Is There Life Beyond MS Project?

 

Henry Laurence Gantt (1861 - 1919)
Henry Laurence Gantt (1861 - 1919) Image via Wikipedia

 

Is there a medical device company anywhere that doesn’t use Microsoft Project to manage product development projects?  After all, it’s a time-tested, incredibly powerful Gantt-charting tool, and it plays nicely with Microsoft Office.   What’s not to like?

Okay, maybe I have a few pet peeves:

  1. Project management is much more than just a Gantt chart.   I want tools to help manage shared files, calendars, bug/issue-tracking, and assignable tasks.
  2. Distributed teams need to be able to access and update the project plan in real time from anywhere.  Sharing mpp files via email is a recipe for version conflict.  And who wants to shell out for a copy of MS Project for everyone on the team?
  3. Too many times I’ve seen MS projects enter the land of tangled task links, where timelines in project plans no longer make any sense.  Too many times, project planning meetings screech to a halt so distraught project managers can run off and burn several hours untangling links and rearranging tasks.

I could go on.  So I’ve been looking for a better solution for years, and I’m starting to see signs of life beyond MS project.

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The AMA, CMS, and Physician Payment Levels

 

President Johnson signing the U.S. Medicare bi...
Image via Wikipedia

 

On Tuesday, two news articles provided an inside look at a critical, but little-known, part of the process by which Medicare (CMS) determines physician payment levels for new procedures.  A small American Medical Association (AMA) committee wields an unusually large influence.

If you are concerned with physician payment levels for your new procedure, check out the articles here:

The Center for Public Integrity reports on the AMA RUC committee.

WSJ reports on the AMA RUC committee.

Lean Medical Device Startup: Test Your Problem Hypothesis

 

Original test pilots for the Mercury Project
Image by State Library and Archives of Florida via Flickr

 

Having trouble getting your medical device startup funded?  Most likely, you have picked the wrong problem to solve.  Think about it this way: When you launch a new medical device, you are asking physicians, hospitals, nurses and patients to change medical practice.  That’s a big deal.  A really big deal.  So get it through your head that medical practice will only change if your new device solves an important problem.  That’s why the lean medical device startup defines its problem hypotheses first.  That’s also why the lean medical medical device startup tests its problem hypotheses early and often.  You need to make sure you are solving the right problem.

What does ‘testing your problem hypothesis’ mean? How do you go about testing your problem hypothesis?

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Fresh Money: 2010 Q3

 

Chinese 1 Yuan Coin, Macro Photo
Image by Ivan Walsh via Flickr

 

Fresh money means that VC’s and PE firms need to make new investments, to put their fresh money to work. So, if you are looking for investors, look for those with fresh money.

Here is an updated list of VC fundraising activities for Q3 2010. Disclaimer: this list is likely not comprehensive, as firms don’t always announce new funds.

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Hospital Hiring Trends Impact Medical Device Opportunities

 

The Doctor, by Sir Luke Fildes (1891)
Image via Wikipedia

 

Kaiser Health News and NPR yesterday reported on an important US healthcare trend: Hospitals Lure Doctors Away From Private Practice. A dramatic shift from practice-owning physicians to salaried, hospital-employed physicians, could create an equally dramatic shift in medical device market opportunities.

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Lean Medical Device Startup: Finding Early Adopters

 

Early adopter
Image by quinn.anya via Flickr

 

To test your business plan at its earliest stages, you have to find early adopters.  Early adopters are the potential customers who have the problem you intend to solve, have tried to solve it on their own, and are willing and able to purchase a solution if one can be built. For medical device startups, true early adopters also have experience shepherding new products through the provider process (e.g. hospital purchasing and CFO) and payor process (e.g specialty coding committee and Medicare). Consequently, only early adopters are able to provide value-added feedback to the lean medical device startup.  How do you find them?

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Lean Medical Device Startup: Getting to Product/Market Fit via Customer Discovery

google - iPad sketches
Image by Alex Osterwalder via Flickr

The confluence of cheap computing power, cheap memory, and cheap bandwidth has fueled the emergence of web 2.0 companies like Twitter, Flickr, Tumblr, and foursquare.   Because software-based-products are inherently extensible and mutable, these web 2.0 startups have rethought the concept of the product lifecycle, enabling their web-based products to evolve new capabilities monthly, weekly or even daily.   (Contrast that to the less-than-annual releases of Microsoft Office.)

In turn, this rethinking of the product lifecycle has spurred dramatic changes to the way these companies and products are formed, financed, and managed.  The term Lean Startup captures the philosophy and practices of this new way of thinking.  Despite the relative immutability and non-extensibility of most medical devices, we can find ways to apply Lean Startup concepts to medical device startups.  In a previous post, I discussed the Lean Startup concept of Product/Market fit in the context of medical devices.  Now that we have defined Product/Market fit, the question is “how do we get there?”

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Lean Medical Device Startup: Product/Market Fit

How did we survive for so long before web applications like Gmail, Facebook, YouTube, and SalesForce.com?  These web 2.0 applications have dramatically changed the way we live and work.

These web 2.0 companies are also dramatically changing the way startups are managed and products are developed.  Eric Ries coined the term Lean Startup, to describe a new way of thinking about startup companies, their markets and their products.  These Lean Startup concepts can be applied to medical device companies too.  Let’s start with one of the most critical concepts: Product/Market Fit.

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Keep Your Board On Board

NYC: Federal Reserve Bank of New York
Image by wallyg via Flickr

If you think that follow-on funding from your venture backers is guaranteed because they reserved additional funds for your investment, think again.

Recently, Fred Destin of Atlas Ventures warns that normal venture fund practices will favor some portfolio companies and negatively impact others.  Check out his blog post here.

So, how do you keep your board on board? Continue reading “Keep Your Board On Board”

Ethics and Options in Clinical Trial Design

Newspaper advertisements seeking patients and ...
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You can’t help but be moved by the plight of the patients in Saturday’s NY Times article “New Drugs Stir Debate on Rules of Clinical Trials.” The article caused me to reflect on my role, as a medical device executive, in the design of clinical trials.  The story presents the ethical challenges of a randomized controlled clinical trial (RCT) of a new drug, through the story of two patients in the trial.  The same challenges faced by drug trials also apply to medical device trials.   What are some of the issues and what are some of the options?

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