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Monday, 28 May 2012

If Google ran healthcare..................

A couple of days ago Mark Brittin, CEO, Google UK was speaking to a couple of hundred of healthcare people on improvement Google style. The first 7 on the list below are from his slides as principles that drive Google; the last 6 are what he said in his talk that I thought may have relevance to healthcare. 

Here are my early thoughts on what the Google CEO said and my understanding of how it might work in healthcare? I need to think more about it and am likely to post an update or change what I have written in the coming months. In the meanwhile....
What Mark Brittin said....
How I think it might work in healthcare.....


Focus on the user
Patient defined personalised pathways. Experience based design. (Current designs/pathways are built around  facilities and staff)
Open will win
Facilities as platforms for anyone to provide clinical care as long as care standards are met.
Ideas will come from everywhere
Other industry models. Customer service from hotels, safety from aviation, etc. To improve patient care 'copy shamelessly' principles
Think big, start small
More PDSA and roll up (rather than the current roll down)
Never fail to fail
I suppose we already do that more often than other walks of life but learning not to repeat the failures. Learning to fail safely.
Launch early and iterate
Continuous Improvement principles. Model for improvement. Evolution by stepwise changes.
Make it matter
Best quality, best cost at right time, every time to every patient


If you can’t spell it is our problem
If the patient will not take medication as prescribed it is our problem. If a patient comes in with MRSA/DVT from a nursing home, secondary care takes responsibility for this as well
You should get the answer even before you complete the question
Pro-active, extensive, repeated information in many formats
Internal ‘open’ is very important
All research, improvement can be presented/published after and only if it was rolled in and out within the organisation
Very small team to deal with big problems
Smaller MDTs, smaller numbers in meetings, smaller/shorter meetings. Enablers only
Speed is the forgotten killer app
Its not 4 hours, 2WW, 31/62, 18 weeks; it happens when the patient wants it to happen. In the quality puzzle we often forget time.
Aim to delight the user and figure out how to make money later
No need to reframe this one, I suppose



Here is a template for your use. Why don't you print this off and do your own list on how it might work in healthcare? Oh, if you did that, please share it by posting some of your thoughts as comments on the basis that 'open will win' and 'ideas will come from everywhere'.

What Mark Brittin said....
How I think it might work in healthcare.....


Focus on the user

Open will win

Ideas will come from everywhere

Think big, start small

Never fail to fail

Launch early and iterate
Make it matter



If you can’t spell it is our problem

You should get the answer even before you complete the question

Internal ‘open’ is very important

Very small team to deal with big problems

Speed is the forgotten killer app

Aim to delight the user and figure out how to make money later

 ©M HEMADRI



Will this work in healthcare? I think it will. What do you think?

©M HEMADRI

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1 comment:

Baladheepak AC said...

Brother, a simple post reflecting your passion.
Thanks for the link through susrutha