Anthony Montagnolo
Executive Vice President and Chief Operating Officer, ECRI Institute
Anthony J. Montagnolo, M.S., is executive vice president and chief operating officer of ECRI Institute in Plymouth Meeting, Pa.
Anthony J. Montagnolo, M.S., is executive vice president and chief operating officer of ECRI Institute in Plymouth Meeting, Pa.
For the past few years, “prices” in health care have generated some eye-popping headlines in the press — most notably drug prices. It is not news to anyone in health care that the prices providers pay for drugs and for health care technology seem to rise every year. Further, providers face the daunting task of needing to buy ever-increasing amounts of technology just to keep pace with clinical innovation.
In the 1990s, Jack Welch popularized a phrase to describe what he wanted GE to be: a “boundaryless organization.” That is, he wanted to break down traditional organizational silos and innovate across those boundaries. In today's health care, “boundaryless” has become a good way to describe the implications of an amazing tidal wave of medical technology now available in new places.
Imagine this text message shows up on your smartphone: “Dear John, we have complete control of your pacemaker software. Please remit $10,000 to our offshore bank immediately or we will drain your battery.”
In the early '90s, who could have imagined that today I would be walking around with a mini–super computer and video camera in my pocket. In health care, we have seen similar amazing technological advances over time, and, of course, we know many more advances are sure to come.
Data, big and small, is everywhere.
Iron lungs out. Surgical robots in. The heart-wrenching sight of rows of children trapped in iron lungs has given way to the ability to transplant lungs.
As stewards of the strategic direction of their organizations, trustees must understand how new technology can shape and advance strategy. In fact, in our judgment, a strategic plan should include a strategic clinical technology plan to ensure that it involves an understanding of technology’s risks, requirements and dependencies.