Designing the 'Care' into Health Care

"Improving the user experience could inspire people to tap into the system more regularly to help stave off more serious illness"

This article comes from an interesting perspective. Taking a look at what the patient is looking for from a designer's perspective. User centric needs is a subject that e-business advocates have understood for years now. Interesting to see the same fundamental logic put to a discussion of health care. Worth reading.

"To a designer's eye, efficiently providing for a basic need is indeed the fundamental issue. But it should be possible to go beyond rudimentary solutions to achieve the overall objective of a healthy population by also addressing an essential question: What does the individual want and need from the experience of health care?"

http://www.businessweek.com/innovate/content/nov2007/id20071121_967757.htm

Communicating Today & A Personal Note

"The application of technology has reduced differences among the productivity of transformational and transactional employees, but huge inconsistencies persist in the productivity of high-value tacit ones. Improving it is more about increasing their effectiveness for instance, by focusing them on interactions that create value and ensuring that they have the right information and context than about efficiency. Technology tools that promote tacit interactions, such as wikis, virtual team environments, and videoconferencing, may become no less ubiquitous than computers are now. As companies learn to use these tools, they will develop managerial innovations smarter and faster ways for individuals and teams to create value through interactions that will be difficult for their rivals to replicate. Companies in sectors such as health care and banking are already moving down this road". -

Eight business technology trends to watch

James M. Manyika, Roger P. Roberts, and Kara L. Sprague

December 2007, McKinsey Quarterly

This observation from the McKinsey authors is certainly true as they advise executives to understand that "Technology alone is rarely the key to unlocking economic value: companies create real wealth when they combine technology with new ways of doing business".

Technology is meant to carry out our intentions and that requires our ability to communicate clearly. In health care, a complicated world of the urgent and the measured use of skill and expertise, too much today gets in the way of connecting peoples' abilities and peoples' needs.

I have written before of my brilliant uncle, the business man and social innovator. Just before Thanksgiving, on the evening of his 97th birthday, he died. Still brilliant and provocative and knowing. His pacemaker replacement had been successful but with some complications. Painfully, I will always believe that a major complication was the contractual relationship that the facilitating hospitals had to complete the surgery and aftercare. He just stayed in the hospital too long with too much transportation from one place to another for simple tasks to be performed.

Communicating in today's world often means implementing at the same time. For my great great uncle, this was something he clearly understood.

Sal

Communication Today & A Personal Note

Walking On Eggshells

It's not uncommon in dysfunctional families to hear the phrase "it's like walking on eggshells" used to describe the difficulties of communicating with one or more family members who tend to control or even terrorize free exchange.

Sometimes, its subtle and sometimes, the process is brutal. However, feeling that the truth is dangerous or painful, rather than expected, permeates the everyday wellness of everyone involved.

In today's workplace, where there is assertion of being global, diverse and inclusive, there is often an undercurrent questioning of what is really true.

Sensing that geo-political references and "other influences" may actually be driving certain organizational behaviors today, tend to put unspoken pressures on people. We work to achieve objectives and don't always feel able (free) to talk about what's on our minds.

Now this may seem dramatic. But is it? In a world economy, driven by network centric information, brokered by players who have sometimes obscure value chain relationships, where are the places to speak freely?

Issues like outsourcing are often spoken about as inhibitors and conversely, as natural growth patterns by the same organizations when they need to define or defend decisions accordingly.

Confusion, as part of a working strategy, is not so unusual.

Walking on eggshells. It's something that people practice in places they don't quite trust -- yet don't feel ready to leave.

So, they learn to live with it and walk gently.

Does this sound familiar to you?

Health & Care - Are They 2 Seperate Thoughts?

I paid a visit to my uncle today. He is in a nursing home which is serving as a re-hab center following two recent surgeries to replace his twenty year old pace maker. My uncle will be 97 years of age in a few weeks. He is brilliant and witty and wanting to go home.

I have written about him before. He has been an extremely successful entrepreneur and community leader. Recently, he offered an opinion on people who resisted change in the workplace, saying that in business, "change makes people aware of you".

Today, my uncle seemed a bit weary of the now seven week stay in one facility or another. What's really troubling -- is that he has done quite well with his two, very detailed surgeries. It's the travel from one facility to another for the follow-up needs that have been difficult. And its the waiting, based on one doctor's schedule, for one piece of awkward equipment to be removed that is taking its toll.

My uncle waits. The staff waits and the family becomes more frustrated for this one moment of aggregated understanding to approve a simple action that will give him some relief.

Sometimes, it seems as if the intelligence we have built inhibits the very objective of our expertise and our skills.

It's as if my uncle's health and his care are two separate entities right now, caught in an overcomplicated health care system.

The irony is that in his "local" hospital his name is on the wall because he helped contribute to building that institution. Of course, he was concerned when he was first told that he would need to go to a much larger hospital for surgery. However, when I visited him in the more complex hospital , I marveled at how the medical team had managed to maintain his comfort level and intimacy of treatment. It was testimony to their professionalism and their core values.

But now, valuable time and patience (his and his family's) have been lost, mostly due to schedules and additional transportation. One has to wonder what causes these unfortunate hold-ups.

In an earlier blog, I wrote about the simple truth that we can get information for any part of any automobile faster than we can get information about medical records in most cases.

While there are reasons to argue for this medical gap, information and implementation go together in health care.

Old schematics for how to organize hospital patient treatment are based on doctor's schedules and shared cost structures between the hospital and the doctor.

These agreements are long overdue for re-structure. Of course, this is only a single thread in a complicated story. However, it did not look so complicated this afternoon.

PS: Later this morning, I hope to call my long time friend and mentor in the UK, who is bravely traveling and continuing to work while in need of some serious orthopedic surgery. She is waiting in the U.K. health care system to be told when she can have the operation.

Sound familiar to a family experience in your life? Welcome your comments.

Sal

2 Interesting Health Care Stories In One Day

Microsoft Offers System to Track Health Records – NY Times 10-5-07

Microsoft is starting its long-anticipated drive into the consumer health care market by offering free personal health records on the Web and pursuing a strategy that borrows from the company’s successful formula in personal computer software.

Microsoft announced HealthVault, an online platform where personal electronic health records can be stored.

The platform allows patients to share medical information with doctors and hospitals.

The venture by Microsoft, which is called HealthVault and was announced yesterday in Washington, comes after two years spent building a team, expertise and technology. In recent months, Microsoft managers have met with many potential partners, including hospitals, disease-prevention organizations and health care companies.

The organizations that have signed up for HealthVault projects with Microsoft include the American Heart Association, Johnson & Johnson LifeScan, NewYork-Presbyterian Hospital, the Mayo Clinic and MedStar Health, a network of seven hospitals in the Baltimore-Washington region. The partner strategy is a page from Microsoft’s old playbook. To make its operating system, Windows, the dominant platform for personal computers, Microsoft persuaded other companies to build on its technology, and it helped them do it.

“The value of what we’re doing will go up rapidly as we get more partners,” said Peter Neupert, the vice president in charge of Microsoft’s health group.

http://www.nytimes.com/2007/10/05/technology/05soft.html?adxnnl=1&adxnnlx=1191557955-tS2/OkL+ExNjTfcQu/x47A

More Doctors in Texas After Malpractice Caps – NY Times Oct. 5, 2007

Four years after Texas voters approved a constitutional amendment limiting awards in medical malpractice lawsuits, doctors are responding as supporters predicted, arriving from all parts of the country to swell the ranks of specialists at Texas hospitals and bring professional health care to some long-underserved rural areas.

The influx, raising the state’s abysmally low ranking in physicians per capita, has flooded the medical board’s offices in Austin with applications for licenses, close to 2,500 at last count.

http://www.nytimes.com/2007/10/05/us/05doctors.html?hp

I have been away for a while working on a health care project and frankly, thinking a great deal about what we can really do to help one another in our workplace.

Please feel free to comment.

Sal

Someone of Age to Influence The Future Workplace

An 80-Year-Old Poet for the MTV Generation


By MELENA RYZIK
Published: August 27, 2007

MtvU, the subsidiary of MTV Networks that is broadcast only on college campuses, will announce today that it has selected its first poet laureate. No, he doesn’t rap. And it’s not Bob Dylan, or even Justin Timberlake.


It is John Ashbery, the prolific 80-year-old poet and frequent award winner known for his dense, postmodern style and playful language. One of the most celebrated living poets, Mr. Ashbery has won MacArthur Foundation and Guggenheim fellowships and was awarded a Pulitzer Prize in 1976 for his collection “Self-Portrait in a Convex Mirror.”

Excerpts of his poems will appear in 18 short promotional spots — like commercials for verse — on the channel and its Web site (mtvu.com, which will also feature the full text of the poems). In another first, mtvU will help sponsor a poetry contest for college students. The winner, chosen by the Pulitzer Prize-winning poet Yusef Komunyakaa, will have a book published next year by HarperCollins as part of the National Poetry Series.

“We hope that we’ll help discover the next great poet that we’ll be talking about for years to come,” said Stephen K. Friedman, the general manager of mtvU, which broadcasts at 750 campuses nationwide.

http://www.nytimes.com/2007/08/27/books/27laur.html?_r=1&oref=slogin