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Why Where Matters

Our weekly newsletter that tackles the complex world of location based services using concepts from Care Traffic Control. Taping into IoT, digital twins, geolocation and mobile devices we provide insight to an industry that is primed for new ideas.

A Healthcare Integration Expert's Warning After Three Decades in the Field
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When Profits Trump Patients

Hey Reader, When Profits Trump Patients: A Healthcare Integration Expert's Warning After Three Decades in the Field The Erosion of Healthcare's Mission In my three decades as a healthcare systems integrator, I've witnessed a disturbing transformation in how corporate America approaches healthcare. What began as a mission-driven industry focused on providing solutions that improve patient care has increasingly become a profit-driven machine that prioritizes investor returns over clinical...

Hey Reader, Apologies for the extended gap in posts, but I've been swamped with requests since the Where Matters book launched. While this is certainly a good problem to have, it means I need to make some adjustments to deliver the quality content our readers deserve. Fortunately, I have a colleague who joins me weekly to discuss the very topics we cover in this newsletter, and he's offered to become a contributor. Bryan Small has been an LBS integrator for 30 years, spending most of his...

Hey Reader, Introduction Now that we have transitioned from 2024's "year of AI" into what experts are calling 2025's "year of AI Agents,". We are seeing AI as the interface with more and more systems. But, is it time to look beyond AI Agents to the environments where these agents operate. While AI Agents might capture headlines, the real transformation lies in how we design intelligent systems that blend human expertise with targeted automation. This is done with "Agentic Design". Healthcare...

Hey Reader, Introduction In today's complex healthcare environments, the orchestration of people, equipment, medications, and supplies represents one of the most significant operational challenges hospitals face. The movement of what is often called "staff and stuff", drives both costs and care quality. While futuristic visions of healthcare often include robots, the reality is that this technology exists today—what's missing is the operational framework to maximize its potential. This is...

Hey Reader, Introduction Location-based services are foundational to automation in healthcare operations, supporting everything from asset tracking to patient flow management. Traditional Real-Time Location Systems (RTLS) have dominated this space for years, but a technological revolution is is starting to emerge. Computer vision (CV) isn't just an alternative to conventional location technologies—it's redefining what's possible in spatial awareness and intelligent workflow management. While...

Hey Reader, Nobody disputes mobility is an important part of healthcare workflows yet mobile devices are viewed as luxury offered only to a few select resources. Why is this? Part of it is that mobile devices are viewed as "smartphones" that require expensive devices with expensive cellular subscriptions. Another challenge is the difficulty of sharing a fleet of mobile devices that can become lost, stolen or abused. The last and most important item, is the app ecosystem needs to be able to...

Hey Reader, Healthcare's operational transformation often requires looking beyond industry boundaries for proven models of success. Just as Virginia Mason revolutionized their operations by adopting Toyota's quality system, hospitals today can transform their support services through a model inspired by air traffic control. This innovative approach, called Care Traffic Control (CTC), leverages location-based services to orchestrate the complex symphony of hospital logistics. In this model all...

Hey Reader, 📊 Historical Context and Safety Record It hasn't been since 9/11 that the FAA has been in the spotlight like it is right now. The reason it has not been in the spotlight until now is because everything has been working as it should. It wouldn't be in the spotlight now if it wasn't for politics and the most recent incident. We should be celebrating the safety record the FAA has achieved instead of looking for blame. The numbers back this up. In 1990, the accidents per million...

Hey Reader, AI is only as intelligent as the data that is used to train it. In the rush toward AI in healthcare, organizations often overlook the fundamental importance of quality data. While many healthcare systems are playing defense with their AI strategy, success requires active participation and preparation. The key lies not in waiting for the perfect application, but in building a strong foundation with reliable location data that can evolve with our technological capabilities. TLDR:...

Hey Reader, Location-based services (LBS) are fundamental to healthcare's digital transformation, yet many implementations fall short of expectations. While some systems even exceed expectations, the lack of consistent patterns creates an atmosphere of mistrust. It's is usually not the fault of the technology, the integrators or the customers. Usually bad outcomes are because the implementation strategy doesn't fit the organization. Too aggressive or too lean and expectations are not met. A...