Post on 07-Jan-2017
Prentice Tom, MD FACEP2016 VSee Conference:Secrets to Success
The Asian Financial Crisis, Bosnia and Jeet Kune Do
Culture, Team and Adaptability: The Keys to Enterprise Success
CEP America2000 → 2016
Enterprise Success = Creating a Differentiating Value through Innovation
Ski tough or go home!
Whoa, steep!!
What’s up with zombies
?
Jay Jenkins Feb 28, 2014 at 8:08PM
You've worked hard, saved money, and even started investing. You're prepared for a financially fit future. That is until the hoards of zombie marauders come knocking. In the zombie apocalypse, where should you stash your hard-earned money?
Gold has been a store of value for as long as goods have been traded. People want gold, a finite resource, which drives its value far beyond its intrinsic value. And in a zombie apocalypse, I think gold would do quite well. If society collapses, those who survive will likely turn to gold as the de facto currency of post-apocalyptic trade.
Overstock.com is prepared for the worst, with a stockpile of precious metals in a secure location in Utah.
The company has enough food, and cash stored up to survive a disaster scenario that would doom the average retailer, CEO Patrick Byrne told Buzzfeed News.
That means hiding away $6 million in gold… in an undisclosed “safe space” in Utah, plus a 30 day supply of food.
1997 Asian
Financial Crisis
South Korean Stock Exchange1997 - 1998
Estimated time to recovery = 10 years
South Korean Stock Exchange1998 Recovery
Actual time to recovery = 18 months
South Korean Stock Exchange1998 Recovery
Actual time to recovery = 18 monthsSince 1997, South Korea has managed to triple its per capita GDP. Indeed, it resumed its role as the world's fastest-growing economy…
…catapulting South Korea into the ranks of the world’s wealthiest nations. South Korea’s ability to endure hardship and bounce back points to another lesson: the need for a sense of shared purpose and willingness to sacrifice. South Koreans rallied to help their nation, spending less, saving more and learning to be more competitive._______________1https://en.wikipedia.org/wiki/1997_Asian_financial_crisis[11/19/2016 4:26:28 PM]
2 Nytimes.com/2011/01/07/world/asia/07seoul. Lessons Learned, South Korea Makes Quick Economic Recovery. Martin Fackler, Jan. 6, 2011
Alone we can do so little.
Together we can do so much.
Bosnia was a crazy
place to be in ‘93.
600-800 patients /day (14 hours)
8 Million citizens300,000 deaths
Essentials for Prevailing Against Immense Challenge
Strong Culture• Camaraderie• Respect• Resolve• Engagement
Team Coordination• Shared mission• Focused effort• Sense of purpose• Communication
Culture = f (Leadership)Communicating the Why is
Critical
Illness and suffering triumphif care providers do nothing.
We have the opportunity to make change that matters
Hmm, I wonder if that snowball will turn into an avalanche?
Dude, that
would be total
chaos!!
Edward N. LorenzChaos Theory
Does the Flap of a Butterfly’s Wings in Brazil Set Off a Tornado in Texas? (1972)
Long range forecasts are impossible to predict
“Small” events can have unexpected consequences
The Libby Zion Example
Died 1984 at NYHCMC Meperidine + phenelzine
Resulted from long hours and lack of supervisionResident work hour limits, direct supervision, and cap on admissions
Libby Zion
… consequence of the regulatory changes in physician training… is the loss of professionalism by physicians… now viewing themselves as hourly workers … may sever the bond between doctor and patient - a bond that has been the bedrock of our conception of a physician.
The Bell Commission: Ethical Implications for the Training of Physicians 136-139 Ian R. Holzman, M.D. and Scott H. Barnett, M.D. The Mount Sinai J of Med, 67 (2); 2000
If we can’t predict the future,how does an organization deal with uncertainty?
Organizational Jeet Kun Do
“The most efficient means of countering is the stop-hit...When an opponent attacks, you
intercept his move with a thrust or hit of your own.”
Before the client can say: “We need the physicians to see patients faster.”
CEP has already said: “We have created a program that improves patient flow.”
Understand your customers so that you can predict and respond.
“I hope to free my followers from clinging to styles, patterns, or molds. ... My movements
are simple, direct.”
Patient experience:
Callback ProgramAirway Risk:
Difficult Airway CMEMD – RN Communication: Board
Rounds
Be laser focused.
“Put water into a cup, it becomes the cup.
Put water into a bottle, it becomes the bottle.
Put it into a teapot, it becomes the teapot.
Be water, my friend.”Population health is an issue
Readmissions is an issue
Bundled payments is an issue
CEP is population health programs
CEP is decreasing readmissions
CEP is bundled payment
“Aggressive Adaptability”
Aggressive Adaptability
??The slope is flatter. No
need to peddle hop. I can just link my turns
You have the cultureYou have the team.
You have the capabilities and resources.Still…
Without the 1% inspiration,the 99% perspiration is just
wasted effort.
Fragmented, difficult to access, risk averse client
Long sales cycle (bandwidth, evaluation time, low margins, cost over revenue mentality due to largely fixed revenue)
Our Healthcare Environment
BD resources are critical Capital and organizational fortitude
(to survive > 5-7 years without sig revenue) Consider your exit strategy at the
outset E.g.: merging with a large player
Technology Interoperability Big data Uniformity through care algorithms Provider clinical management through
EMR
Our Future Healthcare Environment
Commoditization of care and technology
How you partner with payers/providers will be
as important as your product Your value proposition will be your relationship with
clients – consider how you will innovate in this area Eg: Data without programmatic application has little
value Eg: Telecom that doesn’t address delivery system
processes will have little impact (and longer adoption).
Commoditization of payers/providers Consolidation
Convergence
Our Future Healthcare Environment
Large players integrated in local environments
“Medicine without Walls”
Understand how you fit (your value proposition), and be prepared for the changing
paradigm in health care delivery.
CMS Programs
Evolving Value Proposition Through Innovation
Callback
Program
Patient FlowRME
Risk Management
CDI / CMI
Population Health
Strategy
Palliative CareIntegrated
Clinical Pathways
Psychiatric Emergency Services
Telehealth
Service Excellence
Patient Experience
Practitioner
Education
EMR Support
Knowledge Management
MD – RN Relationships
Sepsis Program
ED Ultrasound
Leadership Training
Client Relationships
Product Enhancement
Infrastructure /Operations
“Signature Competency ”
Your unique enterprise value proposition(s) that differentiate your organization’s brand.
Core Competencies
Medicine without Walls
Culture
Team
AggressiveAdaptability
SignatureCompetencies
and enjoy these days.
Prentice TomPLTom@aol.com
Ski tough….