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Reframing Healthcare: A Roadmap For Creating Disruptive Change
Dr. Zeev Neuwirth wrote Reframing Healthcare for leaders and organizations interested in understanding what the disrupters in healthcare are doing and, more to the point, for those who want to be the disrupters rather than the disrupted. This book is a step-by-step guide for leadership teams that are intent on improving healthcare at an accelerated pace. It’s written for healthcare organizations that wish to thrive in a customer-centric, community-oriented, value-based healthcare system. This book provides an assessment of the market forces, mega-trends and reframes that are transforming the healthcare market, and delivers a replicable and scalable roadmap for creating better healthcare.
- GenresHealth Care
272 pages, Hardcover
Published April 23, 2019
55 people are currently reading
124 people want to read
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Displaying 1 - 12 of 12 reviews
March 1, 2020
This is a well-organized roadmap for addressing all that ails the healthcare system. Dr. Neuwirth is thorough and convincing. The great bonus it offers is that is is free of all political vitriol and platitudes - something I was concerned about when I embarked on this book.
Chapter after chapter I was struck by how much our public education system has in common with our healthcare delivery systems. Both are ginormous and complex, both are scandalously expensive (education - a terrible financial burden on taxpayers; healthcare - an enormous financial burden on families and businesses and governments) and both are pretty lousy. Several times, I actually substituted the words "public education" for "healthcare" and every sentence totally worked. Interesting, right?
I would pair this book with Pivot to the Future as I would pair a fine wine with a particular dish, and I'd suggest reading Reframing Healthcare second. The Pivot book will grease the skids and you will better grasp the kind of disruption sought by Neuwirth. You will better understand the importance of timing and how, in light of the direction of all manner of enterprise in the 21st Century, you will know that not acting boldly is not an option.
Neuwirth's offers very specific recipes for building a healthcare delivery system of the future. I really appreciated and admired this specificity.
His recommendations for reframing healthcare require imagination and are best viewed through the lenses of technology. The role of a customer-centric delivery system and digital and telemed delivery systems were my favorite parts of the book.
The elephant that remained in the room until the very end of the book is the role of the individual in achieving meaningful progress in reducing the burden on the healthcare systems by caring for their own health. Neuwirth does not call it this - he put this issue under the heading of "social determinants", which subtly places it all at the feet of a faceless, nameless group. Surely, there are social determinants to health (poverty, environment, lack of education, etc). This is very real. But, here is where public education and healthcare share many of the same fundamental issues. Whether rich or poor, whenever we decide to have BIG matters - like the education or health of our kids - handled by others entirely, the abdication can become part of the problem. I think this book would have had even more impact if there had been a chapter devoted to personal responsibility (at the individual level) to become informed and to make better choices. We seem to accept the legal principle that ignorance of the law excuses no one but when it comes to matters of health and education, many of us shrug and wait for others to do it for us.
More than half of healthcare expenses arise from behaviors and lifestyle choices that cause illness and disease processes. The poor and the down-trodden have an added burden, that is for sure. When I was poor, I carried a heavier burden to make wise choices. I remember this well, and it is why I think promoting change at the individual level, while recasting and reinventing the system that delivers healthcare is the one-two punch needed for a truly disruptive pivot to the future of healthcare.
I learned a great deal about the healthcare industry problems by reading this book and I was very encouraged by Dr. Neuwirth's corrective prescriptions.
Chapter after chapter I was struck by how much our public education system has in common with our healthcare delivery systems. Both are ginormous and complex, both are scandalously expensive (education - a terrible financial burden on taxpayers; healthcare - an enormous financial burden on families and businesses and governments) and both are pretty lousy. Several times, I actually substituted the words "public education" for "healthcare" and every sentence totally worked. Interesting, right?
I would pair this book with Pivot to the Future as I would pair a fine wine with a particular dish, and I'd suggest reading Reframing Healthcare second. The Pivot book will grease the skids and you will better grasp the kind of disruption sought by Neuwirth. You will better understand the importance of timing and how, in light of the direction of all manner of enterprise in the 21st Century, you will know that not acting boldly is not an option.
Neuwirth's offers very specific recipes for building a healthcare delivery system of the future. I really appreciated and admired this specificity.
His recommendations for reframing healthcare require imagination and are best viewed through the lenses of technology. The role of a customer-centric delivery system and digital and telemed delivery systems were my favorite parts of the book.
The elephant that remained in the room until the very end of the book is the role of the individual in achieving meaningful progress in reducing the burden on the healthcare systems by caring for their own health. Neuwirth does not call it this - he put this issue under the heading of "social determinants", which subtly places it all at the feet of a faceless, nameless group. Surely, there are social determinants to health (poverty, environment, lack of education, etc). This is very real. But, here is where public education and healthcare share many of the same fundamental issues. Whether rich or poor, whenever we decide to have BIG matters - like the education or health of our kids - handled by others entirely, the abdication can become part of the problem. I think this book would have had even more impact if there had been a chapter devoted to personal responsibility (at the individual level) to become informed and to make better choices. We seem to accept the legal principle that ignorance of the law excuses no one but when it comes to matters of health and education, many of us shrug and wait for others to do it for us.
More than half of healthcare expenses arise from behaviors and lifestyle choices that cause illness and disease processes. The poor and the down-trodden have an added burden, that is for sure. When I was poor, I carried a heavier burden to make wise choices. I remember this well, and it is why I think promoting change at the individual level, while recasting and reinventing the system that delivers healthcare is the one-two punch needed for a truly disruptive pivot to the future of healthcare.
I learned a great deal about the healthcare industry problems by reading this book and I was very encouraged by Dr. Neuwirth's corrective prescriptions.
July 5, 2019
“If we intend to transition into a sustainable, value-based industry, we will need to reorient our thinking, redefine our problems, and redirect our strategies, tactic, and resources. If we intend to create consumer-centric organizations, products, and services, we will need to rebrand from within an empathetic, demand-side perspective with focused and explicit value propositions; redesign for an extremely engaging and relevant experience as well as for results that really matter to consumers; and reorganize for synergies that emancipate the tremendous value potential currently locked up in our constraining constructs.”
Key Elements:
1. Reframe care using a marketing mindset:
--Identify consumers
--Focus on certain consumer segments – it is impossible to be all things for all people, all the time; and if you try to do that you’ll likely end up being nothing special for anyone most of the time. Because it is impractical to offer individualized services for every single person, the population should be segmented into groups based on needs.
--Understand the specific needs within the segment
--Create customized, relevant solutions that meet their needs
--Engage them in their own care
2. Rebrand around the new value proposition for each segment
--Focus on the why – what is the fundamental value proposition and what core customer need is being addressed? (i.e., what need are you solving for? What outcome are you expecting to offer your customers?). This value proposition should speak to deep psychological/primal needs, express empathy, focus on how it makes people feel, tell a story, establish a relationship, conveyed with authenticity.
3. Redesign care to deliver the new value proposition
--Design care to meet the needs of specific segments, aiming for outcomes that matter to the customers with measurable results in mind
Other ideas:
-You must fall in love with the problem. You don’t want to fall in love with the solution.
-New entrants have an advantage because they don’t have to deconstruct a legacy of combined mash-up brands that have sub-optimized their value proposition
-Digital technology requires an even greater adherence to the customer-oriented principles of the marketing mindset….because it is still a relatively new engagement channel, it requires a “10x experience” – to not just be as good as analogue but to be far better to attract, engage, and compete for customers in a sustained way, especially because there is liited-to-no human factor to fill the gaps.
Key Elements:
1. Reframe care using a marketing mindset:
--Identify consumers
--Focus on certain consumer segments – it is impossible to be all things for all people, all the time; and if you try to do that you’ll likely end up being nothing special for anyone most of the time. Because it is impractical to offer individualized services for every single person, the population should be segmented into groups based on needs.
--Understand the specific needs within the segment
--Create customized, relevant solutions that meet their needs
--Engage them in their own care
2. Rebrand around the new value proposition for each segment
--Focus on the why – what is the fundamental value proposition and what core customer need is being addressed? (i.e., what need are you solving for? What outcome are you expecting to offer your customers?). This value proposition should speak to deep psychological/primal needs, express empathy, focus on how it makes people feel, tell a story, establish a relationship, conveyed with authenticity.
3. Redesign care to deliver the new value proposition
--Design care to meet the needs of specific segments, aiming for outcomes that matter to the customers with measurable results in mind
Other ideas:
-You must fall in love with the problem. You don’t want to fall in love with the solution.
-New entrants have an advantage because they don’t have to deconstruct a legacy of combined mash-up brands that have sub-optimized their value proposition
-Digital technology requires an even greater adherence to the customer-oriented principles of the marketing mindset….because it is still a relatively new engagement channel, it requires a “10x experience” – to not just be as good as analogue but to be far better to attract, engage, and compete for customers in a sustained way, especially because there is liited-to-no human factor to fill the gaps.
December 15, 2019
High-level, well-thought out concepts around the future of healthcare delivery from the unique perspective of a provider turned management turned c-suite. The author's clear implications of a system in need of improvement over a broken system or individually apathetic persons is refreshing and realistic. I do wish the author included more direct cause-and-effect descriptions for the current healthcare state...but I believe it was to focus on the present and future over the past (which is covered extensively in numerous works). The book was informative, concise, and sincere in its delivery. I recommend it to executives and senior level managers across the healthcare and healthcare tech spaces.
November 8, 2021
Amazing roadmap and must-read for anyone who desperately wants to make a difference in healthcare, but has been discouraged & overwhelmed in the past. It provides a tangible roadmap and pulls from great learnings such as marketing and other business aspects. In the spirit of #publicprivatepartnerships. Dr Neuwirth knows what he's talking about as a practicing clinician and business executive!
January 9, 2020
A very powerful and compelling read. I enjoyed every minute and would highly recommend. Certainly one of the most comprehensive and digestible explanations for how we can transform healthcare. This is suitable to a wide variety of listeners.
May 2, 2021
Good but not groundbreaking. I liked the constant theme of reframing healthcare into a new set of problems, something other than the traditional challenges. I also liked the example of the origami guy who used his knowledge to fold biomedical equipment. Genius.
July 19, 2021
I love the authors courage to address customer focused healthcare. Interesting concept that the word patient comes from the word suffer. What a great recommendation to reframe the view on healthcare to a healthcare consumer.
June 9, 2020
Interesting new concepts. Very timely book
June 22, 2021
Really thoughtful take on how to change health care for the better.
November 5, 2022
This is a very enlightening book that gives a clear understanding of the challenges that exist in the US healthcare system.
September 20, 2020
Very thoughtful about need to completely reimagine healthcare by humanizing it.
Displaying 1 - 12 of 12 reviews