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Salesforce Reportedly Working to Create $1 Billion Healthcare Business

Posted on November 10, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

That’s the news as reported by Reuters in late October. The article talks about Salesforce’s interest in creating a healthcare business and believe it can reach $1 billion in revenue. The article also highlights how SalesForce has recently hired over a dozen people from the healthcare and medical device sectors.

Plus, they even talk about the roll out of the CareWeb Messenger product that is built on the top of Salesforce’s technology:

The University of California at San Francisco, for instance, rolled out CareWeb Messenger, built on top of Salesforce’s technology, through which doctors, nurses and patients talk online and on mobile devices. UCSF and Salesforce have close ties: in April, CEO Marc Benioff donated $100 million to its children’s hospital.

I’ll be interested to see how this first product plays out. It actually fits into Salesforce’s core competencies quite well. Although, the secure healthcare messaging space is a crowded one. With that said, I was invited to a Salesforce event to talk about healthcare. Unfortunately, the timing was bad so I couldn’t make it, but now I’m particularly interested in what was said at the event.

It seems that sooner or later, all of the big tech companies come after healthcare. We’ve seen the same with Google, Microsoft, Dell, Apple, Samsung, and many more. While it must be incredibly enticing for these companies to come after a trillion dollar market like healthcare, most of these companies come into healthcare with an amazing amount of naivety as to the complexities of healthcare. Once they get in, they find these complexities and change their mind. We’ll see if Salesforce does something similar.

With that said, Salesforce has the money, the platform and the connections to do something in healthcare. Plus, I welcome fresh ideas and perspectives from companies like Salesforce in healthcare. I think that we all agree that there’s a huge opportunity for technology to improve healthcare. I want as many people working on finding those solutions as possible. Doesn’t hurt to have a multi-billion dollar company taking an interest in it as well.

What do you think of Salesforce’s entrance into healthcare? Will they be a major player? Where do you think it makes sense for them to focus their efforts?

Some of the articles on this talk about Salesforce building an EHR or things like that. Given the regulations and the environment, I never see that happening. Although, with the money they have available to them, maybe they’ll surprise us all.

Is MUMPS the Major Healthcare Interoperability Problem?

Posted on November 11, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Jeremy Bikman from KATALUS Advisors wrote this interesting comment on a LinkedIn discussion I was participating in:

Perhaps there is a place for MUMPS but only if healthcare continues to thumb its nose at the prevailing technology trends. It’s hard for me to envision healthcare to continue to embrace a technology that doesn’t like to play nicely with other non-MUMPS systems. If there were real advantages to it you would see a fair number of high tech firms utilizing it (Facebook, salesforce.com, Twitter, Spotify, etc).

If your goal is to have an enterprise system with a database that has some scale to it and certainly has good speed, and you don’t really care about interoperability with other systems, then MUMPS is certainly a good viable option. But IMO, the days of healthcare IT being insular, and moving out of phase with the rest of the tech world, are numbered.

I found this comment incredibly interesting. Mostly because I’ve never personally believed that the fact that many of the larger healthcare IT and EMR systems are built on MUMPS was any part of the reason why healthcare entities aren’t interoperable. I’m a tech guy by background, but I’ve never worked on a MUMPS software system myself so I don’t have first hand knowledge of MUMPS in particular. However, it seems wrong to “blame” MUMPS on the lack of healthcare data interoperability.

I guess the way I look at it is that no matter which database back end you have, you’re always going to need some front end interface to take care of the transport of the healthcare data to another system. Is this any harder with MUMPS than another SQL or even NOSQL database? From my experience it shouldn’t matter. I’d love to hear if there are reasons why it is harder.

I also don’t want to give the impression that Jeremy is trying to say that MUMPS is the only reason that healthcare IT has been so insular and closed. I’m pretty sure he agrees with me that a lot of other factors that have stopped healthcare from sharing data. I just don’t believe that MUMPS is one of those reasons.

Of course, the question of whether MUMPS should continue in healthcare is a different question. In fact, I wrote about MUMPS in healthcare IT and EMR here.

What are your thoughts? Is MUMPS the problem with healthcare interoperability? What are the other reasons stopping healthcare interoperability?

Update: Jeremy Bikman provided the following clarifying comment in the comments of this post:
Good points John. I really should have clarified. MUMPS is not really the issue (although I still stand by my assertion that if it was such a superior technology you’d see it all over Silicon Valley, RTP, etc). The main issue is really with the walled garden (w/ razor wire and machine guns along the top) approach of the major EMR/HIS vendors that have it as their foundation.

The more control you exert over your clients and the harder you make it to connect with other systems, the more money you can make…at least in the short-term.

John’s thought: I still look forward to the discussion around MUMPS and interoperability and healthcare interoperability in general.