Big news, as told through reaction GIFs

From the people (person) who brought you such posts as big news through 80’s sitcom themes and big news through a sketchnote comes an outrageous new post. Coming this summer, Nick Dawson is the guy who shares news via reaction GIFs.

I’ve had this fantasy wherein some forward-thinking community hospital really embraces human centered design thinking. I’m fairly resolute that empathetic design is our best bet for creating a sustainable health delivery system patients and providers feel good about.

A few months ago, I learned Johns Hopkins Sibley Memorial Hospital in Washington, DC was launching a new Innovation Hub. The Hub’s goals are to foster design-thinking as an approach for innovation, culture change, process improvement and quality.

Go To There

The more I learned about Sibley’s Innovation strategy, the more revolutionary it sounded; an embedded innovation team, with a Stanford space and focus, and an emphasis on spreading design thinking across the organization. The plan even called for codesign with patients.


Then I learned Sibley was hiring an executive director of the Innovation Hub.

And I was asked to interview…


And we talked about the intersection of healthcare, policy, and human-centered innovation…


And then I met the entire team…


And then I got the job!


In a few weeks, I’ll be moving to Washington DC to work with Sibley Memorial Hospital. I’ll be part of the team launching Sibley’s new Innovation Hub. Our goal: work with patients, families, providers, payors, administrators, policy makers, other hospitals…everyone…to apply human-centered innovation and design thinking to improve healthcare. How fun is that?



I’ll miss you Richmond. RVA will always be a special place for me. The past 15 years here have seen some big changes. We’re no longer the banking capitol of Virginia. Richmond has embraced its funky, creative, outdoorsy self and what’s not to love?


But, at the same time, DC is only a short train ride away. In fact, I’ve prepared this handy chart for our reference:

conveyance travel time
car eleventy hundred hours on I–95
train a reasonable 2 hours
plane a quick 30 minutes and NSA background check


I’m also proud to have been able to work with some amazing people and organizations here over the recent years, many of which I plan to stay connected with.

But this isn’t goodbye.

William Faulkner is one of my favorite writers. When he ended his sabbatical as Writer in Residence at the University of Virginia, he addressed a Charlottesville, Virginia audience:

I won’t even say goodbye. Every individual is the sum total of his past, so when I leave here, I will leave something of Faulkner in Albemarle County, where Faulkner was happy. When I go away, I will take with me something of Albemarle County. I will always come back so that those two separates can be joined again. I won’t need to say goodbye. And each time I come back, I’ll be saying, “Much obliged.”


Douglas Adams on technology and progress

I suppose earlier generations had to sit through all this huffing and puffing with the invention of television, the phone, cinema, radio, the car, the bicycle, printing, the wheel and so on, but you would think we would learn the way these things work, which is this: 1 everything that’s already in the world when you’re born is just normal;

2 anything that gets invented between then and before you turn thirty is incredibly exciting and creative and with any luck you can make a career out of it;

3 anything that gets invented after you’re thirty is against the natural order of things and the beginning of the end of civilisation as we know it until it’s been around for about ten years when it gradually turns out to be alright really.


Apply this list to movies, rock music, word processors and mobile phones to work out how old you are.

via DNA/How to Stop Worrying and Learn to Love the Internet.


Spotted on the Facebooks: I really like these reframings  great for design thinking too. We often think we aren't creative, or as accomplished in some area as another person. Reframing the concern is a good way to move from doubt to confident.


charges, costs and reimbursement - a difference WITH distinction

  We need to stop confusing charges with costs. If we want to affect what we pay for healthcare, relative to value, we need to talk about costs.  If we are talking about consumers' ability to price compare, average reimbursement is more relevant. Charges are made up numbers.


CMS is touting this:


But are charges the right thing to focus on?

What each provider gets paid, their reimbursement, may be more relevant to most healthcare consumers. As a country, concerned about healthcare's rising costs and its total percent of GDP, perhaps we should be asking providers to get clear and open about true costs.

algorithms man...woah!


This New York Times site can determine your home town based on 25 questions.

Wouldn’t it be cool if we applied the same algorithms to determining health conditions? What if 25 questions could reasonably predict someone’s risk for serious illness?