Oblio Press is thrilled to announce the publication of The Tiniest Warrior of All, A fairytale story for parents and siblings of a “Baby Born Too Soon.” We’ve published the book on behalf of a good friend and author, Nicola JD Maher. The book is being officially launched next week at LifeBeat, an important fundraiser involving medical professionals throughout Toronto.
10 Big Realities for Health Care in 2010
I’ve spent a huge amount of time through the last many years, talking in countless industries about the trends that are at play and which will impact us in 2010 and beyond. I’ve been working these into the industry pages of my site, and will dump them on the blog as I do, since they provide a useful context for the many people searching for trends — and who stumble across my site.
So I put together this PDF – Future Medicine.

Here’s the big issues for healthcare:
- Knowledge growth becomes exponential — medical knowledge is now doubling every eight years. Expect it to be doubling every 2 years by 2010 — with the result that medical professionals will be struggling to an even greater degree in keeping up than they are today.
- Theory into practice becomes the primary focus. Because of the rapid discovery of new medical knowledge, you’ll get the most up to date treatment today only 50% of the time. Tomorrow, the prime focus in the medical community will be how to ingest and incorporate this new knowledge into practice.
- Skills fragment. Hyper-growth in knowledge and new medical discoveries means that every medical profession is becoming more specialized, leading to a an greater degree of niche-oriented medical skills than we see today.
- A battle for skills drives decisions. Skills fragmentation results in challenges, but so does the looming baby boomer retirement wave. 400,000 nurses are set to retire in the next 10 years. A war for medical talent drives much of the agenda of the industry by 2010, and the battleground is global in scope.
- Cost cutting becomes the focus. With the industry in a state of perpetual crisis due to skills shortages, new knowledge and unprecedented demand from aging baby boomers, health care institutions focus on trying to aggressively rip cost out of the system. Re-engineering of processes and methodology comes to a forefront within the system.
- Difficult philosophical questions rule administrative decisions. North American medical consumers now use up far more health care resources than they did 10 years ago, particularly because of the result of new discoveries, treatments and diagnostics. With ever-upward growth, the industry will start to challenge current assumptions, and medical professionals will demand an intelligent and reasonable debate on the difficult philosophical questions that surround the system.

- Bio-connectivity becomes the next big thing. A new generation of intelligent, Internet-connected medical devices flood the industry, providing new opportunities for monitoring and management of difficult health care conditions
- Hospitals get de-physical. Today, a health care institution is thought of as the building or campus that make up its constituent parts. Tomorrow, it will be defined by the reach of its virtual network, and the hospital will be thought of as the extended community network by which a good portion of its services are provided.
- Home health care and caregivers dominate the agenda. With the emergence of bio-connectivity and the de-physical hospital, home health care will come to dominate a huge part of the health care industry. There will be less focus on critical care health care beds, and more focus on opportunities to re-engineer the system through family and caregiver involvement in the home context, with bio-connectivity playing a big role.
- Generational attitude transforms the system. The entrance of Gen-Y — kids who are in 2005 aged 15 — into the health care system — will bring a flood of new ideas, innovation and new ways of thinking into the health care system, helping to break some of the organizational sclerosis that has clogged up the opportunity for change in the world of health care.
I’ve been doing quite a few keynotes and workshops in the healthcare industry, and I think there are a lot of folks who truly don’t appreciate the impact of these trends on the industry and upon professions.
10 Big Realities for Telecom Companies
I’ve been doing quite a few presentations within the telecom sector. I still find a lot of senior management and staff don’t get the sheer depth of the massive change sweeping the industry. Here’s a list I’ve put together that outlines the reshaping of the industry — and which will mean that a good number of organizations in the industry today won’t exist tomorrow.
- Everything commoditizes — and business plans require radical, instant surgery as a result
- New competitors continue to emerge overnight — agility and flexibility are the keys to survival
- Hyper-innovation means that you must plan for tomorrows’ market right now — and that market will last only six months at best — before being obsoleted by the next market advance
- Rapidly evolving technology results in a battle for skills – those who can access specialized global telecom talent are the survivors
- Telecom service offshores to Asia — new telco’s start to serve global customers at rock bottom prices — as offshore telecom takes hold as a real business model. Think mainstream carriers can compete?
- Skype destroys telecom — not because of Skype-to-Skype calling — but due to Skype-to-PSTN
- Yottabit capacity comes to telecom in quantity by 2007, further destroying margins and plans
- Attitude transformation in existing mainline telecom’s becomes a key element for potential survival — those who realize that “we’re not in Kansas anymore” just might make it. Maybe.
- Plan destruction — going forward by challenging all assumptions and eliminating habit — becomes more important than business planning.
- Generational warfare reshapes the industry at a furious pace. Most telecom’s are managed by 40+ year olds. Kids are different, exist in a different world — and are redefining that world. Those who can tap their insight will be those who can excel.
on my keynotes in this area can be found here.
“Forward oriented innovation and leadership”
The title of this post plays out to the key theme that I’ve been covering off since, what, early February? This is my first week back in the home office full time since then. Keynotes for the US Army Corps of Engineers, Nestle, SAP, Tier Technologies, Wirtz Beverages, the Society of Competitive Intelligence Professionals, Motorola, and countless other presentations.
All have played into a key theme — how do we build a culture within our organization that is able to respond to a world of rapid product obsolesence, shortened product lifecycles, faster time to market, product and service commoditization, the China price, rapid business model change, and all kinds of other challenges?
It’s done by establishing forward-oriented innovation — ensuring that we are on the cutting edge in terms of what might be impacting us tomorrow, so that we don’t sit back, Homer-Simpson-like, saying “d’oh, what happened?” Through forward-oriented leadership — establishing a corporate agility that can take us forward rather than concentrating on past nostalgia and old glories. There’s a good message here, and I think people are cluing in.
It’s a nice time. I’ve got the pool open, a long weekend is coming up, and its time for a breather — for at least two weeks!
Dentist drills and just in time knowledge
I’ve just put up a new video clip of a TV interview in which I’m talking about how children of the future won’t know dental drills — a result of the rapid explosion of knowledge and change occurring around us.
Nestle keynote
Back in January, the Chairman of Nestle observed that “private label is for me the expression of the industry’s failure to create value.” There’s certainly a lot of huge trends hammering the retail sector today — the continuous appearance of new competitors being just one of them — and so I’m off to keynote a leadership meeting for the organization.
I’ll be taking a look at the key trends that will ‘rock the retail world,’ and put into perspective how forward-oriented organizations are developing collaborative cultures that helps them respond to the rapid change swirling around them.






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