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Monday
Sep122011

Every startup hits a bump

Jason Berek-Lewis Creator, Healthy Startups 
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Firstly, I'd like to apologise for the lack of recent posts here at Healthy Startups. The absence of updates has to do with my family moving to a new house this week: there is only four days left until moving day!

I'm disappointed with the timing of the move because I feel like the site was just starting to build some momentum, especially on the Startup Blog (see http://healthystartups.com/startup-blog). I am of the firm view that if I got things started here, I can get them going again once my family is settled into our new home.

Moving house is a great opportunity to reset your thinking and I will be taking a slightly new approach to my Founder's Blog posts when things are up and running again. I also plan to get back to Twitter and Google+ to get in contact with the many great healthcare startups, entrepreneurs, thinkers, investors... I believe in this site, I am passionate about the content I create and am focused on reaching out to others to help build Healthy Startups. I want this place to be somewhere you can come to talk about your fantastic work.

Thanks to all the doctors, startups, patients, programmers, developers, entrepreneurs for inspiring me.

Back soon... 

Sunday
Jul172011

Which startups are building the health graph?

Jason Berek-Lewis Creator, Healthy Startups 
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Facebook pretty much coined the term "social graph" and they pretty much own it (Google+ and Twitter might be making a play for it, but they are a long way from leaving the king without its crown). But is there a "health graph" and, if "yes", who is building it, who is going after it and who will win it?

The social graph being built by Facebook and other social networking services strives to map the relationship between all internet users. Use of the graph goes a lot further: if you can show the connections between all 750 million users on Facebook you can also find all sorts of information that is interesting to advertisers (for example knowing who talks to who about which brands helps to target advertising to specific user groups).

Imagine the power of a "health graph"...

Social graphs have a lot more potential than tracking connections between people who love Coca-Cola and skateboarding. Imagine the power of a "health graph" that looks at relationships between people in areas where illness is spreading (could Sickweather's work be the first step towards building this? See http://healthystartups.com/startup-blog/2011/7/3/sickweather-the-origin-of-a-health-startup.html).

Or think of a "system that can identify correlations between a user’s eating habits, workout schedule, social interactions and more" that has the sole purpose of delivering an "ecosystem of health and fitness apps, websites, and sensor devices that really work, based on a user’s own historical health and fitness data." Those are the words of Jason Jacobs, CEO at RunKeeper as reported by TechCrunch last month (See http://techcrunch.com/2011/06/26/runkeeper-adds-new-integration-to-its-health-graph-in-hopes-of-building-the-facebook-of-fitness). This is what RunKeeper is working towards.

Who wants a health graph?

There really is no limit to the benefits that could come from a health graph, which is why it will be so interesting to observe these early stages of the quest to build such a mythical repository of crowd sourced data. I've said earlier on this site that who wins data wins healthcare and this maxim is certainly becoming relevant to the social and health graphs.

These graphs are still in their early stages of being built and they are still disjointed and therefore hard to make much sense of or derive much value from... Whether it is RunKeeper, Sickweather, Facebook, Google or someone else who builds the health graph, the benefits that could come from this work are unlimited:

  • a health graph would be of value to governments and health service providers in mapping patterns of illness, how health services are used and where new investments need to be made into future health services to keep up with demand.
  • in the case of a health emergency like an influenza pandemic, a health graph driven by aggregating social media data can supplement data coming in from health service providers to track the progress of the pandemic, assist with decisions about quarantine and help to identify where to distribute medications or initiate vaccinations.
  • a health graph could be used by health insurers to track areas/ demographics where chronic disease is more likely and therefore drive decisions about insurance premiums.
  • a health graph would be a valuable tool for developing and delivering targeted preventive health campaigns.
  • a health graph can inspire app developers by revealing gaps in the existing catalogue of apps.

Who is building the health graph? 

Do you know of a startup, a researcher or an entrepreneur who is contributing to building the health graph? Companies like RunKeeper, Sickweather, Foursquare are part of this, but who else? I'm fascinated by the prospect of the health graph and the opportunities this presents for healthcare workers and thinkers, for startups and for entrepreneurs... What benefits do you think the health graph will deliver for health care systems and ultimately for patients? What are the issues and ethics involved? Should one or more companies be allowed to 'own' the health graph? If patients add data to an app that feeds the graph, who owns this data?

I'd love your input here - please leave a comment below.

Friday
Jul082011

Why startup?

Jason Berek-Lewis Creator, Healthy Startups 
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Why do you want to create your own or work for a startup, be it in health, technology, travel, business services? Is it because everyone who is anyone wants in on the social media/ apps/ web 3.0+/ mobile/ OS/ tablet boom? Are you armed with a great idea, a cool "mashed up" name like "HealthCrunch", "MetaSlice" or "Cloudspike" and an awesome logo crowdsourced on 99 Designs?

Motivation
What's your motivation here? Do you want to prove that all those years of being the big dork at school contributed to your success later in life? If your motivation is misplaced, you might be living the startup dream, but beneath the facade of stories on Mashable, scores of Likes on your Facebook page and dozens of retweets you might find yourself at the helm of a "no shot" startup (see http://thestartupfoundry.com/2011/07/07/hopelessly-perfect-why-its-smart-to-work-at-a-no-shot-startup).

Just because startups are the new black and, just because you have a great idea, just because you know someone who knows someone who is a software engineer, just because you have 2596 followers on Twitter and just because you scored one of the first invites to Google+ doesn't mean you are set to become an entrepreneur.

I know I want to work at a startup. I know I want to be an entrepreneur. I know what I want to build. But, sometimes I get caught up in the logos, the names, the ideas, the community, the blog, the social network... But, that doesn't make me an entrepreneur, nor does it make me someone suited to founding or working in a startup. 

What I am starting to learn as I talk with entrepreneurs and startup people on Twitter, LinkedIn and Google+ is that entrepreneurs are people who find gaps, generate sparks, plan and then go out and build something awesome. I haven't mentioned anything about money yet and while I'd like to make a lot of money, it is in no way the motivation for my interest in startups.

Chase creativity and build legacy
My interst in startups stems from a highly creative childhood and my desire as an adult to tap into that unlimited imagination once again. My desire to startup lies in my central core belief that I can use my experiences as a patient to build something great for others who encounter the health system. My passion for startups comes from sensing the great opportunities that lie in working together with other creative, smart and disruptive people - the ultimate jam to create something awesome.  

I'm also very interested in legacy - this is one of my main motivations for writing. I am obsessed with leaving something behind, making a mark, changing something for the better. When I was a teenager I wanted to do this through politics, in my 20s I thought I could do this through writing and in my 30s I am committed to achieveing this through launching my own startup and contributing to others. 

Test yourself
Recently, I have become interested in testing myself through gaming and through building and I very much look at the startup opportunity through those eyes. I want to build something new and play with the building blocks of a new business.  To do this I'm looking for gaps, my idea engine is working on overdrive...  But, I have a way to go on planning, building, on pulling together teams, on learning about investing, on sourcing capital, on execution and, yes, on monetization.

There are so many barriers in the way, so many questions to ask and so many lessons to learn - in the end that may be the central motivation behind my dream of working for a startup. What's yours?

Wednesday
Jun292011

Google+ will change #hcsm

Jason Berek-Lewis Creator, Healthy Startups 
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Two weeks ago I wrote a post about what Google's new +1 product meant for #hcsm. That post can be summarised in the following 2 words: not much. You can read that post here http://bit.ly/iYIKi5. What a difference a fortnight makes because in the last 24 hours news has broken about Google's new social project called "Google +". Now, I get where +1 fits in and now, for the first time, Google could be on the cusp of launching a product to rival Facebook. #hcsm is about to get very interesting!

You can catch up on the detail about Google+ here https://plus.google.com. Take the time to watch the video clips to see the new social network in action. Watching the videos will help you to get a sense of how the network's key features will work. Here are my thoughts on how Google+ will impact on the way people share health information on the social web. 

Circles
Straight off this is the feature that I love most about Google+. Using Circles you can group your friends together, allowing you to easily share certain types of information with certain types of friends. For example, you may be comfortable talking about your heart condition with longtime friends, but not with new aquaintences or work mates. Using the Circles feature of Google+ you can create your own group for sharing information about health: you might create a circle with friends who share your health condition.

Hangouts
This feature will allow users to create impromptu video conferences. If you see that friends in your Heart Health Circle are online, you can quickly use the Hangouts feature to bring everyone together in a video chat. This has great potential for people with chronic conditions who live in rural and regional areas where they don't have access to patient support groups. The Hangouts feature can bring you together with fellow travellers on your healthcare journey, whether they live across the street or across the world.

Huddle
Best suited for when you are accessing Google+ on your smartphone, Huddle is a group texting feature which could be a great tool to use for motivating friends to exercise or for sharing short and quick health tips, possibly with patients. For example, a doctor could use this tool to remind patients about an information session on immunisation being held at their clinic.

Sparks 
At first glance, this feature reminds me of Stumble Upon: using Sparks will generate random content to watch, read and share. The Sparks you see will be based on topics that you enter into a type of Sparks search engine. Depending on its accuracy, the Sparks feature could become your new tool for finding new content about your health condition, the medication you take or diet and exercise tips. 


The unveiling of Google+ is less than 24 hours old. None of us are yet able to use this new social networking tool. No one knows whether Google+ is headed the way of Wave or if it will supercede Facebook, but the tool looks simple to use and innovative and could bring changes to the way people use social media for healthcare... Maybe one day we will all look back and say "I was there for the launch of Google+". I just don't know if we will be saying it with a nostalgic smile or rolling our eyes... 

After your quick peek at the innovations in Google+ what is your take? Will you use this new social network? Can it rival Facebook and what does it mean for #hcsm? I'd really like to read your thoughts, so please jump in on the discussion in the comments section below.

Uodate
Please visit Kevin Pho's website to read his thoughts on Google+ for doctors and join in the discussion. Click here http://bit.ly/mH4RO0

Tuesday
Jun212011

Your startup should be blogging

Jason Berek-Lewis Creator, Healthy Startups 
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To blog or not to blog: that is the question. My answer? Hell yeah! I have been blogging seriously for a number of years, here and at my former public relations blog (see http://www.jasonbereklewis.com). Blogging has helped me build great relationships with inspiring people and led to my first paid speaking opportunity at a conference about social media and the pharmaceutical industry. For startups in healthcare, or any sector, blogging is a must: we operate in a tech and social media-heavy environment, so we need to be in the game. 

Ignite your discussion!
Right at the begining your blog won't have much traffic as people won't even know you are there. It's going to be hard for your audience to find you, especially if you are in stealth mode or some way from launching. At this stage, don't focus too closely on your analytics: if your audience numbers are flat you may end up walking away from your blog. Instead, focus on engaging your readers in discussion.

You can do this on your blog by posting generally about your industry, commenting on trends, other players, government decisions, new software/platforms/tools that may be relevant to your sector. You may be a while off from launch, so shine the light on the people in your startup, turn your startup into a story about personal growth, about people working to achieve ambitions or to deliver change... Maybe you are building a disease mapping tool, a self management app for patients with chronic diseases, a new condition-specific social network or health-centered software. Maybe you can't talk specifically about your product, but you can talk about why your product is needed: change is coming to healthcare, change that empowers patients and your startup wants in... NOW!

These discussions should't just be limited to your own blog. Think of how you can contribute to the blog of another startup or a blog in your startup community, like Healthy Startups. Start and/or contribute to discussions on sites like Mashable and TechCrunch or on social media platforms including LinkedIn, Sprouter, Quora, Facebook and Twitter.

You can get involved in the discussions in a Facebook or LinkedIn group, on a Twitter chat or you could answer user questions on a site like Sprouter, an online forum for entrepreneurs. While entrepreneurs should be focused on our own industries, be open to contributing to broader discussions: chances are you will have learned lessons in a health startup that are just as relevant for a fashion, finance, travel or food-related startup. 

Starting up or disrupting your industry...
Are you a startup or a change agent? I think you are both and focusing on why healthcare needs to change with the advent of new technologies and social media is your niche. There is nothing wrong with questioning the status quo - it's a must! - and using a blog in this way can help to explain the need for your product, as well as branding yourself or your company as a thought leader, as well as generating some serious discussions with competitors and collaborators.

Start an idea virus
A key element to your plans for total disruption is spreading your ideas. Blogs, more so than other social media tools, can help you achieve this. Think about Twitter, Facebook or Q+A platforms, they aren't very well suited to long form exploration of significant issues in health (or any other sector). Whoever said blogging was dead was dead wrong. Using your blog, which you can easily set up on platforms such as Wordpress, Blogger or Squarespace, is an easy, cheap (sometimes free!) way to get your ideas out there. Using your blog to ask questions, to explore trends, to share your creativity is a great way to spark new ideas - the crazier the better! Some elements of healthcare are particularly staid, stagnant and conservative: let's shake them up with subversive blog posts that generate discussions and get shared around on social media. Getting shared sounds harder than it is: if your ideas are disruptive, innovative and inspiring, people will want to share them and join in your discussion... it's contaigous!

Share advice? Think community, community, community!
Yours isn't the first startup in the history of the world and it won't be the last. There are many others who are experiencing similar challenges to you, some of whom have come through their trials by fire. You can use your blog to share advice on dealing with angel investors, managing creative differences between founders, choosing the best social network for your startup... the possibilities are endless. The important thing to think about is "Are you blogging for yourself or for your community?" - both paths are equally valid, but each will require a different approach.

Blogging for your community will help you gain an audience, but it also means that you will be creating content that is relevant to people outside your company, your customer base or even outside your industry. Last week I was speaking to a friend who owns an IT company about their corporate blog. When the blog was focused on the "Deal of the Week", the site wasn't getting much traction. When the blog started focusing on providing answers to regular customer questions, the site began to take off. The blog began to contribute value to its community.

Another important point to remember (and it's one that I can let slip) is that you must be an active member of your own community - no matter how big or small it is. If someone leaves a comment on your blog that is not answered, you have missed the chance to build a connection and to sow the seeds of a community. Blogs are kind of pointless if the posts are one way rants - comments are the lifeblood of blogging and the blogging community.

Conversely, on top of your own blogging efforts making the time to comment on other blogs is a great way to contribute to your wider community (and even build up some of your own brand recognition!). 

Which analytics matter?

Unless your product is The Next Big Thing, your early analytics are going to be pretty poor. Remember, it takes time (months and months) to build an audience. You can use Google Analytics or your site platform such as Wordpress or Squarespace to track how your audience grows, identify what type of content attracts the most readers and determine which third party sites are sending traffic to your pages. All of this information is vital in getting a strong sense of what works and what doesn't on your blog.

Analytics do matter and they don't matter. Yes, I have contradicted myself there, but both answers are correct. They matter because startups, indeed all businesses, are about numbers and tracking outcomes. Analytics can give you a sense of who your community are, of what platforms/ OSes they use, of their geographic spread and  
the type of content they like to read. You need to know all this and more because analytics are just another tool for gathering market intelligence and knowledge. But, don't get trapped into blogging for your analytics... sooner or later the authenticity in your posts will be washed out as your blog starts to read like a random collection of key words.

Who cares wins...
Your startup should be blogging because using this platform is a great way of building authentic, human connections with your future customers, with the broader startup community, with investors. The key words in that sentence are "authentic" and "human". No one wants to read your product brochure chopped up into short and sweet blog posts... People want to demystify the whole startup story: they want to know about the people behind the cool name, awesome logo and sweet as teaser/ landing page.

Readers want to know what inspires you to start up, how you scored an angel investor, how you managed to get that initial cash injection to stretch and stretch into an iPhone application and dazzling website. People want to know how you reacted to a key failure or missed opportunity. Yes, it can be messy stuff, yes it can be roar and all too real, but that's why people want to read it!

Startups are the new cool and many of us on the outside are clamouring for a peek at how the other half live: it might be sleeping rough, eating instant noodles and drowning in code, but we want to go through it with you... Think of what makes The Social Network such a great movie - it has nothing to do with Facebook and everthing to do with the human drama behind it. Give us some of that and you'll have a user/ fanbase for life.

That's why your startup should be blogging!


If you  are interested in helping me to launch the Startup Blog on this site, contact me via http://www.twitter.com/healthystartups