ENO CONJURES UP MORE MAGIC


We review the first night of the favourite Mozart’s “the Magic Flute” at the London Coliseum.

Ever since my days at University and falling in love with the Magic Flute even as a teenager – Mozart Opera has always held a special place in my heart. In the same way that “relationships” need constant adjustment and spark – so the magic of ENO is its re-interpretation, at every level, of the Operas that it performs.

This was my second viewing of this original production. But not for my two ladies who sat next to me. This was their first ever opera performance. They chose the right topic and evening.

This performance was sharp, very well constructed, the classic ENO minimalist approach of letting the performers take you by the hand on the journey, the mix and almost conversations of orchestra and protagonists, and particularly principal flautist Claire Wickes wandering into the stage in dialogue with Papegeno.

The sudden-ness of the orchestra kicking into life as we start with full lights on in the auditorium – to grab our attention, and the humour of the Chaplin-like screen writing, tells us everything we need to know. This is no classical Mozart. This is Mozart made modern.

You can only do this, of course, if you have the professional immaculate singing. ENO excels at the Chorus, the groups of singers. And yet this was the area that for me was the least convincing this time around. It took a while for the Three Ladies to get into gear – but this is to be picky. I loved Lucy Crowe as Pamina, and Rowan Pierce later on as Papagena is always funny and spot on – she gave a brief synopsis of the approach when she sang just a few months ago at the ENO Celebration Evening.

ENO is always very clever and relaxed when it does Mozart. This “Magic Flute” is up there in competition with its staging and performance of “Cosi Fan Tutte “ a couple of years ago.

It is a performance to enjoy as an old friend. But it is also for newcomers. One of the key aims of ENO is to widen the approach to a wider audience. My ladies sitting next to me, were not disappointed.

COCIR concerns in the event of a no-deal Brexit

If anybody had any doubts of the damage that Brexit is doing to our UK and EU economies, the following official announcement today from COCIR, should be a wake up call that is already too late.

The date of withdrawal of the United Kingdom from the European Union – 29 March 2019 – is drawing ever-closer. While we sincerely hope that both parties will continue to do their utmost to find an agreement, our industry is increasingly concerned over preparations for a “no-deal scenario”. Such an outcome means that the UK will no longer remain part of the European Single Market. Given recent communications by the European Commission (1), this will have detrimental consequences for our industries in the European Union. Our major concerns are that:
–    UK Notified Bodies, which currently play a critical role in certifying medical devices placed on the EU-27 market, will no longer be able to issue EU certificates. 
–    Non-EU manufacturers that currently have an Authorised Representative based in the UK will have to change to one based in the EU-27.
–    Manufacturers transferring to a new – EU-27-based – Notified Body will need to change how their devices are labelled to reflect the new Notified Body number or face non-compliance with the Medical Device Directives. 
Unfortunately, it appears that the European Commission and the EU-27 Member States are currently not planning to adopt a specific transition period for medical devices (similar to the one planned by the UK). However, we would like to point out that the current timing is insufficient to allow for manufacturers to receive certification by a new Notified Body. Even where a transfer is possible, and new CE certificates from EU-27 based Notified Bodies have only been issued in the last few weeks, re-labelling all their devices would be challenging at best and unfeasible in many cases, particularly for manufacturers with large product portfolios. If devices are not available, even temporarily, the resulting impact on European healthcare systems – and the safety of EU citizens – could be substantial. 
Therefore, in the best interest of citizens, we call on the European Commission, together with Member States, to agree on a limited transition period. This will allow those manufacturers directly impacted by any no-deal Brexit to continue to place devices certified by a UK Notified Body on the market. 
Standard practice for medical devices (2) when changing to a different Notified Body would be to provide six months following the Date of Withdrawal. This would allow the re-labelling of devices after the certificates transition to a new Notified Body. Even 12 to 18 months could be necessary in case manufacturers have to switch to a completely new Notified Body to ensure the necessary time for the re-certification process.
Such a transition would give manufacturers much-needed certainty and ensure that hospitals, healthcare professionals and citizens in the EU see reliable and predictable access to these devices. 
This, however, provides a short-term solution to a long-term challenge. We therefore encourage the EU and the UK to expedite negotiations on a trade agreement that includes the mutual recognition of medical device certification. 

 1 – ec.europa.eu/info/sites/info/files/qa_brexit_industrial_products_en.pdf 
 2 – www.doks.nbog.eu/Doks/NBOG_BPG_2006_1.pdf

Raising your Voice

The things that we already take for granted in our private lives, the “hey Siri” – the access to Alexa, – and untold information simply by asking a machine that sits by our bedside or we carry in our pocket – also can deliver big savings in time and costs when used in healthcare.

It’s been a while in coming; but now that clear uses have been developed that deliver benefits for the man in the street – now is the time for Community clinics and Hospital Outpatient areas, to take this seriously.

We focus on the latest, that is already clinically proven across the USA; this is what they say…

-Orbita, Inc., provider of the only HIPAA-compliant platform for voice and chatbot applications in healthcare, today announced through its collaboration with Mayo Clinic, the availability of Mayo Clinic’s award-winning first-aid voice application on two additional platforms:  Google Assistant and voice-powered web chat. This takes Mayo Clinic beyond its initial foray into voice with the Mayo First Aid skill for Amazon Alexa, and provides new capabilities to deliver first aid content via Google Assistant-enabled devices and a voice chatbot offered at www.mayoclinic.org.

“Expanding the delivery of Mayo Clinic content through more voice channels helps give consumers ready access to trusted health information where and when they need it,” said Sandhya Pruthi, M.D., general internal medicine physician and associate medical director of Mayo Clinic Global Business Solutions. “We’re pleased to continue innovating with voice and exploring its value to enhance patient and consumer engagement.”

Research shows consumer adoption of voice devices is exponentially faster than web and mobile predecessors. This bodes well for value-based health care where improved patient engagement aims to translate into quality improvements and cost reduction. 

“Mayo Clinic is sharing these new offerings just weeks after buzz at CES that the AI-powered virtual assistant, Google Assistant, would be on more than one billion devices by January 31, 2019,” said Orbita CEO Bill Rogers. “Clearly, voice is here to stay. Orbita is honored to collaborate with Mayo Clinic in exploring new voice opportunities for health care.”

At HIMSS, the health IT event bringing more than 45,000 attendees to Orlando, Fla. this week, Mayo Clinic and Orbita are highlighting:

  • Mayo First Aid for Google Assistant: Users of Google Assistant can tap “account”, then explore to access the “Mayo First Aid” action. After saying “Hey Google, Talk to Mayo First Aid,” they proceed with asking a question such as “How do I treat my baby’s fever?” 
  • Mayo First Aid Web-based Voice Chat : The same content and experience currently available through the Mayo First Aid Alexa skill and now Google Assistant, is also available via web-based voice and chat at  www.mayoclinic.org/voice/appswww.mayoclinic.org/symptoms, andwww.mayoclinic.org/diseases-conditions on web and mobile browsers that support voice input. Unlike most of today’s chatbots, which are only keyboard driven, this new Mayo First Aid Voice Chat experience offers an integrated voice and text-based interface.

These solutions join the Mayo First Aid Alexa Skill. Last month at the Chattanooga-based Alexa Conference, event organizers selected Mayo Clinic First Aid for the 2019 Alexa Skill of the Year for Healthcare Award. Orbita received the 2019 Best of Show Bronze Award and the 2019 Best Third Party Tool Award. 

The Financial Market is Changing. Time for some New Thinking.

We look at the I-FIHN management consulting company in Paris and ask, has their time come, to seize the initiative in their core financial markets?

It’s a mistake easily made, that any conversation with a French company will be philosophical, psychological almost. It’s not like they haven’t had enough practice. I can’t think of any time since Voltaire, where the impression has not been one of internal ennui.

And consulting companies generally, either continue this trend and deliver reports but no deliverables; or they focus on the cart of technology, rather than the horse of actual business need.

“Hey, we are the best in the world at blockchain!”… Well, that’s wonderful.

Yet at a time when all financial and business leaders recognise that 2019 will demand considerable innovation in how we develop our businesses, not just pure tech competence – now is the time for new players to come to the front, with a new focus on a different mix of delivering what you and I know we need.

But that still leaves the question of “what” constitutes “original thinking”. The risk of compliance and legislated focus of financials, still requires adherence to a set of rules, and competence in what business is all about. Sure, technology is important – but that starting point remains the balance of where do we want to take our business matched by – the deep understanding of the financial business in which our service providers are involved.

And whilst London has always been, and continues to be seen as, the leader in financial innovation – so that has not stopped newcomers from taking the lead, from other areas. And yet these are not newcomers. It its just that they have been below the radar – until now. It is similar to the sudden superstar actress, who has been treading the provincial boards for so long, now landing the key movies role. Suddenly, with their own unique and business approach – their time has come.

The I-FIHN Consulting company based in Paris, typifies the new approach – sure, they talk about their expertise and their competences, all within a deep understanding of financial practice – but it not until page eight of their Brochure, that you finally understand that this is no technology company; this is advisory and innovation based on human face to face values, covering a wide variety of international experience.

The benefit of this approach is that it takes financial transformation into new areas of “what could be possible” – rather than play safe within the trusted hallowed of your own organisation.

It is an important differentiation.

I talked with Ladan Haghighi, Head of Advisory Practice at I-FIHN – she told me: “the multinational experience that we all have, is now coming into fruit, in the different ways each of our Team view a client situation”.

We expect to see more of this approach and this company in the future.

The I-Fihn company can be contacted at their Paris office on +33768481502.

Patient Engagement makes the Difference

We publish the first of a series of HIMSS2019 key articles about healthcare technologies you need to know about!

There is no doubt that getting the patient him/herself engaged in their own process, creates better and faster outcomes.

Allen Technologies, probably the leader in interactive patient engagement solutions for 40 years, announced today that its E3 Patient Engagement Solution has been selected as a featured product in the Intelligent Health Pavilion at HIMSS2019 in Orlando in just a few weeks.interactive patient engagement solutions for 40 years, transforms the way hospitals engage, educate and empower patients. Allen helps hospitals impact patient outcomes, improve patient satisfaction and achieve operational efficiencies.

The Intelligent Health Pavilion has been one of the most visited destinations within the HIMSS2019 conference for the past nine years.  Visiting healthcare professionals will be able to experience first-hand innovative technologies, software, apps, and voice applications in real-time, contextual clinical settings. Rooms within the Pavilion are created to mimic the actual hospital setting, with individuals demonstrating the use of the latest technologies that have successfully deployed in hospital rooms. 

Allen’s E3 solution will be showcased in the labor/delivery/recovery demonstration room, on both television and tablet. In addition, Allen staff will be on hand for personal demos in the Pavilion’s Kiosk #10. The Intelligent Health Pavilion is located at Hall E, booth 8559.  

“We are thrilled to have our E3 Patient Engagement Solution showcased at this year’s Intelligent Health Pavilion,” said Mark Lancaster, CEO. “Leveraging technology like ours to deliver a better patient experience and support more efficient patient care is a game changer for today’s hospitals. The E3 Solution transforms a traditional patient room into an interactive smart room, without the need for additional hardware in the room, putting interactive patient engagement within reach for virtually any hospital.”

The Future of Finance 2019

We look at changes that need to happen in 2019, if Financial Service providers can actually “provide” what you and I want.

The upcoming Future of Finance conference at Hurlingham London in a few weeks, is a landmark – a pointer in the sand if you will, a meeting place where key decision makers in the financial industry can meet to discuss well, where is their market going, and by implication, where are they themselves going?

There is a suspicion that actually, they are not going anywhere. This is reasonable or understandable. It is far easier to paper over the cracks, and this is seen in the way such organisations create “transformation teams”, but still retain the same people and attitudes;  change people’s job titles, play musical chairs with executives, or focus on costs savings – but still carrying the same methodology and still looking at costs instead of looking at efficiency. The two are not the same.

Yet there are two areas that can make a difference, and they simply require a cool look at how you and I behave. In particular; how do we prefer to access our financial info; and what sort of info do we want to have. 

Key vertical market in this, is the rise of the self-service private client – the guy who has savings but where the return on investment is nothing when compared to actual portfolio investment. Surely there are now sophisticated tools that can algorithm all this stuff for the man in the street? Indeed there are. The Tetralog company in Munich (as an example) focus on this sort of Robo Advisory that still retains the use of the face to face Advisor – but gives the client the info in a way he can understand and monitor, automatically. There is nothing worse than seeing graphically how your savings otherwise  are gradually deteriorating over time.

Equally important, is the tangential thinking that wakes up to the fact that, with mobile technology, we are all different now. The irony is that this is not a tech discussion, but a business discussion, by people who may not necessarily be financial – but who can spot how people want to work in the future. Richard Copland, formerly CGI Logica and now Partner at The Futureshapers told me; “ executives no longer have time to take a pause or have the courage to throw out legacy solutions, or legacy ideas”.

But throw things out, they must. And this includes being very open to new ways of doing things. 

We expect the winners in 2019 to be those organisations who are prepared to back their hunches, and the losers? Well, they will be the ones who carry on as before.

Have a Happy and Healthy New Year!

And Let’s Help Set The Nation on Course For a Healthy 2030! We publish a great Post from the NEHI team (Network for Excellence inHealth Innovation) because it links innovation to achievable you and me health aims for the year. Based in Boston, USA- this is something we all can aspire gto. Great idea; this is what they say:

Every decade, the federal government’s Healthy People initiative develops a new set of science-based, 10-year national objectives with the goal of improving the health of all Americans.

The U.S. Department of Health and Human Services (HHS) is now soliciting written comments regarding the Healthy People 2030 objectives. The public comment period is now open through January 17, 2019.

Members of the public can comment on the proposed HP2030 objectives, and can also propose their own objectives. You can get more information on Healthy People 2030 and this public comment period by clicking here;

Previous public comments on the proposed Healthy People 2030 framework helped shape the vision, mission, foundational principles, plan of action, and overarching goals for Healthy People 2030. In this public comment period, HHS would like input on the proposed Core, Developmental, and Research objectives.

Please don’t miss this important chance to have input into this once-a-decade process to help shape the nation’s health goals!

In response to stakeholder input, Healthy People 2030 will be a streamlined set of national health objectives guiding the Nation in efforts to improve health. Heathy People 2030 will continue to represent critical public health priorities by addressing the leading causes of morbidity and mortality and driving action at the national, state, and local levels.

Again, Happy 2019!
The NEHI Team