Any discussion of the challenge of trying to
improve health care and curb costs with computer technology quickly turns to
“silos.” Not the kind that store corn in Midwestern farms, obviously.
Information technology in health care is as
fragmented and balkanized as the health care system itself. The technology
silos in health care lead to two afflictions — captive patient and medical
information, and the inefficiency of having to tailor code and programs for a
bunch of proprietary software systems.
General Electric and Microsoft are
announcing a joint venture on Thursday intended to attack the silos. The
venture will borrow from a familiar playbook. “This industry needs a
Windows-like platform,” said Peter Neupert, the head of Microsoft’s health solutions
group.
His comment is corporately self-referential,
to be sure. But what he means is something like a software operating system
that standardizes many of the underlying tasks of running computer programs.
The “platform” layer takes care of the computer plumbing, so software
developers can focus their efforts on the layer above that — on applications.
That, in turn, can spur innovation and an
ecosystem of developers and companies who build on top of the platform. That’s
what Microsoft did so successfully with the personal computer. And it is what
Apple, in particular, has done so well with smartphone and tablet software.
The G.E.-Microsoft venture hopes to lay the
foundation for a surge in software applications that tackle rising costs and
quality lapses in health care. “It is the developer community that is going to
solve these problems,” said Michael J. Simpson, the G.E. executive who will be
chief executive of the joint venture, which will be a new company. (Mr.
Neupert, who plans to retire, will not join the new company.)
The new company is not yet named, but its
headquarters will be near the Microsoft campus in Redmond , Wash. When it gets up and
running next year, the company, Mr. Simpson said, should have about about 750
workers, recruits from Microsoft, G.E. and elsewhere. “This is a big bet,” he
said.
It is a bet focused initially on big health
care providers — hospitals and large physician groups. The new company will
fold together health products from Microsoft including Amalga, its software for
pulling lab test, radiology and other data in real-time into a patient’s
electronic health record for diagnoses. G.E.’s contributions include Qualibria,
advanced clinical knowledge software being developed in cooperation with two
big providers, Intermountain Healthcare and Mayo Clinic.
Mayo Clinic, a customer of both G.E. and
Microsoft, provided the initial prod to put their technologies together. The
joint venture talks got under way in earnest five months ago with a meeting
between Jeffrey R. Immelt, chief executive of General Electric, and his
counterpart at Microsoft, Steven A. Ballmer. (The two have know each other
since they were assistant product managers for Procter & Gamble in the late
1970s.)
The new company will develop software that
makes it easier to monitor and manage the health of not only individual
patients, but also entire populations of patients with chronic conditions like
heart disease and diabetes.
Next year, the company plans will introduce
tools to make it easier for independent software developers to build
applications that run on its platform technology.
The
Windows analogy is intriguing, but it also may prove to be misleading. The PC
business was a young industry when Microsoft rose to power. By contrast, there
are several established health care software vendors likely to resist the
G.E.-Microsoft strategy. Don’t expect Epic or Cerner, for example, to rush to
build applications that run on the G.E.-Microsoft platform.
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