Download - 38. Micro Revolution

8/3/2019 38. Micro Revolution

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H.I.S.-tory by Vince Ciotti

2011 H.I.S. Professionals, LLC

Episode # 38:

The MicroRevolution


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Micros Go Macro

Hope you remember this picture from our introduction last year,

about how the 4 epochs of computing in healthcare overlapped:

None totally replacedthe other, they just rose & fell in terms

of popularity (the new thing) and market share over time.

60s 70s 80s 90s

Mainframes(eg: IBM, BUNCH)

++++ +++ ++ +

Shared(eg: Blues, State Assoc,

Commercial Firms)

++ ++++ +++ ++

Minicomputers(eg: DEC, DG, HP)

+ +++ ++++ +++

Microcomputers(eg: Apple, IBM)

+ ++ +++


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Early Microcomputer Development

The roots of microcomputers go back surprisingly far in the 1970s:

1971 = first ads for Intel 4004 chip

1972 =MITS offers Altair 8800 kit

1973 = Xeroxs PARC Alto project

1974 = Simonyis Word Processing 1975 =Microsofts BASIC for the Altair

1976 = Apple introduces the Apple 1

1979 = VisiCalc spreadsheet for Apple II

1981 = IBM legitimizesthe PC

TI 99-4 Tandy Radio ShackTRS 80

Altair 8800

IMSAI 8080


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Very PersonalComputers!

Micros were verypersonal, as these shots of my first one shows:

1981= Our Texas Instruments 994A

Used an old TV as a CRT

Stored data on an audio cassette

Started my sons game addiction!

- 1984 =My brother Dave got hooked too, and

showed how rapidly PCs became a business:

He later programmed an Apple II PC,

To weigh eggs for farmers in the Midwest,

That sorted eggs into grade A, B & C,

Which they used for about 15 years!

Hes a PC maven at Trenton State today.


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PCs in Hospitals PC spread into healthcare started in the late 70s & early 80s:

Individuals in Finance and ancillary departments startedusing them topersonalize the data they could only obtain

from an HIS system in a fixed green bar paper printout.

Using breakthrough software like VisiCalc, the worlds first

spreadsheet, written for the Apple II in 1979

(Microsofts Excel came much later 1985 for the

AppleMacintosh, 1987 for Windows on IBMPCs)

HIS Vendors jumped on the PC bandwagon early too:

George Weinberger enthralled my sales team at HIS Inc. in

early 1982, taking an IBMPC apart in front of our eyes.

We then bought one for each salesman to show demo

screens of our non-existent IBMmainframe HIS system.

The ultimate way to sell vision-ware: See!


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Pioneering HospitalPC Product The first pure PC-based product I remember for hospitals was

written by an ex-SMS salesman named Tom Boyle circa 1980. Tom was a super-bright sales rep (as all SMS reps were!), who

targeted the dreaded SSA 2552 cost report step-down,

Which you may remember was handled by a terribly user-

unfriendly SHAS module called CAP (Cost Allocation Program). It required labyrinthine calculations to allocate the costs from

non-revenue producing departments to revenue depts, based

on such statistics as square footage, # of employees, etc.

T

om left SM

S to develop & sell a cost report system that ran on aPC and did this horrendous math for CFOs in the blink of an eye.

I tried to talk McAuto into buying it in 1980, but they balked,

so Tom sold it to Coopers & Lybrand who sold hundreds!

But what about PCs and mainstream HIS systems? Read on


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The Hardware Market

A major thing holding back PCs from the HIS

world was unknown names like Apple

IBMs 1981 introduction of their PC openedthe door now PCs were legitimate, and

hundreds of companies jumped on the Big

Blue bandwagon besides pioneers like Tom.

How quickly did IBMdominate the market?

Check out this next slide from SIDAs Guide

You should remember by now how much IBM

dominated the HIS hardware market back inthe 70s & 80s, when PCs were introduced.

On the left is a a chart based on figures from

Sheldon Dorenfests Guide, the bible for

HIS market statistics back then, which

showed how IBM totally trumped the BUNCH

group.


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Taking a Byte out of Apple This graph illustrates how quickly IBM took over the PCmarket

from early leaders like Apple & Radio Shack, based on a survey ofSheldon Dorenfests 250 sample hospitals in his 1986 Guide

0

10

20

30

40

50

60

70

1981 1982 1983 1984

% ofPCs in 250 Sample Hospitals by Brand

IBM

Apple

Burroughs

DEC

Wang

Radio Shack

Compaq

HP


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Sweet Revenge! Just in case youre an avid Apple fan like me, however, the chart

below shows how over time the computer market reversed itself: IBMeventually faltered to where in 1993 they posted their first

quarterly loss in the 100-year history of this computing giant.

They have since shifted much of their revenue from hardware

to services (read: software, outsourcing & consulting). Apple too faltered after both Steves (Jobs & Wozniak) left in the

80s, losing its consumer-centric focus until Jobs returned and

started the i-Revolution.

Per the chart on the right, by

2011 Apples stock marketcapitalization not only

exceeded Microsoft, but even

overtook its old rival IBM. For

a while in 2011, its cap evenexceeded Exxon-Mobils!


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EarlyMicros in HIS Systems

Total HIS

A vendor with a complete

HIS on embryonic IBMPCs

in the 80s running on DOS!

Bedside

-Micro systems broke down

the doors to patient rooms,

paving the way for E.H.R.s

During the 80s, literally hundreds of companies developed PC-

based systems, mainly for ancillary department systems such as:- Duponts Trinity RIS - Citations DOS/Novell-based LIS.

In the next episodes on micros, were going to dig deeper into

two uses of PCs that heavily impacted the HIS industry:

Download - 38. Micro Revolution

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