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Introduction - Our Viewpoint
The e-knowledge market concept can be a powerful next generation platform for enabling e-Health Care
This concept is based on real world on-line business models being field tested today. (See the KIKM e-Knowledge
 Market Portal and Links to sites :- http://www.kikm.org/portal/page2.htm ).
While many of these sites are early stage experiments ( and some may fail ), nevertheless we can already envisage a future in which e-Knowledge Markets and Exchanges move beyond mere hubs and portals, to become critical and innovative gateways to Health-Care Knowledge.
It is possible today, to enable the better management of knowledge, not only external to Health-Care Institutions, but also to drive superior knowledge proficiency and performance within Health Care organizations.

Newer companies like our research partners www.knexa.com , www.ebrainexchange.comwww.clerity.com, and many others like them ( see "enablers" in our index ), now offer e-knowledge exchange software on an ASP basis.
Cost is affordable, deployment can be rapid.
In Summary, we see further development, refinement, and extension of  e-Knowledge Market modalities as the wave of the future :-


Consortium Project - Advanced Research Working Group On e-Knowledge Markets :-
e-Health-Care Sub-Group

These are early days in the evolution of the e-knowledge market concept. There is much work to be done to better understand the power and limitations of this approach. This is why we have initiated an Advanced Research Working Group sub-team to examine the question :
What are the implications for the e-knowledge market as an enabler of e-Health ?

If you are interested in learning more about joining our research group a :-

  • funding sponsor

  • collaborative knowledge provider or expert resource

  • or would like to placed on our e-Health-Care Global Knowledge Community Contact List, for updates
    Please contact : Bryan Davis at bdavis@kikm.org or call 416-651-1837. 

eHealth-Care Sub-Group Sponsor  Partners- e-Knowledge Markets Advanced Research Working Group 
What's So New Or Radical About This ?
In the knowledge game there is a major paradigm shift occurring. It's seismic in its implications. It's as big as the difference between Einstein's relativity and Newtonian physics. Era 1 knowledge management is fueled by a mindset that's the industrial equivalent to powering cars with gas. It's not bad but it's a limiting mindset. Tomorrow's knowledge management mindset is more akin to the emergence of fuel cells to power automobiles. It represents a disruptive and discontinuous innovation. While transformation to the new thinking and perfecting the enabling technology may take some time, nevertheless the signs are everywhere that the future of knowledge, intellectual capital, and intangible assets, is intimately associated with the growth and development and use of the e-knowledge marketplace.

The big difference ( what's really new ) between yesterday's and today's knowledge management efforts in Health Care,
and that of tomorrow, is the fundamental premise that people do not and will not truly share knowledge where there is not some interest for them as stakeholders. ( see KM thought leaders' wise comments - http://www.kikm.org/portal/index.htm )

The reality is that especially in Health Care organizations, knowledge is power and the tendency to hold onto what you know, hoarding, is deeply ingrained. 

The new thinking and new platform accepts that reality as a fundamental fact of life, ( get's real ), and creates
an on-line virtual community environment - the e-knowledge marketplace - where people will have a greater ability, reason, and incentive to want to share, trade, and exchange knowledge. 

This also makes more practical sense. Markets have historically always been an intimate part of community development and expansion. They are a natural and organic aspect of every community ecosystem. It is therefore quite reasonable to expect as we build out communities into cyberspace, that e-markets will be integral to this development. In an increasingly knowledge based economy it just makes great sense that we should be incubating the e-knowledge market as a natural setting for the conduct of knowledge exchange and knowledge commerce. 

Moreover, markets tend to breed innovation. If we want knowledge based innovation in e-Health Care, then the e-knowledge market platform, is the preferred platform for getting us there.
The e-Knowledge Market platform offers among other benefits : -
- greater openness and transparency in knowledge exchange
- reduces friction ( streamlines knowledge seeker and knowledge provider demand and supply relationships)
- reduces latency ( less wait time ) to answers and expertise
- redefines support players roles in a more meaningful way ( knowledge brokers, trust agents, knowledge bankers, etc )
- superior adaption to change ( get's real about people's mindsets )
- peer metrics - rating systems for giving community feedback on how we did, and for building trust
- potentially greater ROK ( return on knowledge ) for all stakeholders
- accelerated learning
the opportunity to create new knowledge based business models for operating e-Health Care organizations.
- the fusion and integration of e-Health, and e-business with e-knowledge management principles and practices
What Are Some Of Ways The e-Knowledge Market Concept Can be Productively Applied To e-Health-Care ?
Here's a brief summary of the opportunity we see for harnessing the e-knowledge market idea for e-Health-Care. This perspective is more suggestive than definitive. No one site is a full articulation of the e-knowledge market idea, and we use a mixture of public sector and private sector sites to suggest future possibilities  :-
The On-Line Knowledge Store
The Knowledge Store as a gateway to aggregated e-Health knowledge content :-

First Consulting Group's 'knowledge store' -- where we make the best thinking of some of our smartest consultants available for quick, easy purchase. First Knowledge is research-based knowledge from a company that specializes in making knowledge achieve practical results in healthcare, pharmaceuticals and life sciences. It's knowledge that works ahead of the curve: that's why we call it First Knowledge. 

US Department Of Commerce International Trade & Business Bookstore: Knowledge Exchange


The Question & Answer Exchange
Questions & Answer Exchanges - where citizens can ask for and receive answers ( and the knowledge providers  get rated for the quality of their help ) As a lever for creating more responsive, open, trusted, and responsive e-Health Care
Institutions, this can be a powerful lever 

Knowpost.com-  http://www.knowpost.com/topics/Health_&_Fitness/

Question.com - www.question.com


The Experts Exchange
Experts Exchange :- on line exchanges where communities of experts are accessible - by citizens, by other experts, for free, or for a fee :-

We use our website to offer healthcare members 24-hour access to customized business strategies and tactics based on individual market situations. Our strategies focus on the bottom line -- improving efficiency and ROI.

Expert Exchange Program in the Drug Field
   - http://www.oeko-net.de/ecdp/expert.htm
The National Registry of Experts (NRE) - http://www.expert-registry.com/
The European Experts' Network for Educational Technology (EENet) : http://www.eenet.org/

AllExperts.com - http://www.allexperts.com/central/healthfitness.shtml

Experts Exchange.com  http://www.experts-exchange.com/
Intellect Exchange.com  http://www.intellectexchange.com


Intellectual Property Exchange
Intellectual Property Exchanges : - (for both protection and leverage of IP assets) -  spending especially on sponsored R&D and  innovation, needs enhanced management.  Companies need to pay greater attention to these assets. In the knowledge based economy there is a great tension between "open source" and "proprietary" approaches. e-Health Care 
organizations will be challenged to find ways of balancing these forces. People in e-Health Care generate new ideas too - licensing these through the Intellectual Property Exchange could be a revenue source or they could be made available for free  For more people even to know what's available, these ideas need
an outlet or gateway, and the e-knowledge exchange will become a key platform for doing so.
The UVentures.com Web site - http://www.uventures.com/servlets/UVMainPage
PL-X.com -- http://www.pl-x.com/
Yet2.com - http://www.yet2.com/ 
Equityengine is an entrepreneur network focused on starting new business ventures. -http://www.equityengine.com/


The e-Learning Exchange
In a knowledge based economy, e-Health Care will create greater opportunities for citizens to access learning on line, and for knowledge providers to make knowledge content available ( courses, seminars, conferences ). 


MedSchool.com - http://www.medschool.com/futuretense_cs/silo/ehealth/ehealth.html

About Caliber Learning Network, Inc.
Caliber Learning Network, Inc. (Nasdaq:CLBR) is a leader in Internet-based knowledge solutions. Through its WebCORE e-knowledge platform, Caliber enables its clients to transform their traditional training and communications programs into e-knowledge programs, dramatically increasing their reach while simultaneously reducing costs. For more information about Caliber, visit the company's Web site: www.caliber.com

DigitalThink.com -
DigitalThink is already at work driving knowledge to employees at Tenet Healthcare

Docent.com -

Saba.com - www.saba.com

Interwise.com -
Lifescape.com, a breakthrough joint venture between FHC Internet Services and Liberty Digital, Inc, provides a comprehensive online source for behavioral health information and support. FHC Internet Services is affiliated with FHC Health Systems, a leading behavioral healthcare company which serves over 22 million people across the country. A member of InterWise's Customer Advisory Board, providing input to our strategic product planning and R&D, Lifescape chose InterWise Millennium as a vehicle to deliver live and asynchronous learning for its employees www.interwise.com

click2learn.com: e-learning, online learning, IT & business training

American Cancer Society Partners with Click2learn

e-Learning initiative will train thousands of employees and 2 million volunteers how best to enlist fellow Americans in the fight against cancer

BELLEVUE, WA, April 9, 2001 - The American Cancer Society, one of the largest and best-known advocacy organizations in the world, has selected Click2learn (NASDAQ: CLKS) for a major, nationwide e-Learning initiative.

The multi-phase e-Learning project will help the American Cancer Society (ACS) prepare thousands of employees and 2 million volunteers for the organization's "Challenge to America" campaign. The program aims to significantly reduce cancer mortality and incident rates while strengthening cancer research, prevention, and patient services programs by the year 2015.

In the first phase of development, completed on March 31, the ACS worked closely with Click2learn to launch a new training series for its 6,000 employees. The first courses, to be delivered via Click2learn's e-Learning Network, include a new employee orientation course covering the organization's history, resources and services and a primer for all employees on donation policies and procedures.

Click2learn created this custom training - titled the "Business Literacy" series - using the Rapid e-Learning Development System. ReDS is a collaborative e-Learning authoring platform with integrated project management features that is designed for large-scale learning initiatives.

Following the rollout of the initial courseware, the ACS is scheduled to adapt and expand the series into a full-scale, national learning initiative, which will be delivered to the organization's 2 million volunteers around the nation.

"Our Challenge to America campaign is a singularly ambitious mission: We seek to eliminate cancer as a major health problem. This demands much of our grassroots volunteers and our staff," said Don Gudaitis, Chief Executive Officer of the ACS New England Division. "Through e-Learning, we can better ensure all our volunteers and employees are equipped with full knowledge of our mission, and the skills to enlist America in our fight against cancer."

"One of the best ways to fight cancer is through better education," said Kevin Oakes, president and CEO of Click2learn, "and we are delighted that the ACS has chosen us as their partner. Our employees are incredibly proud to be associated with this noble cause as we do our part to help the ACS eliminate cancer as a major health problem."

About the American Cancer Society The American Cancer Society is the nationwide community-based voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives and diminishing suffering from cancer, through research, education, advocacy and service. For information about cancer, call toll-free anytime 1-800-ACS-2345 or visit the American Cancer Society website at www.cancer.org.

Case :

World-renowned Cancer Center Prescribes e-Learning to Improve Management of Patient Care
Powered by click2learn, Memorial Sloan-Kettering Cancer Center will track staff knowledge of patient care systems

BELLEVUE, WA, December 18, 2000 - Memorial Sloan-Kettering Cancer Center launched an e-Learning initiative developed by click2learn.com, inc. (NASDAQ: CLKS). The endeavor will enable the world-renowned cancer care center to deliver highly customized training to thousands of newly hired clinicians, nurses, interns and administrative staff, and track and measure their learning experience.

The first phase of the center's e-Learning initiative focuses on the center's Order Management System - the system used to place electronic orders for patient care and track results. This will be followed by online training sequences for the hospital's electronic medical record system, picture archival and communication systems (P.A.C.S.) and disease management system.

"We are implementing an e-Learning solution on the enterprise level. Our Web-based program will deliver tailored, self paced training for staff whenever they need it and wherever they want it," said Nancy Jaye Keane, Project Administrator at Memorial Sloan-Kettering Cancer Center.

By taking this clinical system training online, visiting interns and newly hired professionals will be able to complete courses at their own pace, in manageable modules, leaving them fully prepared on the first day of rounds. In a typical year, the center trains more than 2,000 staff and rotating house staff.

After launch of its order management system training, Memorial Sloan-Kettering Cancer Center will add e-Learning courses for its electronic medical record system, which provides secure access to a paperless patient chart. The hospital also plans online training on disease management and its P.A.C.S. system. That course would detail the process for accessing, and viewing online radiology images, including X-ray, ultrasound, MR and CT scans.

Until now, training on all these critical systems has been offered through a traditional instructor-led format that posed problems for on-call professionals. During the classroom sessions, doctors and nurses were frequently paged to attend to patients, making it difficult for administrators to assess how much training professionals had actually received and retained. In addition, the fixed classroom schedule made it difficult to ensure that rotating house staff members were fully trained on the system the day they started their rotation.

Today, based on the extensive capability of click2learn's enterprise learning management system, Ingenium, hospital administrators are able to assign courses via email, and conduct sophisticated tracking and analysis of their performance in online courses.

Integrated seamlessly with the hospital's existing human resources management system, the learning management system also enables training managers to develop specific, customized training sequences according to hospital job codes. For example, although all personnel might receive training on the hospital's P.A.C.S system, clinicians might take one training path on how to optimize images on the system, while courses on the administrative training path might delve deeper into image archival procedures.

"At click2learn, our mission is to help our clients harness state-of-the-art e-Learning technology to boost the performance of their organization. Nowhere is the payoff more significant than in health care where more knowledge equals better patient care, higher performing employees, and the very real potential to impact people's lives," said Kevin Oakes, President and CEO of click2learn. "Memorial Sloan-Kettering is known as a leader in patient care for exactly the kind of leadership and initiative they are demonstrating through this e-Learning initiative today. We're glad to play a part."

About Memorial Sloan-Kettering Cancer Center
Memorial Sloan-Kettering Cancer Center is the world's oldest and largest institution devoted to prevention, patient care, research and education in cancer. Our scientists and clinicians generate innovative approaches to better understand, diagnose and treat cancer. Our specialists are leaders in biomedical research and in translating the latest research to advance the standard of cancer care worldwide.

About Click2learn
Click2learn (NASDAQ: CLKS) is the leading integrated e-Learning solutions provider to Global 2000 organizations. The company provides comprehensive solutions that include content creation services and tools, integrated learning management and delivery systems, and e-Learning design and delivery expertise to improve workforce performance and commercialize intellectual property. Click2learn is headquartered in Bellevue, Washington, with offices in other U.S. cities, Europe and Japan. The company's customers represent a wide variety of industries, and include Microsoft, Fidelity Investments, Wells Fargo, Morningstar, American Airlines, ADC Telecommunications, Deloitte and Touche and GE. For more information about Click2learn's e-Learning solutions, call (800) 448-6543 or (425) 462-0501 or visit www.click2learn.com.

Social Capital & Community Oriented Knowledge Exchanges

The Center for Mental Health Services (CMHS) Knowledge Exchange Network (KEN) provides information about mental health via a toll-free telephone number (800-789-2647), this web site and more than 200 publications.

CMHS developed KEN for users of mental health services and their families, the general public, policy makers, providers, and the media.

KEN staff are skilled at listening and responding to questions from the public and professionals. KEN staff quickly direct callers to Federal, State, and local organizations dedicated to treating and preventing mental illness. KEN also has information on Federal grants, conferences, and other events.   http://www.mentalhealth.org/ 

Vertical Knowledge Exchanges
Vertically Oriented Knowledge Exchanges :- ( Industry specific )
This is an Energy example but the concept could be applied to e-Health
The Independent Knowledge & Community Network For Energy :- http://www.energyforum.net/
e-Lance, Intellectual Capital, or Human Capital or Project Exchanges
Whether within the enterprise or outside of it, the human capital exchange will become a preferred channel for the dynamic balancing of human capital demand and supply conditions. 
e-Lance -www.elance.com
Hello Brain - www.hellobrain.com


Select Related On-Line e-Health Care Resources

E-Health - An Online Cure for the Health Care Industry
The $1 trillion health care system has entered the digital economy and has quickly become a major online player.
Fortune Magazine -

Telemedecine Information Exchange - http://tie.telemed.org/                                                                                                                http://tie.telemed.org/links/ehealth.asp       

World Care.com
- http://www.worldcare.com./

American Medical Association http://www.ama-assn.org/ama/pub/category/2562.html

Pacific e-Health Innovation Center
- http://peic.tamc.amedd.army.mil/index.htm

Information Technology Association Of America http://www.itaa.org/isec/ehealth/

- http://www.self-care.com/

Ontario Hospital Association - http://www.oha.com

Joint Healthcare Information Technology Alliance (JHITA) - http://www.jhita.org

Medical Records Institute
- http://www.medrecinst.com/

Health Communications Network
HCN's Knowledge Resources, clinicians and other health professionals can access health information online in hospitals and health institutions throughout Australia                                                                          http://www.hcn.net.au/products/kro.html

Canadian-International Nurse Researcher Database

Health Canada
- Office Of The health & Information Highway -  http://www.hc-sc.gc.ca/ohih-bsi/menu_e.html

Information Technology and Knowledge Exchange in Health-Care Organizations

Authors: V. Vimarlund, MSc, Linkoping University, Linkoping, SWEDEN, T. Timpka, MD, PhD, Linkoping University, Linkoping, SWEDEN, and V.L. Patel, PhD, DSc, McGill University, Montreal, Quebec, Canada


    Despite the increasing global interest in information technology among health care institutions, little has been discussed about its importance for the effectiveness of knowledge management. In this study, economic theories are used to analyze and describe a theoretical framework for the use of information technology in the exchange of knowledge. The analyses show that health care institutions would benefit from developing global problem-solving collaboration, which allows practitioners to exchange knowledge unrestricted by time and geographical barriers. The use of information technology for vertical integration of health-care institutions would reduce knowledge transaction costs, i.e. decrease costs for negotiating and creating communication channels, and facilitating the determination of what, when, and how to produce knowledge. A global network would allow organizations to increase existing knowledge, and thus total productivity, while also supporting an environment where the generation of new ideas is unrestricted. Using all the intellectual potential of market actors and thereby releasing economic resources can reduce today's global budget conflicts in the public sector, i.e. the necessity to choose between health care services and, for instance, schools and support for the elderly. In conclusion, global collaboration and co-ordination would reduce the transaction costs inherent in knowledge administration and allow a more effective total use of scarce health- care resources.



Distributed Knowledge Management in Health Care Administration

Michael Holm Larsen and Mogens Kühn Pedersen, Department of Informatics, Copenhagen Business School 


United States Distance Learning Association - http://www.usdla.org/

Select Technology Platform Providers
Ingenium  Health Care Portal     http://www.ingeniumcorp.com/_healthcare/customer_services.htm



        http://www.cerner.com/          - See Cerner Knowledge Network - http://ckn.cerner.com/

e-Health Networks
Other e-Health Related On-Line Publications
Internet Health Care - http://www.internethealthcaremag.com

Medical Computing Today -  http://www.medicalcomputingtoday.com/

Advance For Health Information Executives - http://www.advanceforhie.com

Deloitte Research - http://www.dc.com/obx/pages.php?Name=AllResearch

Managed Care News Web - http://www.aishealth.com/EHealthBusiness/050400.html

INSEAD on the e-health consumer    

Virtual Medical Worlds  http://www.hoise.com/vmw/00/articles/contentsvmw200009.html

 To Contact Us With Your Feedback, Ideas, Suggestions, New Sites, - info@kikm.org     

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This page was last updated : April 23, 2001
Copyright. April 2001. The Kaieteur Institute For Knowledge Management