Please come back and check out what I have learned.

Doesnt look that shabby

I feel sick and sad this morning

Footnote to my story in November called “Why don’t auckland hospitals work smarter rather than harder.” and the previous one The Hospital is the best place to be when you are sick, or is it?

My friend passed away this morning after an agonising battle with cancer. One has to wonder how much easier it would have been for her if she had received the treatment she was entitled to at the times she was turned away due to strikes and staff shortages. I’m sure she would still be with us today if she was able to receive the treatments and surgeries she was scheduled for.

Her husband is one of those nice old school Kiwi guys who listens to what he is told and didn’t want to rock the boat. He refused to fight through the management or the media to get the treatment his wife needed because he felt that was not the way you behave. Now he has lost his wife and soul mate too soon. We had to respect his right to be true to himself, but I’m not sure we have to accept the system that put him in that position.

My advice, if you are in a situation like that, where lives can be saved or prolonged and the bureaucratic penguins and the system is holding stolidly fast to this is where the line starts and if you’re not there anymore when you get to the end of the line, will the next patient shuffle forward, make a noise like someone’s life depends on it, especially if it does. People who go to the media miraculously get the treatment they need and sometimes before its too late.
We Kiwis need to stop being PC and accepting the bs that comes from our health industry. Note its not the wonderful hospital staff, they are put in an invidious position by the administrators, by the beurocrats and by the politicians who sleep sound at night and whose close ones are probably not getting turned away because “a registrar is off sick and the shift couldn’t run”. They are the ones who have to lie to the patients and their families when cost cutting measures, old fashioned systems full of lost paper files and ancient systems, and cost cutting means many people don’t get their surgeries, live or die in pain.

This person’s story is over. We won’t be going to the media or fighting because it is not what her husbands wanted. I respect that and much as it burns me, I will not add to his grief or risk creating feelings of guilt to him to make matters worse. He came from a generation who said yes sir, I know you are doing your best and genuinely trusted that. She may still have died, in fact probably would have, but she might have had a few more years and she certainly wouldn’t have suffered the degrees of agony of that she did over the last 4 months. We don’t do that to animals.

If you find yourself in a situation like this, make a noise, get your loved ones help, let the media know and as a country we have to get our government and administrators to invest in the new technologies that in the long run will cost less and save more lives.

Why don’t Auckland Hospitals Work Smarter Instead of Harder

 

 

What About Your Community in an Earthquake?

How well do you know your neighbours? If you’re in a rural area, probably pretty well, but the suburbs these days are becoming more and more impersonal. Back in the day if you saw a neighbour doing some work in their back yard or putting in a driveway, you would put on some appropriate clothing and go and help them out.

Today many of us don’t even know their names. There are groups who set up neighbourhood watch programs to help reduce crime in the area. I’ve coordinated a couple of those over the years and I’ve even found that if you have neighbours who you think are a bit dodgy, they will often be there for you if they fee you are not looking down on them.

In a case of do unto others, even if you haven’t made contact before an emergency, when one starts is a great time to start. There were many cases in Christchurch where people contacted the media and message boards worrying about elderly or infirm relatives who lived in the area on their own and hadn’t been heard from. Many older people may not own mobile phones and without electricity they can’t be contacted.  The Red Cross were one of a number of organisations who helped with coordinating the location of missing people.  The military and S&R also looked for people, but often time is important especially if people are injured, so its a good idea to check on your neighbours once your own safety is assured.

Food is another issue. With no power, many perishables could go to waste. Some people will have more than others, some may have gas BBQ’s and can cook without power. In Christchurch many people got together and pooled their resources and in doing so got to know neighbours they had never met before.

Christchurch BBQ

There were many cases where people with phones were able to help those without, to let their friends and family know they were all right. When roads were unusable, there were people with bikes and motorbikes who were able to get out and help bring people back together.

I covered a lot of information in my previous blog about getting your own household in order many of which also apply to your community. Your neighbours are your community and by pooling resources and caring for each other, the burden will be much easier. This has been shown everywhere in an emergency. Now would be a great time to start before you need them to get an understanding of the dynamic, elderly people on their own, young families that may get split up and so on. Crises bring communities together and something good can come from them, even if it just psychologically knowing there is someone there if needed.

Disasters like the Christchurch earthquake, the Australian floods, the Japanese earthquake and tsunami are devastating and tend to bring out the best in people, but by being a little more prepared, we can do even better. If you don’t have a list of who your neighbours are and their contact details, especially their mobiles, why not go next door now and introduce yourself. Even if there is no emergency, you can keep a friendly eye out for them and they will do the same for you.

Getting Your Household Ready for an Emergency

Christchurch City Council has a really good list of things to prepare in an emergency and if any area knows what to do, it’s them. Hindsight is a wonderful thing and its a good idea to learn from someone else’s hindsight.

It seems obvious, but there is a lot more to it than you might think off hand.

Food. What happens if you can’t visit a grocer for a couple of weeks? What if there is no power? What if you have no water coming from the tap or it isn’t drinkable? If there is no power you can’t boil water. Do you have babies who need special foods? What about pets?

Cash. This was another major in Christchurch, no power, no comms, no EFTPOS. What happens when you need to rush to the store for last minute supplies? How much cash does anyone carry these days? Really obvious when its too late!

Gas for the BBQ is well worth it. Is your cylinder full? Lots of people will leave them over winter unless they also use the cylinder for other things, like a heater.

Medicine. If you can’t get to the doctor or the pharmacy and you use regular drugs, how long can you go without repeats or a new script? What state is your first aid kit in, what about regulars like paracetamol, bandages, antiseptics, slings? Do you have a St Johns or other first aid book? In many emergencies face masks would also be worth having around.

How many things do you have that need batteries? Torches, radio’s, emergency lights, many people only have battery powered can openers. How about your mobile phone, can you charge it if you have no electricity? A product like Cellshot might be worth investing in. Its great to see products like that available in NZ now. Of course candles and matches or lighters are also a must, something that non smokers may not have.

What about your camera? It struck me that it would have been a great idea in Australia with the floods if you could prove what you lost to the insurance companies before things got thrown out. A digital camera would make life much easier when it comes to rebuilding.

While I’m on mobile phones, I never thought about the fact that I couldn’t use my landline when there is no power. It’s well worth having an analogue phone in the house as they are powered by the exchange. Telecom did a great job in helping people donate their old phones to people in Christchurch. There’s a good business opportunity for someone to bring in new analogue phones for emergency back up.

Water is essential for so many things, cooking, drinking, washing, hygiene. Many disasters could mean that very quickly none of the water in your taps or house is usable. Some bottled water will keep for a year or more, but it also needs recycling or rotating.

Meetup plan. A number of friends in Christchurch had family members all over the city. It would be a great idea to have a plan on where to meet if people get separated, a public place, with common friends etc.

Getaway Kit. What if you had 5 or 10 minutes and had to leave in a hurry? What would you take with you? Lots of people have ended up with nothing in an emergency.

Do you have precious heirlooms? Special family items like photos, videos, jewellery etc that can’t be replaced? Do you keep them somewhere safe. Many of us have multilevel homes? If that’s you are those special things at ground level or up high? I have plastic bins that I bought from the Warehouse that stack and seal. They were only around $20 each and all my precious things like letters from grandparents etc are safely protected from the elements. Do you have your computer backed up? All those digital photos? where do you keep your backup?

The point is that these are all logical and simple things to do, but very easy to wish you had done once its too late.

Preparation Lessons from Japan and Christchurch

It’ll never happen to me is probably the first thing. Even in Japan, which I have visited at least 20 times, I doubt many people expected anything like this latest earthquake. I experienced earthquakes on many of my trips to Japan. I have been in office buildings and hotel rooms and felt the vertigo as buildings sway. The thing is it happens so often that people take it in their stride and the evidence was seen with images of people standing on bridges watching rather than racing for cover.

A similar situation occurred in Christchurch, New Zealand. We all expected that if a big one did come, it would be in Wellington, not Christchurch. I used to be a Civil Defence rescue team leader and our earthquake training was all based around Wellington because it has a compact CBD, lots of buildings clad in glass and sits right on the fault line. Like Japan, they experience lots of earthquakes there.

What I really wanted to mention in this blog though, is the survival kits, the essentials required besides shelter and ablutions. That is water and power. Water has proven to be probably the biggest issue in many fronts. Basically water is the most crucial element. We can live longer without food, but not without water. We need water for drinking, bathing, cooking etc and when the water supply either fails or becomes contaminated, this becomes a major problem.

I will certainly be taking this more seriously in future because it was obvious that if you didn’t have any, your chances of getting your hands on water were pretty slim. In Christchurch for example, only one supermarket remained open. Not a lot for New Zealand’s 2nd largest city.

If you don’t have electricity, you can’t boil contaminated water, can’t wash yourself, your clothes and risk hygiene problems. A generator isn’t much of an option but gas is. We saw lots of images of people filling up their gas cylinders and having communal BBq’s because their refrigerators couldn’t run and food would soon perish.

Getting gas after the quake

Of course gas also means you can boil water. We were very lucky in Christchurch to not have outbreaks of cholera or other diseases due to water contamination, not to mention the inability to flush the toilets etc.

In this situation I’m not sure how much it would help, but these are easy things that I will be doing to ensure even though I don’t think it will ever happen to me:

• Stocking enough water and non perishable food to support my family for a number of days.
• Ensuring that I have a couple of full gas cylinders (remember that without power, petrol stations close)

Longer term I will look at replacing my hot water cylinder with gas. Doesn’t help if there is no water, but does if there is no electricity.

Then I get back to my hobby horse of solar power. A hobby horse of mine is that the government should not only be encouraging us, but facilitating solar power for both business and consumers. I’ve blogged before about feed-in tariffs and interest free finance for people to install solar panels as happens in other parts of the world. If we all had solar power, we would be much more sustainable. Obviously New Zealand will not be running nuclear power, even more so given the latest catastrophe in Japan. As I write this a 3rd nuclear reactor has lost its emergency cooling system after the 8.9 quake!

For a country that asserts itself as clean and green, I think this is a big fail. Maybe this would be an opportunity for the Green Party to assert itself. With the election due in November this year, if I was them I would be pushing hard for interest free subsidies for solar energy, especially for water heating. I would also be pushing for the right to sell surplus energy back into the grid .

When I was in the Netherlands a couple of years ago I saw many warehouses and farm buildings covered in solar panels. I also of course saw many wind farms. I thought they looked really cool, although I probably wouldn’t want one in my backyard. Fortunately for the size of our country we have plenty of space.

So have we learned anything and will we act on it?

The following video illustrates how people are so used to earthquakes that they don’t do what they have been trained to do.

3D Bioprinting

3D Printing is no longer news although I suspect most people haven’t heard of it yet. In fact there is a company within a couple of km of my office in Albany already successfully offering a variety of 3D printing services, incidentally called 3D Print. Another Aucklander, well known internationally in the  3D printing with RepRap is Vik Oliver, seen here with one of his machines.

When I heard that Richie McCaw was injured and after surgery was going to miss around 6 matches after having a titanium screw in his foot, my first reaction was, as most Kiwis, just what we need in Rugby World Cup year as he is such an amazing skipper and we want him there leading the All Blacks. Then I thought about so many other sports people who suffer injuries all the time given that they are putting their bodies on the line professionally.

Imagine a technology that rebuilds or repairs body tissue, bones, ligaments, even organs in vivo, using micro surgery techniques that mean people recover far more quickly, naturally and potentially therefore stronger than before.

Using the same types of technologies as conventional 3D printing, it will soon be possible to pattern and assemble, layer by layer, functioning living tissue, as well as non living substitutes such as ceramic and titanium according to Vladimir Mironov, an associate professor and director of the Advanced Tissue Biofabrication Center at the Department of Regenerative Medicine and Cell Biology, Medical University of South Carolina. He is also currently making waves about growing in vitro meat, something I have previously blogged about.

So this is a relatively new technology and I don’t know that it has been tested on humans yet, but the technology is already commercially available from companies such as envisionTEC.

Imagine the good this technology could do for people with problems from injuries, burns, through to the huge numbers of people who die for lack of organs for transplant.

The following video shows how bioprinters will be used in the long term. The technology will also be used to create human tissues which can be used for drug testing instead of using animals.

Of course if tissues and organs are made using material from the host, we can eliminate problems such as donor organ rejection.

On Living Longer

I’ve decided I want to live longer.  I love technology and I love this world of change and the ability to be involved in this technological era. I have things to contribute and I want to be active in ICT, Location Based Services and also as a songwriter. I want to see my children and grandchildren grow up and explore this ever changing world and see what they make of it.

I’m going to have to work longer, that was always expected, but then providing my Maslow and Herzberg needs are met, I enjoy working. I enjoy making a difference, helping people achieve their goals. I enjoy learning, watching what is helping in my spheres of interest, particularly those mentioned above. I enjoy collaborating and networking and am particularly passionate about seeing New Zealand step up to the plate and continuing to innovate and achieve greater success on the world stage.

I reckon a healthy target for me would be 120 given medical advances now and in the future. My greatest risks are probably heart and cancer, with the determining factors being nature and nurture and my general disposition i.e. my attitude and happiness.

One thing that is obvious is that I have to look after my financial well being. If I continue to work, then raising the retirement age isn’t going to be a major for me. If I am enjoying my work, see a future for myself where I can contribute from my experience, passion and knowledge and can continue to grow, I wouldn’t be expecting to retire at 67.

I know I can’t rely on the Government to give me any kind of lifestyle on the retirement pension anyway. Our budget deficit has just been raised to over $15b and despite some significant successes, we still don’t have an infrastructure that really supports innovation. We tend to take credit once people are successful, but most successful innovators tend to be successful in spite of the country’s and their employers contribution rather than because of it.

So my first considerations as I start goal setting and planning will be how I can maintain my lifestyle in the years to come, continue to build an asset base so that when I wind down to a shorter working week I can continue to enjoy a lifestyle and if I should be forced into retirement through poor health (which is not the plan) I can still live comfortably, which no one can in NZ on a pension or benefit. I have a super scheme, I still have a mortgage. I am closing down my rental property LAQC and have sold my rental property. The Government doesn’t want people be able to claim losses from their expenses and without that I can’t afford to own rentals. I’ve invested in public companies before, but unless you are buying and selling daily, this is in my opinion a far greater risk business. Even the biggest companies make mistakes or get caught up in circumstances beyond their control and shareholders unless they are big, have little or no control over their destiny. How many Kiwis lost their life savings in the past by investing in ‘rock solid’ companies?

So I’ll invest in myself. I am studying song writing at Berklee Music on-line, which is costing me a small fortune, but if I can score 1 or 2 hits somewhere along the way, I’ll recoup that investment. I study the industries I’m involved in daily through the media, the occasional conference, networking in person and through social media such as LinkedIn and Twitter and I read a lot.

I have and continue to amass a huge amount of local and international experience in a number of industries, particularly in the application of leading edge technologies to solving business problems. Experience, I have learned takes years and is perhaps something that is least appreciated by younger people who come out of university thinking they know everything and by people who have stuck in one industry or a very small number of companies during their work career.

So to cut a long story short, I need to start planning for my long future. I need to consider a range of aspects, particularly how I want to live those years, what I want to do in them, what I want to contribute, what capital I need, how to maintain my health and fitness. Must be time for some goal setting and dream building.

I’ll leave the last word for now to Anne Brunet (who came via that other little university in Boston (not Berklee Music, but Harvard) and Thomas Rando of Stanford U.

Note the real meat of this video starts around 21 minutes in.

Why don’t Auckland Hospitals Work Smarter Instead of Harder

A friend of mine was prepped for 2 days with nil by mouth a month or 2 ago for urgent cancer surgery. The first day she got bumped and the 2nd day was the start of a radiographers strike. Last night she was prepped for an 8 hour operation and got bumped due to a critical case that suddenly appeared. We thought she was criticial, but obviously that’s not for us to judge.

I’ve asked the question before “Is hospital the best place to be when you are sick?” and pretty  much decided unless it was a private hospital, possibly not. But of course most of us don’t have any choice especially as we get older.

It is nice to see that some things are improving. For example Auckland Health Board has decided to send some patients to private clinics for radiation treatment to reduce waiting times.

I had blogged previously about waiting times at North Shore Hospital based on experiences waiting with family members in A & E and subsequently in corridors in some cases for days, without being assigned to wards. Each time we were told that it was an exceptional case and we were just unlucky. A registrar was sick and therefore his team couldn’t operate was a common excuse. Think about it, an entire team doesn’t operate because one person doesn’t turn up? Maybe they were stretching the truth, being they are short staffed and can’t afford another registrar, and they didn’t turn up because they didn’t exist.

According to the reports, North Shore Hospital is improving and it is now only the 3rd worst in New Zealand. North Shore Hospital supports North Shore and Waitakere with an excess of 400,000 population and rapidly growing. Of course things will change with the new Super City, but the problems won’t go away.

As you can see in previous blogs I’ve written such as ‘76 Deaths, Surgical Mistakes in New Zealand Hospitals‘ I have been pushing for more specialized technology to streamline processes for many years. The technology has been around for a long time, yet we still seem to rely heavily on paper. Tablet and handheld computing has been around for a long time. Most of us use WiFi in the home, in cafe’s, at the airport and understand the power of dealing with information once, accurately and allowing instant access to anyone who needs it in a timely fashion. That’s how we live.

I now see bar codes on patient wrist bands, but I don’t see them being read by a handheld computer to check for allergies, conditions etc at the bedside. This technology could have saved many NZ lives at a tiny fraction of the cost of their lost lives, productivity etc.

When I started promoting this technology, it was with Pocket PC, Palm and Symbol technologies (handheld computers, 3D Bar Code Readers, Portable Printers, Digital Cameras which were being used in many US and European hospitals and that was 20 years ago!

Today there is superior technology such as the Panasonic Mobile Clinical Assistant CF-H1 which runs on Windows 7. The video is pretty corny but it really does illustrate how efficient it is to use mobile technology. Of course this technology has a rugged drop spec, is chemical resistant, lasts 6 hours on a standard battery.

This technology means everyone is in sync and has access to critical data on demand. Paper gets misplaced in hospitals. I had one visit with a daughter that was delayed by 90 minutes simply because someone had misplaced her file. Data can be shared with specialists and medical staff in and out of hospital, including images such as scans, x-rays, photos, test results, charts and graphs. Allergies and condition interactions can be monitored to minimise risk of causing new problems, doses can be confirmed, approvals provided remotely. Pretty much the whole world’s medical knowledge is available online today.

Today’s world should be about harnessing technology to work smarter rather than harder. I suspect the focus is on cost of the technology because our hospitals are run by administrators tasked with saving money. Of course they are largely man aged by politicians. If health is a major election platform every election, why is it that the performance is still so poor?

Next time you are in hospital, have a look at how they use or don’t use technology. Think about how you operate in your business. Think about what’s at stake and ask them why they do things the way they do.

We have national elections next year. They will be talking about improving the health system. Will they be talking about improving the ICT structure and putting information in the hands of the clinicians? Or will they be talking about saving money, improving the monitoring of staff performance and measuring waiting times in A&E?

We have an ageing population and growing population. They are going to need more services and we could increase our throughput, reduce patient risk, significantly improve outcomes by harnessing technology, working smarter rather than harder, expecting great results from staff working double shifts several times a week.