Comments on: The Valley of Death http://takingthehelloutofhealthcare.com/blog/2008/11/20/the-valley-of-death/ The new blog of F. Nicholas (Nick) Jacobs, FACHE, author of Taking the Hell Out of Healthcare Sat, 31 Jul 2010 12:30:16 +0000 hourly 1 http://wordpress.org/?v=3.0 By: Make Sure That You are on the Right Side of the Paradigm Shift | Ask a Hospital President http://takingthehelloutofhealthcare.com/blog/2008/11/20/the-valley-of-death/comment-page-1/#comment-300 Make Sure That You are on the Right Side of the Paradigm Shift | Ask a Hospital President Tue, 20 Jan 2009 14:56:25 +0000 http://takingthehelloutofhealthcare.com/blog/?p=527#comment-300 [...] more sophisticated, and higher priced equipment with promises of earlier detection. Unfortunately cures have not been part of the equation. The additional technology has simply produced additional [...] [...] more sophisticated, and higher priced equipment with promises of earlier detection. Unfortunately cures have not been part of the equation. The additional technology has simply produced additional [...]

]]> By: nick jacobs http://takingthehelloutofhealthcare.com/blog/2008/11/20/the-valley-of-death/comment-page-1/#comment-211 nick jacobs Thu, 27 Nov 2008 20:16:17 +0000 http://takingthehelloutofhealthcare.com/blog/?p=527#comment-211 The Valley of Death is caused by a system that has inappropriate incentives. The reward is for small science leading to small discoveries, and there is no real incentive to SHARE . . . It is a system that needs re-worked from top to bottom. It is not the place of the bench scientist to take the discovery to the end, but, at this point there are very few inceitives for ANYONE to take the discovery from the bench to the bedside. Hope Obama takes a look at this, too. Kind of like the architect that works on a commission based on the cost of the buildng or the builder who can make more money by NOT doing what the plans say. UPSIDE DOWN incentives. Hospitals kept women in for a week after a baby UNTIL the incentive changed. Now it's practically drive by births. Not looking for the extreme, just sanity. The Valley of Death is caused by a system that has inappropriate incentives. The reward is for small science leading to small discoveries, and there is no real incentive to SHARE . . . It is a system that needs re-worked from top to bottom. It is not the place of the bench scientist to take the discovery to the end, but, at this point there are very few inceitives for ANYONE to take the discovery from the bench to the bedside. Hope Obama takes a look at this, too. Kind of like the architect that works on a commission based on the cost of the buildng or the builder who can make more money by NOT doing what the plans say. UPSIDE DOWN incentives. Hospitals kept women in for a week after a baby UNTIL the incentive changed. Now it’s practically drive by births. Not looking for the extreme, just sanity.

]]> By: Mike http://takingthehelloutofhealthcare.com/blog/2008/11/20/the-valley-of-death/comment-page-1/#comment-210 Mike Sat, 22 Nov 2008 22:27:48 +0000 http://takingthehelloutofhealthcare.com/blog/?p=527#comment-210 Conducting research for the sake of publishing papers without any application to improve in this case healthcare would be a travesty. This "valley of death" that you mention Nick I assume is very convoluted and mired with fiscal constraints. Could it be that some of these discoveries while worthwhile would be cost prohibitive to bring to fruition? How many of these discoveries are considered ophan break throughs were the return on investment is just not there and they are discarded? It would interesting since I have a fondness for research to learn more about this valley of death that you speak of. Conducting research for the sake of publishing papers without any application to improve in this case healthcare would be a travesty. This “valley of death” that you mention Nick I assume is very convoluted and mired with fiscal constraints.

Could it be that some of these discoveries while worthwhile would be cost prohibitive to bring to fruition? How many of these discoveries are considered ophan break throughs were the return on investment is just not there and they are discarded?

It would interesting since I have a fondness for research to learn more about this valley of death that you speak of.

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