tom peters’ re-ima g ine ! toward consumer-driven health (care) excellence !

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Tom Peters’

Re-Imagine2006!Business Excellence in a Disruptive Age

Aetna National Accounts 2006 Consultants Forum/Laguna Niguel/01March2006

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Tom Peters’

Re-imagine!Toward

Consumer-driven Health(care) Excellence!

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Tom Peters’

Re-imagine!Toward

Client-driven Health(care) Excellence!

JanuaryFebruary

DukeApril

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Tom Peters’

Re-imagine!Toward

Client-driven Health(care) Excellence!

Aetna National Accounts 2006 Consultants Forum/Laguna Niguel/01Duke2006/Part #1

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Slides* at …

tompeters.com

*short (this one), long

Tom Peters’ Re-Imagine!

Toward Client-driven, CustomerExperience-animated, QUALITY-OBSESSED, OutcomeAccountability-focused,

InformationMeasurement-intensive, EMR-determined, Science-aware, PreventionWellness-centric,

Healing-aimed, ChronicCare-oriented, HomeCare-based, Boomer-sensitive,

Women’sHealth-directed, Revolution-insistent

HEALTH(CARE) EXCELLENCE Aetna/Laguna Niguel/Part #2

Evidence*-based/Outcomes-based ……………..…... DPay-for-performance …………………………………… DIS/IT (general) ……………………………………………. CUse of information ……………………………………… C-EMR ………………………………………………………. C-/DQuality/100K ……………………………………………. D- (kind)Acute-to-chronic shift ……………………………...…. DAcute to Prevention/Wellness………………………… D/D-Patient-centric/Client-centric…………………………. DDoc’s acceptance of “evidence-based” …………… D/D-

Corporate focus on Prevention/Wellness……….…... C-/DIndividual focus on Prevention/Wellness…………..… DIndividuals’ education/self management progress … C-

Workforce acceptance of self-responsibility ……….. CWorkforce transition to “Brand You” ……………...… C-/D

*There is damn little evidence to support these assessments

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Re-imagine! Not Your Father’s

World.

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THREE BILLION NEW CAPITALISTS

—Clyde Prestowitz

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“There is no job that

is America’s God-given

right anymore.”

—Carly Fiorina/HP/January2004

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“In a global economy, the government

cannot give anybody a guaranteed success

story, but you can give people the tools to make the most of

their own lives.” —WJC, from

Philip Bobbitt, The Shield of Achilles: War, Peace, and the Course of History

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The General’s

Admonition. (And Darwin’s)

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“If you don’t like change,

you’re going to like irrelevance even less.” —General Eric

Shinseki, Chief of Staff. U. S. Army

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“It is not the strongest of the

species that survives, nor the most intelligent, but the one most

responsive to change.” —Charles Darwin

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1. Re-imagine Permanence:

Naked Emperors.

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“Forbes100” from 1917 to 1987: 39 members of the Class of ’17 were

alive in ’87; 18 in ’87 F100; 18 F100 “survivors” underperformed the

market by 20%; just 2 (2%), GE &

Kodak, outperformed the market 1917 to 1987.

S&P 500 from 1957 to 1997: 74 members of the Class of ’57 were alive in ’97; 12 (2.4%) of 500 outperformed the market from

1957 to 1997.

Source: Dick Foster & Sarah Kaplan, Creative Destruction: Why Companies That Are Built to Last Underperform the Market

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“I am often asked by would-be entrepreneurs seeking escape from life within huge corporate structures, ‘How do I build a small firm for myself?’ The

answer seems obvious: Buy a very large one and just wait.”

—Paul Ormerod, Why Most Things Fail: Evolution, Extinction and Economics

4/40

De-cent-ral-iz-a-tion!

Ex-e-cu-

tion!

Ac-count-a-bil-ity!

6:15A.M.

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2. Re-imagine:

Innovate or Die!

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Brilliant!

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“Under his former boss, Jack Welch, the skills GE prized above all others were cost-cutting, efficiency and deal-making. What mattered was the continual improvement of operations, and that mindset helped the $152 billion industrial and finance behemoth become a marvel of

earnings consistency. Immelt hasn’t turned his back on

the old ways. But in his GE, the new imperatives are

risk-taking, sophisticated

marketing and, above all, innovation.” —BW/2005

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Different!*

*“Dramatic Difference” (DH), “Remarkable Point of view” (SG)

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This is not a “mature category.”

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This is an “undistinguished category.”

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“Get better” vs

“Get different”

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Summary:

WallopWal*Mart16*

*Or: Why it’s so unbelievably easy to beat a GIANT Company

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The “Small Guys” Guide: Wallop Wal*Mart16

*Niche-aimed. (Never, ever “all things for all people,” a “mini-Wal*Mart.)

*Never attack the monsters head on! (Instead steal niche business and lukewarm customers.)

*“Dramatically Different”

(La Difference ... within our community, our industry regionally, etc … is as obvious as the end of one’s nose!) (THIS IS WHERE MOST MIDGETS COME UP SHORT.)

*Compete on value/experience/intimacy, not price. (You ain’t gonna beat the behemoths on cost-price in 9.99 out of 10 cases.)

*Emotional bond with Clients, Vendors. (BEAT THE BIGGIES ON EMOTION/CONNECTION!!)

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Bold!

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No Wiggle Room!

“Incrementalism

is innovation’s worst enemy.”

Nicholas Negroponte

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Just Say “No” …

“I don’t intend to be

known as the ‘King of

the Tinkerers.’ ”CEO, large financial services company

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CI/6S/Etc Concerns

OlivesDeck ChairsCow Paths

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On a Scale of 1 to 10*

My main activities are Olive- Reducing

Projects (ORPs) ____

* 1 = No way! 10 = ‘Fraid so.

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“Beware of the tyranny of making

Small Changes to Small

Things. Rather,

make Big Changes

to Big Things.”

—Roger Enrico, former Chairman, PepsiCo

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“Reward excellent failures.

Punish mediocre

successes.”Phil Daniels, Sydney exec

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Measurable!

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Innovation Index: How many of your Top 5 Strategic Initiatives/Key Projects

score 8 or higher (out of 10) on a “Weirdness”/ “Profundity”/

“Wow”/ “Gasp-worthy”/ “Game-changer” Scale?

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Action!

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“Execution is the job of

the business leader.” —Larry Bossidy & Ram

Charan/ Execution: The Discipline of Getting Things Done

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“Execution is a

systematic process of rigorously

discussing hows and whats, tenaciously following through, and

ensuring accountability.” —Larry Bossidy & Ram Charan/ Execution: The Discipline of Getting Things Done

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Personal!

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Step #1: Buy a Mirror!

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“The First step in a ‘dramatic’

‘organizational change program’ is obvious—

dramatic personal change!” —RG

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3. Re-imagine Organizing I:

IS/IT as Disruptive Tool!

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We all live in

Dell-Wal*Mart-

eBay-Google World!

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“UPS used to be a trucking

company with technology. Now it’s

a technology company with

trucks.” —Forbes

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Power Tools for Power Solutions/

Strategies! —TP

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4. Re-imagine

Organizing II: What

Organization?

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“Organizations will still be critically important in the

world, but as ‘organizers,’ not

‘employers’!” — Charles Handy

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“Sod all in the middle.” —

Kevin Roberts (Fast Company/03.06)

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Not “out sourcing”Not “off shoring”

Not “near shoring”Not “in sourcing”

but …

“Best Sourcing”

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“global innovation networks”

vs

“research in large monolithic companies”

Source: George Colony/Forrester Research

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5. Re-imagine Organizing III:

Welcome to a Brand You World …

Distinct or Extinct

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“One of the defining characteristics

[of the change] is that it will be less driven by countries or

corporations and more driven by real people. It will unleash

unprecedented creativity, advancement of knowledge, and economic development. But at the same time, it will tend to

undermine safety net systems and penalize the unskilled.” —Clyde

Prestowitz, Three Billion New Capitalists

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Distinct … or

… Extinct

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Have you invested as much this year in your career as in your

car?

Source: Molly Sargent

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7. Re-imagine Organizing V: The Power of

“We”

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“THE POWER OF US: Mass Collaboration on THE INTERNET

Is Shaking Up Business” —Cover/BusinessWeek/06.20.05

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“The fluidity of information will bring

about a radically democratized society

where consumers enjoy unprecedented power.” —Fast Company/10th anniversary

issue/March2006

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Globalization1.0: Countries globalizing (1492-1800)

Globalization2.0: Companies globalizing (1800-2000)

Globalization3.0 (2000+): Individuals collaborating & competing globally

Source: Tom Friedman/The World Is Flat

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“The nearly 1 billion people online worldwide—along with their shared knowledge, social contacts, online reputations, computing power, and

more—are rapidly becoming a collective force of unprecedented power. For the first time in human history, mass cooperation across

time and space is suddenly economical.” —BW/06.20.05

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“There’s a fundamental shift

in power happening. Everywhere, people are getting together and,

using the Internet, disrupting whatever

activities they’re involved in.” —Pierre Omidyar, founder,

eBay

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“The architecture

of participation”—Tim O’Reilly/Tech-book publisher

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8. Re-imagine Organizing VI: The White-Collar Tsunami and the Professional Service Firm (“PSF”) Imperative.

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Re-imagine:

Up, Up, Up,

Up

the Value-added Ladder.

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The

“PSF35”: Thirty-Five

Professional Service Firm Marks of Excellence

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The PSF35: The Work & The Legacy

1. CRYSTAL CLEAR POINT OF VIEW (Every Practice Group: “If you can’t explain your position in eight words or less, you don’t have a position”—Seth Godin)2. DRAMATIC DIFFERENCE (“We are the only ones who do what we do”—Jerry Garcia)3. Stretch Is Routine (“Never bite off less than you can chew”—anon.)4. Eye-Appetite for Game-changer Projects (Excellence at Assembling “Best Team”—Fast) 5. “Playful” Clients (Adventurous folks who unfailingly Aim to Change the World)6. Small “Uneconomic” Clients with Big Aims7. Life Is Too Short to Work with Jerks (Fire lousy clients)8. OBSESSED WITH LEGACY (Practice Group and Individual: “Dent the Universe”—Steve Jobs)9. Fire-on-the-spot Anyone Who Says, “Law/Architecture/Consulting/ I-banking/ Accounting/PR/Etc. has become a ‘commodity’ ”10. Consistent with #9 above … DO NOT SHY AWAY FROM THE WORD (IDEA) “RADICAL”

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The PSF35: The Client Experience

11. Always team with client: “full partners in achieving memorable results” (Wanted: “Chimeras of Moonstruck Minds”!)12. We will seek assistance Anywhere to assemble the Best-in- Planet Team for the Project13. Client Team Members routinely declare that working with us was “the Peak Experience of my Career”14. The job’s not done until implementation is “100.00% complete” (Those who don’t “get it” must go)

15. IMPLEMENTATION IS NOT COMPLETE UNTIL THE CLIENT HAS EXPERIENCED “CULTURE CHANGE”16. IMPLEMENTATION IS NOT COMPLETE UNTIL SIGNIFICANT “TECHNOLOGY TRANSFER” HAS TAKEN PLACE-ROOT (“Teach a man to fish …”)17. The Final Exam: DID WE MAKE A DRAMATIC, LASTING, GAME-CHANGING DIFFERENCE?

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“The business of selling is not just about matching viable solutions to the customers that require

them. It’s equally about managing the change process the customer

will need to go through to implement the solution and

achieve the value promised by the solution.”* (*E.g.: CRM failure rate/Gartner: 70%)

—Jeff Thull, The Prime Solution: Close the Value Gap, Increase Margins, and Win the Complex Sale

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Point of

View!

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Static/Imitative

Integrity.Quality.

Excellence.Continuous Improvement.

Superior Service (Exceeds Expectations.)

Completely Satisfactory Transaction.Smooth Evolution.

Market Share.

Dynamic/Different

Dramatic Difference!Disruptive!

Insanely Great! (Quality++++)

Life-(Industry-)changing Experience!Game-changing!

WOW!Surprise!Delight!

Breathtaking!Punctuated Equilibrium!

Market Creation!

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9. Re-imagine Business’s

Fundamental Value Proposition: PSFs

Unbound, or Fighting “Inevitable Commoditization”

via “The ‘Gamechanging Solutions’ Imperative.”

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Re-imagine:

Up, Up, Up,

Up

the Value-added Ladder.

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$55B

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And the “M” Stands for … ?

Gerstner’s IBM: “Systems Integrator of choice.”/BW (“Lou, help us turn ‘all this’ into that long-

promised ‘revolution.’ ” )

IBM Global Services*

(*Integrated Systems Services Corp.): $55B

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Planetary Rainmaker-in-Chief!

“Palmisano’s strategy is to expand tech’s borders by pushing

users—and entire industries—toward radically different business

models. The payoff for IBM would be access to an ocean of revenue—Palmisano estimates it at $500 billion a year—that technology companies have

never been able to touch.” —Fortune

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“Big Brown’s New Bag: UPS

Aims to Be the Traffic Manager for Corporate

America” —Headline/BW/2004

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And …

MasterCard Advisors

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The Value-added Ladder/Opportunity-seeking

Gamechanging Solutions/

Business AdvantageServicesGoods

Raw Materials

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10. Re-imagine Enterprise as

Theater I: A World of Scintillating “Experiences.”

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$798

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$415/SqFt/Wal*Mart$798/SqFt/Whole Foods

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7X. 730A-800P.

F12A.**’93-’03/10 yr annual return: CB: 29%; WM: 17%; HD: 16%. Mkt Cap: 48% p.a.

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“Experiences are as distinct

from services as services are from

goods.” —Joe Pine & Jim Gilmore, The Experience Economy:

Work Is Theatre & Every Business a Stage

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The Value-added Ladder/Memorable Connection

Scintillating Experiences

Gamechanging Solutions/Business Advantage

ServicesGoods

Raw Materials

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11. Re-imagine Enterprise as

Theater II: Embracing the “Dream

Business.”

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DREAM: “A dream is a complete moment in the life

of a client. Important experiences that tempt the client to commit substantial resources. The essence of

the desires of the consumer. The opportunity to help

clients become what they want to be.”

—Gian Luigi Longinotti-Buitoni

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The Value-added Ladder/Emotion

Dreams Come True

Scintillating Experiences Gamechanging Solutions/

Business AdvantageServicesGoods

Raw Materials

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“The Ritz-Carlton experience enlivens the senses, instills

well-being, and fulfills even the unexpressed wishes and needs of

our guests.” — from the Ritz-Carlton Credo

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IBM, UPS…

Dream Merchants

!

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12. Re-imagine the Customer: A Trend Worth Trillion$$$ …

Women Roar.

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“Women are the

majority market”

—Fara Warner/The Power of the Purse

The Perfect Answer

Jill and Jack buy slacks in black…

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1. Men and women are different.2. Very different.3. VERY, VERY DIFFERENT.4. Women & Men have a-b-s-o-l-u-t-e-l-y nothing in common.5. Women buy lotsa stuff.

6. WOMEN BUY A-L-L THE STUFF.7. Women’s Market = Opportunity No. 1.8. Men are (STILL) in charge.9. MEN ARE … TOTALLY, HOPELESSLY CLUELESS ABOUT WOMEN.10. Women’s Market = Opportunity No. 1.

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10. Women’s Market =

Opportunity No. 1.

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12. Re-imagine Leadership for Totally

Screwed-Up Times: The

Passion Imperative.

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Tom Peters’

Toward Health(care) Excellence!

Aetna/Laguna Niguel/Part #2

Tom Peters’ Re-Imagine!

Toward Client-driven, CustomerExperience-animated, QUALITY-OBSESSED, OutcomeAccountability-focused,

InformationMeasurement-intensive, EMR-determined, Science-aware, PreventionWellness-centric,

Healing-aimed, ChronicCare-oriented, HomeCare-based, Boomer-sensitive,

Women’sHealth-directed, Revolution-insistent

HEALTH(CARE) EXCELLENCE Aetna/Laguna Niguel/Part #2

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Health:Century21.Job # 1

(HC21.J1)

Tom Peters/0206.2006

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!!!!!!!!!!!!!

“Healthcare” vs “Health”

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Quality!Prevention!Wellness!

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Quality (100K deaths)

“Evidence/Outcomes-based” medicineIS/IT-in-health(care) revolution

Wellness/PreventionHealth“care” to Health transformation

Wash your hands!Home-care (as the population rapidly ages)

Med-school re-orientation “Public health” emphasis

Mind-boggling (15 years?) social-moral-technological impact of life sciences (“the Singularity”?)

H5N1/WMDs/Environmental degradationRisk assessment (private, public)

Market opportunityPublic vs/+ Private responsibilities & partnerships

Africa! (Unconscionable failure to attend to/staggering Health consequences for all)

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“Quality”:

COULD IT TRULY BE

THIS AWFUL?

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“When I climb Mount Rainier I face less risk of death than I’ll

face on the operating table.” —Don

Berwick, “Six Keys to Safer Hospitals: A Set of Simple Precautions Could Prevent 100,000 Needless Deaths Every Year,” Newsweek (1212.2005)

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Thomas PetersThomas Peters

He Went To The He Went To The

HospitalHospital

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CDC 1998: 90,000

killed and

2,000,000 injured from hospital-caused

drug errors & infections

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HealthGrades/Denver:195,000 hospital deaths per year in the U.S., 2000-2002 = 390 full jumbos/747s in the drink per year.

Comments: “This should give you pause when you go to the hospital.” —Dr. Kenneth Kizer,

National Quality Forum. “There is little evidence that patient safety has improved in the last five years.” —Dr. Samantha Collier

Source: Boston Globe/07.27.04

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22mm3838ss

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Welcome to the Homer Simpson Hospital

a/k/a

The Killing Fields

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1,000,000

“serious medication errors per year” … “illegible handwriting, misplaced decimal points, and missed drug

interactions and allergies.”

Source: Wall Street Journal/Institute of Medicine

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Mistakes: 100,000 deaths—“minor fraction of the total

deaths caused by modern medicine.” Hopkins: 225,000

iatrogenic deaths (people killed by docs); (Institute for Medicine

higher)

Source: Tom Farley & Deborah Cohen, Prescription for a Healthy Nation

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YE GADS! New England Journal of Medicine/ Harvard Medical Practice Study: 4% error rate (1 of 4 negligence).

“Subsequent investigations around the country have confirmed the ubiquity of error.” “In one small study of

how clinicians perform when patients have a sudden

cardiac arrest, 27 of 30 clinicians made

an error in using the defibrillator.” Mistakes in administering drugs (1995 study) “average once every

hospital admission.” “Lucian Leape, medicine’s leading expert on error, points out that many other industries—whether the task is manufacturing semiconductors or

serving customers at the Ritz Carlton—simply wouldn’t countenance error rates like those in hospitals.”

—Complications, Atul Gawande

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RAND (1998): 50%, appropriate preventive care.

60%, recommended treatment, per medical

studies, for chronic conditions. 20% chronic

care treatment that is wrong. 30% acute care treatment

that is wrong.

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“In a disturbing 1991 study, 110 nurses of varying experience levels took a written

test of their ability to calculate medication doses. Eight out of 10 made calculation

mistakes at least 10% of the time,

while four out of 10 made mistakes 30%

of the time.”Demanding Medical Excellence: Doctors and Accountability

in the Information Age, Michael Millenson

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20%: not get prescriptions filled

50%: use meds inconsistently

Source: Tom Farley & Deborah Cohen, Prescription for a Healthy Nation

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“In health care,

geography is destiny.”

Source: Dartmouth Medical School

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Geography Is Destiny

“Often all one must do to acquire a disease is to enter a country where a disease is recognized—leaving the

country will either cure the malady or turn it into something else. … Blood pressure

considered treatably high in the United States might be considered normal in England; and the low blood

pressure treated with 85 drugs as well as hydrotherapy and spa treatments in Germany would entitle its

sufferer to lower life insurance rates in the United

States.” – Lynn Payer, Medicine & Culture

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“A healthcare delivery system characterized by idiosyncratic and often ill-informed judgments mustbe

restructured according to

evidence-based medical

practice.”Demanding Medical Excellence: Doctors and Accountability

in the Information Age, Michael Millenson

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“Practice variation is not caused by ‘bad’ or ‘ignorant’

doctors. Rather, it is a natural consequence of a system that

systematically tracks neither its processes nor its outcomes, preferring to

presume that good facilities, good intentions and good training lead

automatically to good results. Providers remain more comfortable with the habits of a guild,

where each craftsman trusts his fellows, than with the demands of the information age.”

Michael Millenson, Demanding Medical Excellence

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“As unsettling as the prevalence of inappropriate care is the enormous amount of what can only be called

ignorant care. A surprising 85% of everyday medical treatments have

never been scientifically validated. … For instance, when family

practitioners in Washington State were queried about treating a simple urinary tract infection, 82 physicians

came up with an extraordinary 137 strategies.”

Demanding Medical Excellence: Doctors and Accountability in the Information Age, Michael Millenson

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“Most physicians believe that diagnosis can’t be reduced to a set of generalizations—to a ‘cookbook.’

… How often does my intuition lead me astray? The radical implication of the Swedish

study is that the individualized, intuitive approach that lies at the center of modern medicine

is flawed—it causes more mistakes than it prevents.” —Atul

Gawande, Complications

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Probable parole violations: Simple model (age, # of previous offenses, type of crime) beats

M.D. shrinks.

100 studies: Statistical formulas > Human

judgment. “In virtually all cases, statistical

thinking equaled or surpassed human

judgment.” —Atul Gawande, Complications

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PARADOX: Many, many formal case reviews … failure to systematically/ systemically/ statistically

look at and act on evidence.

Source: Complications, Atul Gawande

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The Benefits of … FOCUSED EXCELLENCE

Shouldice/Hernia Repair:

30-45 min, 1% recurrence. Avg: 90 min,

10%-15% recurrence.

Source: Complications, Atul Gawande

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About Bloody Time!

100,000 Lives Campaign*

*Don Berwick/Institute for Healthcare Improvement

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“What’s your name?

When’s your birthday?”

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Hospitals Pay Appropriate Attention To Medical Errors

Yes ………………………………. 1%Aware and Trying Hard ……... 8%Aware But Tepid Response … 22%No ………………………………... 25%An Inexcusable Tragedy …….. 44%

Source: 12.2005 Poll/tompeters.com

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The Necessary

IS/Web REVOLUTION

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We all live in Dell-

Wal*Mart-eBay-Google

World!

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We

[almost] all live in Dell -Wal*Mart-eBay-Google World!

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“Some grocery stores have

better technology than our hospitals and clinics.” —Tommy Thompson, HHS Secretary

Source: Special Report on technology in healthcare, U.S. News & World Report (07.04)

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Health**vs Healthcare

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Health

*vs Healthcare

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Health

*vs Healthcare

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Health

*vs Healthcare

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“Sanitary revolution”: mortality in major cities down

55% between

1850 and 1915

Source: Tom Farley & Deborah Cohen, Prescription for a Healthy Nation

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“Gwen [former healthcare exec] has wonderful health insurance and an abundance of healthcare. What Gwen does not have is

health. And there is nothing our health system can do to give it to

her.” “The battle cry is always health, but in fact the struggle has always been over healthcare.” “For all its inspiring, high-tech cures, medicine is just not very effective at

curing our era’s major killers.” “Medicine doesn’t do much chronic

disease.” “When the most common killers of our

era are mostly incurable and our preventive treatments pretty feeble, you have to wonder about medical care as a whole.”

“There is a widely held view that medical care contributes little to

health.” (John Bunker/ Journal of the Royal College of Physicians)

Source: Tom Farley & Deborah Cohen, Prescription for a Healthy Nation

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“Curve Shifting”Source: Tom Farley & Deborah Cohen,

Prescription for a Healthy Nation

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“Bump into factor”: Extra-size portions, eat more. Higher %

shelf space snacks, more obesity. More liquor stores, more crime. High vs low fat: Japanese who

emigrate to U.S. suffer 3X increase in heart disease.

Source: Tom Farley & Deborah Cohen, Prescription for a Healthy Nation

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Sprint/Overland Park KS: Slow elevators, distant

parking lots with infrequent buses, “food court” as

“poorly” placed as possible, etc.

Source: New York Times

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“Our focus can no longer be on cost containment.

Rather, we must emphasize education, disease management

programs, and wellness and prevention far more strongly than we have in

the past.” —Chad Holliday/DuPont

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Wellness

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“The ‘curative model’ narrowly focuses on the goal of cure. …

From many quarters comes evidence that the view of health

should be expanded to encompass mental, social and

spiritual well-being.” Institute for the Future

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“Ontario To Split Health Ministry”

—Headline/Globe And Mail /06.05 (New ministry will focus on

Prevention/ Wellness/Eldercare)

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Go Bubba!

WASHINGTON (Feb. 28) - Former President Clinton, a reformed overeater, urged state governors on Tuesday to embrace a long-term effort to changethe nation's culture of too much foodand too little exercise. (AOL.0301.0338am, re NGA)

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Tom’s Story

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Obesity/-79(-36); BP (140-85 to 90-60); Blood sugar (180-

87); Blood chemistry (normal+); Cholesterol (140-

58); Metabolic rate/RMR (+250); Mental state

(dramatic improvement*)

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Aging reversal!**Why wasn’t I “informed” until age 59?

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Determinants of Health

Access to care: 10%Genetics: 20%Environment: 20%

Health Behaviors: 50%Source: Institute for the Future

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Planetree: A Radical Model for New

Healthcare/Healing/Health/Wellness Excellence*

* “It” can be done!

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The Nine Planetree Practices

1. The Importance of Human Interaction2. Informing and Empowering Diverse Populations: Consumer Health Libraries and Patient Information3. Healing Partnerships: The importance of Including Friends and Family4. Nutrition: The Nurturing Aspect of Food5. Spirituality: Inner Resources for Healing6. Human Touch: The Essentials of Communicating Caring Through Massage7. Healing Arts: Nutrition for the Soul8. Integrating Complementary and Alternative Practices into Conventional Care9. Healing Environments: Architecture and Design Conducive to Health

Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel

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Life Sciences Revo Rocks Our World*

*Coming soon to a …

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“WE ARE BEGINNING TO ACQUIRE … DIRECT AND DELIBERATE CONTROL …

OVER THE EVOLUTION OF ALL LIFE FORMS …

ON THE PLANET.”Source: Juan Enriquez, As The Future Catches You

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H5N1

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Kroll/SARS: “don’t over-react”Kroll/H5N1:

“devastating”Source: Newsweek/10.24.05

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12. Re-imagine Leadership for Totally

Screwed-Up Times: The

Passion Imperative.

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Create a Cause!

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“Management has a lot to do with answers. Leadership is a function of questions. And the

first question for a leader always

is: ‘Who do we intend to be?’ Not ‘What are we going to do?’

but ‘Who do we intend to be?’” —Max De Pree, Herman Miller

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Trumpet an Exhilarating

Story!

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“A key – perhaps the key – to leadership is

the effective communication

of a story.”—Howard Gardner/Leading Minds:

An Anatomy of Leadership

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Try It!

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Sam’s

Secret #1!

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Dispense Enthusiasm!

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“Nothing is so contagious as enthusiasm.”

—Samuel Taylor Coleridge

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“Most important,

he upped the energy level at Motorola.” —Fortune on Ed Zander/08.05

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Free the Lunatic Within!

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“You can’t behave in a calm, rational manner. You’ve got to be out there on

the lunatic fringe.” — Jack Welch

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Healthcare27

02.28.2006

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“If God spoke to me by saying, ‘Mark, you’re down to your last three words: What would you want to say to your fellow humans that would make the most positive impact?’ It would be a close

call between Love Thy Neighbor and Wash Your Hands. A close third

would be Move, Move, Move.” —Mark Pettus, M.D.,The Savvy Patient

“The most important thing you can do to keep from getting

sick is to wash your hands.” —CDC/National Center for Infectious

Diseases

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Wash Your

Hands.

1!