I live in California where we are facing severe challenges in our economy and funding public services ranging from teachers in the classroom to courts and correctional institutions. In San Francisco, cuts to 25 courtrooms and 40% of staff are underway to address the $13.75 million budget gap. Longer lines for citizen services and delays up to 5 years for cases coming to trial are expected.
Of course, the economy is not only challenging governments at the state and local level but nationally and internationally as well.
Isn’t it time we use technology to help cut costs and deliver services that are more efficient?
A great example is the City of San Antonio Texas sharing video across public safety and justice systems.
Humans are inherently resistant to change. In the workplace, we’re most comfortable using technologies that have been made available to us, as long as they are convenient and easy to use. Rarely do we want to stray from business norms. It’s this human behavior that makes the cultural aspects of a business video strategy the most challenging to execute.
The gathering points for any enterprise social platform are the spaces or communities. These are the containers that are created for users to find and share the information they care about and collaborate with people who have like roles, interests, etc. Ever since we launched a social platform a few years ago, now known as IWE (Integrated Workforce Experience) powered by Cisco Quad, a hurdle for IT has been wide user adoption. Our challenge hasn’t been due to a lack of stakeholder demand for new communities but the speed at which IT can provision communities to keep up with the insatiable demand.
The PPACA known as Healthcare Reform Act in the United States is driving major change in our industry around accountability for the quality outcome of our care. It is making providers accountable for the care that is delivered with measures that will be reported by patients. As I monitor these major changes, it makes me wonder how we can really implement the critically needed change. I wonder, why is the US dead last compared to 6 other leading free world nations” in healthcare quality measures and we spend almost double per capita for healthcare than other countries according to the Commonwealth Fund (June, 2010). Many believe the concepts that have been embraced by the CMS (Centers for Medicare and Medicaid Services) under the direction of Dr. Don Berwick, (appointed on July 7, 2010 by President Barack Obama to serve as the Administrator of the CMS) can drive change. As CMS is the largest healthcare payer in the US, (over half), they can lead a major change of this nature and have adopted the “Triple-Aim” model of evidenced based care and wellness. The aspiration goals, or the Triple Aim, is a phrase coined by Dr. Berwick and it is all about focusing on how to drive improvement so that our populations are healthier, our patients receive better care and instead of working within a volume based business model, move to one of quality and value that rewards prevention, wellness and a positive patient experience.
How can Cisco influence and enable this within our Healthcare Ecosystem?
Last week I had a great converstation over lunch with Dr. Norm Jacknis, Cisco IBSG. We discussed how cities and counties are leveraging technologies to address issues in local communities despite tight budgets. It was great to catchup in person, but I wanted to continue our conversation so Norm invited me to join him at the National Association of Counties (NACo)conference in Portland, Oregon.