Before Disrupting Healthcare

    What Innovators Need to Know

    A book on everything important for launching or investing in a health information startup. Accessible, insightful, and hype-free, it’s a must-read for those innovating in the health space.

    Chapter 1: Preface

    Explains the book’s goal and some acronyms you may encounter in it.

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    Chapter 4: HIEs

    Understand Health Information Exchange as a product and market.

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    Chapter 2: Landscape

    Describes the status quo in EHR, PHR, HIE, MU, ACO & Digital Health.

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    Chapter 5: Emerging Tech

    What new tech and trends will reshape healthcare tomorrow, and how.

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    Chapter 3: EHRs

    Insights on Electronic Health Record  components, nuances and vendors.

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    Chapter 6: Entrepreneurship

    Tips and caveats about running a startup in this space, and winning.

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    Pallav Sharda

    Pallav Sharda

    After finishing medical school in 2001, Pallav veered into a technology-focused career that enabled him to work at medical device companies, health insurers, hospital systems and startups.

    His non-clinical career started in 2003 with GE Healthcare’s Electronic Health Record (EHR) business. During that time, he also taught at the graduate Medical Informatics program at Northwestern University. Subsequently, he joined Kaiser Permanente to work on Clinical Data Analytics and Population Health Management technology initiatives. He then transitioned to UnitedHealth Group and led the Product Management team for Health Information Exchange (HIE) solutions. Before leaving the corporate world in 2014, he was the Director of Health IT Interoperability initiatives at Omnicell, Inc.

    Pallav received his MBA from Northwestern University (IL), Masters in Medical Informatics from Columbia University (NY), and a Bachelors of Medicine and Surgery (MBBS) from Delhi University (India).

    This is the best book to read to understand the health care IT landscape. It gives a historical perspective of evolution of different health IT systems and the different high level areas of IT systems that support the healthcare system in USA. Must read for an engineer, product manager or designer working or interested in working in healthcare. I am not sure if people who have been working in healthcare also have a good understanding of the entire landscape. Chakri Uddaraju

    Engineering Manager, Facebook

    The single best source for current and future opportunities in healthcare delivery.  Dr. Sharda has an uncanny ability to both summarize and dissect a very complicated byzantine ecosystem that is ripe for true innovation using technology.  If you want to be a part of the solution, I strongly encourage you to read this book. Adam Schlifke, MD, MBA

    Anesthesiologist, Kaiser Permanente Medical Group

    I would wholeheartedly recommend this book to anyone joining the healthcare corporate world, whether in a provider (hospitals), payer (insurance companies) or vendor capacity. Whether it is your first job out of college, you transitioned from another industry, or moved within related industries such as Pharma or biotech, understanding the landscape is critical to your professional success.

    It can be read in one sitting, but it would be a bit like drinking from a fire hose, especially for the uninitiated. Do not be deterred, and keep this book in your library. It works great as a lasting reference tool, and I found myself looking up terms on a frequent basis. Onne Ganel

    VP, Omnicell Inc.

    A useful book that provides a nice tour through the acronym jungle of Healthcare IT. Entrepreneurs will save a ton of time by having this ‘map’ in hand. Nigam Shah, PhD

    Faculty, Stanford Biomedical Informatics

    Basically $1 behind-woodshed talk about healthcare system – how does it work, what do terms mean. Best value in healthcare- a new handbook – think of it as pocket guide to the system! David Shaywitz, MD, PhD

    Chief Medical Officer, DNANexus

    This book is for anyone who is just about to enter the world of healthcare innovation and those who are floundering so that they can understand why it seems hard to move forward. Grace Soyao

    CEO, Self Care Catalysts, Inc.

    This is a great introduction to the Healthcare IT ecosystem from an expert who’s lived through the industry’s biggest growth era. The entrepreneurship section is essential reading for anyone trying to enter this extremely competitive market. Michael Cantor, MD, MA

    Senior Director, Pfizer

    Before Disrupting Healthcare is must-read material for anyone new to the healthcare technology space. Using plain English and plenty of examples, Pallav breaks down segment after segment clearly and completely, creating a blueprint for entrepreneurs to navigate industry, policy, funding, mentorship, and more. This should be required reading for anyone seeking funding and starting a company. Naveen Rao


    Dr. Pallav “HITman” Sharda offers a straight-shooting and refreshingly blunt primer on Health Information Technology, its domains, what ails it, and what the path forward is.

    However, do not assume that this is a book for just the novice – even healthcare’s battle-scarred veterans will be amazed by the insights. With Ambrose Bierce-like irony combined with analogies that hit home (e.g. ICD10 use is akin to asking the neighborhood grocery store to deal with SKUs at the Walmart scale), Dr. Sharda has delivered an un-putdownable read for HIT enthusiasts! Siv Raman, MD, MS

    VP, Anthem

    The book was chosen to be California Tech Council’s selection as “Book of the Month” for February 2017. Pallav went on Inside the Founder’s Studio podcast to talk about the book, as well as entrepreneurship in healthcare in a wide-ranging discussion. That episode is available in CTC’s Podcast Archive. California Tech Council