Sunday, May 1, 2016

Linchpins and a post-Seth Godin binge on "What it means to be a Healthcare Startup"

One of the most inspiring talks, critical for any entrepreneur who is "leaning in", changing the way their industry behaves.

The great thing about the 7 things that linchpins do, sounds exactly like the team of a great company, one that everyone who is trying to change the world wants to work with.

This is the list (or watch the video):

1. Providing a unique interface between members of the organization
2. Delivering unique creativity
3. Managing a product, project, situation or organization of great complexity
4. Leading customers - how to establish a tribe and take them somewhere
5. Inspiring staff - who will the rest of the staff follow to do almost anything
6. Providing deep domain knowledge - the Uber Geek :)
7. Possessing a unique talent

Summary of Seth Godin's insights:

1. Be the purple cow - be remarkable. People talk about the unusual and if you feel like you're standing out, realise it's a good thing.

2. ... unless you are three steps ahead.
It's a bit too far out for people to fathom, according to Godin. Though we see extraordinary mouthpieces of the creative and technology future, like Peter Diamandis and Ray Kurzweil, talk about things coming in the next 25 years... they always mention what is on the horizon, just on the edge of possible.

3. Ah, the edge... the ability to push til you find a boundary, or a No... and possibly fall off.

4. Cull your customers... or at least be selective.

5. But not so selective that the people in the club get "old". Refresh regularly!

Bonus: "if I can write down what you do, I can find someone who will do it cheaper". Godin mentions the role of radiologists as an example and it's important as we see the tech disruption curve move across medicine into areas of diagnostics and pathology... The science of medicine is being simultaneously expanded and replaced by computers: mobile phones, network computing, AI... leading to faster, better algorithmic processing. The art of medicine is being lost in the fear that we stand out - amongst our peers, that we are judged to have not performed in a way that others would have.

There are times to do that eg lumbar puncture (scientific, procedural), and times not to eg how your patient can watch you tell them about their procedure at any time they want, or how your front desk staff rings each of your post-op patients personally to thank them and follow up after a procedure (artistry, feeling, the experience).

Now, combining with PG's comments about startups needing to make life better, then I truly think that every doctor, every healthcare practice, every medical app out there hanging out a shingle, from a surgeon to a multipractice physio-Pilates-massage clinic to a dermatology app, starting up their own business can benefit from how PG's and Godin's advice to startups applies to healthcare startups, which I see as:


  1. Make someone's life better. Quickly. In small doses. (the good news is, this is what we've been training for, for most of our lives!!)
  2. Don't be ordinary. Stand back and look at what people care about. For example, take a look at this list of UK Charities. To what health-related causes will people give their post-tax, cash-in-their-pocket? What will people go out of their way to experience:  belonging, making a difference, ensuring others don't have to experience X or Y...
  3. Be the artist, the creative, the indispensable. Especially as a doctor. Artistry might be through relationships, or how we make people feel... it's just not something that one can write a manual to do. 
  4. Find, be or partner with a linchpin organisation. 
  5. Operate at the highest level of the value chain: if all we do as health practitioners is mechanical, then we're at risk of missing out on expressing the artistry that is an intrinsic part of our practice. We're blessed to be in an industry where we blend both art and science (though you could argue, which industry isn't): but the way we make patients feel on both spectrums means that if we continue to practice and evolve the artistry of medicine, there will always be a demand for our service to the community.
Periop Partners will be at the Annual Scientific Congress 2016 on "Surgery Technology and Communication" in Brisbane, at Booth 24. Please come by, say hello and learn more about the technology affecting medicine. 

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