ZenStorming

Where Science Meets Muse

Archive for the ‘Healthcare’ Category

Inspiration from “The Rebbe” into Redesigning Healthcare, Starting with the Word We Use

Posted by Plish on June 14, 2014

While driving to a 24 hour Walgreens in the wee hours of the night, I was listening to the radio and heard an interview with Rabbi Joseph Telushkin, author of Rebbe: The Life and Teachings of Menachem M. Schneerson, the Most Influential Rabbi in Modern History.

Rebbi Telushkin pointed out that the Rebbe believed in the power of words and he made it a point to use optimistic, positive words.   So strong was the Rebbe’s belief that it influenced the author, Rabbi Joseph, to use the words “due date” as opposed to “deadline” when talking about projects.  “Due dates” are synonymous with births, “deadlines” with, well, death.

The Rebbe carefully chose his words and therefore used the phrase beit refuah, when he spoke of a hospital.  Translated it means ‘house of healing.’  Most people used the term beit cholim, which means ‘house of the sick’.

Think about that.

When you hear the word “hospital” what do you think of?

If you’re like most people, you’ll probably say, “That’s where the sick people are.” Maybe you’ll mention something about people getting better but, odds are, the first thing that’ll  probably come to mind is sickness, not healing.

That’s interesting because the word “hospital” comes from the Latin word hospes. The word meant a foreigner/stranger or guest.  It’s actually the root word for “hospitality”, “hostel”, “hotel”, and “hospice”.

Do you consider hospitals synonymous with hospitality?  While the Ritz-Carlton has given customer services lessons to healthcare facilities, and many hospitals are upgrading their food quality and redesigning their interiors, the cultural change hasn’t occurred yet.  People still don’t identify hospitality with hospitals.  For that matter, unfortunately, I don’t believe that healing is identified with hospitals. I’ve even heard of hospitals being described as those places where people get sick!

Some places are making the change and trying to change peoples’ impression of what healthcare facilities represent.

Cancer Treatment Centers of America has taken the step of using green colors and logo that has a tree and a person playing and a dog.  They clearly want to convey their commitment to life and living.  Their facilities are even designed in V-shapes, almost like open arms.  They really don’t look ‘hospitally’. Check them out some pictures here.

The lesson here is that language is important.   From healthcare terms, to renaming strategic plans, to renaming project ‘post-mortems’, I believe it’s important that we use terms that take us in positive directions and make us think of what it really is that we want to accomplish.  Too often we just use common phrases, seldom taking the time to understand the impact of those terms in shaping our worldviews and how we approach problems.

Whether it’s healthcare or a relationship you’re trying to improve,

think about the words you use,

think about the metaphors that describe your challenges,

think about the ramifications of words,

and choose words that build up, that inspire, that give life, that cause you to look at people and situations in new and exciting ways.

The Rebbe would be happy…

 

 

Posted in innovation, Design, The Human Person, Religion, Customer Focus, Healthcare, Wellness, Social Innovation, Service Design | Tagged: , , , , , , , , , , , , , , , , , , | Leave a Comment »

Going to Work With a KOL? Don’t Forget the Intangibles

Posted by Plish on June 2, 2014

Over the past couple of decades I’ve had the opportunity to work with many Key Opinion Leaders (KOL’s) during the course of developing medical products***.  KOL’s can be a vital part of a product development team.  In my experience, some were a pleasure to work with, others, quite frankly, were a pain.

There’s a good summary on selecting KOL’s here.   It’s not the whole story, but it’s worth checking out.

He mentions some great tips to sift out the KOL’s from the ‘regular’ folks (it’s important to remember that a person doesn’t have to be a physician to be a KOL):

  1. Regularly sought out by their colleagues for opinions or advice
  2. Speak often at regional or national conferences
  3. Have published articles in a major journal during the past two years
  4. Consider themselves early adopters of new treatments or procedures
  5. Help establish protocols for patient care

Also look at:

  1. The Associations to which the key decision makers belong, as well as the Research Groups that they work with
  2. The places they deem to be the key referral Treatment Centers
  3. The Treatment Guidelines/patterns employed by the various physician KOLs, as well as the general protocols that they follow
  4. The Clinical Trials they have participated in

I would add the following that get at the “intangibles”, and may cause you grief:

1. Does the clinician always seem to talk about money and/or royalties?  If so, you may have your hands full.  As I once heard a KOL say, “It’s not about the money, it’s about the money.”

2. Is the KOL talking about other ventures, or possibly products he/she wants to develop?  This could create friction about product concepts being developed in the future. There could also be ulterior motives to working with you.

3. Is the KOL personable?  Does he/she get along with people?  There’s enough stress in a product development process without a KOL adding more.

4. Does the KOL act like part of the team or like someone hired for an opinion? Even though laws seem to push you towards the latter, you want the former.  The latter knows and often acts like he/she is being paid for opinions.  That’s not necessarily a good thing.  See #5.

5.  Make sure time commitments are spelled out and understood by all parties involved.  Yes, KOL’s have their practices, but if they are truly committed to improving healthcare, they’ll understand that getting a new product to market is not clean-cut and predictable.  Everyone is short on time.

6. Because KOL’s are usually well published, they are great resources for helping to understand strategic landscapes.   That can often be more important to overall success than input on specific product attributes.

7. There are ethical and legal ramifications of using medical doctors as part of a product development process.  Be diligent about following the law.  You don’t need those types of stresses in your life.

With regards to KOL’s in general, it’s important to realize that designing a product based solely on KOL input is generally not a good idea.

Yes, a KOL may do 1000 procedures a year, but that person won’t use a product the same way as someone who does a 100 procedures, or for that matter, 10 procedures.   The majority of people who will use your products are not KOL’s.  Most KOL’s work at prestigious institutions and have resources available to them that most people don’t.  It’s important to know what the non-KOL’s have available to them.  If you design something to accommodate the majority, odds are it’ll work for the KOL.

Remember too that KOL’s are often laser sharp in their focus.  If they are great surgeons, don’t ask them about something that a surgical tech is doing during the procedure.  Ask the tech.

Better yet, don’t just ask.

Watch.

Observe what is going on before, during, and after the time when a product is being used.  Don’t just trust what people say they do.  People (even KOL’s!) often think they are performing an action, and even will tell you they are doing it if you ask them afterwards.  If you watch them, they may never do it or do it in a different manner.

Working with KOL’s can be exciting and insightful for all involved parties.  Keep these points in mind and it won’t be a drag on time, money and patience.

I’d love to hear your experiences with KOL’s.

***While this is written specifically for medical product development, these guidelines can apply to other industries.

Posted in Customer Focus, Design, Ergonomics, Healthcare, innovation, Medical Devices | Tagged: , , , , , , , , | Leave a Comment »

What Healthcare Providers Can Learn From This Taco Bell

Posted by Plish on May 17, 2014

The Best Taco Bell For Medical Procedures

 

There’s a Taco Bell that I’ve been stopping by for a quick taco or two.  I would stop there to get medical tests if I could.

??? What???

You see, every time I’ve visited and someone at the register needed to go and help on the food assembly line, that person has done something amazing.

Well, at least it’s (unfortunately) amazing by healthcare standards.

The person washes her hands.

I’m not talking the typical ‘bathroom’ wash that you see most people do.  You’ve seen it, it goes like this:

  1. Turn on the water
  2. Use a little soap if around
  3. Wash for about 5 seconds, maybe 10
  4. Shut the water off (if it’s not automatic)
  5. Shake the hands and grab a paper towel to dry(maybe)
  6. Leave

In fact, researchers have found that only about 5 percent of people wash their hands properly.

But, these folks at this Taco Bell are amazing.  They wash the way hands are supposed to be washed, which I must say, I usually don’t see consistently happening in healthcare facilities. (I’ve even seen healthcare workers skip the easier anti-microbial hand sanitizer squirt!)

The Taco Bell folks do the following:

I actually counted to see how long these people wash and rinse and they’re following best practices.    It also doesn’t matter if they’re busy or slow.  I’ve seen workers take the time to wash (and follow with an antimicrobial squirt) no matter how crazy the atmosphere or how long the lines.

This is a TACO BELL people!

Customers are there for their food and they want it quick.   Employees could easily pull a line that’s often heard in healthcare hand-washing studies: “I don’t have time to wash.” But, these conscientious workers have made it a part of their culture to make sure they wash their hands.

What’s even more important is that if employees are taking the time to wash, they certainly are doing other things right as well.

Congrats Taco Bell on Grand!  Keep up the good work!

For all the healthcare facilities out there, it might be worth doing some self-examination and asking, “Why can Taco Bell do it and we can’t?”

If you can’t find the answer, pay Taco Bell a visit and watch.

 

 

 

 

Posted in Case Studies, Customer Focus, Design, Health Concerns, Healthcare, problem solving | Tagged: , , , , , , , , , , , , , , , , | Leave a Comment »

The Time is Ripe for Physicians to Become Mobile Medical App Entrepreneurs

Posted by Plish on December 21, 2013

On September 25th of this year, after approximately 2 years of soliciting comments from Industry, the FDA released a guidance document entitled “Mobile Medical Applications.”  The document defines under what circumstances smartphone apps, and the like, are considered medical devices.   The reason that this is important is because if you or I create an app that performs some medical function, (e.g. it turns a phone into an electrocardiogram that records and sends irregular heartbeats to the doc,) it becomes a medical device and as such, regulations require that you register yourself with the FDA as a medical device manufacturer and become compliant to the regulations.  You may even have to submit a pre-market notification to the FDA for the app you choose to commercialize.  Ignore these regulations and you could be fined and even thrown in jail.

By issuing this document, the FDA acknowledged that it’s in the 21st century and that medicine is becoming more and more mobile.  It’s also acknowledged that the mobile medical industry is only in its infancy, so rather than anticipate what types of apps should be classified as medical devices, it created a framework for determining when an app is a medical device. (The ECG app I mentioned is but one example.) All in all, whereas most new regulations often can stifle innovation, this document isn’t like that.  It actually can further innovation.

This is because one particular group of developers (who also happen to be the app users) are in a privileged place – they are not considered medical device manufacturers and  hence  not required to register with the FDA.  Who are these folks?

Licensed medical practitioners (physicians, dentists, optometrists, etc.).

These professionals are able to innovate in a way that other app developers are not…with one caveat.  These doctors can only use their apps in the context of their own practices (or keep them within their group.) If a doctor chooses to commercialize the app, she then becomes a medical device manufacturer and all the regulations kick in.

Still, even with this caveat, physicians are in a very good place, entrepreneurially speaking.

Think about it.

By exempting physicians who create and use mobile medical apps,  physicians can:

  1. Receive real-time feedback on the suitability of the app for its purpose and modify/optimize it as needed.
  2. As a result of number 1, they  can ascertain what the potential market for the app may be.
  3. Buzz can be created about the app (both amongst patients and doctors) and results can be published if desired.

The above benefits are things that are very hard to come by in the medical device world (for that matter, they’re often difficult to obtain for non-medical products and services!)   In addition, they enable physician entrepreneurs to see if a business case can be built around the app.  If it can, time and money can be spent on registering with the FDA and becoming regulatorily compliant – in short, a medical device company can be started and the product commercialized.  (It’s important to note here that not all mobile medical apps are the same, even if they are regulated.  Some are under more stringent regulations than others and require different types of manufacturing systems.)

Again, this is an enviable position for physicians to be in.  Not too many entrepreneurs in regulated industries are allowed to do what physician entrepreneurs are able to do.  It will be interesting to see how many physicians answer the call to create apps that help others, and then build businesses from those apps.

If you’re a physician entrepreneur, or a non-physician entrepreneur, with a mobile medical app, I’d love to hear your story.  If you’re confused by the regulations, I’m here to help.

Posted in culture of innovation, Design, Entrepreneurship 2.0, Healthcare, innovation, Medical Devices, Quality Systems, Start-Ups | Tagged: , , , , , , , , , , , | 4 Comments »

Insights Into the Future of Healthcare From RSNA 2013

Posted by Plish on December 10, 2013

Last week I spent some time at the Radiological Society of North America (RSNA) meeting, networking, speaking with medical Thought Leaders, scouting new technologies. In particular I enjoyed the posters – it’s an opportunity to see what’s cutting edge in the world of radiology and interventional radiology.  (You can check out abstracts for papers, posters, etc. here.  I will be blogging in the future on their Radiology Cares pledge drive)

Radiology is an unsung hero in the world of healthcare.  Not only are these the people that make diagnoses based upon X-Ray, Ultrasound, MRI, CT and other visualization technologies, they also help heal people – doing certain types of ‘surgeries’ – through minimally invasive techniques that use access holes often much smaller than pencil.

Because these procedures are being done in a minimally invasive manner while viewing the inside of a person’s body on a LED/LCD screen, radiologists of all types find themselves on the cusp of some of the newest imaging and interaction technologies.  It’s no surprise then to see iPads, tablets, display screens and controllers of various types being mentioned in presentations, posters, and being exhibited.

If someone were to ask me what technologies I think will impact future healthcare, based upon what I saw at the conference, I’d mention two: Mobile and Interaction Technologies.

Mobile Tech

Mobile technologies go beyond iPads.  They represent a whole new network of interconnectedness – they enable collaboration and eliminate barriers of time and space.  What is key in this realm is fidelity: the x-ray/ultrasound/MRI/etc. needs to look the same on a handheld screen in Africa as it does on a 26″ or larger screen in Chicago.  While the newer iPads are being used for their high-resolution screens, the general rule is that the smaller the screen/image, the greater the chance of misinterpretation.  For the future, any company that creates a lighter, larger, higher resolution screen (folding perhaps?) will be the mobile device of choice.

Interaction Tech

While Apple may have paved the way for the acceptance of touch sensitive screens (though it is still being used as an interactive e-book platform for educational purposes), the world of medicine is moving beyond the limitations of touch on a 2D surface and diving into the 3D world.  In procedural suites a small screen is not only limiting, but a doctor or nurse that needs to maintain sterility can not easily interact with 2D touch surfaces.  Even when dealing with 3D data sets (CT/MRI/etc. scans), manipulating the data and being able to look in-depth at areas of interest is much easier and intuitive when using game controllers like Microsoft Kinect, Leap Motion and the like. I recorded a video of one such control system: the teistler imager DIAG system.  I played with it and found it extremely simple to use – even in its ‘rough’, prototypical state.

Are these the only technologies that will be impacting the future?  Hardly.  Technologies enabling us to look more accurately into the body without breaking the skin are growing in leaps and bounds.  (In fact, one problem is that certain imaging modalities like MRI can now detect miniscule, suspicious looking lesions. So, what’s the problem?   The lesion is so small, it can’t be found by any other imaging method, so it also can’t really be tested in order to make a definitive diagnosis.)  In addition, newer techniques are extracting more information from diagnostic images so that, in some cases, a diagnosis can be made without even having to take a biopsy. (There are even newer technologies being developed that enable diagnoses with only a small sample of blood.)

With technologies getting better, the world is getting smaller and the world of ‘ the small and unseen’ is becoming more accessible every day.  These are exciting times in the world of healthcare, and coupled with a patient centered approach, Radiology, both on its own and as support for other medical disciplines, will only help people live longer and healthier lives.

 

 

Posted in Conveying Information, Design, Healthcare, innovation, Medical Devices, The Future, Trends | Tagged: , , , , , , , , , , , , , , , , , , , , , | 1 Comment »

Sonic and Multi-Sensorial Branding

Posted by Plish on April 16, 2013

Over at FUSE 2013 , Scott Power, Senior Brand Strategist for Kaiser Permanente, discussed sonic branding vis-à-vis KP’s work with Audiobrain.

Power pointed out how sound is being used as a way to reinforce, not only the Kaiser Permanente brand, but their services, thus helping people get healthier.

Sonic branding is hardly new,  yet this powerful method is underused.

Many people think of a brand as represented by a visual trademark- a company saying: “This is us and what we represent.”  However, with regards to audio branding companies say, “This is what we are offering, and this is what we want it to sound like, and how we want it to impact your senses.”  But, it doesn’t need to stop there!

Walk into a McDonald’s. It has a certain smell.  Order a burger.  Nothing smells like a McDonald’s burger. Those smells are all part of the brand.  What about the colors? The feel of the cups?  The taste? The sounds that you hear when you wait in line?  Leave McDonald’s and imagine what it would be like if every car company had its own distinctive ‘new car’ smell.  What if each doctor’s office had its own smell that helped patients be more calm?

The brand is more than a logo, trademark or tagline.  The brand is tied intimately to the experience of a product or service.  It speaks through the languages of touch, sight, taste, sound and smell.    It’s creates the greatest impact when, not only does it speak for the company and its offerings, but you and I actually understand the language and it resonates with what we expect the brand to be saying. There needs to be consistency, or paraphrasing Sartre: pink cake needs to taste pink!

The exciting part of this, is that Audio branding is only the beginning…

Posted in Brands, Co-Creation, Customer Focus, Design, Experience, Healthcare, innovation, Musical Creativity, Service Design, The Senses, Trends | Tagged: , , , , , , , , , , , , | 1 Comment »

Innovating Healthcare, Starting With the Words We Use

Posted by Plish on March 30, 2013

I remember when I was a kid, my dad had gone for some tests.  He had never had major tests like this before because they were testing for a terminal disease.  The doctor shared the results and told him the results were negative.

His heart, and face sank…

“No, that’s good news!” the doctor responded, “It means you don’t have the disease!”

When I saw the below picture at MedicalHumour, I remembered the story and the power of words.

hospitals-the-only-place-where-the-word-positive-means-a-bad-thing

It got me to thinking again about the power of words. (Dr. Lera Boroditsky has done some amazing work on this)  In addition, research is showing, more and more, the power of positivity

So when I saw the above picture, at first I chuckled and shared it on my Facebook page.

And then I was horrified.

This isn’t right.  Hospitals are supposed to be places of healing.  Leaving aside the bedside manner of physicians, the very fact that a word that carries connotations of goodness, healing, joy, and forward movement is used to convey negative news is wrong.  How can we expect sick people to think in a truly life-giving and healing manner if they hear a ‘good’ word conveying bad news?

I’m involved  with the folks over at Positive Imperative.  These folks are busy ‘driving the world to positivity,’ understanding and fostering positivity and its role in our world. (I encourage you to join them as well!)  They have a movement called Posiwords that is about creating, and fostering the use of, positive words.

In a time when healthcare costs are rising, we need to take advantage of every edge we can to get people healthier quicker and with less cost.

What a better way to start than with the language that’s being used in the healthcare setting?

Co-creating a better healthcare system starts with this post.

What are some of your ideas for changing the words we use?

Posted in Co-Creation, Design, Healthcare, innovation, problem solving, Social Innovation, The Future, Wellness | Tagged: , , , , , , , , , , , | 1 Comment »

Amazing Innovations – The Lung-on-a-Chip

Posted by Plish on March 10, 2013

I was turned on to this video from a friend and wanted to share it with you.  An amazing step in the direction of creating a means to test drugs and treatments, without animals, and perhaps some day, with the patient’s own cells.  What I find particularly cool is the prospect of linking multiple versions of these together and modelling more complex systems.

Would love to hear your thoughts!

Posted in Biology, Healthcare, innovation, The Future | Tagged: , , , , , | Leave a Comment »

Innovating Healthcare Using Dieter Rams’ 10 Principles of Good Design

Posted by Plish on October 26, 2012

The above scene is from the home of a person who has some pretty serious lung problems.  This equipment is sitting next to the front door.  This is what the inhabitants of the house see every day.

It’s what guests see when they come in – when they sit down to play cards on a Friday Evening.

It’s the last thing people see as they leave the house.

It also epitomizes what’s wrong with healthcare, what’s wrong with a system that is about fixing things gone bad; about drugs, compliance, tests, equipment, data, insurance, doctors and hospitals.

Oh sure it works, but there is general agreement that it could be better – way better.

So it got me to thinking: What would a better designed healthcare system look like?

Instead of trying to visualize every detail of what revamped healthcare might look like,  let’s look at Dieter Rams‘ ’10 principles of good design’ (applied to healthcare) to inform our creative processes.

GOOD HEALTHCARE DESIGN…

  • Is innovative – What is really innovative in the above picture? The technology is decades old.  However, it’s not only innovative technology that’s needed, but innovative approaches to problems.
  • Is useful – By and large, people go to doctors and interact with healthcare systems because they need to – not because they want to.   Using innovative approaches (See above), there needs to be an element of usefulness that pulls people in to being healthier.
  • Is aesthetic – The rooster in the above picture has more going for it than the rest of the products.  Things that are aesthetically pleasing pull people in, making people touch, explore, even showcase! A doctor once remarked how he loved using a certain product because the packaging was cool.
  • Conveys understandability – What’s understandable in the above picture?  In a perfectly designed world, instruction booklets wouldn’t be needed.  Intuitiveness would reign.  The How’s and Why’s are conveyed via the design itself.
  • Is unobtrusive – In healthcare this is huge.  When it comes down to it, people don’t want reminders of health problems, or hospital payments, present at all in their lives, let alone being obvious.  Being healthy and interacting with healthcare should have a certain transparency and utility – it’s flexible enough to do what needs to be done with minimal fuss and muss.
  • Is honest – Many objects and systems in healthcare, even those in the above picture, are brutally honest.  But honest healthcare needs to be seen in light of the other principles of good design.  It needs to be true to itself in that people need to know that certain interactions result in certain results.
  • Is long-lasting – Health care is about long-lasting results. It shouldn’t be about ‘trendy’.  It should be about results that last.
  • Is thorough down to the last detail – It’s obvious that in the healthcare realm,  detail is paramount.  There shouldn’t be arbitrariness.
  • Is environmentally friendly – There’s a lot of room for improvement in healthcare, especially in the US.  Paperwork, drug and waste disposal, visual pollution (See picture above,) sustainable and yet disposable products, all these are challenges that only now, are beginning to be addressed.
  • Is as little design as possible – It comes down to providing what’s essential to do the job, nothing more, nothing less.  This is related to being unobtrusive and detailed.  On a systems level this is particularly difficult to address because of organizational tendencies to make sure arses are covered.  The good news is that if all the above principles are used, the need to cover arses should all but disappear.

Is it possible to design healthcare according to the above principles?    With current healthcare systems being stressed to the point of breaking, a redesign of the various facets of healthcare systems is not only possible but sorely needed.    While people are trying to live their lives as abundantly and authentically as possible, their interactions with clinicians and health care systems are a fertile ground for innovation.  Rams’ 10 principles for good design are as good a place to start as any.

What are your thoughts?

Posted in Authenticity, creativity, culture of innovation, Customer Focus, Design, Healthcare, imagination, innovation, Medical Devices, problem solving, Service Design, Social Innovation, The Future, The Human Person, Wellness | Tagged: , , , , , , , , , , | 2 Comments »

When US Healthcare Delivery Meets The Cheesecake Factory: The Stuff Innovation is Made of

Posted by Plish on August 24, 2012

 

What do the U.S. healthcare delivery system and The Cheesecake Factory have in common?

According to Dr. Atul Gawande, potentially a great deal.  The Dr. recently penned an article over at The New Yorker called, “Big Med.”  Inspired by his experience at The Cheesecake Factory (TCF), he wondered if perhaps there weren’t some way that the system at The Cheesecake Factory could be used as a pattern for US healthcare delivery.  After all, TCF delivers millions of meals in a cost-effective and profitable manner – why couldn’t the healthcare system treat millions of people in a cost-effective and profitable manner?

The Dr. shares that, indeed, there are already some clinicians implementing TCF-esque solutions.  While the Dr. doesn’t bring it up,    this article over at The Economist, highlights how healthcare delivery is undergoing innovation in India – reflecting in many ways, Dr. Gawande’s TCF inspired vision.

In response, Steve Denning at Forbes, wrote an article entitled: “How Not to Fix US Healthcare: Copy The Cheesecake Factory.”  Mr. Denning thought that Dr. Gawande was way off base using The Cheesecake Factory as a pattern.  He cited Innovation Scholar, Clayton Christensen, and then claimed that Dr. Gawande’s argument is flawed in these ways:

1.Wrong question
2.Wrong knowledge model
3.Wrong management model
4.Wrong conclusions about scaling

In actuality the above discussion is  both/and vs. either/or.  When trying to come up with truly innovative solutions, the goal is to take two or more ideas/metaphors, slam them together, and see what comes out of the mix.

Personally, I think Dr. Gawande’s perspective is highly provocative and has something going for it. His thinking isn’t ‘pie in the sky.’ There is, as the Dr. demonstrates, plenty of room for standardization and better management of spending/costs without sacrificing care.  Precisely because the TCF model is, on first blush, so different from the healthcare world and yet similar with regards to servicing millions in a cost-effective, profitable manner, that we will benefit greatly from creating a synthesis between healthcare delivery and what goes on in The Cheesecake Factory.

We should smash the TCF metaphor up against current healthcare practices and see what comes out of it.  That’s where great innovation will come from!    After all, the Cheesecake Factory IS successful and is doing something right. Many healthcare institutions in India ARE doing something right. The doctors in Dr. Gawande’s article ARE doing something right, saving money and improving outcomes.   There’s got to be something we can learn, be inspired by, and perhaps  implement and test, when metaphors dance into a tertium quid.

It doesn’t further discussions, and in fact limits solutions, to caricature Dr. Gawande’s insights.  Instead of claiming, as Mr. Denning did, that everything is “wrong” with Dr. Gawande’s vision, the discussion would be furthered by full-hearted listening, combining of metaphor, and dreaming of what can be.

I think the discussion would be even better if done over a meal at The Cheesecake Factory.

Posted in Best Practices, Design, Disruptive Innovation, Healthcare, innovation, problem solving, Service Design, Wellness | Tagged: , , , , , , , , , | 2 Comments »

 
Follow

Get every new post delivered to your Inbox.

Join 5,956 other followers

%d bloggers like this: