Healthcare social media

SpyvsSpywithoutbombs775529When I run I tend to let my mind go blank–some of you who have been regular readers might suggest this is a steady-state for me. It’s during those runs after I’ve released all the clutter that I’m able to work on my book or come up with new ideas. Today was one of those days. It usually doesn’t make much sense where the ideas come from. There aren’t any segues. A bunch of stuff just floats around and all of a sudden, I have an indication of something I want to say. It’s a little like dreaming with your eyes open, except it’s sweaty.

So as I’m pounding the pavement today, an idea surfaces. I’m reminded of a book I read several years ago entitled, Inside the Aquarium. It’s a book about the secret Soviet military intelligence agency the GRU. The GRU’s headquarters was a building named the Aquarium.

Its author describes his first memory as a member of Soviet Military Intelligence: watching a film of an execution of a would-be defector. The defector in question was strapped into a coffin with an open lid, elevated slightly so he could see what was coming, and then traversed slowly down a conveyor belt into a blast furnace, screaming all the way. The author, along with the other recruits, was getting an extraordinary indoctrination into the concept of social networking. Although I have no evidence to support this, I would assume that he and his fellow recruits did a very good job of relaying the message of what happens to traitors.

Social networking isn’t new. The only new thing about it is that it has a label which means consultants can charge to help firms to figure out how to deal with it. It’s been around for long time. I remember in high school when kids would argue, who made the better car, Ford or Chevrolet. It came down to which of the two cars your family owned. If you owned a Chevrolet, you said Ford stood for Fix Or Repair Daily. If your family owned a Ford, you referred to Chevrolet as Chevy-let-lay. It sounds silly, but I still remember that and it probably has something to with with why I buy foreign cars.

If properly designed, the social networking message has legs. It doesn’t require a computer. It probably doesn’t even have to be based in fact. If I recall, there was even some discussion in the book as to whether or not the execution ever took place. Even if the execution was only mythical, the GRU certainly communicated the message. Customers communicate many messages; some based in fact, some purely mythical. Once the message gets out, it’s difficult to put it back in the box. Even if there is empirical evidence that the GRU never executed anybody, chances are that their agents behaved as though they had.

Bringing this discussion back around to a business focus, there are two perspectives to consider. How much damage are your patients causing by the messages they let out-of-the-box? And second, how much damage is the organization causing by not proactively getting their messages out-of-the-box? It’s time to start sweeping the rug under the carpet.

eddiesmal

Conversations with a Wildebeest

my neighbors

my neighbors

Today’s narrative follows directly from yesterday’s tale of the wildebeest, so it may be helpful to revisit to prior post.  Suffice it to say that the Neiman’s set wasn’t thrilled to learned I  compared them to our cloven friends.

One rule of the Kalahari is that the pursuer must approach the prey stealthily. Picture if you will a David Attenborough looking and sounding chap, more suitably attired to attend a formal tea than a desert trek, inching towards that same Baobab tree we discussed in a prior narration. Bands of perspiration rim his pith helmet, darkening it. He pats his forehead with a freshly pressed linen handkerchief and returns it to the breast pocket of his Khaki shirt. The wildebeest have moved from the shade of the tree to the nearby watering hole. While some stand guard, he notices that a few at a time quench their thirst. For protection the youngest of the wildebeest ensconce themselves in the middle of the circle. The narrator moves the boom of his microphone towards the herd.

“Did you see the Greatest Looser last night?”  Inquired the group’s leader.

“I TIVO’d it.”

“Can I come over and watch it with you?” asked a third as she quenched her thirst with a half-caf, mocha frappachino iced latte. “I totally spaced.”

The circle of soccer moms seemed to tighten as they saw me approach. “Still blogging?” coyly asked the wildebeest—cum soccer mom–wearing the Lilly Pulitzer capris.

All wildebeest aside, here’s the deal. I want to have a conversation with you. I need your help. Here’s my premise. Somewhere along the way we lost our edge, our hunger for excellence. There was a big push twenty years ago, a lot of attention was paid to the topic, and a lot of people cleaned up writing books and giving seminars. I want your help in understanding what brought about the loss of excellence and what can be done to turn it around. I’d like to learn what you’ve seen and heard. You don’t have to name the organization. I won’t name names, yours or the organization. You can send me a message, a private email, or post it for everyone.

Some ideas for comments include but aren’t limited to:

1. What’s broken
2. Why isn’t it being fixed
3. Where does the breakdown for excellence occur
4. Why patients leave
5. What makes them mad
6. Why do they hate a given provider
7. Do patients think they matter
8. Who has the power to solve the problems
9. Do providers want to be excellent business people
10. Is excellence profitable
11. What 3-5 things can a provider do to get on the right path
Thanks in advance.

How does this impact EHR?  It has everything to do with it.  If you only remember one thing, let it be this: It’s not about the EHR.  The EHR is a vehicle.  It can either be a vehicle for change, or it can be used to hamper change.  All the EHR really does it automate certain things.  It’s easier to automated inefficient and ineffective things than it is to automate efficient and effective things.  Why?  Because the bulk of the work lies in making them efficient and effective.  That’s where the change management and workflow efforts come into play.

My best- Pauleddiesmal