Jawbone health report: what kept us up late…

This is the first wave of publicity generated from aggregating data from health  trackers.

At some stage we’re going to have their data incorporated into weather reports to see how well we slept, how much weight we put on and how inactive we were.

Cant wait for that…

Jawbone’s health report highlights key events where people stayed up late.

Serena Chu Serena Chu on December 19, 2013.
As a means to better understand people’s sleep patterns, the Data Science team at Jawbone compiled a list of major world events and correlated it to specific outlier findings. The study shows that people lost an average of 6 minutes of sleep on the night of the Oscars. And back when Barack Obama was re-inaugurated, 29 minutes were lost.While some events directly affected the amount of sleep, other events, like the George Zimmerman trial and Miley Cyrus twerking at the VMA’s, made no impact. Jawbone’s sleep cycle analysis lets us view our habits and anomalies from a birds-eye view perspective.

In order to come to these conclusions, Jawbone collected over 47 million nights of sleep log from thousands of UP wearers in 2013. So what is an UP device? It is a system that tracks and organizes your movement and sleep data into an holistic report. You can purchase one here.

Take a look at the researcher’s results, some of the findings might catch you by surprise.

DataArt_Year-in-review-FINALSource: Jawbone 

Very cool household tips…

My favourites:

From the Aluminium ones:

http://www.apartmenttherapy.com/clever-diy-solutions-for-lifes-little-problems-best-of-2013-198389

Clever DIY Ideas & Solutions for Life’s Little Persistent ProblemsBEST OF 2013

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Every home has at least one tiny, annoying thing that drives us nuts. And we all need simple but clever ways to finally deal with it. These posts won’t cure cancer but darn tootin’ they will make your days that much more bearable. So get ready to have perfectly folded fitted sheets, straight artwork, and non-slamming doors. I’ll just say it now: you’re welcome.

  1. How To Fix a Hard-to-Close Door with Toothpicks
  2. Use a Little Bit of Toothpaste to Wipe Away Small Scratches On Your Screen
  3. 12 Easy DIY Tips and Tricks for Hanging Pictures, Frames & Artwork
  4. The Trick to Folding a Fitted Sheet
  5. How To Remove a Stripped Screw Without an Extractor
  6. Lazy Days: A Quick Tip to Avoid Ironing
  7. Simple & Smart Housekeeping Tips: 5 Ways to Put Your Old Candles to Work Apartment Therapy Tutorials
  8. The MacGyver Mindset: Outdoor Tips, Tricks & DIYs
  9. 9 Ways to Use Aluminum Foil Around the House
  10. Definite/Potential/Questionable: Simple Sorting Trick For Closet Cleanouts

 

Facebook as the template for a shared EMR

As naive as it sounds, this actually makes a lot of sense and couldn’t be any worse than current arrangements. The doctors would hate it on account of it being too easy, but then again, it might not be up to them in the end…

Source: http://qz.com/161727/wed-all-be-better-off-with-our-health-records-on-facebook/

THE DOCTOR IS ON

We’d all be better off with our health records on Facebook

By Melissa McCormack December 27, 2013

Melissa McCormack publishes reviews and writes buyers’ guides on electronic health records for Software Advice, a medical software company.

For doctors, Facebook could be a revolutionary tool. AP Photo/Kingman Daily Miner/JC Amberlyn

A Facebook user’s timeline provides both a snapshot of who that user is and a historical record of the user’s activity on Facebook. My Facebook timeline is about me, and fittingly, I control it. It’s also one, single profile. Anyone I allow to view my timeline views my timeline—they don’t each create their own copies of it.

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Intuitive, right? So why don’t medical records work that way? There is no unified, single patient record—every doctor I’ve ever visited has his or her own separate copy of my records. And in an age where we can conduct banking transactions on my smartphone, many patients still can’t access or contribute to the medical records their doctors keep for them.

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My proposal? Medical records should follow Facebook’s lead.

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Cross-industry innovation isn’t new. BMW borrowed from the tech world to create its iDrive; Fischer Sports reduced the oscillation of its skis by using a technologycreated for stringed instruments. So I asked myself: Who has mastered the user-centric storing and sharing platform? The more I thought about it, the more I decided a Facebook timeline approach could be just what medical records need.

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To see what I mean, let’s explore some of Facebook timeline’s key features to see how each could map to features of the ideal medical record.

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“About” for Complete, Patient-Informed Medical History

On Facebook: The “about” section is the one that most closely resembles the concept of a user profile. It includes a picture selected by the user and lists information such as gender; relationship status; age, political and religious views; interests and hobbies; favorite quotes, books and movies; and free-form biographical information added by the user.

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In medical records: The “about” section would be a snapshot of the patient’s health and background. It should include the patient’s age, gender, smoking status, height, weight, address, phone number, and emergency contact information; the patient’s primary care provider; and insurance information. This section would include a summary list of the patient’s current diagnoses and medications, as well as family history. And importantly, both the doctor and the patient would be able to add details.

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FACEBK about-patient

“Privacy Settings” and “Permissions” for Controlled Sharing

On Facebook: Privacy settings allow users to control who can see the information they post or that is posted about them. For example, in my general privacy settings I can choose to make my photos visible only to the people I’ve accepted as “friends.” However, if I post a photo I want the entire world to see, I can change the default setting for that photo to be visible publicly instead.

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Facebook also allows users to grant “permissions” for outside applications to access their profiles. For example, let’s say I use TripAdvisor to read travel reviews. TripAdvisor lets me sign in to its site using my Facebook account, rather than creating a separate TripAdvisor account. But, to do this I must grant TripAdvisor “permission” to access my Facebook account.

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In medical records: Patients could use “privacy settings” to control whether all or part of their information can be seen by a family member or caregiver. For example, if my aging mother wanted to give me access to her “events” (upcoming doctor’s appointments), she could do so. If my college-aged son who is still on my health plan wanted to give me access to his knee X-rays, he could.

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facebook privacy

Additionally, a patient could grant “permission” for other doctors to access their records. When I visit a new doctor, rather than signing a form granting my previous doctor permission to fax over copies of my records, I could simply grant permission electronically within the record–and presto! The new doctor would have instant online access.

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And doctors could use “permissions” in lieu of the paper forms patients typically have to sign during office visits today–to get patient signoff on the sharing of their information with insurance providers or other doctors, in compliance with thelatest HIPAA regulations for patient privacy.

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“Status Updates” to Document Diagnoses and Treatments

On Facebook: “Status updates” let Facebook users broadcast what’s going on with them at a given moment. (For example, my status update might say: “I just had a great idea for improving medical records.”) A user’s latest status update appears toward the top of the timeline; older statuses can be viewed by scrolling through the timeline.

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In medical records: Doctors could post “status updates” to log new diagnoses, medications or treatments. For example, if a doctor prescribes a patient Lipitor, a status update would be posted automatically to note the new prescription. These types of new prescription updates would also generate drug interaction alerts. Think of those drug commercials that warn, “Before using our drug, tell your doctor if you have any of the following conditions.” Similarly, the timeline medical record would prompt a doctor prescribing that drug to ask the patient about those conditions before prescribing.

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facebook status

“Photos” for the Online Delivery of Test Results

On Facebook: Users can upload pictures they’ve taken. Photos are organized into albums that are visible on the user’s timeline. There’s also a special “photos” section where viewers of the timeline can go to see all of a user’s photo albums.

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In medical records: Doctors could upload scans, X-rays, and other test results to a patient’s medical record timeline. When uploading the images, the doctor would be prompted to select the type of image being uploaded, the applicable body part and the date, which would create an album titled with those details–for example, “X-ray-Left foot-11/17/2013.” The timeline record would serve as a single repository for all such “photos,” rather than each doctor or facility having their own copies. The patient or any doctor granted permission to access the record would be able to view past test results.

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facebook photos

“Tagging” to Involve Other Parties and Track Common Themes

On Facebook: Users can “tag” other users to indicate their involvement with the content being posted. For example, when I post a picture of myself with a friend, I can “tag” the friend in that photo. This ties the photo to both our timelines instead of just mine. It also triggers a “notification” to the friend that she’s been tagged. She can remove the tag if she doesn’t wish for the photo to be tied to her timeline.

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In medical records: Providers can use tagging to alert other providers involved in a patient’s care of pertinent updates. For example, let’s say my primary care physician refers me to a specialist for some tests. When the specialists posts the tests results as “photos,” she could “tag” my primary care physician to ensure he’s notified of the test results as well.

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facebook tagging

“Notifications” for Test Result Alerts, Medication Alerts, or Preventive Care Reminders

On Facebook: Users are alerted by red “notification” messages when another user writes them a message, posts a picture of them or otherwise interacts with their profile. These notifications are a way to make the user aware of interactions or information involving them.

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In medical records: Patients would be notified when a provider uploads “photos” of them–i.e., lab results or scans. Notifications should also be triggered when patient vitals are out of normal range at an appointment–for example, when blood pressure is low or temperature high. The medical record timeline should also notify both patients and providers when a patient is due for a preventive care visit or screening.

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facebook notification

“Check-Ins” to Denote Office Visits

On Facebook: Users can “check in” to places they’re currently visiting. For example, I could “check in” to the concert I’m at on a Saturday night. This would serve as both a status update and a record of my attendance of the concert. Photos can also be marked with places to record where they were taken.

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In medical records: Patients literally check in when arriving for doctor appointments. When medical staff check the patient in, this would automatically generate a note on the patient’s timeline recording the date and which provider the patient is visiting. Visits to a specialist would trigger a “notification” to the primary care provider, allowing that physician to better track a patient through the continuum of care.

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facebook check-in

“Friendships” to Track New Provider Relationships

On Facebook: Users can create “friendships” with other users when one party electronically requests a friendship and the other party electronically accepts. These friendships are marked on the user’s timeline (“Jane Doe is now friends with John Smith”) along with the date the online friendship was created.

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In medical records: “Friendships” in medical records would really be relationships with medical professionals and caregivers. For example, when a patient checks in to an appointment with a doctor he’s never visited before, the timeline would automatically note the new relationship with that doctor. All providers could be accessed via a list of providers, similar to Facebook timeline’s “friends” list. This would serve as a record of all touch-points for care.

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facebook providers

“Events” to Track and Remind for Upcoming Appointments

On Facebook: Users can create online “events” to manage attendance and other details for in-person events. For example, I might create an event for the New Year’s party I plan to host, and I might invite my Facebook “friends” to that online event, where they could RSVP and receive reminders as the event date approaches.

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In medical records: “Events” in a medical record would represent upcoming doctor appointments or scheduled tests or procedures. Events would be created automatically when a patient schedules an appointment, and as the time of the appointment gets closer, patients would receive online reminders about the upcoming event.

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facebook events

It’s Time(line) for a Patient-Centric Medical Record

Dr. Rob Lamberts–a practicing physician, speaker, blogger, and health IT evangelist–tells me his biggest complaint with today’s digital record: “It’s not a patient-centered [medical record]; it’s payment-centered.” This he credits to the way the US health system has historically paid for healthcare, which is based on the volume of treatments rather than the quality of outcomes, requiring doctors to log complex medical codes into their EHRs.

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Lamberts voices support for a timeline-like record, but he points out that the right incentives must be in place: “An improved record system like this would have to go hand-in-hand with a business model of medicine that benefited from it.” In other words, a business model which is patient-centric.

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facebook whole timeline-medical-record

Luckily, this looks more like the direction the US health system is starting to take. Healthcare reimbursement models are slowly but surely shifting to reward physicians for better care instead of more care, and as that happens, technology providers will be incentivized to create solutions that align with that goal. Mine is to bring the magic of Facebook to medical records. But I’m open to other ideas that solve the patient-centric needs of tomorrow’s health ecosystem.

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You can follow Melissa on Twitter at @ProfitPractice and read her reviews atSoftware Advice. We welcome your comments at ideas@qz.com.

20 solid business lessons

 

 

20 Business Lessons You Don’t Want To Learn The Hard Way

lessons

(Photo credit: Mashable)

A few months ago, we posed this question to ShortStack‘s Facebookfans: “What is one business lesson you learned the hard way?” It began as a simple question to garner engagement, but it led to a long list of business owners’ reminiscences that included some great advice.

Of course every business owner will have his or her own trials, but here are 20 reminders our community shared that just might save you a headache:

  1. You can’t do everything on your own. Building a team is essential because there are only so many hours one person can devote to a business. Exactly when you reach that limit depends on your other obligations. If you’re a young single person, you might be able to do everything for a year or two. But if you have a family, your dedication will eventually hurt those relationships. Build a team that can carry on when you’re not around.
  2. You may think your product is perfect, but your clients won’t. Listen to user feedback: Your opinion may not be the best one. The key takeaway here is “release your product early and release it often.” You won’t know if you have a great product until it’s in the field and users are beating it up. It’s like some of the contestants on American Idol. They think they’re talented, and their friends and family think so, too, but when they get on a bigger stage, their flaws become obvious.
  3. Do one thing really well. Entrepreneurs try to be everything to everyone, but it’s hard to be the store that sells bait and baby toys and vintage Beatles albums. Specialize, and you can charge for what you do provide. That said, if there is a skill or service that would make your core product better, provide it.
  4. Get paid before you hand over a project to a client. This is especially important if you provide a service. Once you turn over that contract or website or design project, you won’t have much bargaining power. When I was a graphic designer, I watermarked all my projects and hosted websites on a private domain until the bill was paid.
  5. Undercharging is not sustainable. You think, “I don’t need to charge $150 an hour, I can charge $70 and make way more than I was making as an employee!” But you might find out a short time later that your “great” rate is unsustainable. By the time you pay taxes, employees, business licenses, insurance, etc., that $150/hour is looking more realistic. Compete on quality, expertise and your niche focus (see #3) instead of price. When competing on price alone, the clients who are price-shopping will always leave for the person or company that undercuts you.
  6. Patience and flexibility help you survive the lean times. ShortStack started out as a side project at my web and graphic design studio. We weren’t a software development studio, but when a client asked us for a software product, we didn’t say no. We were patient, scaled slowly — partly out of necessity — and it allowed me to build with company without debt.
  7. Build for your actual market. All of my software-building experience so far has been in answer to a demand. It is purely opportunistic. If you’re an app developer and you think “Wow, I think xx industry could use xx,” you might be disappointed. Put another way: I would never start a restaurant without having worked in one…for a long time!
  8. Never enter a partnership without a buy/sell agreement. No matter how well you think you know someone, you just don’t know when he or she will want to retire or do something else. Even if it’s on amicable terms, know how you can get rid of one another when it’s time for one of you to move on.
  9. Be grateful. Appreciate loyal customers who show you there is a demand for what you do. There is no dollar amount you can put on brand advocates. Good will translates to loyal customers.
  10. Look after those who look after you. We offer referral commissions at ShortStack, but it’s very much under the radar. We want people to recommend the product because they like it, not because they’ll say anything for a dollar. If we notice someone said nice things about us publicly, we might send them a t-shirt as a thank you. If they do it again and again, we might say, “Hey, you should become a referrer and earn a percentage of the business you send our way.”
  11. It’s not a sale until it’s paid for. This sounds obvious, but I’ve known small business owners who get very excited about orders and/or meetings with prospective clients. But until the money for those products or services is in the bank, it doesn’t count.
  12. You’ll make more money being “wrong” than proving you are right. Rather than fight with an unhappy customer and say, “You’re using it incorrectly,” or “You don’t know enough CSS to use our product,” we just refund their money. In the long run, these people consume so much of the support team’s time and energy that it’s more cost effective this way. They’re not our ideal client, and that’s OK.
  13. People don’t leave companies — they leave management. This lesson goes for both employees and customers. A manager will lose staff if the employees think they’re not being listened to or valued. Customers will stop using your products or services if they are dissatisfied with them. The quality and reliability of your products and services is a reflection of management.
  14. The way you present your business should be a reflection of your audience. If you have serious clients, be serious. If you have hip, fun-loving clients, have a sense of humor. You have to find your niche and build your content to suit them. For example, Constant Contact and MailChimp do essentially the same thing, but their marketing content reflects very different client bases.
  15. Agree on scope in advance. Have a clear contract before work begins. Once a project goes beyond the documented plan, charge for it. If you agreed to build a website with 10 pages, but soon the site is 20 pages, the client should pay you for them. If your contract makes that clear at the outset, it is easier to control scope creep.
  16. If your company sells a variety of products, make sure you know how to use/operate every single one of them. It might sound like a tall order — depending on how many products your company sells — but learning to use what your company sells will help you look at things with fresh eyes.
  17. When you think you’ve tested your product enough, test it some more. Never release a product until it has been tested and tested and tested by people who don’t work for you.
  18. Understand how social media networks work. When Twitter was first available for businesses, I’d see people use it like an ad in a newspaper. If you go on a channel and use it the wrong way, it could do more long-term harm than good.
  19. Save up. You can operate at a loss for a number of years but you can only run out of cash once. Have a rainy day fund that has at least two or three months’ operating costs in it. And have a line of credit available, even if you don’t plan to use it. Having a CPA look at your books once a quarter is also a must.
  20. Always let the CFO pay for drinks. Cheers!

Have you learned any business lessons the hard way? Let me know in the comments section below.

Toby Cosgrove: Leaning in to healthcare changes….

 

  • frames consumer need for selection apps
  • frames payer need for analytics

http://www.linkedin.com/today/post/article/20140107180116-205372152–leaning-in-to-healthcare-changes

“Leaning in” to Healthcare Changes

January 07, 2014  


Healthcare is in the midst of an unstoppable transformation. The pressure to reduce costs, improve quality, and provide a better patient experience is relentless. How will providers respond? Which organizations are best positioned to succeed?

These changes have been a long time coming. Forces favoring consumerism have completely transformed the airline, manufacturing and retail sectors. Now it’s healthcare’s turn. The primary drivers are information technology and high-deductible healthcare plans. Patients didn’t shop around when it was the insurance company’s dollar they were spending. But when you’re paying for routine healthcare, x-rays, and colonoscopies out of your own pocket, you start looking at the price tag.

Information technology is going to be the comparison driver. Consumers can already compare rates for hotels, airlines and appliances with the swipe of a finger. Soon there will be apps showing you which healthcare providers provide which services at what costs. You’ll be able to sort them from lowest to highest cost, and make your choice: Does it matter to you if your angioplasty (a minimally invasive procedure to open blocked arteries) is performed by a highly regarded academic medical center backed by full cardiac surgery capabilities, or if it is performed less expensively at a private cardiology practice, where you would have to be transported elsewhere for life-saving surgery in case of an emergency? I know what I would choose, but you, as a consumer, will have to make your own risk-benefit calculations.

In addition to consumerism, the Center for Medicare and Medicaid Services (CMS) will be exerting its own pressure, paying doctors and hospitals less for their services and demanding more accountability for quality, safety and patient experience. Private insurers, who usually follow the lead of CMS, will also be paying less and demanding more. Toss in all the unknowns that accompany the federal government’s Patient Protection and Affordable Care Act, and you are looking at Force 5 cost headwinds.

There is no escaping the conditions that are forcing this transformation. The providers who succeed will be those who “lean in” to the changes – hospitals and medical centers who embrace cost awareness not as an onerous duty, but as a patient care issue. Because along with lowering costs, we are improving efficiency, reducing variability of outcomes, and accelerating medical innovation. All of this adds up to better patient care, and that’s what we’re here for.

Traffic lights don’t kill people…

Punchy demonstration of the effect of traffic lights on food purchases. No wonder unhealthy food industry is opposed to them…

http://www.rwjf.org/en/about-rwjf/newsroom/newsroom-content/2014/01/infographic-promoting-healthy-food-choices-using-traffic-light-guide.html?cid=XEM_A7869

Infographic: Using Traffic Lights to Promote Healthy Eating

A workplace cafeteria used “traffic light” labeling to indicate the healthiness of food and drinks and rearranged items so that healthier, green-labeled items were more visible. According to a study of 2,285 Massachusetts General Hospital employees who regularly used the cafeteria sales of healthy items jumped, and after two years, employees continued to make healthier choices.

Infographic: Can a Traffic Light Guide You to Make Healthier Choices?

McKinsey: How big food actually thinks…

 

 

PDF Report: Tough_choices_for_consumer-goods_companies

Source: http://www.mckinsey.com/insights/consumer_and_retail/tough_choices_for_consumer_goods_companies

Tough choices for consumer-goods companies

Increasingly empowered consumers, rising yet volatile input prices, and tricky emerging markets mean global consumer-packaged-goods companies must rethink how they do business. Here’s a guide.

December 2013 | byJim Brennan, Greg Kelly, and Anne Martinez

Over the past half century, the consumer-packaged-goods (CPG) industry has achieved enviable growth in both revenue and shareholder returns. At first blush, continued growth seems a sure thing—after all, the burgeoning economies of emerging-market countries are fueling an unparalleled boom in global consumption. And given that global CPG companies are selling more of their products to more people in more parts of the world, shouldn’t revenue growth—and, with it, healthy returns—be theirs for the taking?

If only success were that simple. A look back at recent decades of developed-market based CPG companies shows that they have consistently managed to grow, but not always profitably. And today, a series of large-scale trends is causing industry upheaval, forcing companies in mature markets to make tough choices about where to play and how to win. Investment in emerging markets isn’t foolproof: growth, although strong, is uneven, with certain markets and categories far outpacing others. Severe resource constraints are causing volatility in commodity costs. Digital technologies are affecting every part of the value chain, and in sometimes unpredictable ways. New—and newly acquisitive—competitors are emerging. And regulatory risk is rampant as government exerts ever-greater influence over the industry.

Given how fundamentally these trends will transform the industry over the next decade, we believe the strategic choices that CPG manufacturers make in the next few years will be more consequential than those they’ve made in the recent past. Every company will respond to the trends differently. Some companies may choose to keep their focus on core franchises with the hope of delivering stable, even if not stellar, earnings; others may opt for more assertive but riskier moves. In this article, we discuss each of the aforementioned trends, the kinds of choices they will require companies to make, and the actions every company should take regardless of its specific strategic choices.

Changes and choices

In recent decades, CPG companies have posted better returns than other sectors. Between 1967 and 2012, the industry’s 7 percent annual growth in total return to shareholders (TRS) outpaced the S&P 500’s 6 percent. But it hasn’t been a smooth and steady road. In our analysis of the CPG industry since 1967, we see four distinct eras, with one in particular—the period from 1985 to 2000—accounting for the bulk of value creation (Exhibit 1). The years 1967 to 1985 marked a golden age of growth, a time when sales of food, beverages, and household and personal products soared. Americans doubled their consumption of soda (from an average of one serving a day to two), for example, and cheese (from half an ounce a day to a full ounce). However, revenue growth came at the expense of margins, which declined by almost 300 basis points.

Exhibit 1

In recent decades, the consumer-packaged-goods industry has seen four distinct value-creation cycles.

Margins shot up—largely thanks to declining input prices—during what we call the era of expansion (1985–2000), allowing CPG companies to finance forays into new global markets. A wave of mergers and acquisitions followed in the years 2000 to 2007, but the success of these deals was mixed; revenue increased but TRS growth dipped. Then, during the Great Recession and the subsequent recovery, the industry grappled with a tough economy and persistently high commodity costs, limiting both revenue growth and value creation.

How CPG companies fare in the current era remains to be seen: will they sacrifice margins for revenue, as they did during the golden age of growth? Will they be able to grow profitably, as they did between 1985 and 2007? But what’s already evident is that the industry is on the cusp of sweeping change, presenting companies with a range of strategic choices. We believe the five most influential changes, and their implications for CPG companies, are as follows.

Granular growth, globally

By 2025, a staggering 4.2 billion people will be part of the consuming class. For the first time ever, the number of people with discretionary income will exceed the number still struggling to meet basic needs—a phenomenon that may well be the biggest opportunity in the history of capitalism.1 Another golden age of growth could be in the making. Consumption growth, however, isn’t even; it’s happening much faster in certain categories and markets. Some emerging-market cities have higher growth potential than entire countries. In Shanghai, for instance, the skin-care category will grow three times as fast in absolute terms as in all of Malaysia, based on 2010–20 compound annual growth rate (CAGR).

This uneven growth presents tremendous potential for companies—whether they are multinationals or local players—to quickly become industry shapers, if they choose to play in the fastest-growing subcategories in the fastest-growing markets. For example, The Coca-Cola Company, recognizing Chinese consumers’ preference for pulpier juices, launched Minute Maid Pulpy—which became the company’s first billion-dollar brand developed for and in an emerging market. Local companies, too, are making winning choices: our research shows that in the fastest-growing CPG categories in China, Brazil, and Mexico, eight of the top fifty companies are headquartered in emerging markets. These local entities—companies like Mexico’s Grupo Bimbo—are venturing outside their home markets and skillfully leveraging their emerging-market know-how, favorable cost positions, and proximity to a rapidly expanding customer base. As a result, their sales growth in emerging markets (19 percent CAGR in the 2009–12 period) far exceeds that of US-based CPG companies (5 percent).

Emerging-market companies’ budding success on the global stage introduces a new element to strategic planning. We believe CPG companies should take a more data-driven approach to understanding how competitors will grow in each market, and how their own strategic positions will change as a result. They will then be able to predict critical inflection points for particular products in particular cities and regions. McKinsey research has found that consumption growth in each product category follows its own distinct variant of the classic S-curve pattern. Companies that invest just as a category enters the “hot zone” will likely generate the most value. Better insights into competitor evolution, and how it will affect the microeconomics of product categories in each country and globally, will become increasingly important.

Not all growth is coming from emerging markets; companies must identify and invest in pockets of growth in developed markets as well, particularly as growth in emerging markets slows. In the United States, for example, the spending power of certain demographic groups, such as baby boomers and Hispanics, is significant and growing. The “value” segment, which flourished during the recession, continues to appeal to a broad swath of consumers. These and other “niche” opportunities in developed markets can hold as much growth potential as entire countries. Colgate-Palmolive, for one, has launched products targeting Hispanics; P&G has introduced new products and brands to compete in lower price tiers.

No matter what investment decisions a company makes, one key to success will be its ability to allocate resources quickly to the businesses that will yield the highest returns.2 In our experience, companies often underestimate both how big a shift they need to make and how big a shift emerging-market players are already making. The growth of Anheuser-Busch InBev—from a national beer player in Brazil to the world’s biggest brewer and a top 5 CPG manufacturer in less than a decade—shows just how quickly the game can now change.

Volatile commodity costs

Profitability in the CPG industry is tightly linked to commodity costs. When CPG companies raise their prices to offset commodity-price hikes, as they did in the era of expansion, they enjoy strong returns. But when they aren’t able to pass on price increases to consumers, as was the case in the early 2000s, margins and TRS suffer.

Until recently, commodity costs have been trending up. Due to global consumption growth, the rising cost of new supply (the real cost of a new oil well, for instance, has doubled in the past decade), and the interconnectedness of resources (biofuels being one illustration), the spike in commodity prices in the past 10 years has undone the decline of the previous 100 years.3

CPG companies must prepare for continuing volatility in commodity costs. The standard deviation of the McKinsey Global Institute (MGI) commodity-price index is more than twice its historical average. And the majority of key CPG inputs are subject to supply risk, either due to concentration in only a few countries (for example, 75 percent of phosphate reserves are in Morocco); absolute shortages, as is the case with water; a lack of substitutes (for potash, for example); or low recycling rates (such as with tin). Furthermore, the prices of soft commodities could increase by 50 to 450 percent, given unpriced environmental externalities such as CO2 emissions and water withdrawals.4

Sidebar

Questions to ask yourself to stay ahead

Every CPG company must undertake a rigorous risk analysis—including an assessment of “tail” risks—for major commodities across its entire supply chain. It should come up with a productivity plan that exceeds the reasonable range of commodity-price increases by at least 200 basis points. It must then make choices about how to mitigate commodity risks. Some CPG manufacturers are vastly reducing or even eliminating parts of their portfolio that rely heavily on constrained commodities. Some are reformulating their product recipes and using substitutes (for example, high-fructose corn syrup for sugar), taking into account weight and manufacturing trade-offs. Others are pursuing procurement excellence through supplier collaboration or even vertical integration. Still others are experimenting with ways to drive a more “circular” economy—for example, through greater use of recycled materials—that yield cost benefits as well as environmental benefits.

And because commodity risk puts strong pressure on margins, companies must continually find margin-enhancing opportunities. Making operations more efficient is one such opportunity. Our analysis shows that when CPG companies undertake large-scale, cross-functional operations-improvement programs rather than one-off projects in isolated business units, they can boost productivity by 300 basis points. Kraft Foods and SC Johnson have recently achieved this kind of productivity gain. Better revenue management is another margin-enhancing opportunity. Some companies are deploying an arsenal of revenue-management and pricing tools: for instance, they’re investing in sophisticated revenue-management processes and IT, hiring revenue-management experts, and making smaller but more frequent changes to pricing and promotions to reduce the risk of competitive followership.5

Transformative technologies

A recent MGI report identifies 12 technologies that could have massive, economically disruptive impact between now and 2025.6 Of the 12, we see three that could potentially transform the CPG sector and underpin a golden age of growth or an era of expansion: the mobile Internet and, in the longer term, the “Internet of Things” and 3-D printing.

MGI projects that by 2025, 50 percent of retail purchases will be made on a mobile device. That estimate could prove low, given that many product categories are quickly migrating from the physical store to online (Exhibit 2). The online market has shown itself to be supply driven: Zappos.com’s offer of free shipping and no-hassle free returns, for instance, lured consumers who previously never considered buying shoes online. The same could happen in grocery, where companies like Peapod and Amazon.com are making bold moves. Peapod’s mobile sales in 2012 were close to $150 million, up 50 percent from 2011. And Amazon, which plans to expand its AmazonFresh business to as many as 20 urban areas in 2014, could shake up grocery retail the same way Wal-Mart Stores did in the 1990s.

Exhibit 2

Digital technology is shaping all markets and categories.

To benefit from the mobile Internet, companies will need to make careful choices about where to place their bets and how big those bets will be. Which of their products should they sell online? How, if at all, should they engage with Amazon? (Some CPG players are putting their best people on Amazon-dedicated account teams. CPG companies will, of course, need to weigh the risks and trade-offs of partnering with Amazon, including the potential for channel conflict and the loss of control over the “virtual shelf.”) How much of their marketing budget should they shift to mobile media? Digital marketing, including mobile, now accounts for 22 percent of global ad spending and could grow to 27 percent by 2017, according to eMarketer.

The mobile Internet is already prevalent; the Internet of Things—the embedding of networked sensors in physical objects—is just beginning to make waves. It’s not a stretch to imagine that in a few years CPG companies will be using sensors to track consumers’ use of products (for example, sensors that can be ingested to measure caloric intake), customize marketing messages (as in shelf displays that change depending on who is standing in front of them), or revolutionize their manufacturing and logistics processes.

3-D printing, or additive manufacturing, is already in use in the CPG sector, with 3-D-printed jewelry and toys being sold in online marketplaces. Other CPG categories—apparel, furniture, sporting goods—may soon follow. In the near term, product designers can use 3-D printing to reduce prototyping time from weeks to minutes; in the longer term, it will open up mass-customization opportunities.

Taking full advantage of these transformative technologies will require companies to invest in building the relevant capabilities, including digital-content creation, mobile marketing, and advanced data analytics. CPG manufacturers should closely follow the evolution of these technologies and foster a test-and-learn mind-set within their organization, building an experimentation “engine” that can quickly scale up successful pilots.

Merger mania—with a global twist

A new M&A wave seems to be gathering strength—and this time it’s global. As we said earlier, emerging-market companies are expanding aggressively and becoming global winners. Our analysis shows that since 2007, Brazilian companies have made 13 CPG deals valued at more than $500 million each; Chinese companies have completed 7 such deals, and Mexican companies another 7. Most of these deals were in categories in which global or regional scale is an advantage, such as snacks, nonperishable beverages, paper products, personal care, and tobacco. (US-based companies completed 51 deals of comparable size over the same period.) The combined 27 major CPG deals originating in Brazil, China, and Mexico represent a huge jump from the 5 deals those three countries completed in the 2000–06 time frame (3 for Brazil, 2 for Mexico, and none for China).

Even after recent mergers, many CPG categories remain fragmented both within and across countries. Companies will need to make choices about how best to capture synergies in both developed and emerging markets. How will they position themselves to be the acquirer rather than the acquired? How will they avoid paying too much for acquisitions—a mistake many companies made during the M&A wave in 2000–07? How—and how aggressively—will US manufacturers lower their cost base to compete with emerging-market players?

We see three potential growth archetypes: global giants, from both developed and emerging markets, will consolidate categories that benefit from economies of scale (such as those previously mentioned as well as apparel and footwear); regional leaders will concentrate on value segments in categories where scale is less of an advantage (such as food, paper products, and dairy); and small, agile innovators will introduce new business models and capture premium niches.

In any case, CPG companies would do well to build their M&A capabilities. They should identify and carefully assess potential targets or partners in emerging markets. And they should be financially prepared to pounce on an M&A opportunity when it arises—specifically, by reducing their debt and loading up on cash.

Regulatory risk and the expanding role of government

Government’s influence on the consumer sector is increasing rapidly and will only continue to do so, given the ubiquity of CPG products and the role they play in people’s daily lives. The financial impact of regulation on the industry won’t be trivial: extended producer responsibility regulation, for example, which has been implemented in Europe, could cost the US CPG industry upwards of $7 billion per year according to prior McKinsey research.

Some industry leaders are taking action before government—or the public—demands it. Wrigley, a division of Mars, took its Alert Energy caffeinated chewing gum off the market in order to give the Food and Drug Administration time to pass regulations on caffeine-enhanced food and drinks.7 Coca-Cola is partnering with groups in Mexico to invest in an effort to increase recycling of materials for sustainable packaging. CPG companies and industry associations have formed coalitions to tackle issues such as front-of-package labeling, tax policy, and waste management.

CPG companies must decide what stance to take toward government. Will they take a leading role on one or more topics, or will they instead take a wait-and-see position and be prepared to act quickly when regulations change? Our prediction is that more companies will choose to be proactive and collaborative, following the example set by Unilever, whose Sustainable Living Plan outlines a set of ambitious social and environmental goals for the company.

Regardless of its regulatory strategy, each company must earn the “social license” to be in business. It must become aware of the issues and the potential impact of regulation on its business and on the overall industry, particularly in three areas: economic, environmental, and health-related. Best-practice companies regularly review emerging regulatory issues and plan for plausible scenarios, give regulatory issues a place on the agenda at both the top-management level and the board level, and ensure that exposure to government affairs is part of leadership development and job rotation for high-potential managers.8

The CPG industry will look very different in just a few years. It will be a bigger industry, with much larger global players and more competition from up-and-coming companies in emerging markets. Resource constraints and scale will lead to very different value-chain structures. New technologies will play an increasingly central role in business, as will regulation and government affairs. Already, these changes are compelling CPG companies to rethink how they do business and pursue growth. Companies that fail to adapt to these changes—or that make suboptimal choices—will be left behind by more thoughtful, action-oriented competitors.

About the authors

Jim Brennan is a principal in McKinsey’s New Jersey office, Greg Kelly is a director in the Atlanta office, and Anne Martinez is a specialist in the Stamford office.

2014 CES stampede of the fitness trackers

 

http://www.medgadget.com/2014/01/ces-2014-watches-your-fitness-the-latest-in-consumer-health-and-activity-tracking.html

CES 2014 Watches Your Fitness: The Latest in Consumer Health and Activity Tracking

by BEN OUYANG on Jan 8, 2014 • 3:28 pm

We knew it was coming.  Wearable tech and health and fitness tracking has been picking up quickly, and CES was the venue for companies to push their way into the space this year.  Among the ultra-HD 4K TVs, tablets, laptops, and quirky electronics, were the smart watches that track daily activity, each with its own unique features. If you’ve become lost in the inundation of device unveilings, and are curious to see the smart watches and wristbands only,Medgadget‘s compiled a list of them to track down easily.  Read on!

basis CES 2014 Watches Your Fitness: The Latest in Consumer Health and Activity Tracking

Basis B1 Band (Carbon Steel Edition)

The new Basis B1 Band is revamped with a smooth metallic design.  It packs some of the most features in a smartwatch to date, including heart rate, movement, activity-adjusted calorie burn with proprietaryBody IQ technology (walking, jogging or biking), and even sweat output and skin temperature.

The corresponding iOS and Android app is also getting an upgrade to comprehensively track sleep and record time spent in REM, light sleep, deep sleep, as well as tossing/turning and any interruptions. The sleep mode is detected automatically with Body IQ, saving the user from pressing buttons to enter the mode manually, as with many other competing devices. Original B1 band owners will receive the sleep tracking software update. The B1 Band 2014 Carbon Steel Edition is priced at $199, and the original is dropped to $179.

Link: Basis…

Source: Engadget

 

wellograph watch CES 2014 Watches Your Fitness: The Latest in Consumer Health and Activity TrackingWellograph

The Wellograph is an e-paper smartwatch with a heart rate monitor, motion sensor and pedometer. It was created with visuals in mind and differentiates itself from other brands by displaying its measured data in graph form for quick interpretation. It’s set to run stand-alone, but has Bluetooth 4.0 connectivity for syncing to its app on iOS and Android.  It’s also equipped with a sapphire crystal front panel, for increased scratch resistance and strength. Such screens typically appear only on high-end watches, and the Wellograph is priced accordingly at approximately $300.

Link: Wellograph…

Source: Engadget

 

Garmin vívofit

Vivo CES 2014 Watches Your Fitness: The Latest in Consumer Health and Activity Tracking

Garmin’s vívofit is a sporty tracker similar to the FitBit that monitors activity levels and learns to set personalized goals for you.  It’s equipped with motion tracking, pedometer, and can be paired with a separate heart rate monitor. It touts a 1+ year battery life on a single charge, water resistance to 50m, and comes in five colors. Garmin’s elected to go its own route on connectivity, and the vívofit will have syncing to Garmin’s own fitness community, Garmin Connect.  There are no plans for iOS or Android connectivity at the moment.  It’s priced at $130, or $170 with the heart monitoring accessory.

Link: Vivofit…

Source: Engadget

 


Polar V800

Polar V800 CES 2014 Watches Your Fitness: The Latest in Consumer Health and Activity Tracking

Polar has added another fitness tracker to its long line of products.  The Polar V800 is first and foremost an activity monitor and GPS tracker to record speed, route, and location of a run. It comes with various coaching software to provide personalized feedback on things like recovery time, running improvement, training status, and a calorie counter, OwnCal, that Polar advertises as the most accurate calorie counter on the market. It’s waterproof to 30m and lasts between 14 hours of training to 30 days as just a watch on a single charge.  Its companion app, Polar Flow, is compatible with iOS and Android. The basic model costs $450, and for $500 the V800 comes with a built-in heart rate monitor.

Link: Polar V800…

Source: Engadget

 

Sony SmartBand + Core

lifetracker CES 2014 Watches Your Fitness: The Latest in Consumer Health and Activity Tracking

The Sony SmartBand + Core is a wearable wrist “life tracker” that counts steps and tracks activity (walking, cycling, driving, sleeping).  Its Android companion app, dubbed Lifelog, also tracks the photos taken, songs listened to, and games played on a smartphone, and it quantifies the amount of socializing you do with your friends.  The Life Bookmark button on the SmartBand instantly records “everything going on at that moment.”

At the heart of the SmartBand is the waterproof Sony Core, where the sensors and circuitry reside (the SmartBand is really just a case).  The small Core is detachable, allowing it to be worn elsewhere on the body, and also allowing for interchangeable SmartBand colors to fit the wearer’s mood and occasion.  The Core also has vibrational notifications for calls and texts to the user’s phone. The Core is expected to sell for 99 Euros, according to TheVerge, and a 3-pack of colourful SmartBand cases are priced around 15 Euros.

Link: SmartWear…

Sources: The Verge and Engadget

 

Razer Nabu

nabu CES 2014 Watches Your Fitness: The Latest in Consumer Health and Activity Tracking

Razer, a company known for its gaming devices, has unveiled the Nabu, a hybrid device worn for displaying iOS/Android smartphone notifications, activity tracking, and band-band communication. The activity tracking functions include a pedometer, motion tracking, altimeter, and basic sleep tracking.

The Nabu has two screens: at the top of the wrist is a small 32×32 pixel display that shows an icon describing the type of notification – email, call, text, etc.  At the palm side of the wrist is a 128×32 pixel display that shows the details of the notification, as a means of giving privacy to the wearer’s incoming messages.

The Nabu also has band-to-band communication, allowing two wearers to connect to each other with the band.  For example, a handshake between two people wearing them could exchange contact info, connect on LinkedIn, etc.  The final price is expected to be under $100, and developers can pick it up for $50 at the end of the first quarter of 2014, according to Engadget.

Link: Razer Nabu…

Source: Engadget

 

Pulsense band CES 2014 Watches Your Fitness: The Latest in Consumer Health and Activity Tracking

Epson Pulsense

Epson, maker of printers and imaging equipment, has also entered the wearable health arena with its Pulsense Watch and Band. These devices are equipped with technology for tracking heart rate, activity level, calorie burn and sleep patterns, as well as a golf swing analyzer (in development). The Watch is priced at $199, while the Band can be had for $129. More details can be foundhere in our earlier coverage.

Link: Pulsense…:

Source: Engadget
LG CES 2014 Watches Your Fitness: The Latest in Consumer Health and Activity TrackingLG Lifeband

The LG Lifeband activity tracker measures physical activity and calories burned.  It has an OLED touchscreen for intuitive control, call/text display and has a companion set of heart rate-monitoring earbuds.  More comprehensive info about the LG Lifeband can be found in our earlier coverage: Heart Rate Monitoring Earphones and Matching Activity Tracker Coming Soon from LG

Link: Lifeband Touch Activity Tracker and HRM Earphones…

 

reign CES 2014 Watches Your Fitness: The Latest in Consumer Health and Activity Tracking

Jaybird Reign

The Jaybird Reign band is a waterproof display-less fitness wristband that tracks activity by type (walking, jogging, ball sports, biking, and swimming).  It differentiates itself through its recommendation software.

It promises to learn and understand the wearer’s body and habits and to issue notifications when it detects that it’s time to work out.  It also recommends the personalized daily amount of sleep the wearer should get for optimal performance the next day.  It will have iOS and Android connectivity, and cost $199 at release.

Link: Reign…

Source: Engadget

Bloodless detection of malaria

AMAZING: Able to spot single malaria infected cell among a million healthy ones without any false positives whatsoever…

http://www.medgadget.com/2014/01/new-detector-reliably-spots-malaria-in-seconds-all-without-blood-draws.html

New Detector Reliably Spots Malaria in Seconds, All Without Blood Draws

by EDITORS on Jan 6, 2014 • 6:08 pm

malaria blood free detector New Detector Reliably Spots Malaria in Seconds, All Without Blood Draws

A laser pulse creates a vapor nanobubble in a malaria-infected cell and is used to noninvasively diagnose malaria rapidly and with high sensitivity. Credit: E. Lukianova-Hleb/Rice University

Malaria continues to be a persistent problem in large parts of the world and a great deal of effort has been spent fighting the disease. Yet, diagnosing malaria still requires a blood draw, reagents, and a trained medical professional to perform the test. Moreover, these tests are both labor and time intensive, making them difficult to offer in resource-poor environments. Now a team from Rice University has developed a completely new test that doesn’t require a blood sample nor a reagent to test whether it’s infected by the parasite. Additionally, once developed into a product, the device shouldn’t require a medical professional to do the testing.

The system relies on a laser that creates “vapor nanobubbles” within infected cells. These bubbles eventually pop and create a signature sound that is acoustically detected by the device. In pre-clinical testing, the team showed that the device was able to spot single malaria infected cell among a million healthy ones without any false positives whatsoever.

From the study abstract in Proceedings of the National Academy of Sciences:

Here we show that the high optical absorbance and nanosize of endogenous heme nanoparticles called “hemozoin,” a unique component of all blood-stage malaria parasites, generates a transient vapor nanobubble around hemozoin in response to a short and safe near-infrared picosecond laser pulse. The acoustic signals of these malaria-specific nanobubbles provided transdermal noninvasive and rapid detection of a malaria infection as low as 0.00034% in animals without using any reagents or drawing blood. These on-demand transient events have no analogs among current malaria markers and probes, can detect and screen malaria in seconds, and can be realized as a compact, easy-to-use, inexpensive, and safe field technology.

Study abstract in Proceedings of the National Academy of SciencesHemozoin-generated vapor nanobubbles for transdermal reagent- and needle-free detection of malaria…

Rice: Vapor nanobubbles rapidly detect malaria through the skin…

Samsung receives FDA approval for fitness tracking app

captured mainly for the image – this is a heavy weight consumer electronics company making a big statement re. health – glucometers, blood pressure monitors, heart rate monitors… BOOM!

From: http://www.medgadget.com/2014/01/samsung-receives-fda-approval-for-the-s-health-fitness-tracking-app.html

samsung health app Samsung Receives FDA Approval for the S Health Fitness Tracking AppSamsung has received FDA 510(k) clearance for its fitness and calorie tracking app called S Health to be used as a cardiac signal transmitter, according to a report by Mobihealthnews. With this approval, the app can be synced with third party wireless blood glucometers, blood pressure monitors, and heart rate monitors. Samsung also sells a body scale and heart rate monitor that works seamlessly with the S Health app to register weight data and heart rate information for more accurate fitness tracking.

In order to use the S Health app, the user first enters relevant personal information such as age, sex, and weight, and then has the option to make use of the pedometer on phones such us Galaxy S4 and S5 to track the number of steps taken during the day. The app then uses this step data along with previously entered weight information to estimate the amount of calories burned. Users can enter “daily step goals” in the app to help motivate them to stay fit and active. The app also pulls room temperature and humidity information from the sensors in phones, such the Galaxy S4 and S5, to give the user a complete picture during their workouts.

Users can enter their calorie intake by selecting the type and portion of each meal and the app automatically determines the amount of calories consumed based on that data. Users can also tag each entry with a photo of the meal to help keep track of their entries.

With all the syncing capability, as well as calorie intake and fitness monitoring, users can not only have more accurate inputs for advanced calorie measurements, but can also see all their health information on the S Health dashboard and have access to pertinent cardiology metrics in the palm of their hands.

Product page: S Health…

MobihealthnewsSamsung gets FDA clearance for S Health app…