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Opportunities With AVIA
5 August 2014
Your Needs
 My Response
Your Needs
 My Response
Need #1
Strategic Thinker To
Help Grow Business
Your Needs
 My Response
Need #2
Senior Manager To
Engage Stakeholders
Your Needs
 My Response
I get it.
Unique Combination Of Skills

AVIA Positioning Ideation

Pfizer Case

Firestone Case
Unique Combination Of Skills

AVIA Positioning Ideation

Pfizer Case

Firestone Case
I’ve worked
with health
care brands,
in other
categories,
and a myriad
of types of
enterprises.
MANAGEMENT
Examples
§  Manage
Teams
§  Manage
Clients
§  Manage
Vendors
§  Solid Line
§  Dotted Line
§  Lead
§  Member
§  Consultative
SALES
Examples
§  Write /
Manage
Pitches
§  Write /
Manage
RFPs and
SOWs
§  Identify
White
Spaces
INNOVATION
Examples
§  Conduct
Secondary
§  Interpret
Secondary,
Qual, and
Quant
Findings
§  Lead or Co-
Lead Qual
Design
§  Co-Create
with Clients
and Clients’
Partners
§  Identify and
Begin
Instilling
Culture
§  Lead
Workshops
FRAMEWORK
Examples
§  Map User
Experience
§  Evolve
Business
Model
§  Build Brand
Architecture
§  Develop
Brand
Positioning
§  Develop
Brand
Strategy
PLANNING
Examples
§  Develop
Plan To
Engage
Employees
§  Develop
Launch
Plan
§  Develop
Marketing
Plan
§  Develop
Messaging
Hierarchy
TOUCHPOINTS
Examples
§  Manage
Creation of
Brand
Idenity,
Collateral,
Web
Concepts,
Naming,
Tag Line,
Corporate
Identity,
Direct Mail,
Employee,
POS, Print
Ad, Store
Design, And
Trade Show
Touchpoints
MANAGEMENT
Examples
§  Manage
Teams
§  Manage
Clients
§  Manage
Vendors
§  Solid Line
§  Dotted Line
§  Lead
§  Member
§  Consultative
SALES
Examples
§  Write /
Manage
Pitches
§  Write /
Manage
RFPs and
SOWs
§  Identify
White
Spaces
INNOVATION
Examples
§  Conduct
Secondary
§  Interpret
Secondary,
Qual, and
Quant
Findings
§  Lead or Co-
Lead Qual
Design
§  Co-Create
with Clients
and Clients’
Partners
§  Identify and
Begin
Instilling
Culture
§  Lead
Workshops
FRAMEWORK
Examples
§  Map User
Experience
§  Evolve
Business
Model
§  Build Brand
Architecture
§  Develop
Brand
Positioning
§  Develop
Brand
Strategy
PLANNING
Examples
§  Develop
Plan To
Engage
Employees
§  Develop
Launch
Plan
§  Develop
Marketing
Plan
§  Develop
Messaging
Hierarchy
TOUCHPOINTS
Examples
§  Manage
Creation of
Brand
Idenity,
Collateral,
Web
Concepts,
Naming,
Tag Line,
Corporate
Identity,
Direct Mail,
Employee,
POS, Print
Ad, Store
Design, And
Trade Show
Touchpoints
Unique Combination Of Skills

AVIA Positioning Ideation

Pfizer Case

Firestone Case
AVIA
 AVIA’s Market
To develop ideas, I audited AVIA and its market.
AVIA
 AVIA’s Market
To develop ideas, I audited AVIA and its market.
Home  »  The  Innovation  Imperative 43
H&HN  Daily
The Innovation Imperative
07.01.14 by Ian Morrison
Health care delivery has to innovate on a massive scale for higher performance.
If  you  are  an  optimist,  as  I  am,  you  see  growth  in  health  care  costs  moderating,  coverage  expanding,  and  important  progress  being  made  on  patient  safety  and
quality.  But  even  optimists  cannot  be  complacent.  We  are  just  scratching  the  surface  of  what  must  be  done  to  transform  the  health  care  delivery  system.
Remember,  the  baby  boom  is  just  starting  the  long  march  through  Medicare  (and  for  the  vast  majority  of  the  eventually  impoverished  seniors,  a  significant
tramp  through  Medicaid).
It  is  also  wise  to  consider  that  health  care  premiums  are  swamping  the  finances  of  most  middle  class  Americans  as  well  as  the  businesses  and  taxpayers  that
support  those  health  insurance  premiums.  And  recall:  We  are  on  the  edge  of  dazzling  technologies  that  have  the  potential  to  extend  life,  cure  disease  and
ameliorate  suffering,  but  at  a  cost  that  could  be  staggeringly  expensive.  No,  we  cannot  be  complacent;;  we  need  to  innovate  our  way  out  of  this.
Creating Sustainable Affordability
Health  care  affordability  is  the  key  challenge.  We  lull  ourselves  into  complacency  if  we  simply  try  to  bend  the  trend  a  wee  bit.  Health  care  is  already
outrageously  expensive,  and  the  pressures  from  an  aging,  obese,  spoiled  and  demanding  public  will  overwhelm  our  ability  to  pay  for  health  care  as  it  is
currently  conceived  and  delivered.  Add  to  the  demand  side  the  new  technologies  on  the  supply  side  —  genetically  engineered  drugs;;  intelligent  implantable
devices;;  and  new  forms  of  prosthetic  aids  to  mobility,  well-­being  and  function  (none  of  which  sounds  cheap  to  me)  —  and  you  have  a  recipe  for  unit  costs
increasing  and  volume  of  units  expanding.
Oh  yes  —  we  are  bringing  50  million  more  Americans  into  the  fold  with  coverage  expansion,  slowly  but  surely,  over  the  coming  decades,  because  we
Americans  are  not  really  the  heartless  bastards  we  sometimes  appear  to  be  to  the  rest  of  the  world.  (I  am  writing  this  in  Scotland,  so  maybe  I  am  tainted  by  the
local  views.)
But  while  affordability  is  the  key  challenge,  the  solution  is  not  just  cost-­cutting  and  re-­engineering.  Don't  get  me  wrong  —  we  need  to  do  those  things,  but  they
will  not  get  us  where  we  need  to  be.  As  one  CEO  in  another  industry  with  whom  I  worked  taught  me:  "You  cannot  re-­engineer  your  way  to  greatness."
Many  organizations  are  on  the  path  of  process  redesign,  supply  chain  rationalization,  clinical  process  improvement  and  Lean.  All  good.  But  in  many  cases,
they  will  yield  improvement  that  will  be  smothered  by  the  forces  of  supply  and  demand.  No,  the  true  challenge  is  to  create  sustainable  affordability  through
massively  scalable  innovation.
Leading Innovation
My  longtime  friends  and  colleagues  Molly  Coye,  M.D.,  chief  innovation  officer  at  UCLA  Health  System,  and  Wendy  Everett,  chief  executive  officer  of  the
Network  for  Excellence  in  Health  Innovation,  are  pioneers  in  tackling  this  innovation  imperative.  I  was  honored  to  participate  recently  in  their  second  annual
National  Healthcare  Innovation  Summit  held  at  Harvard  University  Medical  School  in  conjunction  with  the  Healthcare  Information  and  Management  Systems
Society  and  Avia.  The  summit  brought  together  chief  innovation  officers  and  chief  transformation  officers  of  leading  health  care  delivery  systems,  encouraging
interaction  between  thought  leaders  in  health  care  and  many  smaller  entrepreneurial  inventive  companies.
The  value  of  such  interaction  is  clear:  We  need  to  harness  the  innovation  that  entrepreneurial  companies  can  bring  and  to  encourage  large-­scale  delivery
systems  to  deploy  them.  All  this  must  be  done  in  pursuit  of  the  noble  Triple  Aim  of  better  health  care,  better  health  and  lower  per  capita  costs.  Searching  and
sorting  these  innovations  —  and  evaluating,  disseminating  and  connecting  them  to  partners  —  is  very  important  work.
As  these  forums  and  other  worthy  initiatives  across  the  country  show,  there  is  potential  to  bring  large-­scale  innovation  to  health  care  delivery.  I  would  offer  the
following  observations  about  what  to  watch  for  on  this  journey.
The  trajectory  of  silicon.  In  almost  every  other  industry,  meaningful  innovation  has  occurred  because  contemporary  information  technology  was  deployed  at
scale.  The  expanding  power  of  semiconductors  has  enabled  many  of  the  technologies  that  have  transformed  our  lives.  Getting  on  the  silicon  innovation
trajectory  has  been  hard  for  health  care,  because  health  care  delivery  is  not  just  about  bits  and  bytes;;  yet  that  does  not  excuse  us.  Health  care  has  been
pathetically  slow  at  incorporating  contemporary  information  technology.
I  recall  as  a  young  analyst  working  in  Vancouver,  B.C.,  writing  the  justification  for  a  Meditech  electronic  record  system  as  part  of  an  all-­computerized  hospital
strategy  in  1979!  That  was  nearly  35  years  ago;;  it  is  sad  it  has  taken  us  this  long  to  get  with  the  program  (if  you  pardon  the  pun).  While  meaningful  use  is  no
panacea,  it  has  dragged  the  health  care  delivery  system  toward  the  future,  if  not  into  it.  We  must  jump  on  the  silicon  trajectory  and  use  cutting-­edge  technology
to  better  effect.  For  example,  companies  like  Teladoc  provide  remote  access  to  physician  consultation  services  on  demand  to  more  than  7  million  members.
Similarly,  Eric  Topol,  M.D.,  teaches  us  that  the  iPhone  and  its  derivatives  may  become  the  key  medical  technology  of  the  21st  century.
The  value  of  clinical  innovation.  We  are  on  the  cusp  of  a  key  societal  debate  about  how  to  value  clinical  innovation.  Scientists  and  industry  pursue  unmet
medical  needs,  drawing  on  the  best  of  emerging  science  and  translating  it  into  meaningful  innovation.  We  celebrate  their  success  on  "NBC  Nightly  News"  and  in
the  National  Enquirer  —  medical  breakthroughs  we  call  them.  But  we  don't  have  a  very  good  idea  about  how  to  deal  with  clinical  innovation  that  is  highly
effective  and  incredibly  expensive,  with  potentially  huge  numbers  of  clinically  plausible  patient  applications.  Biologicals  or  specialty  pharmaceuticals  have  been
ABOUT  AHA CONTACT  AHA
AVIA drives innovation in key areas of healthcare by connecting
groups of providers with similar needs with emerging technology
solutions.
It focuses on patient retention / attraction, post-acute care
improvement, and enhancing patients’ experiences.
AVIA
 AVIA’s Market
To develop ideas, I audited AVIA and its market.
Conferences – Healthcare Innovation (General)
Conferences – Healthcare Innovation (Specific Issue)
Conferences – Technology Demonstrations
Non-Profits – Researchers, Trade, Advocates And Foundations
Incubators And Accelerators – Association Based
Incubators And Accelerators – Single Provider Based
Incubators And Accelerators – Academic Medical Center Based
Incubators And Accelerators – Anchored In Locality Or Region
Government Agencies – Content Clearinghouses
Government Agencies – Regulators
Networks - Innovation Best Practices Identifiers / Disseminators
Networks – Pitch And / Or Networking Opportunities
Consultants – Management, New Product, And Health
Funders – General And Health / IT-Specific VCs
Content – General, Specialized, Journals + Social Components
Content – Health, Digital Health, And Tech Thought Leaders
Categories

§  Payer
Administration
§  Devices
§  Big Data
§  Consumer
Engagement
§  Population
Health
Management
§  Personalized
Medicine
§  Products
§  Services
§  Culture Of
Innovation

Criteria

§  Evidence-
Based
§  Investment
Level
§  Technology
Type
§  End-User
§  Interoperability
Challenges

§  Healthier
Populations
§  Improved
Patient
Experiences
§  Cost
Reductions
§  More Efficient
Collaborations 
§  More Holistic
View /
Management
Of Point Of
Care
§  Higher Touch
Delivery
Care

§  Delivery
§  Payment
§  Evaluation
Technology

§  Funding
§  Evaluation
§  Legality
§  Compatibility
§  Deployment 
Content

§  Development
§  Dissemination
§  Advocacy
Funding

§  VC
§  Enterprise
§  Debt
Connectivity

§  Formal
Collaborations
§  Networking
§  Networks
§  Social
Platforms
§  Government
clearinghouses
These stakeholders – from content providers and informal
collaborators to venture capitalists and foundation grant writers –
have created an ecosystem.
Process

§  Externally
Focused
Innovation
§  Look Internal
First
Innovation
The ecosystem is characterized by an incredible array of new
solutions that have been brought to market.
The ecosystem has also fostered the creation of a dizzying array
of intellectual capital.
But while products have
been brought to market and
ideas have been generated,
because the ecosystem
lacks - by definition - a
grand strategy, it’s also
resulted in a new dynamic
where navigating health care
innovation is almost as
complex as navigating
health care.
I know that
health care is
complex.
I also know
that health
care has
complex
challenges.
But innovating
is health care
has become
complicated.
So I’m back to
where I started
-- maybe even
worse for the
wear.
I know that
health care is
complex.
I also know
that health
care has
complex
challenges.
But innovating
is health care
has become
complicated.
So I’m back to
where I started
-- maybe even
worse for the
wear.
AVIA makes health care
innovation easier, which
allows providers to solve
today’s health care
challenges.
We made healthcare innovation easier.™
Easier.
Health
Innovation
Challenge: 

So Many Credible
Voices All Trying
To Be Heard 

Easier Solution:

Develop Easy-To-
Understand,
Regularly
Updated
Proprietary Tool
Or Index (e.g.,
Rock Health’s
Funding Guides)
To Break-Through,
Create Stickiness

Health
Innovation
Challenge: 

Universe Of
Reports Available
Across Web

Easier Solution:

Make Finding
Wide Range Of
Information,
Currently Dispirit,
Easier To Access
Via Archive / Link
System 
Healthcare
Innovation
Challenge:

Wheel Sometimes
Reinvented

Easier Solution:

Commitments To
Always (1) Tap
Internal
Resources (e.g.,
UCLA), (2) Begin
With Established
(e.g., Triple Aim),
And (3) Keep
Technology /
Strategy In Right
Order…
Step #1
Health Challenge

Patients With New
Braces Don’t
Know How To
Take Care Of
Them
Step #3
Technology Idea

Show Patients
Video With
Relevant
Information
Step #2
Strategy

Understand End
User’s Needs,
Develop On-
Target Content,
Integrate Into
Environment, And
Follow-Up To
Drive Adherence
Unique Combination Of Skills

AVIA Positioning Ideation

Pfizer Case

Firestone Case
MANAGEMENT
Examples
§  Manage
Teams
§  Manage
Clients
§  Manage
Vendors
§  Solid Line
§  Dotted Line
§  Lead
§  Member
§  Consultative
Examples
§  Write /
Manage
Pitches
§  Write /
Manage
RFPs and
SOWs
§  Identify
White
Spaces
INNOVATION
Examples
§  Conduct
Secondary
§  Interpret
Secondary,
Qual, and
Quant
Findings
§  Lead or Co-
Lead Qual
Design
§  Co-Create
with Clients
and Clients’
Partners
§  Identify and
Begin
Instilling
Culture
§  Lead
Workshops
FRAMEWORK
Examples
§  Map User
Experience
§  Evolve
Business
Model
§  Build Brand
Architecture
§  Develop
Brand
Positioning
§  Develop
Brand
Strategy
PLANNING
Examples
§  Develop
Plan To
Engage
Employees
§  Develop
Launch
Plan
§  Develop
Marketing
Plan
§  Develop
Messaging
Hierarchy
TOUCHPOINTS
Examples
§  Manage
Creation of
Brand
Idenity,
Collateral,
Web
Concepts,
Naming,
Tag Line,
Corporate
Identity,
Direct Mail,
Employee,
POS, Print
Ad, Store
Design, And
Trade Show
Touchpoints
SALES
§  Although Recruiting
Target Talent Key
Strategy Enterprises
Employ to Maintain
Relevance in Hyper-
competitive Pharma
Category, Pfizer’s
Efforts Varied
Considerably By
Profession, Country
§  Inconsistencies Led to
Brand Dilution and
Significant Cost
Inefficiencies
Challenge
Crucial Recruitment Hampered By Confused, Diluted Market Presence
§  Led Global C-level 1:1
Interview
§  Completed
Marketplace
Analyses
§  Solicited Client Input
§  Incorporated Quant
Research
§  Reviewed Social
Media
Listening Results
Role
Managed Global Qual Research, Reviewed Other Streams, and Synthesized
Findings
Insights / Strategy
Unidentified Employment Brand DNA – Staff Across Walks of Life, Professions,
and Countries Came to Pfizer to Make World Better Place – That Drove Brand,
Addressed Business Challenge
Insights / Strategy
Synthesis Led to “Big Idea” for Platform, Platform Created Momentum for
Multiple Rounds of Sell-In
§  Brand the Branding
§  Create Executice
Buy-In Through
Regular, Consistent
Updates On Linear
Process
§  Romance “Branding”
w/ Daily Clients
§  Drive Adoption in
Decentralized
Corporate Culture By
Creating Overall
Brand and
Downloadable PDF
Templates for LOBs,
Countries to
Customize
Unique Combination Of Skills

AVIA Positioning Ideation

Pfizer Case

Firestone Case
MANAGEMENT
Examples
§  Manage
Teams
§  Manage
Clients
§  Manage
Vendors
§  Solid Line
§  Dotted Line
§  Lead
§  Member
§  Consultative
SALES
Examples
§  Write /
Manage
Pitches
§  Write /
Manage
RFPs and
SOWs
§  Identify
White
Spaces
INNOVATION
Examples
§  Conduct
Secondary
§  Interpret
Secondary,
Qual, and
Quant
Findings
§  Lead or Co-
Lead Qual
Design
§  Co-Create
with Clients
and Clients’
Partners
§  Identify and
Begin
Instilling
Culture
§  Lead
Workshops
FRAMEWORK
Examples
§  Map User
Experience
§  Evolve
Business
Model
§  Build Brand
Architecture
§  Develop
Brand
Positioning
§  Develop
Brand
Strategy
PLANNING
Examples
§  Develop
Plan To
Engage
Employees
§  Develop
Launch
Plan
§  Develop
Marketing
Plan
§  Develop
Messaging
Hierarchy
TOUCHPOINTS
Examples
§  Manage
Creation of
Brand
Idenity,
Collateral,
Web
Concepts,
Naming,
Tag Line,
Corporate
Identity,
Direct Mail,
Employee,
POS, Print
Ad, Store
Design, And
Trade Show
Touchpoints
§  Category-leading Retail Arm Grown
On Strength Of Parent’s Iconic
Product and Its Own Auto Expertise
But Unresolved Issues = Churn
§  Consumers Wanted One-stop But
Tires’ Presence Overwhelmed
Maintenance and Repair –
Customers Assumed Tires Brand’s
Only Business
§  Frequently Gritty Stores Not
Oriented Toward Target (“Moms
With Minivans”)
§  Market Confusion Sowed By (1)
Independent Dealers Using
Firestone Name and (2) Service
Brand (Master Care) Never
Consistently Supported
Challenge
Firestone Led Market Despite Myriad of Self-Inflicted Strategic Wounds
§  Though Charged W/ Raising Retention Via Development Of “Store Of The
Future”, Identified Wider Opportunity: Build True Retail Brand
§  Partnered With COO To Transform Research Into Positioning
§  Untangled Knotty Brand Architecture to Clarify Relationships
§  Used Research and Draft Strategy to Sell-in C-suite
§  Worked Closely With Agency to Create Category-Defining Store of Future
§  Spearheaded Brand Identity - From Name and Brand to Messaging
Hierarchy, Graphic Guidelines
§  Developed Strategy to Sync Web Site with Brand
§  Part Of Effort To Drive Adoption, Spoke at Internal Conferences, Board
Meetings, and Store Meetings Across Country
Opportunity / Role
Identified That Building Retail Brand Via Research, Strategy, Creative, Roll-Out
Bigger Long-Term Payoff Than “Just” Store-of-Future
Insights / Strategy
Target (Moms w/ Minivans) Wanted Two Types of Experience: In-Store and
Peace of Mind Via Heritage Brand
Insights / Strategy
Use Market Leadership As Permission to Communicate Differently
Insights / Strategy
You’ve Got Three Lines of Business, So Push Those Three Lines of Business –
Particularly Given Share Of Revenue, Margin
Insights / Strategy
Dial-Down Tires (Ironic But Needed) And Improve Shopping
Insights / Strategy
Provide Value-Adds to Target
Thank you.

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AVIA 4 Aug As Released

  • 2. Your Needs My Response
  • 3. Your Needs My Response Need #1 Strategic Thinker To Help Grow Business
  • 4.
  • 5. Your Needs My Response Need #2 Senior Manager To Engage Stakeholders
  • 6.
  • 7. Your Needs My Response
  • 9. Unique Combination Of Skills AVIA Positioning Ideation Pfizer Case Firestone Case
  • 10. Unique Combination Of Skills AVIA Positioning Ideation Pfizer Case Firestone Case
  • 11.
  • 12. I’ve worked with health care brands, in other categories, and a myriad of types of enterprises.
  • 13. MANAGEMENT Examples §  Manage Teams §  Manage Clients §  Manage Vendors §  Solid Line §  Dotted Line §  Lead §  Member §  Consultative SALES Examples §  Write / Manage Pitches §  Write / Manage RFPs and SOWs §  Identify White Spaces INNOVATION Examples §  Conduct Secondary §  Interpret Secondary, Qual, and Quant Findings §  Lead or Co- Lead Qual Design §  Co-Create with Clients and Clients’ Partners §  Identify and Begin Instilling Culture §  Lead Workshops FRAMEWORK Examples §  Map User Experience §  Evolve Business Model §  Build Brand Architecture §  Develop Brand Positioning §  Develop Brand Strategy PLANNING Examples §  Develop Plan To Engage Employees §  Develop Launch Plan §  Develop Marketing Plan §  Develop Messaging Hierarchy TOUCHPOINTS Examples §  Manage Creation of Brand Idenity, Collateral, Web Concepts, Naming, Tag Line, Corporate Identity, Direct Mail, Employee, POS, Print Ad, Store Design, And Trade Show Touchpoints
  • 14. MANAGEMENT Examples §  Manage Teams §  Manage Clients §  Manage Vendors §  Solid Line §  Dotted Line §  Lead §  Member §  Consultative SALES Examples §  Write / Manage Pitches §  Write / Manage RFPs and SOWs §  Identify White Spaces INNOVATION Examples §  Conduct Secondary §  Interpret Secondary, Qual, and Quant Findings §  Lead or Co- Lead Qual Design §  Co-Create with Clients and Clients’ Partners §  Identify and Begin Instilling Culture §  Lead Workshops FRAMEWORK Examples §  Map User Experience §  Evolve Business Model §  Build Brand Architecture §  Develop Brand Positioning §  Develop Brand Strategy PLANNING Examples §  Develop Plan To Engage Employees §  Develop Launch Plan §  Develop Marketing Plan §  Develop Messaging Hierarchy TOUCHPOINTS Examples §  Manage Creation of Brand Idenity, Collateral, Web Concepts, Naming, Tag Line, Corporate Identity, Direct Mail, Employee, POS, Print Ad, Store Design, And Trade Show Touchpoints
  • 15. Unique Combination Of Skills AVIA Positioning Ideation Pfizer Case Firestone Case
  • 16. AVIA AVIA’s Market To develop ideas, I audited AVIA and its market.
  • 17. AVIA AVIA’s Market To develop ideas, I audited AVIA and its market.
  • 18. Home  »  The  Innovation  Imperative 43 H&HN  Daily The Innovation Imperative 07.01.14 by Ian Morrison Health care delivery has to innovate on a massive scale for higher performance. If  you  are  an  optimist,  as  I  am,  you  see  growth  in  health  care  costs  moderating,  coverage  expanding,  and  important  progress  being  made  on  patient  safety  and quality.  But  even  optimists  cannot  be  complacent.  We  are  just  scratching  the  surface  of  what  must  be  done  to  transform  the  health  care  delivery  system. Remember,  the  baby  boom  is  just  starting  the  long  march  through  Medicare  (and  for  the  vast  majority  of  the  eventually  impoverished  seniors,  a  significant tramp  through  Medicaid). It  is  also  wise  to  consider  that  health  care  premiums  are  swamping  the  finances  of  most  middle  class  Americans  as  well  as  the  businesses  and  taxpayers  that support  those  health  insurance  premiums.  And  recall:  We  are  on  the  edge  of  dazzling  technologies  that  have  the  potential  to  extend  life,  cure  disease  and ameliorate  suffering,  but  at  a  cost  that  could  be  staggeringly  expensive.  No,  we  cannot  be  complacent;;  we  need  to  innovate  our  way  out  of  this. Creating Sustainable Affordability Health  care  affordability  is  the  key  challenge.  We  lull  ourselves  into  complacency  if  we  simply  try  to  bend  the  trend  a  wee  bit.  Health  care  is  already outrageously  expensive,  and  the  pressures  from  an  aging,  obese,  spoiled  and  demanding  public  will  overwhelm  our  ability  to  pay  for  health  care  as  it  is currently  conceived  and  delivered.  Add  to  the  demand  side  the  new  technologies  on  the  supply  side  —  genetically  engineered  drugs;;  intelligent  implantable devices;;  and  new  forms  of  prosthetic  aids  to  mobility,  well-­being  and  function  (none  of  which  sounds  cheap  to  me)  —  and  you  have  a  recipe  for  unit  costs increasing  and  volume  of  units  expanding. Oh  yes  —  we  are  bringing  50  million  more  Americans  into  the  fold  with  coverage  expansion,  slowly  but  surely,  over  the  coming  decades,  because  we Americans  are  not  really  the  heartless  bastards  we  sometimes  appear  to  be  to  the  rest  of  the  world.  (I  am  writing  this  in  Scotland,  so  maybe  I  am  tainted  by  the local  views.) But  while  affordability  is  the  key  challenge,  the  solution  is  not  just  cost-­cutting  and  re-­engineering.  Don't  get  me  wrong  —  we  need  to  do  those  things,  but  they will  not  get  us  where  we  need  to  be.  As  one  CEO  in  another  industry  with  whom  I  worked  taught  me:  "You  cannot  re-­engineer  your  way  to  greatness." Many  organizations  are  on  the  path  of  process  redesign,  supply  chain  rationalization,  clinical  process  improvement  and  Lean.  All  good.  But  in  many  cases, they  will  yield  improvement  that  will  be  smothered  by  the  forces  of  supply  and  demand.  No,  the  true  challenge  is  to  create  sustainable  affordability  through massively  scalable  innovation. Leading Innovation My  longtime  friends  and  colleagues  Molly  Coye,  M.D.,  chief  innovation  officer  at  UCLA  Health  System,  and  Wendy  Everett,  chief  executive  officer  of  the Network  for  Excellence  in  Health  Innovation,  are  pioneers  in  tackling  this  innovation  imperative.  I  was  honored  to  participate  recently  in  their  second  annual National  Healthcare  Innovation  Summit  held  at  Harvard  University  Medical  School  in  conjunction  with  the  Healthcare  Information  and  Management  Systems Society  and  Avia.  The  summit  brought  together  chief  innovation  officers  and  chief  transformation  officers  of  leading  health  care  delivery  systems,  encouraging interaction  between  thought  leaders  in  health  care  and  many  smaller  entrepreneurial  inventive  companies. The  value  of  such  interaction  is  clear:  We  need  to  harness  the  innovation  that  entrepreneurial  companies  can  bring  and  to  encourage  large-­scale  delivery systems  to  deploy  them.  All  this  must  be  done  in  pursuit  of  the  noble  Triple  Aim  of  better  health  care,  better  health  and  lower  per  capita  costs.  Searching  and sorting  these  innovations  —  and  evaluating,  disseminating  and  connecting  them  to  partners  —  is  very  important  work. As  these  forums  and  other  worthy  initiatives  across  the  country  show,  there  is  potential  to  bring  large-­scale  innovation  to  health  care  delivery.  I  would  offer  the following  observations  about  what  to  watch  for  on  this  journey. The  trajectory  of  silicon.  In  almost  every  other  industry,  meaningful  innovation  has  occurred  because  contemporary  information  technology  was  deployed  at scale.  The  expanding  power  of  semiconductors  has  enabled  many  of  the  technologies  that  have  transformed  our  lives.  Getting  on  the  silicon  innovation trajectory  has  been  hard  for  health  care,  because  health  care  delivery  is  not  just  about  bits  and  bytes;;  yet  that  does  not  excuse  us.  Health  care  has  been pathetically  slow  at  incorporating  contemporary  information  technology. I  recall  as  a  young  analyst  working  in  Vancouver,  B.C.,  writing  the  justification  for  a  Meditech  electronic  record  system  as  part  of  an  all-­computerized  hospital strategy  in  1979!  That  was  nearly  35  years  ago;;  it  is  sad  it  has  taken  us  this  long  to  get  with  the  program  (if  you  pardon  the  pun).  While  meaningful  use  is  no panacea,  it  has  dragged  the  health  care  delivery  system  toward  the  future,  if  not  into  it.  We  must  jump  on  the  silicon  trajectory  and  use  cutting-­edge  technology to  better  effect.  For  example,  companies  like  Teladoc  provide  remote  access  to  physician  consultation  services  on  demand  to  more  than  7  million  members. Similarly,  Eric  Topol,  M.D.,  teaches  us  that  the  iPhone  and  its  derivatives  may  become  the  key  medical  technology  of  the  21st  century. The  value  of  clinical  innovation.  We  are  on  the  cusp  of  a  key  societal  debate  about  how  to  value  clinical  innovation.  Scientists  and  industry  pursue  unmet medical  needs,  drawing  on  the  best  of  emerging  science  and  translating  it  into  meaningful  innovation.  We  celebrate  their  success  on  "NBC  Nightly  News"  and  in the  National  Enquirer  —  medical  breakthroughs  we  call  them.  But  we  don't  have  a  very  good  idea  about  how  to  deal  with  clinical  innovation  that  is  highly effective  and  incredibly  expensive,  with  potentially  huge  numbers  of  clinically  plausible  patient  applications.  Biologicals  or  specialty  pharmaceuticals  have  been ABOUT  AHA CONTACT  AHA AVIA drives innovation in key areas of healthcare by connecting groups of providers with similar needs with emerging technology solutions.
  • 19. It focuses on patient retention / attraction, post-acute care improvement, and enhancing patients’ experiences.
  • 20. AVIA AVIA’s Market To develop ideas, I audited AVIA and its market.
  • 21. Conferences – Healthcare Innovation (General)
  • 22. Conferences – Healthcare Innovation (Specific Issue)
  • 23. Conferences – Technology Demonstrations
  • 24. Non-Profits – Researchers, Trade, Advocates And Foundations
  • 25. Incubators And Accelerators – Association Based
  • 26. Incubators And Accelerators – Single Provider Based
  • 27. Incubators And Accelerators – Academic Medical Center Based
  • 28. Incubators And Accelerators – Anchored In Locality Or Region
  • 29. Government Agencies – Content Clearinghouses
  • 31. Networks - Innovation Best Practices Identifiers / Disseminators
  • 32. Networks – Pitch And / Or Networking Opportunities
  • 33. Consultants – Management, New Product, And Health
  • 34. Funders – General And Health / IT-Specific VCs
  • 35. Content – General, Specialized, Journals + Social Components
  • 36. Content – Health, Digital Health, And Tech Thought Leaders
  • 37. Categories §  Payer Administration §  Devices §  Big Data §  Consumer Engagement §  Population Health Management §  Personalized Medicine §  Products §  Services §  Culture Of Innovation Criteria §  Evidence- Based §  Investment Level §  Technology Type §  End-User §  Interoperability Challenges §  Healthier Populations §  Improved Patient Experiences §  Cost Reductions §  More Efficient Collaborations §  More Holistic View / Management Of Point Of Care §  Higher Touch Delivery Care §  Delivery §  Payment §  Evaluation Technology §  Funding §  Evaluation §  Legality §  Compatibility §  Deployment Content §  Development §  Dissemination §  Advocacy Funding §  VC §  Enterprise §  Debt Connectivity §  Formal Collaborations §  Networking §  Networks §  Social Platforms §  Government clearinghouses These stakeholders – from content providers and informal collaborators to venture capitalists and foundation grant writers – have created an ecosystem. Process §  Externally Focused Innovation §  Look Internal First Innovation
  • 38. The ecosystem is characterized by an incredible array of new solutions that have been brought to market.
  • 39. The ecosystem has also fostered the creation of a dizzying array of intellectual capital.
  • 40. But while products have been brought to market and ideas have been generated, because the ecosystem lacks - by definition - a grand strategy, it’s also resulted in a new dynamic where navigating health care innovation is almost as complex as navigating health care.
  • 41. I know that health care is complex. I also know that health care has complex challenges. But innovating is health care has become complicated. So I’m back to where I started -- maybe even worse for the wear.
  • 42. I know that health care is complex. I also know that health care has complex challenges. But innovating is health care has become complicated. So I’m back to where I started -- maybe even worse for the wear. AVIA makes health care innovation easier, which allows providers to solve today’s health care challenges.
  • 43. We made healthcare innovation easier.™
  • 45. Health Innovation Challenge: So Many Credible Voices All Trying To Be Heard Easier Solution: Develop Easy-To- Understand, Regularly Updated Proprietary Tool Or Index (e.g., Rock Health’s Funding Guides) To Break-Through, Create Stickiness Health Innovation Challenge: Universe Of Reports Available Across Web Easier Solution: Make Finding Wide Range Of Information, Currently Dispirit, Easier To Access Via Archive / Link System Healthcare Innovation Challenge: Wheel Sometimes Reinvented Easier Solution: Commitments To Always (1) Tap Internal Resources (e.g., UCLA), (2) Begin With Established (e.g., Triple Aim), And (3) Keep Technology / Strategy In Right Order…
  • 46. Step #1 Health Challenge Patients With New Braces Don’t Know How To Take Care Of Them Step #3 Technology Idea Show Patients Video With Relevant Information Step #2 Strategy Understand End User’s Needs, Develop On- Target Content, Integrate Into Environment, And Follow-Up To Drive Adherence
  • 47.
  • 48. Unique Combination Of Skills AVIA Positioning Ideation Pfizer Case Firestone Case
  • 49. MANAGEMENT Examples §  Manage Teams §  Manage Clients §  Manage Vendors §  Solid Line §  Dotted Line §  Lead §  Member §  Consultative Examples §  Write / Manage Pitches §  Write / Manage RFPs and SOWs §  Identify White Spaces INNOVATION Examples §  Conduct Secondary §  Interpret Secondary, Qual, and Quant Findings §  Lead or Co- Lead Qual Design §  Co-Create with Clients and Clients’ Partners §  Identify and Begin Instilling Culture §  Lead Workshops FRAMEWORK Examples §  Map User Experience §  Evolve Business Model §  Build Brand Architecture §  Develop Brand Positioning §  Develop Brand Strategy PLANNING Examples §  Develop Plan To Engage Employees §  Develop Launch Plan §  Develop Marketing Plan §  Develop Messaging Hierarchy TOUCHPOINTS Examples §  Manage Creation of Brand Idenity, Collateral, Web Concepts, Naming, Tag Line, Corporate Identity, Direct Mail, Employee, POS, Print Ad, Store Design, And Trade Show Touchpoints SALES
  • 50. §  Although Recruiting Target Talent Key Strategy Enterprises Employ to Maintain Relevance in Hyper- competitive Pharma Category, Pfizer’s Efforts Varied Considerably By Profession, Country §  Inconsistencies Led to Brand Dilution and Significant Cost Inefficiencies Challenge Crucial Recruitment Hampered By Confused, Diluted Market Presence
  • 51. §  Led Global C-level 1:1 Interview §  Completed Marketplace Analyses §  Solicited Client Input §  Incorporated Quant Research §  Reviewed Social Media Listening Results Role Managed Global Qual Research, Reviewed Other Streams, and Synthesized Findings
  • 52. Insights / Strategy Unidentified Employment Brand DNA – Staff Across Walks of Life, Professions, and Countries Came to Pfizer to Make World Better Place – That Drove Brand, Addressed Business Challenge
  • 53. Insights / Strategy Synthesis Led to “Big Idea” for Platform, Platform Created Momentum for Multiple Rounds of Sell-In §  Brand the Branding §  Create Executice Buy-In Through Regular, Consistent Updates On Linear Process §  Romance “Branding” w/ Daily Clients §  Drive Adoption in Decentralized Corporate Culture By Creating Overall Brand and Downloadable PDF Templates for LOBs, Countries to Customize
  • 54. Unique Combination Of Skills AVIA Positioning Ideation Pfizer Case Firestone Case
  • 55. MANAGEMENT Examples §  Manage Teams §  Manage Clients §  Manage Vendors §  Solid Line §  Dotted Line §  Lead §  Member §  Consultative SALES Examples §  Write / Manage Pitches §  Write / Manage RFPs and SOWs §  Identify White Spaces INNOVATION Examples §  Conduct Secondary §  Interpret Secondary, Qual, and Quant Findings §  Lead or Co- Lead Qual Design §  Co-Create with Clients and Clients’ Partners §  Identify and Begin Instilling Culture §  Lead Workshops FRAMEWORK Examples §  Map User Experience §  Evolve Business Model §  Build Brand Architecture §  Develop Brand Positioning §  Develop Brand Strategy PLANNING Examples §  Develop Plan To Engage Employees §  Develop Launch Plan §  Develop Marketing Plan §  Develop Messaging Hierarchy TOUCHPOINTS Examples §  Manage Creation of Brand Idenity, Collateral, Web Concepts, Naming, Tag Line, Corporate Identity, Direct Mail, Employee, POS, Print Ad, Store Design, And Trade Show Touchpoints
  • 56. §  Category-leading Retail Arm Grown On Strength Of Parent’s Iconic Product and Its Own Auto Expertise But Unresolved Issues = Churn §  Consumers Wanted One-stop But Tires’ Presence Overwhelmed Maintenance and Repair – Customers Assumed Tires Brand’s Only Business §  Frequently Gritty Stores Not Oriented Toward Target (“Moms With Minivans”) §  Market Confusion Sowed By (1) Independent Dealers Using Firestone Name and (2) Service Brand (Master Care) Never Consistently Supported Challenge Firestone Led Market Despite Myriad of Self-Inflicted Strategic Wounds
  • 57. §  Though Charged W/ Raising Retention Via Development Of “Store Of The Future”, Identified Wider Opportunity: Build True Retail Brand §  Partnered With COO To Transform Research Into Positioning §  Untangled Knotty Brand Architecture to Clarify Relationships §  Used Research and Draft Strategy to Sell-in C-suite §  Worked Closely With Agency to Create Category-Defining Store of Future §  Spearheaded Brand Identity - From Name and Brand to Messaging Hierarchy, Graphic Guidelines §  Developed Strategy to Sync Web Site with Brand §  Part Of Effort To Drive Adoption, Spoke at Internal Conferences, Board Meetings, and Store Meetings Across Country Opportunity / Role Identified That Building Retail Brand Via Research, Strategy, Creative, Roll-Out Bigger Long-Term Payoff Than “Just” Store-of-Future
  • 58. Insights / Strategy Target (Moms w/ Minivans) Wanted Two Types of Experience: In-Store and Peace of Mind Via Heritage Brand
  • 59. Insights / Strategy Use Market Leadership As Permission to Communicate Differently
  • 60. Insights / Strategy You’ve Got Three Lines of Business, So Push Those Three Lines of Business – Particularly Given Share Of Revenue, Margin
  • 61. Insights / Strategy Dial-Down Tires (Ironic But Needed) And Improve Shopping
  • 62. Insights / Strategy Provide Value-Adds to Target