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LOT-402 - Administering IBM Connections 4.0 - BrainDump Information

Vendor Name : IBM
Exam Code : LOT-402
Exam Name : Administering IBM Connections 4.0
Questions and Answers : 137 Q & A
Updated On : November 16, 2018
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LOT-402 exam Dumps Source : Administering IBM Connections 4.0

Test Code : LOT-402
Test Name : Administering IBM Connections 4.0
Vendor Name : IBM
Q&A : 137 Real Questions

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IBM Administering IBM Connections 4.0

Why Did Google employ Geisinger CEO Dr. David Feinberg? | killexams.com Real Questions and Pass4sure dumps

On Thursday, Geisinger health introduced its CEO Dr. David Feinberg became leaving to fill a newly created leadership function at Google, a certain sign the tech big wants to profit on the $three.5 trillion healthcare business.

Google isn't the just one. 5 the world’s 10 largest companies have introduced important fitness initiatives over the last yr, together with: Amazon, Apple, Berkshire-Hathaway, JPMorgan Chase and, now, Alphabet, Inc. (Google).

Sources near the Google announcement spoke of Feinberg will report to AI head Jeff Dean, who we’re advised led a months-lengthy look for the right candidate. in keeping with CNBC’s Christina Farr, who first stated on the details of the transition, “Feinberg’s job might be identifying the way to organize Google’s fragmented fitness initiatives, which overlap among numerous enterprise.”

Google Isn’t New To The Healthcare video game

Google’s activity in purchaser health dates again more than a decade. In 2008, it launched Google fitness, an try to create a repository of fitness records, connecting a must-have affected person assistance with healthcare providers reminiscent of doctors, hospitals and pharmacies. The vision turned into ahead of its time. The venture shut down in 2011.

extra recently, the business doubled down on synthetic Intelligence (AI) through Verily, an entity concentrated on precision drugs and disease-research initiatives. And last July, Google employed former Cleveland clinic CEO Dr. Toby Cosgrove as executive adviser to its Cloud healthcare and life sciences division, areas of the company that don’t appear to overlap with Feinberg’s position.

As details of Feinberg’s new place get sorted out, one query emerges from this high-profile rent: the place could Google go within the healthcare area?

Turning An counsel business into a Healthcare player

at the Stanford Graduate college of company, I teach a healthcare method classification along with Dr. Robert Burgelman. part of his analysis facilities on “pass-boundary disrupters”—corporations that dominate in a single enviornment then transfer that skills to a brand new business.

For Google, which fancies itself an “information company,” I’m intrigued by using the abilities to marry its tips functions (and other billion-dollar Google initiatives) with a healthcare agenda.

thanks to the brilliance of its founders, Sergey Brin and Larry web page, Google’s search competencies some distance outpaces the relaxation of the industry, even two decades after the enterprise launched. and because of the business acumen of former Google CEO Eric Schmidt, the business has mastered revenue generation via a combination of paid search, promoting and derived-user tips.

The problem Google now faces is monetizing its profitable search and enterprise proficiencies within the world of healthcare—an area overflowing with advanced guidelines, regulatory prohibitions, and severe affected person have confidence considerations.

The way forward for Healthcare: In Dr. Feinberg’s own phrases

In his remaining public interview before leaving Geisinger for Google, Dr. Feinberg joined me on my month-to-month podcast Fixing Healthcare.

Promotional photo for the Fixing Healthcare podcast interview with Dr. David FeinbergFixingHealthcarePodcast.com

although he in no way mentioned he turned into applying for a new job—nor did he name out Google or any of its competitors via name—he spoke at length about technology’s role in healthcare and the want for business-huge disruption.

Combining Dr. Feinberg’s feedback and professional music listing with what we find out about Google’s present projects and products, listed here are five healthcare alternatives Google may seize upon within the near future.

1. Boosting domestic health

in response to CNBC’s early reporting, “One specific area of hobby is building out a fitness team within Nest to help manipulate users’ fitness at home, in addition to to video display seniors who're identifying to live independently.” The Nest household of home-automation items—everything from digital doorbells to thermostats to domestic security—are designed to vicinity Google squarely within the middle of the American home, powering normal lifestyles.

Dr. Feinberg, who served as CEO of UCLA’s hospitals earlier than becoming a member of Geisinger, has long been an recommend of bringing care out of the clinical facility and into the home. In our interview, he in comparison hospitals to Blockbuster – that mossy old brick-and-mortal idea from a century ago. Feinberg predicts half of nowadays’s inpatient services will soon be rendered in people’s buildings, and with out the numerous hazards associated with a medical institution live (starting from an infection to delirium).

expanding on the theme, Feinberg questioned, “Why do americans need to come to a physician now? I don’t go to the book shop anymore. I don’t go to my trip agent anymore. i will do so a great deal via my telephone. Why can’t I let you know what my indicators are, and have you ever hook me up with a person who can assist? If I do want medication, why don’t you simply drone them to my condominium? those forms of interventions I think are coming and those disruptions are completely critical.”

For any patient who has been sick satisfactory to be within the clinic, a set of Google healthcare items could be extraordinarily beneficial and, in comparison to the charge of hospital screens, a cut price.

2. solving healthcare concerns with transportation

below Brin’s course, Google become an early innovator of self-driving vehicles. Others within the automobile and transportation industries have for the reason that taken the lead, but healthcare may well be a captivating avenue for the business to reengage during this house.

Dr. Feinberg cited that most effective “20% of even if we are living or die (is) in accordance with going to respectable medical doctors and good hospitals.” He advised me a far enhanced percentage of fitness is in keeping with “your social ambiance, your entry to clear meals, your access to transportation...”

cars, it seems, lessen barriers to improved fitness. They take people to medical doctors. They bring docs, medications, nutritious meals and contraptions to individuals’s homes. corporations like Uber and Lyft have taken steps in this direction, however Google has the advantage to disrupt these disrupters. nowadays, the elements limiting home birth are cost and time. Driverless vehicles can overcome both.

3. the use of massive facts to combat ailment

Google’s most popular functions – from Maps to power to Gmail to Chrome – join americans with essential sources of suggestions. each utility is advised by using algorithmic information and, increasingly, desktop getting to know.

further and further, American healthcare providers are counting on large statistics to enrich patient fitness. patients, in the meantime, rely on the information superhighway. nowadays, 43% of consumers report that the web is their go-to aid for fitness-linked advice (simplest 14% say docs). If Google already knows so an awful lot about each of us based on the websites we browse and the products we buy, why couldn’t it use that equal technology to increase care delivery?

Precision medication and predictive analytics are two of probably the most touted alternatives in healthcare these days as a result of they take particular person health elements into consideration. Dr. Feinberg gave an excellent illustration. He stated that technology enabled Geisinger to preserve tabs on every single affected person inside a three-million-adult catchment area.

“And we understand, in line with how close they are living to the woodland, the odds of them getting Lyme ailment,” he spoke of. “we can start thinking in strengthen what’s wrong with americans, or what could turn into incorrect with them, and prevent it.”

The same methods could follow to bronchial asthma, depression, cancer and heart sickness. Google’s information and information services could lead on the manner.

four. Inventing the next generation of wearables and trackers.  

With Google healthy, the business is trying to extend its market share in the very profitable health and health-wearable market. to this point, the business trails rivals like FitBit, frequent for people focused on undertaking, and Apple, which is breaking into the wearable scientific-gadget market. but Google might leapfrog both friends if it were inclined to make instruments designed for care provision, no longer just monitoring.

Most of today’s at-home wearables generate reams of data (coronary heart rhythms and blood sugar readings). medical doctors don’t want all that data clogging up their electronic fitness listing programs nor do they need patients speeding into the workplace every time a single number appears out of line. What docs want is smarter expertise.

think of it this fashion. A vehicle’s sensors produce a whole lot of gigabytes of facts each day. however producers don’t send all those facts elements to auto mechanics on a continuous groundwork. as a substitute, producers embed cars with algorithms that evaluate the vehicle's status and tell drivers (a) when every thing is best and (b) when it’s time to move to the shop.

If sufferers had refined equipment that did the identical (telling them after they’re ok and after they’re now not), it may seriously change scientific care. It may enhance chronic sickness administration from its current episodic approach to a more helpful and continual one.

docs would should see patients less often, knowing their complications had been under handle. And when whatever thing did go incorrect, sufferers would be notified and be aware of to name their doctor. In healthcare, groups have shied away from embedding such algorithms and warnings into their wearable instruments for fear of a legal swimsuit may still the product malfunction. but the competencies right here is massive.

As a former health gadget CEO, Dr. Feinberg has connections with medical specialists throughout the nation who may generate these algorithms, aid untangle the regulatory concerns and create any such product. And if these gadgets helped patients reap timelier medication with fewer visits, assurance groups may be inclined to pay for the expertise, anything they hardly ever do now with the wearables at the moment available in the market.

5. fitting a global chief in AI

Google has made no secret of its want to be a world chief in synthetic intelligence (AI). inside the healthcare area, the enterprise has already made large strides toward creating software that can diagnose radiological pictures and epidermis lesions, often with a lot greater accuracy than humans.

Google has dozens of partnerships in the works to expand using AI in hospitals and diagnostic amenities. As a corporation that already is aware of more about us than some other, Google within the superb position to understand greater about our medical care and advice than some other organization available. synthetic intelligence and computing device getting to know will disrupt healthcare as we realize it, doing away with an estimated 30% of care delivery that, today, has been proven to add no value.

The problem in bringing AI to healthcare is threefold. First, surprisingly few patients have all their scientific tips kept in a single, finished EHR equipment. 2nd, most EHRs are structured for billing and administration, now not for healthcare birth, which is why EHR facts is infrequently advantageous in correlating medical effects. Third, even corporations that keep this category of facts are reluctant to share it with an organization like Google. however once once again, Dr. Feinberg could facilitate the manner.

Google Faces Strategic Challenges  

The words “Google” and “combat” infrequently go together in the same sentence. however backyard of the enterprise’s fabulous success in search, and a handful of ecocnomic acquisitions, Google has struggled to monetize a few of its initiatives and products.

Google’s competitors, meanwhile, have discovered a direct link between pass-boundary disruption and healthcare success. Take Amazon, whose core competency is retail and earnings. Having these days got PillPack (and its 50 state licenses), Amazon might also soon deliver drugs to americans’s domestic, as a consequence making it an incredible participant within the pharmaceutical space. Or study Berkshire-Hathaway, which already owns Geico and will add a complementary health insurance product to its portfolio in the future.

but Google faces barriers its competitors don’t, exceptionally when it comes to monetizing its aggressive potential: assistance.

medical information is ambiguous and intricate to navigate. Mining it for answers proves extra elusive than in other industries. you probably have any doubts, simply ask the Watson fitness division at IBM, which had to lay off employees this summer season and has struggled to deliver a “killer app” to market. Having potent know-how is one issue. Translating it into operational success is another absolutely.

but Google has an even larger difficulty than IBM. that is, consumers view their scientific advice reasonably in another way than their shopping or shopping historical past. Most americans don’t intellect seeing an advert for armchairs in the margins of a webpage after Googling “armchairs.”  They see it as an inexpensive trade off for a superb search adventure.

but patients wouldn’t take as kindly to having their clinical guidance offered within the same manner. Already too many groups prey on the fears, failing fitness or medical lack of know-how of accepted sufferers. promoting and focused-advertising processes just feel diverse in medicine than in retail.

in the past, Google’s motto became “don’t be evil.” Convincing patients they have nothing to concern through handing over their fitness assistance online, or enabling Google to reap it from their home, may be a massive hurdle.  in the end, this may be the greatest accountability Dr. Feinberg, a trusted and revered leader, will be asked to anticipate.


Introducing IBM statistics Science adventure local | killexams.com Real Questions and Pass4sure dumps

these days we're announcing availability of statistics Science journey native. This new edition of DSX may also be installed and run for your own area, behind your firewall. Now that you would be able to use the tools you love in DSX Cloud with comfy, quickly and straightforward access to your business information. here are some of its points:

The same equipment and adventure as DSX in the Cloud: statistics Science event already offers an atmosphere on the IBM Cloud where facts scientists can work with quite a lot of tools akin to Spark, R, Python and Anaconda all built-in to work together in a productive collaborative event.

however some groups and records scientists need to use these equal tools and have the identical consumer event in the community, on their own deepest cloud. They also need to be in a position to effortlessly access business records sources straight away and securely without needing to circulate statistics to the cloud, or open external connections to those facts sources. DSX native is constructed principally for this corporation and user, featuring the power and adaptability of DSX running on your hardware within your firewall.

structure: DSX local runs in Kubernetes, an open supply cluster supervisor which provides a scalable, clustered setting up of statistics Science adventure. Kubernetes gives many points that are constructive for a private cloud platform comparable to: carrier monitoring and administration and high availably. It runs numerous copies of each and every DSX carrier throughout a couple of nodes and restarts functions and nodes when it detects an issue has occurred. each and every setting up of DSX local is absolutely self-contained and includes the entire application necessary to run data Science event including local installations of Apache Spark and Object Storage moreover DSX features.

Any time you want further capacity, that you may add nodes to your DSX local installation at once through the administration console without wanting to perform separate installation method.

elementary, Unified installation: The installing of DSX local is elementary and straight forward. The complete DSX local cluster is installed and configured through one unified installation. simply download the set up kit from Passport competencies, then run it on one server. you've got the option of setting up from either a command line or net setting up, however in both case, just enter primary guidance concerning the servers and the utility is instantly dispensed to every desktop and the cluster configured and introduced into operation devoid of additional configuration steps.

Cluster Administration: DSX native offers an administrative console, IBM facts Platform supervisor, the place which you could display screen the health and performance of DSX local, add and remove nodes from the cluster and function many other operations

person Administration: From the console which you can also manage the users of the gadget; add or eradicate clients, approve user signups or manage passwords. which you could additionally configure DSX local to connect to your latest LDAP server, authenticating users from that source.

Connecting to native information Sources: From DSX native which you can create connections to enterprise records sources. These connections can be used by records scientists themselves, or can also be shared with different clients. When shared these will also be simply used inside notebooks with out exposing private advice equivalent to userids and passwords with other computing device clients. Connections can be found for most standard records sources corresponding to DB2, DB2 for z/OS, Netezza, DashDB, Oracle, Informix BigInsights HDFS, Cloudera HDFS and Hortonworks HDFS

Code developing information frames for any of those connections can quite simply be delivered into Jupyter notebooks through a single click, similar to you could add connections to object storage.

transformations From DSX Public Cloud: while DSX native has very an identical performance to DSX in the public cloud, there are just a few ameliorations in performance:

1) The neighborhood content material in DSX native is a subset of that within the public cloud and should not replace at all times as does content within the public cloud. 2) DSX Connections substitute the Connectors to external facts sources attainable in the public cloud.

3) DSX local performance is up-to-date via periodic consumer initiated installations of updates the place DSX within the public cloud us updated at all times with worm fixes and new functionality as these turn into accessible.

are trying on the Cloud or in your computer The tools and journey of statistics Science experience local is very comparable to that of other DSX models. are trying out the functionality out both in the Cloud or computing device Beta. if your construction environment has to be obtainable in the community in the back of your firewall, despite the fact, let us know and we will provide all the tips you need about working DSX local at your site.

be taught more about DSX local right here.

IBM records Studio | killexams.com Real Questions and Pass4sure dumps

This chapter is from the ebook 

IBM statistics Studio is covered in every DB2 version. IBM statistics Studio provides a single built-in atmosphere for database administration and application development. which you could function projects which are concerning database modeling and design, developing database purposes, administering and managing databases, tuning SQL performance, and monitoring databases multi function single tool. it's an excellent device that can drastically improvement a team ambiance with diverse roles and duties.

IBM records Studio is available in three favors: full client, administration customer, and net console.

the entire client contains each the database administrative and the software construction capabilities. The construction atmosphere is Eclipse-based. This presents a collaborative building atmosphere by means of integrating with other advanced Eclipse-primarily based tools similar to InfoSphere facts Architect and InfoSphere Optim pureQuery Runtime. notice that some of the advanced InfoSphere tools are most effective blanketed within the DB2 superior editions and the DB2 Developer version. which you could also one at a time buy the advanced tools.

The administration client is a subset of the whole client. It nevertheless provides a wide range of database administrative functionality comparable to DB2 instance administration, object management, records administration, and question tuning. primary utility building initiatives such as SQL Builder, question formatting, visual explain, debugging, modifying, and operating DB2 routines are supported. Use the full customer for superior utility construction features.

The internet console, as the identify implies, it's an internet-primarily based browser interface that offers fitness monitoring, job administration, and connection administration.

IBM statistics Studio Workspace and the task Launcher

when you have efficiently installed the IBM facts Studio, you are requested to give a workspace name. A workspace is a folder that saves your work and tasks. It refers back to the computer building atmosphere, which is an Eclipse-based mostly concept.

task Launcher is displayed, which highlights the following category of tasks:

  • Design
  • enhance
  • Administer
  • Tune
  • display screen
  • each and every class is described in more element in its own tab. click any tab, and also you see the important thing and first initiatives listed within the field on the left. See determine 4.26 to get a concept on how to navigate the task Launcher.

    as an example, the figure shows you the boost initiatives. you could discover the important thing construction tasks on the left. On the desirable right, it lists greater initiatives involving building. On the bottom correct, IBM records Studio gives a number of documentation links where which you can be taught extra about construction. where applicable, it also suggests the superior tools available in the InfoSphere Optim portfolio that follow to the task you have got selected.

    Connection Profiles

    each project you have been to operate against a database requires to first establish a database connection. To hook up with a database from IBM statistics Studio, open the Database Administration perspective. On the correct correct corner, click on the Open viewpoint icon and select Database Administration.

    On the Administration Explorer, appropriate-click the white house or beneath the new menu, opt for New Connection to a database. From the brand new Connection window, you see so you might use the IBM facts Studio to connect to diverse IBM records sources, in addition to non-IBM records sources. select the database supervisor and enter the crucial connection parameters. figure 4.28 suggests an instance.

    Figure 4.27

    determine four.27 Open the Database Administration perspective

    Pull down the JDBC driver drop-down menu, and you can opt for the category of JDBC driver to make use of. JDBC type 4 driver is used via default.

    Use the examine Connection button to ensure the connection counsel you enter is legitimate. click conclude.

    At this point, you have got created a connection profile. Connection profiles include assistance about how to hook up with a database akin to indicating the type of authentication for use when connecting the database, specifying default schema, and configuring tracing alternatives. different group participants can import the connection profiles to their own IBM statistics Studio and be capable of set up a group of constant connection settings.

    To update the connection profile, right-click the database and select properties. houses for the database are displayed as proven in determine 4.29.

    established Database Administration equipment

    There are few different constructive administration tasks obtainable in the menu illustrated in figure four.29.

    The manage Connection function permits you to rename the connection profile, delete the connection profile, alternate the person id and password, and reproduction the profile. The lower back Up and fix feature allows for you to setup a database or table area backups. in the appropriate editor, which you could specify the type of backup, region of the backup pictures, and performance alternatives for the backup. Database backup and recovery is discussed in Chapter 10, “keeping, Backing Up, and convalescing facts.”

    The set up and Configure function allows you to configure the database. Database configuration and this IBM records Studio characteristic are coated in element in Chapter 5. be aware from the menu, which you can launch the Configure automatic upkeep editor. DB2 gives computerized upkeep capabilities for performing database backups, reorganizing tables and indexes, and updating the database facts as imperative. The editor enables you customize the automated preservation coverage (see figure 4.30).

    Figure 4.30

    determine 4.30 opt for the computerized maintenance coverage alternatives

    The manage Database characteristic enables you to beginning and stop the database. In DB2, that capacity activating and deactivating the database. Activating a database allocates the entire imperative database reminiscence and capabilities or strategies required. Deactivating a database releases the reminiscence and prevents DB2 functions and procedures.

    The monitor feature launches the IBM facts Studio internet Console. confer with the part, “IBM records Studio internet Console,” for introduction of the device.

    The Generate DDL function makes use of the DB2 command-based mostly tool db2look to extract the statistics Definition Language (DDL) statements for the identified database objects or the total database. This characteristic and tool come effortless for those who want to mimic a database, a group of database objects, or the database information to one more database. on account of the Generate DDL feature in IBM statistics Studio or the DB2 command db2look, you get hold of a DDL script. The script carries statements to re-create the database objects you have got chosen. See determine four.31 for a reference of the types of statements which you could generate using the IBM statistics Studio.

    Figure 4.31

    figure four.31 Generate DDL characteristic in the IBM information Studio

    For comprehensive alternatives for the DB2 command db2look, seek advice from the DB2 assistance core.

    The beginning Tuning function configures the database to permit question tuning. You might receive a warning indicating that you just deserve to prompt the InfoSphere Optim question Workload Tuner (OQWT) license for superior tuning ability. note that IBM DB2 superior business Server edition comes with OQWT. comply with the guidelines to observe the product license or click on sure to configure the database server for tuning with the features complementary in the IBM facts Studio.

    When the database is configured to use the tuning advisors and equipment, you're offered with the query Tuner Workflow Assistant, as proven in figure four.32.

    From the query Tuner Workflow Assistant, that you would be able to attain an announcement from a variety of sources and tune the commentary. within the trap view, it gives you a listing of sources where that you would be able to capture the statements. figure 4.33 suggests an example on taking pictures the SQL statements from the equipment Cache. This instance captures over one hundred statements. appropriate-click on the remark by which you are interested and select show SQL statement or Run Single-query Advisors and equipment on the selected commentary.

    Run the question advisors and equipment on the chosen statement. that you may now enter the Invoke view. The device collects assistance and statistics and generates a data access plan (see figure 4.34).

    When the query tuning actions are comprehensive, you are dropped at the overview view. It presents you the analysis outcomes and an marketing consultant suggestion, such because the one proven in determine 4.35. The device documentation recommends gathering and re-accumulating all of central facts of the question.

    which you can additionally evaluate the entry plan graph generated via the DB2 clarify function (see figure 4.36 for an instance). bear in mind to retailer the evaluation for future references and compare them if mandatory.

    The control Privileges feature means that you can supply database privileges to the users. consult with Chapter 8, “imposing protection,” for details about privileges and database access controls.

    general Database construction equipment

    IBM statistics Studio consolidates the database administration and database development capabilities. From the assignment Launcher – boost, you find an inventory of key building initiatives akin to developing and operating SQL statements, debugging stored procedures, and consumer-described services (UDFs). each and every assignment brings you to a device that helps you accomplish it.

    SQL and XQuery Editor

    The SQL and XQuery editor helps you create and run SQL scripts that contain a couple of SQL and XQuery statements. To launch the editor, open the statistics task Explorer; beneath SQL Scripts opt for New > SQL or XQuery Script. As shown in determine four.37, a sample SQL script is entered. that you can configure the run options for the script.

    The editor codecs the SQL statements nicely and offers syntax highlights for more straightforward studying as you enter the SQL statements. The performance content material aid is also very beneficial. It lists all of the present schemas in the database so so you might simply select one from the drop-down menu. The editor also parses the commentary and validates the commentary syntax. you could validate the syntax in scripts with distinct database parsers and run scripts towards numerous database connections.

    SQL question Builder

    The SQL question Builder allows you to create a single SQL observation, nonetheless it does not assist XQuery. as the name implies, the tool helps you construct an SQL observation. It helps you look at the underlying database schema or construct an expression, as shown in determine 4.38.

    Database Routines Editor and Debugger

    saved techniques and person-defined capabilities (UDFs) are database software objects that encapsulate utility common sense at the database server as opposed to in utility-degree code. Use of application objects assist cut back overhead of SQL statements and the results that are passed throughout the community. saved approaches and UDFs are also called routines. IBM records Studio supports routines building and debugging.

    From the information assignment Explorer, create a brand new facts building undertaking. within the project, that you could create quite a lot of types of database utility objects akin to stored techniques and UDFs (see figure 4.39). To debug a routine, correct-click the movements and choose Debug.




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    Your Backyard is Buried Under Snow, But Global Warming Is Still Happening | killexams.com real questions and Pass4sure dumps

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    MORE ON WEATHER.COM: NASA Climate Change Photos 

    1 of 52

    NASA Change: Arapaho Glacier, Colorado (1898)

    The Aprapaho Glacier in Colorado in 1898. (NASA)


    Why Did Google Hire Geisinger CEO Dr. David Feinberg? | killexams.com real questions and Pass4sure dumps

    On Thursday, Geisinger Health announced its CEO Dr. David Feinberg was leaving to fill a newly created leadership role at Google, a sure sign the tech giant wants to cash in on the $3.5 trillion healthcare industry.

    Google is not the only one. Five the world’s 10 largest companies have announced major health initiatives over the past year, including: Amazon, Apple, Berkshire-Hathaway, JPMorgan Chase and, now, Alphabet, Inc. (Google).

    Sources close to the Google announcement said Feinberg will report to AI head Jeff Dean, who we’re told led a months-long search for the right candidate. According to CNBC’s Christina Farr, who first reported on the details of the transition, “Feinberg’s job will be figuring out how to organize Google’s fragmented health initiatives, which overlap among many different business.”

    Google Isn’t New To The Healthcare Game

    Google’s interest in consumer health dates back more than a decade. In 2008, it launched Google Health, an attempt to create a repository of health records, connecting vital patient information with healthcare providers such as doctors, hospitals and pharmacies. The vision was ahead of its time. The venture shut down in 2011.

    More recently, the company doubled down on Artificial Intelligence (AI) through Verily, an entity focused on precision medicine and disease-research projects. And last July, Google hired former Cleveland Clinic CEO Dr. Toby Cosgrove as executive adviser to its Cloud healthcare and life sciences division, areas of the company that don’t appear to overlap with Feinberg’s role.

    As details of Feinberg’s new position get sorted out, one question emerges from this high-profile hire: Where might Google go in the healthcare space?

    Turning An Information Company Into A Healthcare Player

    At the Stanford Graduate School of Business, I teach a healthcare strategy class along with Dr. Robert Burgelman. Part of his research centers on “cross-boundary disrupters”—companies that dominate in one arena then transfer that expertise to a new industry.

    For Google, which fancies itself an “information company,” I’m intrigued by the potential to marry its information services (and other billion-dollar Google initiatives) with a healthcare agenda.

    Thanks to the brilliance of its founders, Sergey Brin and Larry Page, Google’s search expertise far outpaces the rest of the industry, even two decades after the company launched. And thanks to the business acumen of former Google CEO Eric Schmidt, the company has mastered revenue generation through a combination of paid search, advertising and derived-user information.

    The challenge Google now faces is monetizing its profitable search and business proficiencies within the world of healthcare—a space overflowing with complex rules, regulatory prohibitions, and serious patient trust issues.

    The Future Of Healthcare: In Dr. Feinberg’s Own Words

    In his last public interview before leaving Geisinger for Google, Dr. Feinberg joined me on my monthly podcast Fixing Healthcare.

    Promotional image for the Fixing Healthcare podcast interview with Dr. David FeinbergFixingHealthcarePodcast.com

    Though he never mentioned he was applying for a new job—nor did he call out Google or any of its competitors by name—he spoke at length about technology’s role in healthcare and the need for industry-wide disruption.

    Combining Dr. Feinberg’s comments and professional track record with what we know about Google’s current projects and products, here are five healthcare opportunities Google might seize upon in the near future.

    1. Boosting home health

    According to CNBC’s early reporting, “One particular area of interest is building out a health team within Nest to help manage users’ health at home, as well as to monitor seniors who are choosing to live independently.” The Nest family of home-automation products—everything from digital doorbells to thermostats to home security—are designed to place Google squarely in the center of the American home, powering everyday life.

    Dr. Feinberg, who served as CEO of UCLA’s hospitals before joining Geisinger, has long been an advocate of bringing care out of the medical facility and into the home. In our interview, he compared hospitals to Blockbuster – that mossy old brick-and-mortal concept from a century ago. Feinberg predicts half of today’s inpatient services will soon be rendered in people’s homes, and without the many risks associated with a hospital stay (ranging from infection to delirium).

    Expanding on the theme, Feinberg wondered, “Why do people have to come to a doctor now? I don’t go to the bookstore anymore. I don’t go to my travel agent anymore. I can do so much through my phone. Why can’t I tell you what my symptoms are, and have you hook me up with someone who can help? If I do need medicine, why don’t you just drone them to my house? Those types of interventions I think are coming and those disruptions are absolutely crucial.”

    For any patient who has been sick enough to be in the hospital, a suite of Google healthcare products could be extremely valuable and, compared to the cost of hospital monitors, a bargain.

    2. Solving healthcare issues with transportation

    Under Brin’s direction, Google was an early innovator of self-driving cars. Others in the automotive and transportation industries have since taken the lead, but healthcare could be an interesting avenue for the company to reengage in this space.

    Dr. Feinberg pointed out that only “20% of whether we live or die (is) based on going to good doctors and good hospitals.” He told me a far greater percentage of health is based on “your social environment, your access to clean food, your access to transportation...”

    Cars, it turns out, lower barriers to better health. They take people to doctors. They bring doctors, medications, nutritious foods and devices to people’s homes. Companies like Uber and Lyft have taken steps in this direction, but Google has the potential to disrupt these disrupters. Today, the factors limiting home delivery are cost and time. Driverless cars can overcome both.

    3. Using big data to battle disease

    Google’s most popular applications – from Maps to Drive to Gmail to Chrome – connect people with vital sources of information. Each application is informed by algorithmic data and, increasingly, machine learning.

    More and more, American healthcare providers are relying on big data to improve patient health. Patients, meanwhile, rely on the internet. Today, 43% of consumers report that the internet is their go-to resource for health-related information (only 14% say doctors). If Google already knows so much about each of us based on the websites we browse and the products we buy, why couldn’t it use that same technology to improve care delivery?

    Precision medicine and predictive analytics are two of the most touted opportunities in healthcare today because they take individual health factors into account. Dr. Feinberg gave an excellent example. He said that technology enabled Geisinger to keep tabs on every single patient within a 3-million-person catchment area.

    “And we know, based on how close they live to the forest, the odds of them getting Lyme disease,” he said. “We can start thinking in advance what’s wrong with people, or what could become wrong with them, and prevent it.”

    The same approaches could apply to asthma, depression, cancer and heart disease. Google’s data and information services could lead the way.

    4. Inventing the next generation of wearables and trackers.  

    With Google Fit, the company is trying to expand its market share in the very profitable fitness and health-wearable market. To date, the company trails competitors like FitBit, popular for people focused on exercise, and Apple, which is breaking into the wearable medical-device market. But Google could leapfrog both peers if it were willing to make devices designed for care provision, not just monitoring.

    Most of today’s at-home wearables generate reams of data (heart rhythms and blood sugar readings). Doctors don’t want all that data clogging up their electronic health record systems nor do they want patients rushing into the office every time a single number seems out of line. What doctors want is smarter technology.

    Think of it this way. A car’s sensors produce hundreds of gigabytes of data each day. But manufacturers don’t send all those data points to auto mechanics on a continual basis. Instead, manufacturers embed automobiles with algorithms that evaluate the car's status and tell drivers (a) when everything is fine and (b) when it’s time to head to the shop.

    If patients had sophisticated tools that did the same (telling them when they’re OK and when they’re not), it could transform medical care. It could advance chronic disease management from its current episodic approach to a more effective and continuous one.

    Doctors would need to see patients less often, knowing their problems were under control. And when something did go wrong, patients would be notified and know to call their doctor. In healthcare, companies have shied away from embedding such algorithms and warnings into their wearable devices for fear of a legal suit should the product malfunction. But the potential here is massive.

    As a former health system CEO, Dr. Feinberg has connections with medical experts across the country who could generate these algorithms, help untangle the regulatory issues and create such a product. And if these devices helped patients obtain timelier treatment with fewer visits, insurance companies might be willing to pay for the technology, something they rarely do now with the wearables currently in the market.

    5. Becoming a world leader in AI

    Google has made no secret of its desire to be a world leader in artificial intelligence (AI). Within the healthcare arena, the company has already made significant strides toward creating software that can diagnose radiological images and skin lesions, often with much more accuracy than humans.

    Google has dozens of partnerships in the works to expand the use of AI in hospitals and diagnostic facilities. As a company that already knows more about us than any other, Google in the perfect position to know more about our medical care and information than any other organization out there. Artificial intelligence and machine learning will disrupt healthcare as we know it, eliminating an estimated 30% of care delivery that, today, has been proven to add no value.

    The challenge in bringing AI to healthcare is threefold. First, relatively few patients have all their medical information stored in a single, comprehensive EHR system. Second, most EHRs are structured for billing and administration, not for healthcare delivery, which is why EHR data is rarely useful in correlating clinical outcomes. Third, even organizations that keep this type of data are reluctant to share it with a company like Google. But once again, Dr. Feinberg could facilitate the process.

    Google Faces Strategic Challenges  

    The words “Google” and “struggle” hardly go together in the same sentence. But outside of the company’s incredible success in search, and a handful of profitable acquisitions, Google has struggled to monetize some of its projects and products.

    Google’s competitors, meanwhile, have found a direct link between cross-boundary disruption and healthcare success. Take Amazon, whose core competency is retail and sales. Having recently acquired PillPack (and its 50 state licenses), Amazon may soon deliver medications to people’s home, thus making it a major player in the pharmaceutical space. Or look at Berkshire-Hathaway, which already owns Geico and could add a complementary health insurance product to its portfolio in the future.

    But Google faces obstacles its competitors don’t, especially when it comes to monetizing its competitive advantage: information.

    Medical information is ambiguous and difficult to navigate. Mining it for answers proves more elusive than in other industries. If you have any doubts, just ask the Watson Health division at IBM, which had to lay off workers this summer and has struggled to bring a “killer app” to market. Having powerful technology is one thing. Translating it into operational success is another entirely.

    But Google has an even bigger problem than IBM. That is, consumers view their medical information quite differently than their browsing or shopping history. Most people don’t mind seeing an ad for armchairs in the margins of a webpage after Googling “armchairs.”  They see it as a reasonable trade off for an excellent search experience.

    But patients wouldn’t take as kindly to having their medical information sold in the same manner. Already too many companies prey on the fears, failing health or medical ignorance of everyday patients. Advertising and targeted-marketing approaches just feel different in medicine than in retail.

    In the past, Google’s motto was “don’t be evil.” Convincing patients they have nothing to fear by handing over their health information online, or allowing Google to obtain it from their home, will be a major hurdle.  In the end, this may be the biggest responsibility Dr. Feinberg, a trusted and respected leader, will be asked to assume.



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