{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/69810d312c62bf72e54d82a7/6a8c69a52fe0b9d078068cc6?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"Ep. 27 Reflection: Where Do You Start When Everything Needs Fixing?","thumbnail_width":200,"thumbnail_height":200,"thumbnail_url":"https://open-images.acast.com/shows/69810d312c62bf72e54d82a7/1787586966796-f08cebef-e58b-4ee2-8065-b283b58e5de6.jpeg?height=200","description":"<p>Where would you start?</p><p><br></p><p>In this reflection on Part 2 of the Haven Healthcare series, Dr. Bruce Spurlock looks at the choices Haven made once it moved from ambition to implementation. In Ohio, the organization experimented with benefit design and easier navigation. In Seattle, it explored technology-enabled access to primary care. Different populations, different approaches, and—most importantly—something that could finally be measured.</p><p><br></p><p>Bruce explores a fundamental challenge of healthcare innovation: eventually, leaders have to stop designing the perfect strategy and put a foot down somewhere. That first decision creates consequences, produces information, and gives an organization the opportunity to learn.</p><p><br></p><p>The question isn’t whether your first decision will be perfect. It’s whether you have built a process that allows you to recognize what is working and adopt, adapt, or abandon as you learn.</p><p><br></p><p>Show Notes</p><p><br></p><p>In this reflection:</p><ul><li>Why unlimited resources don't eliminate implementation risk</li><li>Haven's experiments in Ohio and Seattle</li><li>Simplifying benefit design and healthcare navigation</li><li>Using technology to improve access to primary care</li><li>Why changing physicians can become a major adoption barrier</li><li>The value of segmenting populations before scaling</li><li>Why a pre-mortem can reveal problems before implementation begins</li><li>Turning implementation into something measurable</li><li>Knowing when to adopt, adapt, or abandon</li><li>Making decisions without the benefit of hindsight</li><li>Why every implementation decision creates consequences</li><li>The question every healthcare leader eventually faces: Where do we start?</li></ul>","author_name":"Bruce Spurlock"}