The KHIT Blog: Women leaders in healthcare

Thursday, July 6, 2017

Women leaders in healthcare

I got invited to cover this. A very important topic, IMO.

Women have the power to transform healthcare but only if the industry commits to gender diversity, executive talent development and workplace cultures where all leaders can thrive.

Join Modern Healthcare for the 2017 Women Leaders in Healthcare conference, an exclusive learning and networking experience designed to help executives refine the expertise skill and clout necessary to achieve success as executives, board members and industry leaders.

Modern Healthcare’s Women Leaders in Healthcare conference is designed to energize executives committed to broad influence, enduring impact and long-term inspiration of emerging leaders. Join over three hindered senior-level executives and key decision makers for a transformative learning experience that includes provocative keynotes, interactive panel discussions and multiple opportunities to focus on breaking issues and building new connections...

I've been granted a press pass, and would really love to cover this. But that's the week of my daughter's 6th round of chemo (Stage IV pancreatic cancer), with follow-up tests (including new CT scans) to see whether the stuff is working. I'm quite conflicted about being gone that week.

I could not be more of a champion of women leaders at the top of the health care space. My wife is a senior exec (Director of Quality) in a male-dominated industry (construction and engineering, environmental remediation prior to that), so I'm generally long-sensitized to the frustrations and barriers women face in much of the corporate world.

I count my daughter as a "woman leader" as well. Her current circumstance just crushes my soul.

A prior post of mine: What exactly is "Leadership," anyway?

AN OFF-TOPIC RANDOM THING ON "WOMEN LEADERS"

I am reminded of one of my favorite books,

BACK IN 2001, as the Internet boom turned into a bust, MIT’s Quarterly Journal of Economics published an intriguing paper called “Boys Will Be Boys: Gender, Overconfidence, and Common Stock Investment.” The authors, Brad Barber and Terrance Odean, gained access to the trading activity in over 35,000 households, and used it to compare the habits of men and women.

What they found, in a nutshell, is that men not only trade more often than women but do so from a false faith in their own financial judgment. Single men traded less sensibly than married men, and married men traded less sensibly than single women: the less the female presence, the less rational the approach to trading in the markets.

One of the distinctive traits about Iceland’s disaster, and Wall Street’s, is how little women had to do with it. Women worked in the banks, but not in the risk-taking jobs. As far as I can tell, during Iceland’s boom, there was just one woman in a senior position inside an Icelandic bank. Her name is Kristin Pétursdóttir, and by 2005 she had risen to become deputy CEO for Kaupthing in London. “The financial culture is very male-dominated,” she says. “The culture is quite extreme. It is a pool of sharks. Women just despise the culture.” Pétursdóttir still enjoyed finance. She just didn’t like the way Icelandic men did it, and so, in 2006, she quit her job. “People said I was crazy,” she says, but she wanted to create a financial services business run entirely by women. To bring, as she puts it, “more feminine values to the world of finance.”

Today her firm is, among other things, one of the very few profitable financial businesses left in Iceland. After the stock exchange collapsed, the money flooded in. A few days before we met, for instance, she heard banging on the front door early one morning and opened it to discover a little old man. “I’m so fed up with this whole system,” he said. “I just want some women to take care of my money.”

Lewis, Michael. Boomerang: Travels in the New Third World (pp. 37-38). Norton. Kindle Edition.

Yeah. LOL. I spent five years in the financial sector. I read all of Michael Lewis (and Nomi Prins, and Yves Smith, and Bill Black...).

TANGENTIAL RELEVANCE?

As Tesla factory is labeled a ‘predator zone,’ tech industry scrambles to solve its man problem

A slew of scandals highlighting some of Silicon Valley’s less admirable traits such as its seemingly pervasive “bro culture” has opened a can of worms that for a long time needed opening. Now venture capitalists and others in the Valley are looking for ways to get rid of those creepy creatures altogether.

Yet even amid the apologies and the outrage, or perhaps because of them, new examples of sexual harassment and discrimination continue to bubble up — most recently at Tesla Inc...

--
ERRATUM

I'm starting Week Two of this HarvardX MOOC.

Course Outline

Week 1: Burden (opens June 27, 2017)
Week 2: Measurement (opens July 5, 2017)
Week 3: Standards (opens July 11, 2017)
Week 4: Improvement (opens July 18, 2017)
Week 5: IT and Data (opens July 25, 2017)
Week 6: Management (opens August 1, 2017)
Week 7: Patients (opens August 8, 2017)
Week 8: Public Systems (opens August 15, 2017)

Will have much to report soon. Finding it very interesting, if a bit cumbersome in terms of the delivery UX. The "global health" perspective is one I've not accorded sufficient attention until now. Given that 95% of humanity resides outside U.S. borders, it's a necessary topic.
____________

More to come...

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Brave New Health

Commonwell Health Alliance

Another important read (pdf)

I love this kind of stuff. It sustains and humbles me. "As politicians, advertisers, salesmen, and propagandists for various political, economic, moral, religious, psychic, environmental, dietary, and artistic doctrinaire positions know only too well, fallible human minds are easily tricked, by clever verbiage... Common language—or at least, the English language—has an almost universal tendency to disguise epistemological statements by putting them into a grammatical form which suggests to the unwary an ontological statement. A major source of error in current probability theory arises from an unthinking failure to perceive this."

Quotes

"An economist is a person who sees something that works in practice and tries to figure out whether it will work in theory."

- J.D. Kleinke, medical economist
___

"The only person who enjoys change is a baby with a wet diaper."

"Every misspent dollar in our health care system is part of somebody's paycheck.

- Brent James, M.D., M.Stat

“We could do healthcare, at markedly higher quality, for everyone in this country, without rationing or denying anybody the care that they need, without having the government dictate how doctors practice or whether hospitals could expand, at half the cost we do it now.”

- Health Care Futurist Joe Flower

Most of the sciences, unlike parts of medical science, are not concerned with the impossible. There is not complementary and alternative physics, or chemistry, or biochemistry, or engineering. These disciplines compare their ideas against reality, and, if the ideas are found wanting, abandoned."

- Mark A. Crislip, MD

"Q: How much alcohol is too much?
A: More than your doctor drinks."

- a physician I once heard speak during a CME presentation

“Just because science doesn’t know everything, doesn’t mean you get to fill in the gaps with whatever fairy tale most appeals to you.”

- Dara O’Briain

'[I]t is one small step from using the computer for "helping" doctors to monitoring them, judging them, dictating to them what to do, and withdrawing payment for computer non-compliance. The use of computer data is a multi-edged sword. It can be used for the "good," facilitating diagnosis and treatment and making it more accurate and up-to-date, and for “evil,” invading privacy, inviting security breechs, and making decisions based on the opinions of remote authorities rather than those present at the patient-doctor encounter.'

- Richard Reece, MD

“[T]here ARE statistics which are non-political. Just because The Washington Post/Fox News reports the temperature is 75 degrees doesn’t mean it’s really snowing and sunscreen is a liberal/conservative plot. Even if you earn a living being ideological.”

- Michael L. Millenson

"It is a generally a fairly convincing argument that people shouldn’t have to be subsidized to undertake a change which is in their best interest.

The reconciliation seems to be that EHR is not supposed to make a doctor’s practice more efficient and higher quality. It is supposed to make the system of care more efficient and higher quality, which is not the same thing. Those of you who took calc recall that maximizing the total of variables is not achieved by maximizing any one variable and this is a perfect example of that.

Those of you have served in combat certainly noticed that too — if everyone works as a team the unit takes fewer casualties. If you try to save your own hide, you might, but at the expense of more casualties overall."

- Al Lewis

"There are two ideas to keep in mind about Bayesian reasoning and how we tend to mess it up. The first is that base rates matter, even in the presence of evidence about the case at hand. This is often not intuitively obvious. The second is that intuitive impressions of the diagnosticity of evidence are often exaggerated."

- Daniel Kahneman, "Thinking, Fast and Slow"

"Physicians apply advanced scientific knowledge, but they must do so without the favorable conditions that experimental scientists create for themselves. Multitasking is forced on physicians, often in chaotic environments and under severe time and resource constraints."

- Lawrence and Lincoln Weed, "Medicine in Denial"

"It’s time to stop the whining about Obama care and acknowledge we already have universal health care. We just pay for it in the stupidest way possible that ensures problems are that much more disastrous and complicated when they’re finally treated."

- Mark Hoofnagle, MD, PhD

"Every act of conscious learning requires the willingness to suffer an injury to one's self-esteem. That is why young children, before they are aware of their own self-importance, learn so easily."

- Thomas Szasz, MD
___

"Of course, one reason that process metrics* are so popular is that processes are much easier to define and measure than outcomes."

- The Skeptical Scalpel
___

"There is an “illusion of validity” for any random data point, a seductive sense that is colored by what we hope will be true. Mountains of pharmaceutical claims are often made from mere molehills of data."

- Danielle Ofri, MD
___

"Joy empowers people. It is a source of energy that enables people to hope and plan and change their lives for the better. Spend some time around someone who is relentlessly negative and how do you feel–drained, right? More and more research shows that joy is not something that just happens to you, like a bolt of lightening out of the blue. Joy is, instead, a habit to cultivate. Negative thinking and despair are the crabgrass of our souls–weeds that take root and spread, sometimes to all areas of life. Joy, in contrast, is a soul’s rose–hardy when cared for, able to put down roots over time and withstand disease and extremes. Like a rose, however, your joy can become blighted from neglect or harsh conditions. We all need to tend to our joy–to prune away the badness, and to know that, even though it may look like a prickly bare root, if you invest time in a joyous outlook, gorgeous things will bloom, even in the harshest conditions."

- Dr. Jan Gurley
___

"'Solutions' exist only in mathematics."

- Karen Martin
___

"The issue of how to regulate clinical software is, in the long run, indistinguishable from the issue of how to regulate medicine. The only difference is that medicine is practiced in the open, without secrecy, subject to peer review, and under a merit-based state license."

- Adrian Gropper, MD
___

"Economist, rope, tree: some assembly required."

- Source unknown

DISCLAIMER:

I write this blog wholly on my own time and my own dime. The views proffered are expressly my own as a concerned and active citizen/taxpayer (in addition to being the result of my substantive experience in the various IT fields), and in no way reflect any policy views of my former employer, notwithstanding that some of the thinking has indeed obviously been spurred by the implications of the work with which I have been doing for them.

FAIR USE POLICY
I cite a ton of news and web sources spanning the breadth of relevant technical and policy domains, sometimes at substantial length. I believe I remain well within the bounds of "Fair Use," as [1] I am not doing any of this for profit, [2] I always provide attribution and links -- which, [3] far from negatively impacting any copyright holders' commercial interests, might actually increase traffic to and interest in their offerings.

Nonetheless, should I post anything of yours regarding which you have any objection, just let me know and I will remove it forthwith.

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Thursday, July 6, 2017

Women leaders in healthcare

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