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Why Doctors Hate Electronic Medical Records | The Healthcare IT Guy 09/10/2009

Posted by thaadsma in design, development, healthcare, user interfaces.
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We work with an increasing number of physician practices in Michigan, and a few have EMR systems. But most don’t– yet.

This article by a physician challenges EMR vendors to make their software products better before EMR goes mainstream.  From Dr. Bill Cast:

“Physicians know that better exists. They have experienced Google, Amazon and e-Bay. Game lovers know that Electronic Arts’ “Tiberium,” now 15 years old, exceeds the capabilities of their professional health care software. They know from Yahoo and MSN the value of configuring a home page suited to delivering niche-information of their own preference. They know from using Word and Word Perfect that they can create precision documents merely by tweaking a template. They know they can use voice commands to make a phone call on their Blackberry. They know that they can find drug information more easily on Google than proprietary software. They suspect that if their EHRs and EMRs had physician-specific home page functionality, that they could drop and drag orders, answer FAQs, dictate letters, and save time with templates with many fewer clicks. Ordering medications should be as safe and uncomplicated as using E*Trade.

Today most EHRs and EMRs are invasive both to workflow and finances. While high cost is a significant barrier to physician adoption, workflow disruption remains the killer deterrent.”

via Guest Article: Why Doctors Hate Electronic Medical Records | The Healthcare IT Guy.

gloStream and the healthcare industry | Rodney Bowen-Wright | Microsoft 06/17/2009

Posted by thaadsma in development, healthcare, microsoft.
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Check out this great article about gloStream written by Rodney Bowen-Wright from Microsoft and posted to Microsoft’s Startup Zone Web site.

Rodney is a director of business development and manages vertical markets and mobility portfolios in Microsoft’s Emerging Business Team:

“Microsoft has the right infrastructure and tools to make this transformation happen quickly. One company at the right place at the right time with the right solution is GloStream.

gloStream provides physicians and healthcare facilities across the U.S. with electronic medical record software and practice management solutions based on the Microsoft Office suite – delivered and supported through a nationwide network of local technology partners.

gloStream applications are secure, easy-to-use and the only solutions on the market embedded with Microsoft Office. With a simple user interface, robust voice recognition technology, and single-click access to all patient data, gloStream products help doctors improve patient care by streamlining workflow and creating efficiencies in office administration.

gloStream’s deep healthcare experience and its utilization of Microsoft technology (and specific use of Microsoft Office) provide doctors and staff with a secure, reliable, scalable, customizable and affordable EMR and PM solutions. gloSuite is easy to learn and use so doctors and staff can limit training time and get up their full patient load in a matter of days, not weeks.”

via gloStream – Transforming and Modernizing the HealthCare Industry with Microsoft Office Software – Rodney Bowen-Wright.

Several Dozen of the Stupidest Things Ever Said 06/03/2009

Posted by thaadsma in development, government, healthcare, ibm, tangents.
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A wonderful list of some of the most bone-headed things that people have said over the years about technology, and especially information technology: Stupid Things to Say.

Here’s just a sample:

“I have traveled the length and breadth of this country and talked with the best people, and I can assure you that data processing is a fad that won’t last out the year.”
–The editor in charge of business books for Prentice Hall, 1957

The rest are even better. Enjoy!

via Stupid Things to Say.

Have we now entered the post-OS era? | Tech Sanity Check | TechRepublic.com 05/31/2009

Posted by thaadsma in SaaS, development, web, web services.
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Jason Hiner makes many astute observations in his “Sanity Check” blog at Tech Republic. Some of his best are wrapped into this excellent April post about how we are beyond the ‘OS wars” that the PC technology world gets so fixated on. And I agree with him 100% when he goes on to say that the Web browser is the standard interface for software applications. Here at i3 Business Solutions, our team is focused on web applications that integratre the best of classic IT systems with the new ecosystem opening oup on the web: Read Jason’s entire post for more perspective:

“It’s possible that a combination of voice and touch could revolutionize the user interface (and thus the OS), or that another major innovation could make it faster and simpler for humans to work with computers, but for now the keyboard and mouse are as efficient as it gets. And, as a result, the computer OS has stagnated.

And, of course, the other thing that’s going on is that the Web browser is finally usurping the OS as the universal platform that was envisioned back in the mid-1990s. Please note that I’m not talking about cloud computing or software-as-a-service (SaaS). While applications and services delivered over the Internet are certainly part of the ascendency of the Web browser, they still have not reached critical mass in the business world and the trend is bigger than that.

What we’re seeing is that many businesses are using the Web browser as the front-end application to access private, back-end systems, from databases to CRM to ERP to payroll to corporate portals. And, why not? Since most users are very familiar and comfortable with Web navigation and Web forms, these corporate systems can tap into that experience to provide applications that have an easier learning curve than Windows-based business apps with their unique menus and interfaces.”

via Sanity check: Have we now entered the post-OS era? | Tech Sanity Check | TechRepublic.com.

Six ways to make Web 2.0 work | McKinsey Quarterly 05/30/2009

Posted by thaadsma in SaaS, development, multimedia, sharepoint, social web, user interfaces, web services.
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Interesting stuff going on the the web world, and this summer promises a whole new round of innovation from startups to new releases from the big guys Google (see Wave) and Microsoft (see Bing)

The McKinsey report Six ways to make Web 2.0 work  excerpt here can help keep things in context. It’s worth clicking through to read the whole thing:

“What distinguishes them from previous technologies is the high degree of participation they require to be effective. Unlike ERP and CRM, where most users either simply process information in the form of reports or use the technology to execute transactions such as issuing payments or entering customer orders, Web 2.0 technologies are interactive and require users to generate new information and content or to edit the work of other participants.”

via Six ways to make Web 2.0 work – The McKinsey Quarterly – Six ways Web 2.0 work – Business Technology – Application Management.

A special report: Medicine goes digital | The Economist 05/07/2009

Posted by thaadsma in development, healthcare, security, web.
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Well worth reading is this ‘Big Picture’ series of articles from the Economist. An excerpt:

“If these obstacles can be overcome, then the biggest winner will be the patient. In the past medicine has taken a paternalistic stance, with the all-knowing physician dispensing wisdom from on high, but that is becoming increasingly untenable. Digitisation promises to connect doctors not only to everything they need to know about their patients but also to other doctors who have treated similar disorders.

The coming convergence of biology and engineering will be led by information technologies, which in medicine means the digitisation of medical records and the establishment of an intelligent network for sharing those records. That essential reform will enable many other big technological changes to be introduced.”

Read it all
via A special report on health care and technology: Medicine goes digital | The Economist.

Top 10 Tech Investments For Your Business | bMighty.com 04/26/2009

Posted by thaadsma in SOA, SaaS, business intelligence, development, security, social web, virtualization, web, web services.
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“Although times are lean, many companies are finding that they can’t afford to postpone IT investments that lead to increased security, efficiencies or revenues. Organizations also are trying to make sure they are prepared for growth when conditions improve, and enhancing their IT infrastructure is part of that process.”

Here are the top 10 tech investment areas identified by CIOs in the survey findings:

  1. Information security (Identified by 43% of CIOs)
  2. Virtualization (28%)
  3. Data center efficiency (27%)
  4. Voice over Internet Protocol (VoIP) (26%):
  5. Software-as-a-Service (SaaS) (26%)
  6. Green IT (20%)
  7. Business intelligence (19%)
  8. Social networking (18%)
  9. Web 2.0 (17%)
  10. Outsourcing (16%)

via Top 10 Tech Investments For Your Business | bMighty.com: Blogs For Small Business and Mid-Sized Business.

Take Back Control of Your Critical Business Data | Ventana Research 02/17/2009

Posted by msansoterra in development, microsoft, user interfaces, web.
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For years industry experts have been warning the business community about the harm of overusing spreadsheets.  The sentiments recently expressed by Ventana research echo our own experience: too many users are using spreadsheets as an all purpose database/logic/reporting tool instead of simply a reporting or analysis tool:

“…our benchmark research shows spreadsheets are now being seriously misused in ways that severely hamper the productivity and performance of corporations. It’s time you seriously rethink how your organization uses spreadsheets.

“Our research confirms desktop spreadsheets pose serious productivity issues. Half find dealing with spreadsheet problems consumes a noticeable amount of time. Errors are a problem: just under half find major errors in data and formulas in their most important spreadsheets. These errors pose financial and reputational risk because most people only check selected cells. Dealing with errors is time consuming and just over half find the spreadsheets they receive are not as timely as they should be. More than half find resolving spreadsheet errors delays business processes and 42% find out-of-date information in their spreadsheets frequently or all the time. Just over half find rolling up spreadsheets is usually or always time consuming. Yet, users are in denial, since only a handful think spreadsheets pose a productivity issue.”

via Fix Your Spreadsheet Problem – Priority #10 for 2009.

Who in I.T. hasn’t run into the unwieldy Microsoft Excel workbook that has too many worksheets and too many external links?  The problem for many is that these overblown spreadsheets become gospel in their respective departments which in turn causes users to rely on them instead of the central business systems.  I cringe when I question a user about a piece of information and they open an ugly spreadsheet for their answer (instead of going to the business application software where the information belongs.)

Users who are overusing spreadsheet tools are probably living dangerously.  In these cases, it’s time to move away from the spreadsheet in favor of an application that can do the job right without the associated risks mentioned by Ventana.  The application should validate the data (to prevent garbage in, garbage out), prevent duplicate data, apply business rules to the data and report current information.  Once the data is stored properly within an application spreadsheet users can still feel free to export the base data to do their analysis and reporting.  Further, it should be understood by the user community that the data in these spreadsheets are not the final authority — the business applications are.

The New India: Michigan? | BusinessWeek 01/26/2009

Posted by thaadsma in development, government, healthcare, ibm.
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In what may be an invigorating trend for US information technology providers, IBM recently announced it plans to open an IBM ’Global Delivery Center’ on the campus of Michigan State University in East Lansing. The goal for the center is to modernize legacy applications used by state and local governments, as well as colleges and universities.

In addition, IBM and MSU are planning to expand out to help modernize IT systems at companies based in the U.S. in the healthcare, telecommunication, and other industries.

IBM mainframes and AS/400 systems still have a healthy user base in the government, university and healthcare sectors– and the software applications that run on these platforms are long overdue for an overhaul (not to mention all those greenscreen terminals). Here at i3 Business Solutions, we work with these customers all over Michigan.

Here’s an interesting take on this development from Steve Hamm at BusinessWeek:

“While the Indian outsourcing community is flipping out about the Satyam scandal, IBM, which has a major presence in India, is opening its newest service delivery center in….East Lansing, Michigan. IBM is setting up an unusual sort of delivery center on the campus of Michigan State University. The company plans to hire MSU students and graduates, plus others, to develop software applications and modernize computing systems for government agencies and universities. It plans on hiring 100 people by June and 1,500 eventually. An IBM spokesman said this isn’t a low-cost labor play; it’s about the talent. But I’m betting salaries for software programmers are a lot cheaper in East Lansing than they are in Somers, New York; Boston; or Silicon Valley—where IBM employs a lot of programmers.”

All I can say is: Go Spartans! 

via The New India: Michigan? – BusinessWeek (see the reader comment as well)

related articles: http://www.businessweek.com/technology/content/jan2009/tc20090115_770577.htm?chan=top+news_top+news+index+-+temp_technology 

http://www.itjungle.com/tfh/tfh012609-story08.html

Integration x 3: People, Process & Technology are the answer! 09/02/2008

Posted by mritsema in SaaS, development, web, web services.
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Here’s a good read from Tech Republic.  I think they’ve got it right.  The future of I.T. looks like:

  1. Infrastructure Management (Reliability)
  2. Solutions & Project Management
  3. End user management.

People, process & technology.  That’s the what technology looks like today.  More & more i3 Business Solutions is delivering the right solutions integrated to disparate technologies.  The ‘Cloud’, hosted & onsite applications are blending into a combination of hybrid business productivity solutions.  More & more i3’s skill requirements are moving to people, project & process management.

Sanity check: Is IT no longer about technology?
  • Date: July 7th, 2008
  • Author: Jason Hiner

Gartner researcher Tom Austin believes that the future of IT is much more about people than technology. While he makes a compelling and visionary argument, there are aspects of IT that will remain tied to a keyboard and screen.

—————————————————————————

It’s become horribly cliche to talk about the importance of IT-business alignment and the need for IT professionals to become much more business-savvy, but Gartner’s Tom Austin (right) takes it to the next level. He believes that the IT professional of the future will be less of an engineer and more of a social scientist.

What? Yes, you heard that right — the word “social” will become a key part of the IT professional’s job description. It flies in the face of most of the stereotypes about techies and it sounds a little corny, but Austin does draw some interesting conclusions that are worth a look, if only because they are so unconventional.

Here are some of the most salient quotes from Austin on this subject (from an interview in Fast Company):

  • “The problem with IT today is there are too many engineers and not enough social scientists.”
  • “Too often, we have measurement and reward systems that are focused on how many transactions did you process, how many orders did you ship, and how many deals did you close — rather than who helped these other people succeed.”
  • “There’s a recognition that if you relax some controls — not all — you’re probably going to get more creative behavior out of the individuals than if everything is locked down.”
  • “There are still people in IT who’ll have to worry about keeping the systems running, but now we’re going to think more about how to exploit the things we can do with social networking, expertise location, and all of the other higher-level social ordered phenomenon we can facilitate using technology.”
  • “It’s not the technology that counts. It’s the people.”

The fact that IT keeps running into these issues about being more business-savvy and people-savvy may simply be a natural part of the evolution of the profession. My TechRepublic colleague Mark Kaelin said that when he was in business school studying accounting, his professors constantly drilled home the fact that too many accountants were just number crunchers and that what the field needed was accountants who were more focused on understanding the business and how they could best serve it. Sound familiar?

In order to evaluate Austin’s arguments, let’s take a look at the three segments that IT is going to be divided into over the next decade:

1.) Operations and infrastructure management

We’re primarily talking about server rooms, data centers, and network operations centers here. IT pros in this realm will manage the backend infrastructure that powers businesses large and small. In the years ahead, this category of IT is going to become highly centralized and highly commoditized. The increase of virtualization and cloud computing will hasten this development.

As a result, managed services companies will grow and take over the data center for many companies. It simply won’t be cost-efficient to have your own data center, in many cases. As such, the administrators and engineers who run these uber-NOCs will be highly trained and highly versatile. They will be the blue collar workers of the IT industry, focused on maintenance and process work.

Although many of these IT pros will need to have strong communications skills because they will deal with multiple customers and multiple accounts on a daily basis, there will also be plenty of IT workers chained to keyboard and monitor and tasked solely for monitoring the infrastructure and keeping it running. Austin’s argument doesn’t hold up very well in this category.

2.) Solutions and project management

Today’s developers and software engineers will morph into this category, which will have a greater focus on delivering end-to-end solutions to businesses, whether in pre-packaged software or custom applications. Just as it happens in many organizations right now, project managers will gather business requirements and build out the plans for solutions that software engineers can deliver.

This is primarily where Austin’s ideas apply. He sees these solutions makers evolving from technology-focused engineers to people-focused scientists and business associates. And, he’s correct that IT needs to build better solutions that are more customer-centric and get the technology out of the way so that users can collaborate and work more effectively.

3.) End user management

From help desk to training to PC provisioning, IT is also responsible for deploying, managing, and supporting the systems that employees use every day. This isn’t going away anytime soon — although some companies have tried to outsource pieces of this — because it almost always involves some form of physical access to the machines. Managed services could take over some of this, but there’s always still a need for at least some physical access.

In the future, the role of this part of the IT department will diminish, although not entirely disappear. Many companies will move toward a self-provisioning model and will support user-owned systems and devices. Plus, the bar for usability and ease-of-use will continue to to be pushed higher and higher.

Nevertheless, even a diminished support department will likely need to change many of its attitudes and policies, as Austin notes, in order to help the company stay competitive. IT will need to relax some of its standards in order to allow more users to easily collaborate and share data and documents.

Bottom line

So, yes, IT is becoming more about people than technology, and IT professionals will need to become more business- and people-savvy. Part of the change is a natural evolution of the profession, and part of it has to do with some of the big technology shifts happening in the back office. Still, there are a lot of IT jobs and roles that won’t be directly affected by these changes, especially in operations and infrastructure. Those jobs will become the blue collar jobs of IT, focused heavily on processes and maintenance, and employed by managed services companies in many cases.

 

 

 

Interview: Amazon CEO Jeff Bezos | GigaOM 06/17/2008

Posted by thaadsma in Amazon, SOA, SaaS, development, web, web services.
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GigaOM Interview: Amazon CEO Jeff Bezos – GigaOM

Nick Carr contends that for Amazon, running a cloud computing service is core to its business in a way that it isn’t for, say, IBM, Sun, or HP. In a brief but illuminating video interview with Om Malik, Amazon CEO Jeff Bezos underscores this point in describing the origins of Amazon Web Services. “Four years ago is when it started,” he says, “and we had enough complexity inside Amazon that we were finding we were spending too much time on fine-grained coordination between our network engineering groups and our applications programming groups. Basically what we decided to do is build a [set of APIs] between those two layers so that you could just do coarse-grained coordination between those two groups. Amazon is, you know, just a web-scale application.”

High Performance Computing is Flying High | eWeek 05/23/2008

Posted by thaadsma in Linux, SUN, SaaS, development, ibm, microsoft, web.
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Why HPC Is Flying High

“The swift rise of cloud computing—applications made available as on-demand services for enterprises and consumers over the Web—is now requiring HPC and “super” storage at all levels, Platform Computing founder and CEO Songnian Zhou told an audience of several hundred IT managers and developers here at Platform Global Conference, held May 19-21.

Platform Computing makes specialized management software for HPC data centers serving sectors such as the financial market, earth science, oil and gas exploration, health care, and government and military installations.

“Current data centers, most of them built more than 10 years ago, are costly to run and not very efficient in using power resources,” Zhou said. “What IT managers and CIOs need when they are looking to upgrade are agile, scalable, more powerful, more cost-effective servers and storage systems that use more automation, share resources, use less power and run on commodity hardware.

“Yet these new systems must be able to deliver powerful Web services 24/7. This is what HPC brings to the table.”"

Lots more stats and numbers at the origianl article: Why HPC Is Flying High

McKinsey surveys software landscape | Rough Type: Nicholas Carrs Blog 05/01/2008

Posted by thaadsma in SaaS, development, google, ibm, web services.
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Rough Type: Nicholas Carrs Blog: McKinsey surveys the new software landscape
Softwares new battle lines are now becoming visible, report the consultants: “These trends – the growing acceptance of SaaS and SaaS platforms – are likely to create a tremendous battle between the largest software vendors and the newer SaaS providers. While each of these players has an advantage at one end of the spectrum large vendors such as IBM, Oracle, SAP and Microsoft do best in large enterprises, while SaaS “incumbents” such as Salesforce, NetSuite and RightNow are more in favor with small businesses, the real battle is in the mid-market space.

Luminaries look to the future web | BBC NEWS | Technology 04/30/2008

Posted by thaadsma in development, mobile web, multimedia, social web, web, web services.
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BBC NEWS | Technology | Luminaries look to the future web

“Exactly 15 years ago the directors at the lab where the web was first developed signed a document which said the technology could be used by anyone free of charge. That decision was instrumental in making the web truly world wide. BBC News talks to some of the leading figures in the web community about their hopes for the future of the web.”

Cloud Control to Major Tom | ReadWriteWeb 04/18/2008

Posted by thaadsma in Amazon, SaaS, development, google, microsoft, security, social web, web, web services.
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Google App Engine: Cloud Control to Major Tom – ReadWriteWeb

“Google has just launched Google App Engine, “a developer tool that enables you to run your web applications on Google’s infrastructure.” This will allow startups to use Google’s web servers, APIs, and other developer tools to build a web app on top of. Google clearly has the scale and smarts to provide this platform service to developers. However, it begs the question: why would a startup want to hand over that much control and dependence to a big Internet company?

Let’s firstly review what this is – and what it is not. Google App Engine is similar to the Amazon Web Services stack, which rolled out at the end of 2006 and has since gone on to be utilised by many startups for their infrastructure needs. But it is not a set of standalone services like Amazon’s – which includes S3 for storage, EC2 for hosting and the SimpleDB database. Google App Engine is an end-to-end service and bundles everything into one package.”

Google mapping spec now an industry standard | CNET News.com 04/14/2008

Posted by thaadsma in development, google, mapping, microsoft, multimedia, user interfaces, web, web services.
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Google mapping spec now an industry standard | Tech news blog – CNET News.com

“”What OGC brings to the table is…everyone has confidence we won’t take advantage of the format or change it in a way that will harm anyone,” said Michael Weiss-Malik, Google’s KML product manager. “The goal is to prevent market fragmentation,” in which different technology uses different standards. “

Will the Google revolution engulf IT departments? | Tech Sanity Check | TechRepublic.com 04/14/2008

Posted by thaadsma in development, google, microsoft, mobile web, web, web services.
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Sanity check: Will the Google revolution engulf IT departments? | Tech Sanity Check | TechRepublic.com

“Gartner has embarked on a wide-reaching new study of Google and its potential impact on IT, enterprise businesses, and society in general in the coming years. On April 10 at the Gartner Symposium ITxpo 2008 in Las Vegas, Gartner Vice President Richard Hunter revealed some of the first data points from this study.

The two most interesting points were:

1.) The best way to think of Google is as a disruptive technology.

2.) Disruptive technologies create big losers and big winners, and one of the biggest losers in the Google disruption could be traditional IT departments.This new study is being conducted by a team of 15 Gartner researchers, led by Hunter, and the full report will be published in mid-2008. The title of Hunter’s presentation at ITxpo was “What Does Google Know?” The answer to that question was even more sobering than I expected, as the slide below demonstrates.

Gartner slide

Real-Time Events in Three Dimensions… at last? | MC Press Online 02/25/2008

Posted by thaadsma in development, games, ibm, multimedia, user interfaces, web, web services.
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Software That Depicts Real-Time Events in Three Dimensions May Offer Distinct Advantages |
MC Press Online

After years–decades!– of fits and starts, the latest 3D technologies coming to market offer real promise for real-world applications. Look for more information at this blog in the coming months as we focus on 3D technologies for market leaders.

One lively post to read right now at MC Press Online (HT to Mike Sansoterra):

“For some reason, which may date back to the Spanish Inquisition and threats of expressing our deeper beliefs, we have told ourselves that two-dimensional images are just fine and, if we could just see them in color, or just see them a little sharper, then we would feel quite happy-perhaps even blessed. Well, as the has-been news anchor Howard Beale says in the 1976 movie Network (directed by Sidney Lumet), “I’m mad as hell, and I’m not going to take it anymore.” Two-dimensional imagery simply isn’t good enough! I want my 3-D! “

Eight Tips on How to Manage Feature Creep | Six Revisions 02/21/2008

Posted by thaadsma in development, web.
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Eight Tips on How to Manage Feature Creep | Six Revisions : Web Development and Design Blog

Good advice as you start that next web development project. Click through to read the full list:

“Feature creep, also known as scope or requirement creep, refers to unforeseen requests for additions and changes that are outside the project scope. It typically happens due to inadequate requirements gathering, poor initial planning, and an unclear protocol for change implementation, among other things.

In this article, I’d like to discuss eight tips and suggestions, based mostly on my experience, to help minimize and manage the effects of feature creep in your own projects.”

HT to Rob Steenwyk @ i3

Website Magazine : Eye Tracking for Better Creative 01/17/2008

Posted by thaadsma in analytics, design, development, web.
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Website Magazine : Eye Tracking for Better Creative
Nice service for web usability from OneUpWeb:

“OneUpWeb today announced the launch of their eye tracking service. For those not familiar with eye tracking, it is a process of measuring where users look or the motion of an eye relative to the head and essentially measure eye positions and movements.

Eye tracking technologies are used often in the tech environment to track the effectiveness of different advertising media – from web pages to banner ads and pretty much everything in between. What those utilizing eye tracking learn about are the visual behaviors of consumers while interacting with “creative”.”