“Social Obligation” – The Trouble with Gamification

What follows is one of my post that was recently published on AIIM’s site as an “Expert Blogger”. (The original can be read here)

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“Social Obligation” – The Trouble with Gamification

“Social”, in an “inside-the-firewall” perspective, is often related to sharing information, sharing knowledge, as well as creating a greater degree of transparency. This includes, often, having a personal profile, filled with your skills and work-experiences, along with, maybe, something about your personal interests, etc. This is all so that others can see who knows what and can make contact with you if they feel that you know more about something than they do.

I am a great advocate of transparency…why not “advertise” what you know? Others can benefit from it. That’s great thing about Social – it offers a great opportunity to learn from others while at the same time allowing others to learn from you.

Also having the ability to, electronically, shout out loud, (to no-one in particular), “I have a problem with xyz. Can anyone help me?”, and then get a response from an answer from a colleague, who is not necessarily located in the same office/building/country, is valuable. Everyone helping everyone else.

Take this one step further, and introduce some “gamification”. Let people earn points, or badges depending on their involvement in helping resolve problems, or on how other people grade the persons work (documents, or whitepapers, that they have edited, stored in a content management system). Then we let “the people” decide the value the individuals bring to the table.

To further encourage these individuals, provide a Leader board that is available for everyone to see. This way it is obvious to all who the “rock star of the month” is, and provides a way to drive others to contribute, to earn those points, and raise their status.

It sounds like an excellent way to get involvement and as a way of sharing knowledge.

But what happens when you have those people who are just as smart as all the “rock stars”, who have oodles of knowledge and experience, and who do their job extremely well, but are just not the outgoing type. They’d much rather operate away from the glare of the spotlights.

Should these people be “judged” in comparison to the more “I am my Ego” types? Should these people feel awkward or even embarrassed because they are listed as number 437 on the Leader board? It is not similar to the adolescent way teenagers would be judged whether they are “Cool”, or not depending on their popularity.

Even the ability, in many systems, to “Like” specific content can be used for “evil”. On the one hand, it allows you to use it as a way of “bookmarking” (for yourself) content you found valuable. On the other hand, if it’s made public that a particular piece of content is very much “Liked”, what does that say about the other material (and the authors) present?

Really “Gamification” should not have a place inside the firewall.

I know that it has existed years before it was even called “gamification” (in the form of the ‘employee of the month’ or similar internal processes in place), but what is the real value in creating an artificial source of motivation? Shouldn’t the motivation be a real one?

As I mentioned, I think that being transparent is a great way of sharing knowledge. And knowledge sharing is a great way to learn. It’s when that sharing of knowledge is compulsory, in an aggressive, chest-beating kind-of-a-way, is what I disagree with.

IT needs to be less “T” and more “B”

What follows is one of my post that was recently published on AIIM’s site as an “Expert Blogger”. (The original can be read here)

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IT needs to be less “T” and more “B”

There is a “feeling” in the world of the Information Professional at the moment that there is too much focus on the “T” in IT. That is, the IT department focuses too much on “technology”.  Usually at the expense of what the customer – in most cases the business users – really need.

Sure, the IT department is necessary to install and maintain the technical infrastructure that is necessary to allow a business to run, but then it must not forget that it is there to serve two masters – one is the executive layer who make the decisions regarding the purchasing of the necessary infrastructure (and pay the salary of those working in the IT department), and the other, which is the user of the technology. This is because it is the users of the technology that actually add value to the business.

The business users are the ones that carry out the activities that let the business achieve what it has to to exist. And anything that disrupts this process, or hinders it from being as efficient as it can be, is actually undesirable. This can include such things as the unnecessary installation of “new features”, to applications that don’t really fit with the activity that the business user carries out,

And this is why we have to start focusing less on the “T” (Technology) in IT. I’m not saying that the “T” is not important, but the “B” (“Business”) is also important. There needs to be more focus on the communication with the business. And not just “talking”, but actually more “listening”. And most importantly: “understanding”.

Understanding not only what the business is trying to do, but also how the business user carries out their tasks is incredibly valuable. Understand the business processes, and then configuring the technology in the best way to not only to meet what the business’ objective is, but also to take into account the way the user performs their tasks.

This leads to a more productive environment where the users feel that they are “involved” with the solution put into place, rather than feeling that the IT department has imposed the some cool, but not entirely useful, software solution on them.

We still need IT people who understand the “T”, but it’s the IT people who also understand the “B” and then can translate the “T” into something useful are the ones that are the most valuable.

Promise #9 – The CMIS Survey Blog Post

Refer14 Unfulfilled Promises

Background

In the post titled “Latest CMIS survey from Generis”, I promised to write a blog post over a Survey Generis had done on the adoption of CMIS.

Verdict

Promise Partly Fulfilled

I followed this promise up. The post was originally published on the AIIM site.
(I will need to publish a copy of this on my own blog.

The Inaugural Conference of the Swiss ARMA Chapter

BLUG – I’ll be there

BLUG

I’m going to the Belux Lotus User Group conference that is being held in Antwerp, Belgium.

Am I a big Lotus user? No – not really.

Then why am I going? Because the sessions they’ve got lined up look excellent!

There are three main streams – Development, Administration, and Business/Other. I’ll be attending the “Business/Other” sessions.

Social Business

At this years “Lotusphere” (IBM’s big conference), there was a big focus on Social Business. And and looks like this will be playing a big part at BLUG.

After what looks like a very interesting Opening Keynote, there will be a Panel Discussion on  ”Social Business”. Does this “buzzword” actually has any credence?

Members of the “Panel” include Luis Suarez, who has been living without e-mail the last 4 years, Femke Goedhart, an IBM Champion (and someone that I met at a SharePoint event last year), Stuart McIntyre, a Social Business Consultant (and author of the blog Collaboration Matters, and Chris Miller (aka IdoNotes) from Connectria.

This is one discussion I’m looking forward to.

Further in the “Business/Other” stream there will also be sessions on Cloud Computing, Balancing freedom the freedom of social media with the corporate restrictions that are often necessary, hearing how to “survive” in the business world without e-mail, as well as some other interesting sessions.

As I mentioned, I’m not a big “Lotus” person, but I feel that you can learning can come from all different sources. So I’m ready to learn. I’ll be there with my notepad (yes – the paper-based version) taking notes.

I’m also looking forward to meeting some of the IBM/Lotus crowd. (If you see me there, come and say “Hello”).

Nerd Girls

And…before I forget - I’m looking forward to seeing the Nerd Girls. At Lotusphere 2012, these girls organised the “Spark Talks”. These talks are very, very good (and inspiring). I wrote about one of the Spark Talks in an earlier post, and I am keen to see what the girls have organised this time.

Better Knowledge-Sharing: Fill The Dry Knowledge Well With These Practices

The post below was written by Sebastian Francis in 2010 for OilandGasInvestor.com.
At that time Sebastian worked for SAIC.

It’s an excellent article that describes describes some major concerns with knowledge management (including the capturing of tacit knowledge) along with making that knowledge retrievable and useful.
I’m grateful that Sebastian has given me permission to reproduce it here.

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Better Knowledge-Sharing: Fill The Dry Knowledge Well With These Practices

- a Guest Post by Sebastian Francis

Here are a variety of quick and easy ways to share important business information each generation needs to know.

Today, a popular need of organizational leaders is how to quickly identify, capture and reuse information from employees who are retiring, or about to do so, for these people have industry expertise and can make it quickly available to those who need it.

The ability to quickly access the right information can improve competitive position, promote innovation, reduce rework and errors, and increase the speed to identify new opportunities.

Unfortunately, searching for information (such as proven practices, lessons from prior unsuccessful attempts, tips and techniques, documented procedures and, most important, experience and intuitive expertise locked in the heads of individuals) can take far too much time.

As the crew shift change continues—Baby Boomers retire in mass and few Generation X and Y talent enter the oil and gas industry—leaders have an opportunity to manage this shift by leveraging the latest information-sharing technologies and methods. To meet business strategy, many leaders crave the ability to “google like Google.” They desire to create a deep reservoir of information that replenishes itself and deploy methods and tools that will enable each generation to find the right information within a few clicks.

Too often, organizations rely on only one method, such as launching communities of practice, conducting after-action reviews, and promoting the use of best practices. Or, they use a limited number of technologies such as social networking tools, content repositories and search engines, and use the same solution across the board. This tends to produce dry knowledge wells.

A savvy strategy begins with understanding the needs of the internal talent group: Who has the information and who needs it? Next is meeting unique requirements by implementing several methods and technologies to create custom solutions. Characteristics of the solution should emulate popular knowledge-sharing practices that occur outside the organization.

Understanding generational issues

“What we’ve got here is a failure to communicate.”
–Strother Martin, Cool Hand Luke, 1967 film starring Paul Newman

Communication problems are as old as human history. Bridging gaps is a continual challenge, and industry leaders need to know how to capitalize on overcoming those gaps.

Within the oil and gas industry (as well as in other industries), there are four generations of talent: Traditionalists (birth years 1925-1945), Baby Boomers (1946-1965), Generation X (1966-1980) and Generation Y (1981-2000). Since the 1990s, professional journals have alerted oil and gas leaders that the Baby Boomers, now the largest percentage of the workforce, are exiting the workforce at an alarming rate. The potential consequences include: 
Increased competition for talent. Due to the decrease in skilled talent following the retirement of the Traditionalists and Baby Boomers, competition for workers with required professional degrees and experience will increase. 
Shifting geography. Technology enables talent to work from anywhere and teleworking is becoming more commonplace; therefore, organizations will be able to source talent globally. This shift will affect organizational communication, strategy and business processes.
Shifting generation. The corporate leaders of tomorrow will most likely be talent from Generations X and Y. Currently, organizations are balancing the activities of retiring two groups and preparing the organization for two others, while not neglecting any.
Aging workforce. A majority of Baby Boomers are predicted to exit the workforce by 2015 and are followed by a much smaller group of talent, Generation X. In addition, the next generations of talent have different learning styles, communication preferences and work/life balance requirements than their predecessors. To recruit, retain and develop the next generation of talent, organizations must recognize and adapt to these styles.
Lost information and tacit knowledge. As Traditionalists and Baby Boomers exit organizations, some for the last time, so will their communal know-how—their tacit knowledge—especially if it has not been adequately identified, captured, codified and stored in corporate knowledge repositories.
Preparing and training talent. The fact that Traditionalists and Baby Boomers are retiring does not mean that they will not re-enter the workforce in some capacity, such as starting a new career, or working as a consultant or part-time employee. In some cases, organizations will be able to leverage veteran expertise in this way. As a result, organizations will need to update the skills of these workers, or train them along with other new hires. Thus, learning/training departments may simultaneously have to train several generations, each having distinctly different learning styles. This can perplex learning organizations that do not understand the needs of each generation.

Bridging generational gaps to improve knowledge management

“When you’re 17 years old, green and inexperienced, you’re grateful for any guidance and direction you can get.”
–Christina Aguilera, pop singer

Leaders who recognize and respond to generational communication and learning commonalities and differences, can bridge gaps and prepare for the future.

Different generations favor different learning styles. Traditionalists and Baby Boomers usually prefer face-to-face, classroom and instructor-led training activities. In contrast, Generations X and Y may resist formal training sessions and prefer to connect to people informally and quickly search all information sources. Technology tools, such as handheld devices and social-networking sites, facilitate their fast connections to information.

Traditionalists and Baby Boomers tend to communicate using formal and personal methods, such as writing e-mails, meeting face to face and holding conference calls. In contrast, Generations X and Y usually like just the right amount of information, when and where they need it, such as sending abbreviated text and instant messages, and meeting via online chat sessions.

When information exchange is effective, employees seeking information receive what they need—a knowledge gem. Unfortunately, during communication, valuable information is often lost because the organization does not have an easy-to-use method of identifying and systematically collecting and depositing gained knowledge into a repository.

Capturing critical knowledge

“Any customer can have a car painted any color he wants, so long as it is black.”
–Henry Ford

Because the talent of today and tomorrow is multi-generational, a one-size-fits-all approach to information capture, collaboration and reuse does not work. What works are multiple approaches that consider each member of the audience.

Now that the typical characteristics of each generation group is understood, the next step is to understand the two phases of information flow: capturing it and accessing it for re-use. Let’s explore two key steps to capturing it.

– Step One: Understand and identify knowledge that fuels the organization.
What information, knowledge and expertise is valuable to the organization? Some businesses are uncertain and attempt to capture all information regardless of value. A better practice is to identify critical business processes and their associated performance targets across the organization’s value chain. In other words, identify the most important business activities that yield success, are vital to avoid failure, and identify where information gaps exist.
Analyzing key processes, creating knowledge maps and interviewing stakeholders will lead to key process identification. The output will assist leaders in understanding where the information is located, who has it and the prerequisites for information capture.

– Step Two: Capture what’s important.
Information and know-how are scattered throughout an organization in e-mails, individual and networked hard drives, binders containing operating procedures and training manuals, SharePoint or other Internet sites, conversations around water coolers, and within people’s heads.

Knowledgeable organizations use a variety of capture activities such as on-the-job team learning processes before, during and after major activities and are supplemented, when relevant, through a series of individual interviews.

“Learning before doing” is supported by a peer-assist process, which targets a specific challenge, imports knowledge from people outside the team, identifies possible approaches to address obstacles and new ideas, and promotes sharing of information and knowledge with talent through a facilitated meeting.

A U.S. Army technique called After Action Reviews involves talent in “learning while doing” by answering four questions immediately after completing each key activity: What was supposed to happen? What actually happened? Why is there a difference? What can we learn from it?

At the end of a given project or accomplishment, a process called a Retrospect encourages team members to look back at the project to discover what went well and why, with a view to helping a different team repeat their success and avoid any pitfalls.

A critical component of capture technique requires an effective method to record information that is comfortable for the information providers and appeals to the information seeker. For example, a Baby Boomer’s preferred sharing method could be a written report. In contrast, a Gen Y would have no interest in such and would ignore it.

This issue raises the importance of using a variety of communication methods as well as an opportunity to emulate information and knowledge-sharing practices that occur outside the organization.

Social-networking sites such as Facebook, Wiki sites such as Wikipedia, and video-sharing sites, such as YouTube, are popular tools for capturing information, connecting with people, sharing ideas, searching for information and viewing content. Such sites are popular, free and used by each generation. Instead of inventing something new, organizations can transfer popular features from public sites into the design and functionality of corporate tools. 

For example, attaching a webcam to a laptop or using a smartphone instantly equips anyone with just-in-time ability to capture information, especially dialogue and images that are challenging to document. A handheld production studio allows for ad hoc or planned capture of interviews with experts, after-action reviews, safety procedures, an equipment repair procedure, etc.

Uploading multimedia files (sound bites and video clips) to a knowledge repository creates a powerful capture and sharing opportunity. The “YouTube” approach makes it possible for any employee to post a video to a corporate site so that any team member can watch it instantly. “Nu-tube” is the name of a concept that a nuclear energy company gives its effort.

Launching pop technology is “hip” when end-users are engaged, needs are understood and the solution meets their requirements.

Make Information Accessible Quickly and Easily

“I try to learn from the past, but I plan for the future by focusing exclusively on the present. That’s where the fun is.” 
–Donald Trump

With a plan now for perpetually capturing valuable information, people must be enable to access and use it. Two steps help to achieve success here. The first is to leverage technology to visually present information. The second is to involve end-users in the design of the sharing process. The following case study describes these two steps in action.

Recently, a U.S. pipeline service company realized that critical information trickled throughout its business unit. The increasing inability of talent to readily tap information sources sharply diminished the value of stored resources. The service company encountered several challenges to make information available.

The overwhelming amount of information to capture, organize, store and manage caused employees to spend days (then) versus minutes (now) searching data.

A document repository contained unmanaged versions and uncontrolled copies of files scattered in network file shares, laptops, intranet sites, CDs, flash drives and filing cabinets.

Other challenges were increasing regulatory constraints, litigation and business-continuity issues, and the rising need to capture “know how” from retiring staff.

Considering generational changes as an opportunity to plan for the future and social-networking tools as an opportunity to innovate, leaders acted. The result is “e-discovery,” a solution that increases the speed to find reporting information from across disparate business units, regulatory-compliance improvements and business-performance enhancements.

Solution highlights include preserving content on an enterprise level versus only at an individual level, implementing a self-service information portal, facilitating contextual and “smart” search, and reducing administrative costs of managing paper records.

The method of designing this solution contributed to its success. The e-discovery design team:
– Identified the valuable information needed to comply with legal requirements,
– Understood learning, technology and communication preferences of each generation,
– Devised methods to allow users to share and access information in multiple formats and
–Designed a tool that emulates features of popular social-networking sites (easy, visual presentation of information, collaboration, smart search and dashboards).

The e-discovery impact on the pipeline business segment includes preparing litigation-status reports in one step versus multiple steps; retrieving archived documents in minutes versus days; eliminating risks associated by damage to paper-based files; reducing employee frustration of not finding who or what they need; and serving as a solution model for re-use within the enterprise.

And most importantly this method helped all generations of talent quickly find the right information when they needed it, so that they can perform their job.

“Diamonds are forever.”
–De Beers ad

Information can be a valuable organizational asset when people can quickly recall where it is stored.

Fortunately, organizations have an abundance of internal information sources: documents, expertise, lessons learned, best practices and the like. Unfortunately, waves of experts are leaving or retiring, usually without depositing their rich knowledge or revealing the location of information “gems” critical to performing business processes.

Leaders can respond by providing a variety of communication and learning methods, leveraging popular social-networking technologies, and embracing the uniqueness of each generation. The impact for the organization can be a rich field of valuable information that continuously replenishes itself.

Note – this article can also be downloaded here.

CIP Land

What follows is one of my posts that was recently published on AIIM’s site as an “Expert Blogger”. (The original can be read here)

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The CIP Land

I’ve been working my way through the excellent CIP exam preparatory videos on the AIIM site. (These were prepared by Steve Weissman, and the Holly Group, and are very impressive.)

As I went from one “Knowledge Domain” to another I started realizing what it is that I like about the CIP. It’s that it creates a boundary.

What do I mean by this?

Well – think of your “Information Professional” as someone living in a village. A village called “Content Management”. They do their job, and do it well. They’re not aware of the fact that beyond their own village lies a whole world. Then the person travels. Maybe they have to visit another area for their work, or they see people from other areas visiting, and decide to go exploring. In any case, they get to see new sights, or learn new things. The world, for them, however, is still uncharted.

I have lived in this land, and I also only knew of only a few areas. Gradually, however I have travelled and seen new things.

At one point I started actively seeking out other residents. We all seemed to talk a common language, but each person had their own “regional” vernacular, or way of saying things. Each had their own experience and knowledge based on the areas where they were living. We learnt from each other.

The land we lived on was still uncharted. It had no boundary, or borders. No-one knew where it started or stopped, or what places made up the land.

The CIP however, defines what knowledge an Information Professional should have. It creates a map of that land. And it appears that it is an island in a sea of other similar islands. All interacting together.

Looking at the map, I have come to realize that this collection of experiences and knowledge that I have from my many trips through different areas all fits into a big picture.

And that is what I like about the CIP. I now can look at it, and get an idea of the various places that make up this world.

I know which areas I need to revisit, or spend more time in, to give myself a more rounded set of knowledge and skills to be able to call myself an Information Professional.

Comparison: ACM vs. BPM

What is the difference between Adaptive Case Management (ACM), and Business Process Management (BPM)?

Abstract: ACM and BPM

  • both used to help workers within organization to coordinate better, to achive goals more efficient, and to better meet the needs of their customers.
  • both involve data, process, roles, communications, integration and analytics.
  • however, they take very different approaches to doing this which are effective in different business situations.

Business process management approaches the problem of improving the work of an organization from a strongly process centric point of view.

The first thing you think about is the process. In a certain way, it is the process which defines whether two instances are similar or not.

Data flow into and out from the process. The process represent the goal of a particular sequence of actions, but that goal is not itself an information resource.

The process instance contains process relevant data, as well as application data, but it is generally assumes that that data is a copy of data that has its source elsewhere. This is the main point about “integration” of the process into other information resources.

BPM might be visualizeD AS in this diagram:

Adaptive Case Management (also known as Advanced Case Management) also tries to improve the performance of an organization, but instead of considering the process primary, it is the case information that is primary. This information is an information resource, which will be accessed over the length of use, and in many situations will become the official record (system of record) for that work.

There can be processes, but the processes are brought to the case, and run in the context of the case, rather than the other way around.

An ACM system might be envisioned as this:

Both approaches deal with

  • process relevant data,
  • allow for processes.
  • produce history information that can be analyzed to determine the efficiency of the group involved.
  • available to multiple people
  • people are notified of tasks
  • cature the results of tasks

At a technical level these are similar or even identical. But at a methodological level, how you approach a given problem, they are opposite ends of a spectrum.

In BPM, the process is primary, and so normally the process is predetermined and static, while the data flow through it. With ACM, it is the data that is primary, which tends to remain persistent for a long time, possibly forever, but it is processes which are brought to it. In many cases with ACM the processes are not even fully predefined, but can be defined on the fly.

The net result is that BMS and ACM are useful for different kinds of business situations.

  •  Highly predictable and highly repeatable business situations are best supported with BPM.
    • For example signing up for cell phone service: it happens thousands of times a day, and the process is essentially fixed.
  • Unpredictable and unrepeatable business situations are best handled with ACM.
    • For example investigation of a crime will require following up on various clues, down various paths, which are not predictable before hand. The are various tests and procedures to use, but they will be called only when needed.
The above text borrowed heavily from The WORKFLOW MANAGEMENT COALITION site – Public Notes

“Infographic Thinking”

Troy Larson has written a post on Infographics that I like.

If you have read my earlier Infographic posts (here and here), you’ll know that I don’t think much of the majority of Infographics that I have seen.

Well, Troy has the same opinion:

…after surfing the web for a few minutes looking at some of these, you quickly come to the conclusion that most of them suck.

He follows this with the best comment on Infographics that I’ve ever seen…

most people wrongly think that information + graphics = infographics

And then he takes the whole “infographics” discussion to another level…he discusses an interview that Gestalt had with Francesco Franchi, the Art Director of one of Italy’s top financial newspapers. 

It’s a great post. Click here to read what Troy wrote (as well as watch the video of Francesco Franchi).

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UPDATE

Also just noticed that my friend Ant Clay, from 21apps has also published an amazing post on Infographics. Definitely take a look at it!
http://www.21apps.com/uncategorized/that-aint-no-infographic/

Summary of The Pharma Summit 2012 – by someone who was there

The following is an excellent overview that Carolyn Buck Luce has written on her blog of The Pharma Summit 2012, recently held in London . (Everything below is hers. The highlighting, however, is mine, and I have added my own comments.)

Clearly some very interesting topics have been discussed. And from Carolyn’s excellent notes, it’s readily apparent that there is a huge move in this industry.

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Insights from Economist Pharma Summit – Finding New Directions

Here are some insights that are “sign posts” of Pharma 3.0 where the patient is in the middle, not the product and the focus is on delivering health outcomes to individuals at an economic benefit for health systems and society.

  • GSK CFO, Simon Dingeman, observed that in emerging markets most medicines are paid for “out of pocket” by individuals. This reality has spurred a different business model by more closely integrating the Consumer, Pharmaceutical and Vaccines businesses to focus on ultimate customer.
  • Bruno Strigini, Merck President of Europe/Canada — reflected on the demise and bankruptcy of Kodak and observed that in hindsight the trends were visible to all but changing a business model is exceedingly hard. This is quite analogous to the pharma industry where it has to move to delivering outcomes. For Merck this includes increasing innovative partnerships with non traditional players like food and IT companies and building solutions and services.
  • Managing Director of GAVI, Nina Schwalbe, discussed that every two minutes a woman dies of cervical cancer but now, based on the system working together, there is a vaccine for this.
  • Stephen Whitehead, CEO ABPI, and Bruno Strigini, Merck President Europe/Canada
    — Fascinating conversation about value and outcomes. Everyone agrees that today there is not a common definition of what is the optimal health outcome with payors, patients, doctors and pharma having different perspectives. All stake holders have a role in the measures to assess value. And this can include a range of interventions to innovations. For example, if a pill can be taken once a day instead of 4 times a day could increase patient adherence and is therefore a valuable intervention.
  • Patrick Flochel, EY, observed that we are in the health business not the sick business. The HC system needs to put the patient in the middle. And the HC system will be shifting to health care everywhere – beyond the two pillars of the doctors office and hospital to the “the third place(s)” —wherever the patient/health care consumer is.
  • Theresa Heggle, Shire: A shift from provider to payor with the patient at the center has helped Shire shift their focus to the needs and value to the patient. Working with rare and orphan diseases, Shire works closely with patient organizations and families, possibly a model for the future of “personalized” medicines. There are already 300-350 drugs for orphan diseases and over 7000 such diseases.
  • John Pottage, ViiV: HIV is a good example of patient at the center model where patients literally took an activist part to become equal partners in innovation and regulatory process. Relationships, incentives, roles and responsibilities, data transparency etc were redefined.
    Now, ViiV is an example of a business model where the focused resources of two large companies contributed to a new company that is focused on just one disease with extensive partnerships and collaborations, from medicine to delivery with the patient at the center.
  • Wendy White, Siren Interactive. Patients and caregivers with rare disorders are now frequently the primary drivers of diagnosis and treatments given their active use of internet and mobile technology to get educated. Their activity can be predictors for future innovations as innovation happens at the margins.
  • Fascinating conversation about the value of transparency and data.
    For example everyone publishes what IS working in clinical trials but there is a wealth of insights in the data of what didn’t work but those data are not published in an easily accessible way.
    On Social media —notwithstanding the regulatory constraints of using social media in interactions with doctors and patients, pharma companies are beginning to dip their toe in by listening. However, there are challenges —in part due to the quick response expectations that don’t leave time for appropriate reflection and educated deliberations. Building trust is key to the industry so missteps in social media would be a real setback for the industry.
    (This is an excellent point. Listening, however, is an excellent start. There is a continual stream of incredibly useful feedback that the patients are giving. – Mark)
  • Sir Andrew Dillon, Chair of NICE — the trend of value-based pricing will continue. This is a growing trend that will touch both developed and developing markets.
    Sir Andrew encourages pharma companies to not “run away” from the developed markets to find countries without this approach as there will eventually be a NICE-like agency in China and India etc. The future will have funders, providers, innovators and users working more closely together earlier and earlier in the process to come up with good decisions. There will always be tensions but they can be creative tensions that produce value for health systems and better outcomes for patients.
  • Anders Ekbloom AZ - it was interesting to hear his perspective on what the innovators need from the payers:
    • reward value that medicines contribute to the overall cost of health
    • create trust by considering all the relevant data and being transparent in rules for decision making
    • insure rigor in how decisions are made to insure they reflect the needs of the population
    • justify decisions with clarity and give innovators opportunity to reflect and react
    • go faster as sometimes it takes payers up to a year after approval to agree on price but the IP clock is ticking

In the end, innovators have a long lead time and are making big investments. The more harmonized, clear and transparent rules and decision making across boundaries are with respect to reimbursement, the greater the win for all.

  • Reflections upon listening to Brian Griffin, CEO Medco International on Patient Data and how it will transform the Pharma Industry:
    Many of the health systems strategies around bending the cost curve through cutting prices has not been effective and the focus is turning to increased adherence which will be driven in part by better data —integrated, actionable and accessible to stakeholders, including investors.Facts in Europe. — 50% of patients don’t take medicines. This is made up of 1/3 don’t fill their prescriptions; 1 in 10 stop taking their pills; 1/2 forget to finish regimen and 1/4 of all patients don’t take recommended dose. This costs pharma companies in Europe $125B and causes 200,000 premature deaths per year.Focusing on real of use patient data and offering an integrated medication support package with a suite of adherence services can make a real difference and provide the base line improvements that support demonstration of value. These real use data will also provide key insights on patient behavior that will help build incentives and interventions to improve adherence and safety.
  • Freda Lewis-Hall, Chief Medical Officer Pfizer and HBA 2011 Woman of the Year, spoke on The Future of Medicines – The Disruptive Innovators.
    As usual, Freda had compelling perspectives of the future from the patient perspective and the need to approach this with a sense of urgency. She made the point that disruptive innovation is only disruptive in hindsight.
    Pharma can’t lower performance or be all things to all people – ie better, faster, cheaper – given the imperative to move to targeted precision therapies. More important that we start asking disruptive questions like 1) how to best characterize diseases, and 2) how do we streamline the matching of therapies to disease to increase precision and 3) how do we create 21st century science by upgrading 1950’s funding.
  • The conference ended on a high note with a keynote from Tachi Yamada, former President of the Global Health program at the Bill and Melinda Gates Foundation and now EVP, Chief Medical Officer of Takeda, speaking on changing the game in global health.
    Tachi spoke eloquently about the importance of the emerging markets to the industry and the “moral tragedy” of the current state — 8 million children dying unnecessarily life expectancy less than 50 years; with examples like TB which kills millions of people every year and is being fought with a vaccine that is 80 years old and medicine that is 40 years old.
    His answer is to revolutionize innovation, turn things upside down and get to work with the following prescription: 1) Challenge accepted dogma and promote those that challenge 2) Be willing to fail and fail often and take big risks 3) Forget peer reviews because innovators HAVE NO peers and don’t let the experts kill ideas 4) Decide fast while the excitement and enthusiasm is there 5) Create a sense of urgency so that desperate ideas are welcome.(The comment “Forget peer reviews because innovators HAVE NO peers and don’t let the experts kill ideas” is brilliant and worth repeating – Mark)

Forget peer reviews because innovators HAVE NO peers and don’t let the experts kill ideas

Carolyn’s original post can be read here. Also check out her other great posts.