Category: Perspectives

Creating a Performance Culture

Saturday, 11 June, 2011 22:35 Written by Vijay Goel, MD
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Culture

Just came across Netflix’s internal presentation on their culture.  It’s a pretty fascinating look at their approach to personnel.  Looks a lot more similar to a sports franchise than a public company.

This would indicate that the War for Talent is alive and well…and that companies are much better adding a few very talented individuals over many averagely talented individuals.

In the realm of the information society, where power laws rule over averages and medians, it seems that organization of organizations is beginning to shift.

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Creating Fundamentally Valuable Information in Health | Health Information Economy

Saturday, 12 February, 2011 12:34 Written by Vijay Goel, MD
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This is the 2nd post in the Health Information Economy series.  We are outlining a number of elements outlining a vision for a robust health information economy as we put together a submission for the Economist-Innocentive Health Information Economy Idea Challenge.

What is Fundamentally Valuable in Health?

Those who find better, cheaper approaches to improve health should be rewarded, right?  Therefore, there should be a market for information that enables these systems to be put in place.

Unfortunately, the marketplace in healthcare (with a focus on the US) does not measure nor reward the improvement of health.  Today’s fragmented health systems are dominated by the needs of large players, each attempting to maximize their share of the pie for the specific transactions and services they perform.  In such an environment, the actual value of the services delivered to any individual matter much less than the negotiating clout of each of the players and structure dictated by the biggest payer — the government, regardless of the impact to the health of any specific individual or community.

For the purposes of this exercise, we will not start from this current model as a given.  Instead, we will assert that each individual would value the best possible health outcomes for them at the lowest total cost to them and their family.  As individuals aggregate into groups, the same standard should hold, but at the group level.  By this definition, value would be created as organizations discovered how to maximize the outcomes for individuals along some pricing curve.

Health Value Curve

As we look to create a sustainable Health Information Economy, we assert that in order for this new economy to exhibit rational and ethically consistent behavior, there must be rewards for those that can demonstrably improve the health of individuals and populations while holding down cost.  A Health Information Economy based on a currency of improved health value creates rational incentives down the line.

How would one measure this currency?  We’ll explore some possibilities in our next post.

A future health care information economy? Create a compelling vision of the future and win a prize

Friday, 11 February, 2011 19:55 Written by Vijay Goel, MD
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We’re excited to start a series of articles outlining our vision of the future of health care (and the information elements that will make this possible).

We’ve decided to put together an entry for the Economist-Innocentive Health Information Economy Challenge and hope that you’ll help us sharpen out thinking on various elements as we try to put it all together.  While the prize money isn’t substantial ($10,000), it’s an area we certainly have a number of strong perspectives around.  It’s a topic that seems to engage all of our areas of focus: innovation and strategy in health information technology. :)

Strategic perspectives, of course, are not well-written prose, so we hope that you will help point out the logical inconsistencies in our upcoming writings and help us battle-test these perspectives so we can put them all together into one well-crafted position paper (which we will of course share after our submission).

Look forward to your feedback and hopefully to some friendly sparring.

Best,

Vijay