Vital Times 2014 - (Page 42)
ANESTHESIOLOGY 2014
TM
Threat and Opportunity:
The Start of #ANES2014
F
Anesthesiology's
chief problem has
been complacency
with the status quo,
Dr. Hwang said.
ighting against those who
want to change things is a futile
strategy," declared Jason Hwang,
MD, MBA, keynote speaker
at the opening ceremonies of
ANESTHESIOLOGY™ 2014 in
New Orleans on Saturday, October
11. "You can't defend a profession
by putting up regulatory and
payment barriers to stop the
barbarians at the gates."
Dr. Hwang is a co-author of The
Innovator's Prescription: A Disruptive
Solution for Health Care, the winner
of the 2010 Book of the Year
award from the American College
of Healthcare Executives. An
expert on the subject of disruptive
innovation, Dr. Hwang told the
audience of anesthesiologists
from more than 90 countries that
the Perioperative Surgical Home
(PSH) concept offers an integrated
solution to healthcare that can help
the profession of anesthesiology
adapt, survive, and prosper.
He used the example of Apple Inc.
to illustrate how a company can
thrive while other huge competitors
failed because they yielded to "the
irresistible temptation to keep doing
what they already did best."
42 | CSA Vital Times
Dr. Jason Hwang, an expert on
disruptive innovation, gave the
keynote address
Faster Horses,
Bigger Hard Drives
If Henry Ford had asked customers
what they wanted, Dr. Hwang
said, they would have answered
"faster horses". If you asked
people what they wanted from
their computers 10 years ago,
they would have answered bigger
hard drives, more memory, and
faster processors. Nobody would
have said they wanted a phone.
But Apple redefined the business
with smartphones and tablets
that created their own market,
and Apple controls the entire
integrated product.
Anesthesiology's chief problem
has been complacency with the
status quo, Dr. Hwang said.
Profitability has been greatest in
the operating room, while the areas
of preoperative and postoperative
care were ripe for encroachment by
hospitalists and other practitioners.
Healthcare today is a modular
system, he said, which is often what
you see in mature industries where
each component comes from a
different supplier. Any improvement
in a modular system tends to be
incremental, he explained, and
it's impossible for any individual
component to change how the whole
system functions.
Dr. Hwang was sympathetic to the
concerns of anesthesiologists who
fear threats to their autonomy, but
he said that it's tough to counter
the argument that others can give
OR anesthesia more cheaply. "Ask
Table of Contents for the Digital Edition of Vital Times 2014
AND NOW, A WORD FROM THE EDITOR
PRESIDENT’S PAGE
ON YOUR BEHALF: CSA Fights and Wins in 2014
ADAPT AND PROSPER: A Guide to Survival
POLITICS AND MEDICATION SAFETY: The CSA 2014 Annual Anesthesia Meeting
DR. CSA GOES TO WASHINGTON
CALIFORNIA ANESTHESIA RESIDENCY IN 2014
A NEW YEAR AND NEW LEADERSHIP IN THE CSA
CAUTIOUSLY OPTIMISTIC – CSA FINANCES IN OUR 2014-15 FISCAL YEAR
THE ASA ANNUAL BOARD OF DIRECTORS’ MEETING: Building for the Future
ANESTHESIOLOGY™ 2014
CONSOLIDATION IN THE HEALTHCARE MARKETPLACE: What’s in your Future?
IF I COULD SPEAK
PEERING OVER THE ETHER SCREEN: Germs and the Pseudoscience of Quality Improvement
THE ETHICAL CONSULTANT: Perioperative ‘Do Not Resuscitate’ Orders
THE VALUE OF CSA MEMBERSHIP
UPCOMING MEETINGS
MY WEEK ON HAWAII'S BIG ISLAND
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