Healthcare Nation: Recent Episodes
Rick Gannotta
Are you passionate about the healthcare industry and curious about the current and future state of the sector?
Welcome to Healthcare Nation the Podcast that engages thought leaders in the healthcare, bio and MedTech industry.
Along with those leading voices in the sector we will explore the big questions as well as the challenges and possibilities that lie ahead for a fascinating and candid look into the complex parts that make up the healthcare nation…
I'm Rick Gannotta, and I have been active in the healthcare space for over 40 years, from the hospital bedside to boardroom, serving in the C-Suite of some of the nation’s most prominent health systems, to advising established companies and industry changing startups as well as engaging the next generation of healthcare leaders as a professor.
I have seen a lot and believe that we are in the most dynamic period of time the industry has seen in decades. (should we use this)
Each episode we’ll welcome guests who are industry leaders; innovators, scholars, practitioners, and influencers in the health care world, hear their perspective, what there focused on - including what’s new and noteworthy.
So come along for the ride and be a part of the nation - Healthcare Nation.
Follow us now on Apple Podcasts, Spotify, or wherever you enjoy your shows.
Our Guest: Tony Ulwick is the pioneer of Jobs-to-be-Done Theory and the inventor of Outcome-Driven Innovation® (ODI), a powerful strategy and innovation process with a documented success rate that is 5-times the industry average. Tony has been granted 12 patents for his game-changing innovation practices, which result in products that help customers get a “job” done better.
Key Takeaways:
- Innovation Missteps: Even giants like IBM can have product failures. Tony’s experience with the PCjr's failure led to the birth of Outcome-Driven Innovation.
- Granularity Matters: To truly innovate, one must break down processes into specific, granular outcomes and tasks.
- Job Map vs. Process Map: It's crucial to understand the difference. A job map focuses on what customers are trying to achieve, not on current processes.
- Defining Markets Correctly: Grounding strategy around a stable focal point for value creation, like the jobs customers are trying to do, is critical to sustained success.
- Outcome-Driven Innovation: The ODI process is about understanding and focusing on the customer's desired outcomes.
Quotes:
- "Companies with that kind of resource could put out products that would fail. But as it turns out, Companies do it all the time.” - Tony
- "Instead of trying to create a better drill... let's lay out what customers are trying to do as a process." - Tony
- "What we're trying to do is to figure out what they're trying to achieve, not what they're doing today.” - Tony
Guest: Ed Marx, The youngest child in a family of Holocaust survivors, hemoved to the United States when he was 10. With humble beginnings, his career began at age 16. He took successive positions over the years as a medical clinic janitor, strategic planner for a hospital, combat medic, and anesthesia tech. It wasn't until he accepted a job as a technology manager for a small healthcare system that he discovered his calling for healthcare. He quickly found the existence of a convergence of three important things. Clinical environments, business operations, and digital infrastructure - a marriage of perfect harmony that saves the lives of millions of people.
- Introduction and Reconnection
- Rick and Ed reminisce about working together in New York City.
- Rick introduces the main topic: Ed's humble journey from janitor to healthcare professional.
- Ed's Early Years
- Started as a janitor at a healthcare facility.
- Chose the job for its flexibility with his lifestyle.
- Inspired by his experience, he chose to serve in healthcare.
- Path Towards Healthcare
- Joined the Army Reserve for aneducational stipend and became a Combat Medic.
- Strong desire to help and serve in healthcare.
- Transition into Technology in Healthcare
- Helped a healthcare facility increase technology adoption from 5% to 95%.
- Birth of his daughter: used remote technology to save her life.
- A revelation about the intersection of technology, clinical strategy, and life-saving.
- Challenges and Evolution in Healthcare
- Struggles with silos in healthcare organizations.
- Emphasizes the need for collaboration and removing barriers.
- Slogan: "Stop building bricks of walls; Let's build bricks of bridges."
- The Convergence of Elements
- Talks about the alignment of stakeholders, technology, and clinical environment.
- Believes that information technology has evolved into innovation in healthcare.
- Culture Shift and IT in Healthcare
- Implemented annual service days for IT employees in healthcare settings.
- Stresses the importance of translating head knowledge to heart knowledge.
- Real-life examples of employees connecting with patient care.
- Final Thoughts
- Reflects on lessons learned.
- Emphasizes the ongoing need for innovation, empathy, and collaboration in healthcare.
We talk about venture capitalism for healthcare innovators, how to get funded, and healthcare in space for NASA's Artemis Project.
- Lisa Suennen, also known as the Venture Valkyrie, is a special guest on "The Healthcare Nation" podcast hosted by Rick Gannotta.
- Lisa's background includes a journey from tech to healthcare, driven by a desire to do good while making money.
- The current state of healthcare faces challenges with complex systems and misaligned incentives hindering innovation.
- Technology can improve healthcare if services are optimized and personalized beyond just pharmaceuticals.
- Private equity and venture capital drive innovation and scaling of healthcare startups.
- Lisa guides startups by helping them understand healthcare economics, delivery, and aligning incentives.
- Consumer-driven healthcare services have gained momentum, but most consumers are disinterested until faced with urgent needs.
- Companies should be cautious about relying solely on consumer payments for healthcare services.
- Overseas companies often struggle to understand the complexities of the U.S. healthcare system, especially in digital health.
- Influencing companies' fundamental business model changes can be challenging, leading Lisa to explore a CEO role for direct impact.
- Mention of the proposed debate between Robert F. Kennedy Jr. and Dr. Peter Hotez on the Joe Rogan podcast regarding vaccines.
- Host's view on the importance of debates and exploring the science behind such issues in detail.
- Brief discussion on the role of big money in these debates and its potential donation to charity.
- Emphasis on the importance of peer-reviewed studies in such debates, avoiding misinformation.
- Discussion on the recent loss of trust in institutions such as the CDC and FDA.
- The conversation turns to the role of social media in shaping people's views and how it's not currently designed for productive debates.
- Guest Joe's perspective on the limitations of social media algorithms and their propensity to create echo chambers.
- Debate on holding social media platforms accountable for misinformation or biased information due to their initial design for entertainment and not fact-checking.
- Mention of the content curation and fact-checking behind the scenes for the podcast.
- The importance of being a smart consumer of news and avoiding sourcing news from social media is emphasized by Joe.
- Mina, the intern, shares her recent graduate experience on vaccines and how her peers rely heavily on social media for information.
- Discussion on the generational gap and the ways of using social media.
- Suggestions on spreading accurate vaccine information via social media, including collaboration between well-known influencers and scientific professionals.
- Mina highlights the need for science communicators in today's social media age.
- Rick proposes to have a future podcast on the vaccine debate.
- Rick shares an update on the team's efforts to reach out to politicians in the U.S. Congress and Senate to discuss healthcare issues. They're still waiting for responses and hope to make progress soon.
- This episode focuses on innovation and technology in healthcare, specifically robotic surgery.
- Joe shares his recent experience on the STEM Plug Podcast, where they discussed robotics in competition.
- The host introduces the guest, Sal Brogna, who was the COO of Intuitive Surgical, the company that developed the Da Vinci robot. Sal spent 21 years building out the Da Vinci surgical platform, enhancing its capabilities and reliability.
- Sal is currently the CEO of Informed Surgical, a company focused on enhancing surgical quality through digital surgery.
- The host and Sal talk about their shared Brooklyn origins and Sal shares his journey into robotics, starting with an interest in cars and a career in the auto industry before moving into robotics and eventually medical applications of robotics.
- Sal explains the unique capabilities of the Da Vinci robot and how it extends the abilities of surgeons rather than replacing them. This includes its 3D vision, zoomed-in vision, and tremor reduction features.
- They discuss the challenges they faced during the early development of the Da Vinci Xi robot, which aimed to expand its capabilities for general surgery.
- Sal discusses the initial pushback from the internal and surgical communities about the development of the Da Vinci Xi, how they overcame these challenges, and the impact this technology had on the market and company.
- The conversation explores the value of the Da Vinci robot for surgeons and the hurdles in its development, like the inclusion of a stapler in the instrument and the need to disconnect the robot to move the table in surgery.
Stay tuned for more insights into the world of healthcare and technology on the Healthcare Nation Podcast!
In this episode Rick and Dr Dean Mitchell discuss the provider experience, dealing with the current healthcare reimbursement system; both the challenges and opportunities, the role of alternative treatment pathways, business models and their implications for health care providers and the status of the unaffiliated physician and group practice.
In this episode Rick discusses Healthcare Policy and Politics, the implications associated with the ending of PHE, Medicaid expansion, data modernization, the impact of technology on access to clinical trials, the future of the CDC and the upcoming legislative agenda; what’s next for Congress???
Rick has the opportunity to explore leadership from the C-Suite to the front lines with Jaclyn Beck, Wall Street veteran, executive coach, and principal at Jaclyn Beck Consulting. Jaclyn shares her insights and advise on the common and not so common issues that challenge leaders at every level of the organization, they discuss the healthcare environment where the stakes are high and each encounter with a patient, handoff to another staff member, miss communication or lack of compliance with protocol can have a significant consequence, the impact of burnout and finally the consequences of misalignment in an organization where the companies mission and leaderships values are out of sync.
In this episode Rick discusses strategy, innovation and partnerships with Lauren Brandon, Ubers Alliance Partnerships Manager and Swikriti Dasgupta, Partnerships Coordinator focusing on Ubers strategic approach; what it means to leverage transportation in the healthcare space, influencing access by allowing patients to live independently in their community, present and future relationships with health insurers & provider systems, prescription delivery, meals and other in-home services to patients, what’s next for the Uber Health dashboard as well as Ubers history of maximizing strategy as it continues to dominate their unique market.
In this episode Rick has the opportunity to discuss Healthcare Transformation with an industry thought leader, unpacking the sometimes complicating and challenging issues associated with a health systems responsibility to their communities, value-based care, the role of technology in the advancement of healthcare delivery, payment structures and the new and essential competencies for healthcare executives.
At month end Rick and Ben discuss what’s new and noteworthy in the health sector, starting with the Biden Administrations ending of the PHE, the “fake” nursing diploma scam, art imitating life in the series “The Last of Us” and a little prognostication on the current state of the market. Rick also sends a shout out and thank you to our listeners and supporters on Apple, Spotify, and YouTube and of course our guests for sharing their insights, expertise perspectives and time.
In this episode the Healthcare Nation Podcast Continues The Big Challenges Series with Rick interviewing a luminary in the field of Bioethics, Dr Arthur Caplan.
Rick and Dr Caplan discuss bioethics and its implications within emerging technologies, the current fascination with ageing and the medical industries response to meeting that demand, sources of truth in policy and politics, the ethical risk of algorithms, AI dependency & addiction as well as a number of challenging scenarios an unregulated metaverse may hold.
In this episode Rick welcomes Dr Ranya Habash to discuss “Medicine in the Meta Verse”, the impact of AI, ML, ChatGPT on medical education and clinical care, the use of digital twins to advance treatment pathways, concerns regarding confidence, accuracy & outcomes as well as access and equity issues, the consumer and retail entrants into the space and how the market is responding.
In this episode Rick and Dr Melinda Ring discuss the role alternative / integrative approaches play in the healthcare system, the raising of awareness with respect to whole-person care with the end-goal of ultimately influencing healthcare policy and practice, the emerging field of culinary medicine, and the issue of access to these approaches as well as the role technology might play in advancing them.
The series continues with a candid and insightful conversation with Dr Ram Raju, who draws on his experience leading two of the largest public health systems in the country to describe the issue, its impact on individuals and society, the social determinant's, the role of the healthcare CEO in addressing community issues, and the impact of emerging consumer entrants on models of care as well as novel solutions that employ technology to increase access and reduce disparities.
In this inaugural “shakedown” episode, Rick and producer Ben Castro pressure test the Healthcare Nation Podcast hypothesis (as well as studio modulation!!!) with Ben firing off a series of questions to Rick which revolve around healthcare and technology, the IoT and the IoMT, the emergence of retail and consumer influence on healthcaredelivery models as well as a look into what’s coming up in the first “chapter” of the Healthcare Nation Podcast.