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Pioneering book on the power of culture on business success, 1982
One of the best selling business book in history…also on culture.
“In Search of Excellence”, 1982
• A bias for action, active decision making - 'getting on with it'. Facilitate quick decision making &
problem solving tends to avoid bureaucratic control
• Close to the customer - learning from the people served by the business.
• Autonomy and entrepreneurship - fostering innovation and nurturing 'champions'.
• Productivity through people- treating rank and file employees as a source of quality.
• Hands-on, value-driven - management philosophy that guides everyday practice - management
showing its commitment.
• Stick to the knitting - stay with the business that you know.
• Simple form, lean staff - some of the best companies have minimal HQ staff.
• Simultaneous loose-tight properties - autonomy in shop-floor activities plus centralized values.
Still relevant in 2013
One of the most successful new business magazines, by the former
editors of the Harvard Business Review. They broke the rules.
Pete and John were charter investors and thanked in the masthead for
What are the differences between
big and small companies?
• Diverse resources
• Market power
• Can go to scale
• Risk averse
• Cost inefficient
• Requires detailed plans
• Don’t know what they
• Unfriendly to inventors
• Risk taking
• Works around the clock
• Can change quickly
• Always optimistic
• Never enough people
• Never enough tools
• No reputation
• Lack of depth
• Lack connections
• Don’t know that they
• Always optimistic
• Terabyte/exobyte memories...SmartPhone sensors/virtual
• Personal medical search engines know who you are, where
you are, what’s wrong.
• Data gets bigger, more accessible faster.
• Wikis, blogs, collaboration software enhance collective
• Decision making software/computers… “Watson will see you
• Integrated imaging/diagnosis/therapy
in many areas
• Disciplines: Cardiology, EP, Neuroscience, Radiology, Surgery,
• Science: Biology, Chemistry, Physics, Nanotechnology
• Business: Pharma, Biotech, Devices
• Diagnostics and therapeutics
• Fusion imaging
• Technology: IT with everything, bioinformatics,
The Arab Spring comes to Health Care
Democratization of Knowledge
Democratization of Power
Bottoms Up Health Reform: Some Examples
More TransparencyMore Transparency
More Participation by Patients
Big Picture Thinking
My conference center in King City, Ontario. New experiments in collaboration
The Kingbridge Mission
The Design of Meetings
Organizations are most productive when there is great
communication. Great communication can occur
when people are stimulated, provoked and challenged
in an atmosphere of trust, respect and accountability.
iPod versus iTunes
We need more systems solutions so we can use our
Big or Small,
Innovation Starts with
Leaders invest in what
-It’s not a job. It’s a religion.
Pseudo leaders focus on
image, not substance.
• They care about what’s right
• They aren’t afraid to speak out.
want results at any cost.
Leaders want to create
something of value.
want to be rich.
Leaders don’t follow a formula.
• They do zero based thinking every day
• They question assumptions
• They question authority
• They question themselves
• They provoke, challenge, test, play
Pseudo leaders do what they think
will please the boss.
How Do We Rate?
• Sense of urgency
• Freedom from fear of failure
• Willingness to kill projects
• Organization-wide optimization
People have been trying to collaborate
since the beginning of people
The Babel Collaboration Center. Didn’t work too well.
When I asked the editors whether I could collaborate with
the other authors, I was told “we don’t do things that way”.
Building an organization is a continuous process.
Evolve or die.
“No one owns the industry.
It belongs only to the best - to those
who keep it growing, producing, alive.
We’re in it today, but tomorrow it
belongs to whoever does it better.”
Invention is everywhere. This open source one could be
the foundation of many devices and applications.