How do you get everyone to stick to the strategy? With doctors, CEOs, and Congress all trying to move healthcare forward, where is the progress? This week’s discussion dives deep into the components of making change happen. From shared understanding to aligned incentives, Stacey Richter from the Relentless Health Value Podcast and I explain why change is so hard and how to get everyone working towards a common goal.

NOTE: This is our first ever simulcast! You can listen here, or on the Relentless Health Value podcast. Same content. Slightly different intro 🙂

0:43 Everything in the industry is viewed very differently by different parties. There are different, sometimes conflicting incentives for each party. When you understand their motivations, you start to understand why certain moves make sense.

2:57 If you don’t have a language you can’t have conversation.

4:43 Organizations are realizing they need to work together. If you can’t talk about shared priorities it’s really difficult to collaborate.

6:49 Transparency is becoming more known as consumers start to have access to pooled information. The cascade to transparency has started.

12:05 You’re not going to stop healthcare costs from going up for a very long time but that doesn’t mean that good things aren’t happening on the ground floor.

13:40 Once you pay for something, it becomes a priority. The linchpin is how fast can we get the economic incentives in place?

16:11 A few of the many reasons interoperability is a low priority for small practices.

18:06 Are you willing to help your competition if it’s what’s best for the patient?

19:29 How do you create environments where it’s safe to share patient information? HINT: If everyone does it, there’s no competitive advantage.

25:20 “For every complex problem there is an answer that is clear, simple, and wrong.” – H. L. Mencken

28:10 Is your bonus is tied to something that is counter to company goals?

30:20 Dr. Anne Beal said that her generation was defined by the haves and the have nots, now it’s the knows and the don’t knows. Knowing that info exists and having the tools to go out and find it are different but equally important.

32:37 Enabling doctors to do their jobs and a discussion on the need for evidence based clinical decision support.

40:14 It’s not technology, it’s good technology. If you don’t like a certain technology, have to awareness and patience to understand that it’s probably not good technology.

42:23 C-suite strategy vs Short-term incentives

45:22  Create a culture where people follow the principles of the organization and feel safe to make mistakes.

48:02 Critical thinking is difficult and with a million priorities that are all fighting for attention we’re distracted and don’t have time to do the right thing. If we’re unable to find the space and time to put the patient at the center it’s all just words.

51:39 What an organization does is the result of a thousand tiny decisions. Put your foot down if you see someone making a decision against the best interest of the patient.

53:23 What feedback do you get? How do you see if what you’re doing is working?

Listen to the interview:

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About Stacey Richter

Co-President, Principal at Aventria® Health Group

Stacey has 20+ years as a health care strategist and innovator specializing in niche market engagement, raising above-brand performance, and HIT-integrated programs. She is the host of Relentless Health Value, a weekly interview podcast for leaders at payers, providers, employers, life sciences, health tech, and patient advocacy organizations.

About Relentless Health Value Podcast

Relentless Health Value is a weekly interview podcast hosted by Stacey Richter since 2014. A dynamic health care entrepreneur and innovator, Stacey has spent more than 20 years mentoring clients and colleagues in the shared pursuit of health care value. Subscribe to the podcast and spend an hour with us every Thursday.

Relentless Health Value is the show that connects you with other health care leaders trying to achieve the triple aim of improving population health and patient experience, while managing costs effectively. Our mission is to help transform health care by breaking down silos and connecting disconnected parts of our industry. The first step toward collaboration is simply knowing what others are working on and wrestling to overcome.

Relentless Health Value is for business leaders working in payer and provider organizations, as well as for pharma, medical device, patient advocacy, and other health care businesses. It’s an ideal resource for health industry innovators and entrepreneurs or aspiring entrepreneurs who strive to improve health care every day. “No outcome, no income,” is the mantra we live by daily.

We all know the health care business is not, and has never been, an easy business. The barrier to entry is often high, the cost of doing business, equally high. Success is often a frustrating tangle of regulations, litigation risks, perverse incentives, and technology requirements.

However, those of us not daunted by the challenge can thrive in these times of great change. The Affordable Care Act has reset incentives ─ value over volume. Health care value has become more than an intellectual talking point. It is now a business imperative. We’re in an era of evolution and disruption. And while change breeds pain, it also is the genie of great opportunity.

Let’s get inspired. Let’s talk to health care leaders and innovators who are making waves in our industry and who can inspire us. Let’s hear from the boisterous and from those who are quietly achieving greatness. Let’s support those who can turn disjointed health care services into value-based systems. Finally, let’s join health care builders and disrupters who share our goals to reorder the health care universe.

Everyone working in the health care industry has a story to tell.

Related and/or Mentioned on the Show

Relentless Health Value

On Twitter @RelentlesHealth


Aventria Health

Dr. Anne Beal on RHV

Dave Chase on TheHCBiz

Alex Jung on RHV

Joe Murad on RHV

Thinking, Fast and Slow In the international bestseller, Thinking, Fast and Slow, Daniel Kahneman, the renowned psychologist and winner of the Nobel Prize in Economics, takes us on a groundbreaking tour of the mind and explains the two systems that drive the way we think. System 1 is fast, intuitive, and emotional; System 2 is slower, more deliberative, and more logical. The impact of overconfidence on corporate strategies, the difficulties of predicting what will make us happy in the future, the profound effect of cognitive biases on everything from playing the stock market to planning our next vacation―each of these can be understood only by knowing how the two systems shape our judgments and decisions.

Engaging the reader in a lively conversation about how we think, Kahneman reveals where we can and cannot trust our intuitions and how we can tap into the benefits of slow thinking. He offers practical and enlightening insights into how choices are made in both our business and our personal lives―and how we can use different techniques to guard against the mental glitches that often get us into trouble. Winner of the National Academy of Sciences Best Book Award and the Los Angeles Times Book Prize and selected by The New York Times Book Review as one of the ten best books of 2011, Thinking, Fast and Slow is destined to be a classic.


Word to the Wise: Think of 3 answers to a problem before you make a decision. This will buffer against knee jerk reactions.

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