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January 20
2024 An article was not received on 1/20/24.
2023 Top Line, Bottom Line: The Most Read OPEN MINDS Management Newslett...
2022 The Market Intel/Strategy Paradox
2021 When The Answer Is “I’m Sorry, I Can’t Help You With That”
2020 How Many Mental Health Start-Up Companies Have Been Formed Since 1987?
2019 Otsuka & Click Therapeutics To Develop Digital Therapeutics For...
2018 Paying For Social Services ‘Value’ Requires Measuring Cost Impact
2017 Building Your Own Definition Of ‘Value’
2016 For All The Performance Measurement, Are We Really Measuring Perfor...
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Replies to This Discussion
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Permalink Reply by Paul Terlemezian on
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Good point Monica - if the motivation is to save cost in the medication silo (without considering the total cost of care) then this really does seem like nonsense. It would be like deciding to avoid buying life insurance until the first time you die or perhaps less cynically deciding to choose a high deductible auto insurance until you have the first accident.
I wonder what choice the consumer would make if they were paying the costs? I believe we would balance the total cost with the risks - and that there would be a variety of choices - based on consumer risk and stress tolerance. Given that there seems to be a high correlation to stress and effectiveness of medications I wonder if this would be a better method?
What I remain dismayed about however - is the potential for abuse - one of the unintended consequences that has impact as well.
I joke about this concept with learning. For years I have asked - "When is it best to learn something?"
1. Before you need to use the knowledge?
2. Just after you needed to have the knowledge?
3. While you are in the process of applying the knowledge?
Choice 1 is often the preferred method - but we lament the "forgetting curve" and the inefficiencies of recall as well as the cost of reinforcing the previously learned information. There is also the potential to learn things that will never be used. It is clearly inefficient (it is the polar opposite of "fail first."
Choice 2 is "fail first" and the reason that Home Depot and Lowes make so much money. We try - fail - and then go learn. We call this experience - with knowledge being gained just moments after we needed it. When the cost of failure is low - this is actually an effective method - something about failure being an effective teacher is really true.
Choice 3 (aka the GPS) is where technology is leading us. This is good news and a reason for all of us to increase our technology aptitude and attitude.
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2016 For All The Performance Measurement, Are We Really Measuring Perfor...
The effort by the healthcare industry to measure the effectiveness of behavioral health outcomes is very close to what the training industry has been dealing with "forever." We have been guided by the Kirkpatrick Model (and still wonder about levels 3 and 4.) Many find the Mosher Gottfredson Moments of Need Model to be effective - I think it does apply to behavioral health - and that learning and behavioral health will both be aided by assistive (performance support) technologies - I like this better than assistive medications!
Do you think this model applies to behavioral health? http://performancesupport.blogspot.com/2008/01/invitation-to-our-pe...
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2017 Building Your Own Definition Of ‘Value’
What is your definition of the value provided by your organization?
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2018 Paying For Social Services ‘Value’ Requires Measuring Cost Impact
Our choice with learning has been to state that there are too many other factors outside of our control that determine whether the learning works.
Are you satisfied with that choice for the future of our industry?
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2019 Otsuka & Click Therapeutics To Develop Digital Therapeutics For...
If learning is important enough to justify the cost of proving that it produces the outcomes desired - why are we still struggling to do so?
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2020 How Many Mental Health Start-Up Companies Have Been Formed Since 1987?
What are the risks and benefits of engaging with a start up company?
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2021 When The Answer Is “I’m Sorry, I Can’t Help You With That”
To what extent will we allow Chatbots to be part of the education process?
What is our expertise using these bots?
How might our expertise determine our response to the first question?
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2022 The Market Intel/Strategy Paradox
What is a paradox?
Why do they exist?
What is the relationship between the ability to think critically and the ability to discover a paradox?
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2023 Top Line, Bottom Line: The Most Read OPEN MINDS Management Newslett...
What do our surprises reveal about us? Might it also reveal our vulnerabilities?
How important is it to understand the vulnerabilities of those we are trying to help?
How do we assure that we have earned the right to know what surprises another?
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