Career Experience

TRANSFORMATION OF HEALTHCARE

 

Dr. Gruber's book in process, COMPETENT HEALTH REFORM that applies his decades of teaching, publication, consulting, and talks in industrial sectors to the transformation of healthcare that is now happening. The core concept of “strategic information” is supported by decades of experience in strategic information management. The huge gap between current practice and future vision competence to deliver cost-effective higher quality healthcare will require an operational diffusion process of 2-3 decades in the time horizon with trillions of dollars in savings (see Institute of Medicine 2012 report "Best Care at Lower Cost: The Path to Continuous Learning Health Care in America") to be realized in the time for diffusion of an innovation targeted by Dr. Gruber 2020-2050.

 

In his book, Dr. Gruber makes the case for trillions of dollars in savings from “waste” in national healthcare expenditures in the transformation to a cost-effective and higher quality healthcare system as an important potential source of funds for national and global challenges. The motivation behind this book is the frozen adversarial counterproductive policy issues in pro-government and anti-government polarization that have focused almost exclusively on insurance coverage for the uninsured rather than the potential savings from the 30% waste in national health expenditures and increase in consistent quality for patients.

 

Dr. Gruber provided strategy and information consulting services for Harvard University Health Services for over a decade. One of these assignments included work on the electronic medical record, the core innovation in the transformation from paper to electronic patient records. In 1995 Dr. Gruber co-authored with Dr. David S. Rosenthal, director of the Harvard University Health Services, a professor at Harvard Medical School, and past president of the American Cancer Society, a paper on “The Full Function Electronic Medical Record (EMR),” which was presented at the annual HIMSS conference. The “full function” standard system in the Gruber-Rosenthal paper specified a significant percentage of the standards set in the "Meaningful Use" regulation of the HITECH Act of 2009.

 

 Dr. Gruber’s early research on telemedicine with John S. Niles, president of Global Telematics, was produced for a 1994 Department of Energy Tele-Health Sector Study, Beyond Telecommuting: A New Paradigm for the Effect of Telecommunications on Travel." The Gruber-Niles prediction of telecommuting in their 1994 DOE report is now operational in the United States health system. A summary is available here.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dr. Gruber co-authored "Transforming Osteoarthritis Care in an Era of Health Care Reform" in the August 2010 Clinics in Geriatric Medicine with Dr. David Hunter, rheumatologist and former Chief of Research at New England Baptist Hospital (current Florance and Cope Chair of Rheumatology Medicine at Northern Clinical School and Professor of Medicine at University of Sydney).

 

Dr. Hunter and Dr. Gruber reported on a failure to fully use the twenty-five evidence-based medicine clinical guidelines from the Osteoarthritis Research Society International (OASRI) for patients suffering from OA. An important focus of this paper was the advocacy of integrated patient care along the OA illness life cycle.

 

 

Healthcare is highly regulated for adequacy of staff by level of care. Dr. Gruber managed the development of the NEW MEDICO NURSING HOME computer systems that tracked staff coverage by level of care in a large chain of nursing homes.

 

The management and economics of healthcare was the focus of a number of Dr. Gruber's educational programs.  He was adjunct professor of courses in health care monument and economic in the Boston College Graduate School of Business and used management, systems and economics of healthcare in a wide range of his courses. 

Gruber’s paper, “China-U.S. Collaboration in the Mobile Health (mHealth) Technology Revolution,” co-authored with Xue-Qian Chen, CEO of ChenXin Science and Technology Beijing, was accepted for presentation at the 2011 China Hospital Information Network Conference (CHINC) May 12th-15th in Hangzhou, China. This publication on mHealth built on Dr. Gruber’s prior work for a study of telemedicine applications to be carried out on the National Information Infrastructure. 

 

Co-published Gruber WH, Powell AC, and Torous JB. “The power of capturing and using information at the point of care” (Healthcare, 2017). Adam Powell Ph.D., Wharton School Economics Ph.D. and President of Payer+Provider, and Dr. John Torous, psychiatrist and co-director of the digital psychiatry program at Beth Israel Deaconess Medical Center.

Dr. Gruber's experience in pharmaceutical industry strategy, management, and systems included 25  years of consulting with Pfizer Pharmaceuticals in strategic information and public affairs, a time of extraordinary Pfizer progress in the use of information technology-enabled strategic business initiatives. Dr. Gruber had a reporting relationship with Dr. GMK Hughes, then Pfizer CIO, and Theodore Littleton, then vice president of public affairs, at a time when Pfizer increased from mid-range in size to the largest pharmaceutical firm in the United States. During his consulting with Pfizer, Dr. Gruber discovered a gap between the knowledge of medical science in the discovery of new pharmaceuticals and the knowledge of Pfizer marketing in what is called “detail force sales positions.” The solution was to assign scientists from the Groton (CT) research center to the New York City office, the location of Pfizer marketing department, and to assign some marketing staff from New York City to offices in the research facility in Groton (CT) to facilitate cross-specialization teaming in the development and sales of new drug discovery. Cassese V, Gruber W.H. and Hughes G.M.K. (1985) “Planning Amid Change” Computerworld: In Depth

 

 

 

© 2019 William H. Gruber