insigniam quarterly winter 2014 - transformational technology
TRANSCRIPT
VO L U M E 2 , I S S U E 4 | W i n t e r 2 015
TECHNOLOGY TRANSFORMING CORPORATE CULTURE
BRIDGING THE GAP Intel’s Cheng Gang Bian spurred a turnaround by tapping into the Generation Y workforce.
Q&A WITH ROBERT WISEMANThe former Angie’s List CTO addresses the future of technology transformations.
IS YOUR COMPANY POSITIONED FOR THE CUTTING EDGE?
™
EMBRACING TECHNOLOGY
Dell Services President Suresh Vaswani preaches
technology-led transformations.
We live in an era where we have the unique opportunity to transform the world
of business and the practice of management and leadership, unleashing the power of
inspired human performance while catalyzing breakthrough results and remarkable value.
— NATHAN ROSENBERG AND SHIDEH SEDGH BINA
FOUNDING PARTNERS, INSIGNIAM
LETTER
INSIGNIAM QUARTERLY 1
OTHE POWER OF TECHNOLOGY TO TRANSFORM Our mission at Insigniam is to transform the world of business and the
practice of management and leadership, unleashing the power of inspired human
performance while catalyzing breakthrough results and remarkable value. The methods
we utilize include breakthrough performance, cultural change, transformational
leadership, and innovation within organizations — one way to do this swiftly and
effectively can be by the adoption of well-conceived technology strategies. It’s also
true that the ability to leverage these emerging technologies can be vitally dependent
on how they are embraced by an organization’s culture.
With rapidly evolving technologies providing a new climate for potent organizational
change, this issue of Insigniam Quarterly focuses on methods to meet these challenges and
fundamentally alter the way business is done. The power of technology to transform
can be realized in a number of areas that directly impact key organizational goals.
• Change brought about through technology requires you to think and behave
differently, resulting in a big impact on a company’s manner of operating.
• Strong leadership is a prerequisite for a technology-driven transformation.
• Updates and changes in technology are essential for maintaining an
organization’s effectiveness.
• Disruptive leadership can give way to transformative technology initiatives, but
if not implemented properly, they can become disruptive in the wrong way.
• Relating back to the power of words and how people communicate, companies
often overestimate technologies while underestimating the network of
conversations and relationships in their enterprises.
In this issue, we share stories of success and innovative thinking, starting with our
cover story on Suresh Vaswani and his efforts as president of Dell Services to drive
technology-led transformations both for clients and within Dell. Hint: It’s all about
merging the leadership of business strategy and corporate technology. The former
CTO at growing online marketplace Angie’s List, Robert Wiseman provides industry-
leading insights on how businesses either evolve or die from technology strategies.
Articles on Health 2.0 and the rapid implementation of mobile health care
technology reveal opportunities for massive growth in that space. And on the subject
of transformative change, we discuss the role of leaders in shaping the conversation
around change so that employees can view it as a powerful opportunity.
While seizing this opportunity for transformation is frequently necessary to survive
and thrive, not every emerging technology will prove to be a game changer. The key
is continuing to look ahead — falling behind isn’t an option.
WINTER 2015
Shideh Sedgh Bina
Founding Partner, Insigniam
WINTER 20152 INSIGNIAM QUARTERLY
18MIT’S ENERGY INITIATIVE INTENDS TO CHANGE THE WORLDGeoff Williams
The efforts of the MITEI program and its wide array
of energy-related business partners are aimed at
transforming the earth’s energy systems.
32Q&A WITH ROBERT WISEMAN Scott Beckett, Insigniam
Entering a technology transformation? The former
CTO of Angie’s List talks about challenges,
strategies, and the effect it can have on your
company’s culture.
46THE HEALTH 2.0 REVOLUTION Chris Warren
Harnessing the power of web-based technologies
is the next step to engaging and improving health
care for both patients and practitioners.
54BUSINESS RESULTS DEPEND ON MANAGING THE NETWORK OF CONVERSATIONSKaterin Le Folcalvez, Christine Flouton, and
Shideh Sedgh Bina
How can you create a business environment and
a corporate culture primed for success? It’s time
to talk.
FEATURES
TECHNOLOGY TRANSFORMATION EQUALS CULTURAL CHANGEJoe Guinto
As president of Dell
Services, Suresh Vaswani
has seen the ability of
technology to drive a top-
to-bottom transformation
both internally and for
their customers.
COVER STORY38
TABLE OF CONTENTS
WINTER 2015 INSIGNIAM QUARTERLY 3
EDITOR-IN-CHIEF Shideh Sedgh Bina
EXECUTIVE EDITOR Nathan O. Rosenberg
CHIEF FINANCIAL OFFICER Ralph Gotto
DIRECTOR OF WORLDWIDE Karen Turner
CLIENT SERVICES [email protected]
DIRECTOR OF SPECIAL PROJECTS Alexes Fath
GENERAL MANAGER Jas Robertson
PRESIDENT Paul Buckley
EDITORIAL DIRECTOR Amy Robinson
MANAGING EDITOR Brian Keagy
CREATIVE DIRECTOR Kyle Phelps
ASSISTANT ART DIRECTOR Emily Slack
PRODUCTION MANAGER Pedro Armstrong
IMAGING SPECIALIST John Gay
ACCOUNT DIRECTOR Cory Davies
EDITORIAL QUERIES
750 N. Saint Paul Street
Suite 2100
Dallas, Texas 75201
www.dcustom.com
214.523.0300
For advertising information, contact Jas Robertson at
214.937.9811 or [email protected]
Insigniam Quarterly is published by D Custom, 750 Saint Paul Street, Ste. 2100, Dallas, Texas 75201. Copyright 2014 by Insigniam. All rights reserved. Letters to the editors may be sent to Insigniam Quarterly c/o D Custom, 750 Saint Paul Street, Ste. 2100, Dallas, Texas 75201. No part of this publication may be reproduced in any form or by any means without prior written permission of the publisher and Insigniam. Printed in the U.S.A. Magazine patents pending. For subscriptions, please visit www.insigniamquarterly.com.
QUART E R LY
VOLUME 2, ISSUE 4 | WINTER 2014
“Transformation efforts are driven by the need to survive in
a world where old models no longer endure.”
— SURESH VASWANI, DELL SERVICES
THE TICKERInnovation, engagement, and data deployment.
TOP LINETechnology by the numbers.
BLOOD, SWEAT & TEARSEmbracing the culture of a Generation Y workforce
produces breakthrough results.
FROM THE BOARDROOM Is your company adequately prepared to defend itself
against cyber crimes?
IQ BOOSTBreaking through can mean starting from the future.
040810
14
68
22
28
52
60
DEPARTMENTS
On the coverDell Services PresidentSuresh Vaswani
VO L U M E 2 , I S S U E 4 | W i n t e r 2 015
TECHNOLOGY TRANSFORMING CORPORATE CULTURE
BRIDGING THE GAP Intel’s Cheng Gang Bian spurred a turnaround by tapping into the Generation Y workforce.
Q&A WITH ROBERT WISEMANThe former Angie’s List CTO addresses the future of technology transformations.
IS YOUR COMPANY POSITIONED FOR THE CUTTING EDGE?
™
EMBRACING TECHNOLOGY
Dell Services President Suresh Vaswani preaches
technology-led transformations.
Insigniam and its publisher, D Custom, distribute this editorial magazine to share the opinions and insights of companies and their leaders on impactful global business issues. Insigniam Quarterly’s inclusion of a company or individual does not indicate that they are a client of Insigniam. Remuneration is not provided for editorial coverage. Individuals appearing in Insigniam Quarterly have done so with direct consent, or provided consent by a designated authorized agent in addition to being disclosed on the magazine’s audience and purpose.
MINI-FEATURES
™
THE MOVEMENT TO MOBILEThe future of health care is being shaped by advances
in mobile technology.
TAKING BREAKTHROUGH PERFORMANCE TO HEART Teamwork, innovation, and breakthrough thinking drove
AstraZeneca’s rollout of a massive clinical trial.
COMMUNICATION TRANSFORMATION Cone Health is leading the charge to provide better
care for patients through the integration of powerful
medical records systems.
THE FOUR WAYS OF BEING THAT CREATE THE FOUNDATION FOR GREAT LEADERSHIP, A GREAT ORGANIZATION & A GREAT PERSONAL LIFE
WINTER 20144 INSIGNIAM QUARTERLY
THE TICKER
The world has an unquenchable thirst for energy, which
is the primary reason why Coca-Cola has plunged in with
both feet. Late last summer, the soft drink giant announced it
would soak up a 16.7 percent stake in Monster Beverage Corp.
for a net cash payment of $2.15 billion. As part of the deal,
Coke is transferring its energy drinks NOS and Burn over to
Monster, which is kicking its non-energy beverages over to
Coke, including its popular Hansen’s Natural Sodas.
What makes Monster such a hot capture in the hyper-
competitive, $27 billion global energy drinks market?
Innovation, say observers. They’re constantly recalibrating their
energy portfolio to put pressure on rivals. They’ve introduced
high-protein Muscle Monster energy shakes (chocolate, coffee,
even peanut butter cup flavors), zero calorie drinks, and Monster
Energy Ultra — a power beverage that’s lighter and less sweet.
That innovation might explain why competitors like Rockstar,
Full Throttle, NOS, and 5-hour are treading water. In the wake
of the Coca-Cola deal, Monster announced on November 6
that third-quarter sales had increased 7.7 percent to $636 million.
MONSTER POWERBY MARK STEURTZ
WINTER 2015 INSIGNIAM QUARTERLY 5
Even with the most established brands,
disruption is frequently business as usual. In
October, Proctor & Gamble announced it
would shed its Duracell battery business to
Warren Buffett’s Berkshire Hathaway for
$4.7 billion in Proctor & Gamble stock.
Duracell goes all the way back to the 1920s,
when scientist Samuel Ruben teamed up
with businessman Philip Rogers Mallory to
form the company.
The private equity firm Kohlberg Kravis
Roberts picked up Duracell in 1988 for $1.8
billion before it was passed on to Gillette in
1996 for a whopping $7 billion. And why
not? Duracell batteries are used in all sorts of
popular gadgets, from toys and personal CD
players to digital recorders and cameras. As
recently as 2008, the “CopperTop” battery
was ranked 88th on Bloomberg Businessweek’s
top 100 brands with a valuation of $3.68
billion. That put it ahead of Smirnoff and
powerhouse luxury automaker Lexus.
But growth stalled, necessitating the spin-
off. Duracell was felled by smartphones, of
all things. iPhones and Android phones have
three of those gadgets that Duracell powers
right on board — four if you count games
and apps that operate remote control toys.
And perhaps more importantly, smartphones
don’t need replacement batteries.
Disruption came out of left field for the
CopperTop. True, Duracell has forged a pact
with Powermat, an Israeli firm that markets
wireless charging and backup batteries for
smartphones and tablets. Regardless, it’s
still a steep value crest to scale in order to
reach that ’90s value high. Which proves
a point: If you don’t negotiate the tricky
balance of disrupting your own business
while simultaneously nurturing your core,
someone else will surely perform the
disruption part for you.
According to the 2014 Insigniam Executive Sentiment
Survey, a full 80 percent of executives lose sleep over people-
related issues, including engagement. Enter gamification, or
driving engagement by transforming work functions into games.
Not long ago, the thinking was this secret sauce would “game
change” everything from recruitment and talent retention to
employee training and customer engagement.
The research firm Gartner, Inc., even predicted that by
2014, 70 percent of Global 2000 organizations would have
implemented at least one gamified app. Alas, that didn’t happen.
It turns out that using games to successfully drive problem
solving and engagement takes well-grounded, clearly defined
business objectives. Compelling game design doesn’t hurt either.
Secret sauce? Not yet.
PERCENTAGE OF EXECUTIVES WHO LOSE SLEEP OVER PEOPLE-
RELATED ISSUES.
PERCENTAGE OF EXECUTIVES WHO DO
NOT LOSE SLEEP OVER PEOPLE-RELATED ISSUES.
NOT INCLUDED
$3.68BILLION
The amount of Duracell’s
brand evaluation
$4.7BILLIONBerkshire Hathaway’s
purchase price in P&G stock
READY FOR PLAY?
WINTER 20156 INSIGNIAM QUARTERLY
THE TICKER
It appears the Industrial Internet — the convergence
of Big Data analytics with the Internet of Things — is poised
to drive the next industrial revolution. How potent will
this revolution be? According to Gartner, Inc., a technology
research firm, the Industrial Internet will have 26 billion
interconnected devices driving $1.9 trillion in global
economic value-add by 2020.
A network of physical objects that can sense and interact,
the Industrial Internet includes devices such as diagnostic
equipment, medical devices, jet engines, turbines, robotics, and
vehicle sensors. This massive network excludes smartphones,
tablets, and PCs.
The most valuable opportunities in this coming revolution
reside in health care, oil and gas, aviation, insurance, power
generation, and distribution. Why? Because data generated
by industrial equipment holds far more potential business
value than information from social media and consumer
Internet sources. GE recently announced that its Predictivity
information services platform will realize $1 billion in
revenues in 2014. That’s after the company committed in
2013 to invest $2 billion in health care information solutions
over the next five years.
Still, many firms may struggle to align their organizations
to capitalize on these coming opportunities. To effectively
harness the Industrial Internet, the enterprise must overcome
internal system barriers between departments, and cultural
hurdles that thwart the collection and correlation of data.
That’s in addition to talent gaps in critical areas such as
data analysis, the gathering and consolidating of disparate
information streams, and managers capable of using Big
Data analyses to make sound decisions. Success in this new
world always comes back to people — and the organizational
culture within which they function.
DATA HULK
While breakthrough success is often paved by the rapid
adoption of cutting-edge technology, sometimes it simply pays
to hang back and exploit opportunities ignored in the rush.
Fort Worth, Texas-based Athlon Energy applied a similar
strategy in the Permian Basin, the West Texas shale play and
top-petroleum-producing region in the U.S. While oil and gas
companies were rapidly adopting expensive new technologies
such as hydraulic fracturing and horizontal drilling, Athlon was
quietly picking up Permian acreage thought unsuitable for these
new technologies for pennies on the dollar. It then scooped up
traditional vertical drilling rigs at discount prices. Net result: a
deep inventory of some 3,900 vertical drilling sites and more
than 10 years of drilling inventory.
The assembled value was so attractive that Calgary-based
Encana Corporation snatched up Athlon for $7.1 billion
in a “transformational acquisition” finalized in November.
Innovation sometimes means seeing the conventional with
fresh eyes.
INNOVATING BEHIND THE CURVE
Since 1995, the FORTUNE Global Forum has convened world leaders and the heads of global business on the dynamic frontiers of international commerce. In 2015, we will bring CEOs from the FORTUNE Global 500 together with innovators, builders, and technologists from emerging companies to focus on disruptive innovation and explore the implications of technology trends for the 21st-century corporation.
For more information: www.FortuneGlobalForum.com
San FranciSco, caNovember 2-4, 2015
All photos from the 2013 FORTUNE Global Forum (Photos: Stuart Isett)
Attendance at the FORTUNE Global Forum is by invitation only and subject to approval. FORTUNE and FORTUNE Global Forum are trademarks of Time Inc., registered in the U.S. and other countries.
8 INSIGNIAM QUARTERLY WINTER 2015
TOP LINE
“ON THE TECHNOLOGY SIDE, YOU CAN AFFORD A
LITTLE MORE INNOVATION, A LITTLE MORE RISK,
SO TO SPEAK. BECAUSE YOU’RE CONSTANTLY
INNOVATING, YOU’RE CONSTANTLY PUSHING THE
ENVELOPE AND TESTING PRODUCTS AND TESTING
YOURSELF AGAINST THOSE LIMITS.”
— Bill Miller, CIO, Broadcom Corp
“I’m an optimist about the power of technology to transform lives for the better.”— Julius Genachowski, former FCC chairman (2009-2013)
BY THE NUMBERSCOMPILED BY GEOFF WILLIAMS
The money saved in power costs and operations licenses after AMD transitioned its data center from Austin, Texas to Atlanta, Georgia. Jake Dominguez, CIO, is credited for recognizing the need to update the center.
$8.5 million a year
INSIGNIAM QUARTERLY 9WINTER 2015
APPROXIMATELY $1 BILLIONAmount of money UPS spends annually on technology to improve its operations.
“What we are experiencing today, I truly don’t believe we’ve ever had anything quite like it. There aren’t that many people who really understand the individual technologies; to manage to have them integrated is extremely complicated.”— Jerry Luftman, former CIO, professor emeritus of the Stevens Institute of Technology, managing director of the Global Institute for IT Management
How much Walmart’s technology budget has climbed from fiscal year 2009 through fiscal year 2014, according to Charles Holley, Walmart’s executive vice president and chief financial officer, who told his shareholders: “Technology is our fastest growing area for capital expenditures.”70%
2009 Tech Budget 2014 Tech Budget
“Innovation has nothing to do with how many R&D dollars you have. When Apple came up with the Mac, IBM was spending at least 100 times more on R&D. It’s not about money. It’s about the people you have, how you’re led, and how much you
get it.” — Steve Jobs (1955-2011), CEO
of Apple
WINTER 201510 INSIGNIAM QUARTERLY
BLOOD, SWEAT & TEARS
A disciplined environment like Intel can be a culture
shock for many workers. Incorporating the much-maligned
Generation Y worker — commonly portrayed as being
overly ambitious, impatient, and lacking loyalty or obedience,
making them unproductive and difficult to manage in many
working environments — presents yet another potential
stumbling block.
As vice president of the Intel
Technology and Manufacturing Group
and general manager for Intel Products
(Chengdu) Ltd. in Chengdu, Sichuan
province, China, Cheng Gang Bian
has faced up to even greater workforce
challenges. China’s one-child policy,
though relaxed over the last year, has
led to primarily single-children families
in China for the last several decades. This has created a group
of Gen Y workers in China as well as Chengdu who were
brought up, in Bian’s words, as “princes or princesses” that
typically haven’t worked in a collaborative environment.
During Bian’s five years at the Intel Chengdu facility, the
solution has been to foster a collaborative environment geared
to engage the participation of each and every person at his
Intel executive Cheng Gang Bian has tapped into China’s Generation Y workforce to achieve breakthrough results.
BY PHIL BRITT
BRIDGING THE GAP
A Gen Y employee of Intel Chengdu made a sweet lifetime memory by taking her wedding photo at the company.
WINTER 2015 INSIGNIAM QUARTERLY 11
site. His story of leadership and commitment has resulted in
unprecedented breakthroughs.
FACING UP TO CULTURE SHOCK
Bian was no stranger to the issue of culture shock when
he first joined Intel. Though born in China, he spent several
years studying computer science in Norway, where a typical
workday starts at 9:00 a.m. or so, prolonged chats with
coworkers and one- or two-hour lunches are commonplace,
and leaving early is accepted — far from the discipline-
driven culture of Intel, an environment that Bian says he is
still learning.
That culture reinforces the understanding that talking a
good game without results will place your job in jeopardy.
A colleague shared with Bian that he thought the cultural
differences would end with Bian leaving the company within
six months. But he continues to thrive there 16 years later
as a driving force behind the company’s
powerhouse manufacturing facility.
Bian initially joined Intel as the
Pudong/Shanghai site IT/automation
manager in 1998 after leaving Norway
to pursue a career in technology
management in his hometown. He
eventually moved on to Intel’s flash
operations, which were eventually spun
off as a joint venture in 2007, and joined
the Intel Chengdu facility as general
manager in 2009.
During that time, Bian has found
that Generation Y workers can belie
their reputation and be molded into
a productive, dynamic workforce. He
relies primarily on a group of workers at Chengdu, with an
average age of 29 as of 2014, that comprise 90 percent of the
facility’s workforce.
The critical element is to understand the Generation
Y value system, he says. These workers want someone to
understand them and respect their valuation of diversity.
Though they are all of the same generation and do have
some commonalities, these workers also want management
to recognize their individuality. Accordingly, Bian has
orchestrated and overseen the redesign of the facility to
recognize that individuality. Many of the changes have come
as the result of employee suggestions. “Bian demonstrated a
key aspect of transformational leadership. That is to create an
environment where each and every person can give of their
best and flourish. Doing this often requires giving up a point
of view or a firmly held belief about how people should
think and act,” says Felicity McRobb, Insigniam consultant
based in Asia.
In addition, an outside visitor would never know that Intel
Chengdu is a factory, which could typically be marked by
dirty floors, machines, and overall uniformity. “We changed
all of that,” Bian says.
The facility’s cafeteria used to feature only one size of
table, with the philosophy of spurring small groups to sit
together and promote camaraderie. Bian realized that not
all people are comfortable in the same size groups. Now
employees can sit at tables suited for two, four, or other small
groupings. Similarly, halls no longer feature uniform colors.
During free time, workers can choose from an indoor 5-star
gym, badminton, basketball, and table tennis; outdoor tennis,
soccer and other physical activities; gardens; and a coffee area.
While some companies discourage fraternization among
workers, the Intel Chengdu facility
celebrates employee marriages. Pictures
of romantic proposals along with brides
and grooms are included in some of
the company’s internal slide show
presentations.
Recognizing the individuality and
personal lives of employees goes hand
in hand with fostering a strong work
ethic. “If you care about their lives and
their careers, they will find a workplace
that they love and want to contribute,”
Bian says. “Gen X leadership needs to
change for being able to lead/manage
Gen Y, not the other way around,” Bian
adds. “But, principles need to be instilled
for shaping the Gen Y productivity.”
Those important elements include communication,
passion, persistence, patience, and details. “In our experience
the most productive work environments are ones in which
people can connect their work to their core values, then the
workplace becomes a place of contribution and satisfaction,
as well as a place to earn a living,” says McRobb.
Bian communicates regularly with employees through
newsletters, meet-the-people sessions, and an anonymous
online suggestion box that goes directly to him. He encourages
them to make suggestions and ask him questions, all of which
he answers no later than two weeks from receipt, despite the
complexities that could arise from some of those questions.
Employees are also urged to pay attention to details as a means
of producing extraordinary results. At a place like Intel, career
RECOGNIZING THE INDIVIDUALITY AND PERSONAL LIVES OF EMPLOYEES GOES HAND IN HAND WITH FOSTERING A STRONG WORK ETHIC.
WINTER 201512 INSIGNIAM QUARTERLY
BLOOD, SWEAT & TEARS
development can depend on paying attention to small details
that differentiate the normal from the extraordinary.
Details also help connect the dots to understand each
worker’s contributions, he says. When the site’s current
“Chengdu Can Do 3.0” campaign was developed, Bian and
other executives realized that they wanted more than just a plan
of action, but rather a “big family picture” that would connect
all employees. The master plan focused on communicating
details that cover all strategies, programs, and actions so that
employees could understand how their contributions would
aid the facility’s success. The plan included what Bian termed
as audacious goals that eventually proved reachable for 2012,
when the plant was awarded with Intel’s Quality Award, the
most prestigious award doled out by the CEO to a select few
qualified organizations across the globe each year.
Workers have responded strongly to Bian’s leadership
philosophy and style in both good times and bad. By working
together efficiently, Intel Chengdu workers have transformed
their workplace into the company’s top facility of its type,
producing seven to nine units per second in an operation
that runs 24 hours a day and seven days a week. In fact, the
facility produces more than half of the world’s mobile chips.
Intel Chengdu has had technical challenges to overcome as
well. When a design flaw was discovered in a chipset product
at the end of 2010, employees were called back on the first
day of Chinese New Year in 2011, which Bian likened to
U.S. workers being called back into work on Christmas. Yet
employees reported for work and quickly dove into the task
of correcting the flaw so that replacement chips could be sent
out quickly, before even OEMs could have realized it. Failing
to do so in the first quarter of the year could have resulted in
$1 billion in losses to Intel, according to Bian. The workers
discovered and corrected the flaw, allowing replacements to
be shipped within six weeks — versus an ordinary plan of at
least a quarter-plus — an unheard-of turnaround.
Loyalty is another byproduct of this leadership style. Despite
their relatively young age, Chengdu’s average worker has been
with the facility for about seven years, in strong contrast to
the national average. According to Bian’s observations of
China’s market norms, six in 10 Gen Y workers leave their
companies in under two years. “It is real work to have people
fully engaged in the company’s success, owning successes
and failures as their own,” adds McRobb. “Bian’s brand of
transformational leadership is clearly paying off, positioning
Intel as a workplace of choice and delivering real business
value and results. It’s been a pleasure to work with him.”
On another front, Bian is a major advocate of Corporate
Social Responsibilities (CSR) into local communities, and
“IT IS REAL WORK TO HAVE PEOPLE FULLY ENGAGED IN THE COMPANY’S SUCCESS, OWNING SUCCESSES AND FAILURES AS THEIR OWN.” — FELICITY MCROBB, INSIGNIAM CONSULTANT, ASIA
WINTER 2015 INSIGNIAM QUARTERLY 13
his philosophy is one minute of volunteer
work equals the same value in hours and days
to people in need. Intel Chengdu facility
performs an average of 25,000 volunteer hours
each year to go along with about a 70 percent
participation rate, and they have been honored
as the No.1 CSR Company in Sichuan, China,
since 2009.
“Our average volunteer hours per employee each year are
above 16 hours, while the second awardee in China is at about
20 minutes,” says Bian. “And we never had a goal and gift for
volunteers, but a fashionable volunteer t-shirt that a group of
Gen Y employees design with colorful ideas every year.” The
volunteer spirit is a big part of their culture, as evidenced by
the vision statement, “Intel Chengdu – A Source of Pride for
Intel, Our Communities, and Our Families.”
EARLY SETBACK
Prior to his success at Chengdu, Bian’s role as the managing
director for Intel’s flash operations in Shanghai included
overseeing some 1,200 employees. A few years after the 2007
spin-off, the market for flash drives started getting soft and
Intel made a strategic corporate decision to exit the business.
He needed to inform the employees that they were losing
their jobs and yet work through the closure of
the facility.
“It was very painful and problematic,” he
recalls. “I sat at home for three days with a beer
in my hand. I thought about it and digested if I
were CEO of the company, I would have come
to the same decision. It was the right strategy
for a sun-setting business.”
So Bian designed a volunteer separation program in which
everyone affected listed their preferred timeline for leaving
the facility. He chose the last day so that he could try to help
other employees find work — if not in other areas within
Intel, then attractive jobs outside of the company.
“We wanted a smooth shutdown … ‘Exit with Pride;’ we
treated the workers with respect and dignity,” he says. It went
so smoothly that workers left with a sense of camaraderie
— they still have gatherings to reflect on their times at the
flash facility — and Bian was subsequently named general
manager of the Intel Chengdu facility.
While Bian’s hope is to have no more such setbacks, he
expects to be able to respond quickly if needed. The factory’s
motto suggests the future success that Chengdu’s workers
and managers continue to pursue: “Connected hearts for the
future; Chengdu can do.”
One of 22 volunteer programs implemented by Intel Chengdu showing a company effort to aid a local wetland protection program.
WINTER 201514 INSIGNIAM QUARTERLY
Fill-in-the-blank Corp. confirmed today that hackers/criminals/foreign agents/unauthorized users have accessed
sensitive payment information/email addresses/business
intelligence that may impact customers … Millions of cards
affected … Working with law enforcement … Have enhanced
our security protocols … Costs may
adversely affect financial results …
The repetitive headlines and press
releases remind directors that overseeing
cyber security is one of the most pressing,
and complicated, board responsibilities
facing them today.
The cost of a data breach to a company can range from
$9.3 million to $16 million, according to the 2014 Cost of
Cyber Crime Study: United States, the fifth annual study of U.S.
companies conducted by the Poneman Institute. According
to another Poneman Institute report, 2014 Cost of Data Breach
Study: United States, the average cost of each compromised
Strong IT governance by the Board is a vital line of defense against cyber crime.
BY STACEY CLOSSER
FILLING THE BREACH
THE BOARDROOM
WINTER 2015 INSIGNIAM QUARTERLY 15
record caused by a data breach increased from $188 to $201
over the last year. Most of that money is spent on detection and
recovery activities, followed by investigation and containment.
Consequently, the longer it takes to resolve the breach, the
more expensive it is.
It’s a well-known issue — more than 65 percent of directors
surveyed indicated that cyber security risks were at a high
level or had increased, according to the
Institute of Internal Auditors survey,
“Pulse of the Profession 2014” — yet
how to best provide oversight leaves
some boards at a loss.
“It challenges each of us in our
respective companies to have best
practices,” says Kneeland Youngblood,
founding partner of Pharos Capital
Group, who currently serves on the
board of Mallinckrodt Pharmaceuticals
and has also served on the boards of
Burger King Corp., Gap Inc., and
Starwood Hotels and Lodging, among
others.
A BOARD’S RESPONSIBILITY
As part of their fiduciary
responsibility, directors are charged
with understanding the cyber risks
against the organization as well as the
legal implications. Boards ensure that
the standards and processes followed by
IT are rigorous and prudent, as outlined
by external experts and measured
against industry peers.
Once up to speed, the board should
be performing an intensive review of the company’s security
policies annually, although those updates should occur more
frequently during times of technological change or industry
security upsets.
Youngblood outlines the first two lines of defense against
cyber crime — having the right experience in the boardroom,
and having the right experience in the management suite.
The most important thing the board of directors can and
must do is to select the best CEO, says Youngblood. “All roads
lead from there — if you get that right, many of these other
things will be addressed.”
The chief information officer is another important role
that is best filled by looking at the marketplace, as opposed
to an internal hire. The CIO position has evolved and now
requires as much business acumen as technical know-how. This
position won’t be adequately filled by a tech genius lacking
in social skills.
“The best CIO/CTOs can relate to boards and management.
They know their business impact. They are not isolated, they
don’t talk in gibberish,” says Tom Hudson, CEO of Municipal
Parking Services and a serial entrepreneur who has served
as a board member for numerous
technology-related public and private
companies. “They know the value that
they are creating for the organization
and the impact of a miss in money or
time.”
Robert Clyde, international
vice president of ISACA (formerly
Information Systems Audit and Control
Association) and CEO of Adaptive
Computing, underscores that sentiment
regarding the CIO: “It’s not enough to
be a strong tech leader — you have to
be a strong business leader.” If the board
determines the company CIO is the
former, it might make sense to have
the chief information security officer
(CISO) report directly to the CEO or
even the chief compliance officer “so
you get a cross check on the security
side,” he says.
Providing the CISO access to the
board is integral in keeping the lines of
communication open. The board should
expect to be made aware of attempted
security breaches, not just the successful
ones. Meetings with the CISO should
reveal not only the appropriate strategy and possible roadblocks,
but also the general risks facing the company’s industry.
AREAS TO CONSIDER
Even seemingly non-IT business initiatives can be rife
with security concerns. For example, outsourcing business
processes such as accounting or human resources can provide
an opportunity for cost savings, but it also introduces new
cyber risk.
Third-party service providers’ security practices quickly
become your security practices. Boards should ensure that
agreements with third-party providers address the provider’s
role in safeguarding critical data and require notification of any
data breaches, while also applying those same requirements to
“IT IS IMPERATIVE THAT COMPANIES AND BOARDS BE VERY VIGILANT IN THEIR PEOPLE, IN THEIR PROCESSES, IN THEIR ASSESSMENT OF THINGS,” SAYS YOUNGBLOOD. “TAKING THEIR EGO OUT AND ALWAYS STRIVING TO IMPROVE.”
WINTER 201516 INSIGNIAM QUARTERLY
other third-party providers downstream.
The proliferation of “bring your own device” is changing
the risk profile for organizations, says Clyde. Like it or not,
employees will want to connect their devices to the network,
and no amount of security awareness training will eliminate
that behavior. The BYOD trend offers a “great competitive
advantage, but you have to be sure to take care of the risks
associated with that scenario,” says Clyde.
QUESTIONS YOU WON’T THINK TO ASK
Board members don’t need deep technical expertise to
oversee cyber security, just the ability to read people and ask
the right questions while staying out of the weeds of IT jargon.
Stick to the basics: What, why, how, the results expected, and
the process/investment required. Some other questions that
may be off your radar include:
6Does management have established relationships with
national and local authorities such as the FBI that
respond to cyber crime? How can that relationship
inform the company on security trends and new
threats?
6How has the CEO communicated the importance of
organizational security to all employees? Is there a
security-awareness training program in place?
6Are we using a security framework such as NIST
(www.nist.gov) or COBIT (www.isaca.org/cobit)
THE BOARDROOM
WINTER 2015 INSIGNIAM QUARTERLY 17
and is it up to date?
6How do our security measures stack up to our peers
in our industry? What relationships can we leverage
to find out?
6Big data offers opportunities to create very detailed
customer profiles. How are we making sure that both
the raw data and also those profiles are secure?
6Does internal audit have a direct line to the board’s
audit committee? “Most boards have those on the
financial side, but there should be a similar avenue
on IT controls,” advises Clyde.
WHEN IT HAPPENS
All industries fall victim to cyber crime, albeit to different
degrees. High-profile security breaches occur with such
regularity that consumers have already registered data breach
fatigue — more than one-third of consumers did nothing
after being notified of a breach, according to research from
Poneman Institute. But that doesn’t mean organizations can,
or should, be complacent.
Consider home security as an analogy: There are prudent,
appropriate measures that should be taken — door and
window locks, a security system, a dog, for example — but if
a criminal is intent on getting in, there are ways to do it. That
doesn’t mean you give up and leave all the doors wide open,
and it doesn’t mean you go out and buy steel window covers
that remain permanently closed.
Clyde encourages directors to ask: What are the right
controls to have in place, given the assets we have and the
likelihood of things occurring? What is the standard of due
care for my industry?
“It is imperative that companies and boards be very vigilant
in their people, in their processes, in their assessment of things,”
says Youngblood. “Taking their ego out and always striving to
improve.”
Industry experts agree that planning for a security breach
is the best approach. It’s not a matter of if, but when. “Any
company can be hacked, it’s really just a question of time and
money of the attackers and how far they’re willing to go,”
says Clyde.
When that happens, it’s time to pull the trigger on the
organization’s detailed recovery plan.
“Be open and candid about the problem both internally
and externally and put the right level of executive in charge
of communicating about the crisis,” says Hudson. “It probably
did not get broken in a day and will take more than that to
fix — plan for that.”
DATA BREACHES: BY THE NUMBERS
$188
$201
AVERAGE COST OF EACH COMPROMISED RECORD CAUSED BY A DATA BREACH INCREASED FROM $188 TO $201 OVER THE LAST YEAR.— 2014 COST OF CYBERCRIME STUDY: UNITED STATES
$9.3 MILLION
$16 MILLION— 2014 COST OF CYBERCRIME STUDY: UNITED STATES
COST OF A DATA BREACH TO A COMPANY CAN RANGE FROM
TO
MORE THAN SIXTY-FIVE PERCENT OF DIRECTORS SURVEYED INDICATED THAT CYBER SECURITY RISKS WERE AT A HIGH LEVEL OR HAD INCREASED.— INSTITUTE OF INTERNAL AUDITORS SURVEY “PULSE OF THE PROFESSION 2014”
65%
Every business should reconsider its energy plan,
according to Robert Armstrong.
As director of the MIT Energy Initiative (MITEI),
Armstrong possesses an advanced perspective on this topic
gleaned through pursuing only one mission for the last nine
years — researching a comprehensive
energy transformation that will help
steer the world to clean energy usage.
The MITEI program was launched in
2006 to create a platform for research,
education, and outreach programs while
partnering with companies across a
wide array of energy-related businesses.
In the course of that mission, MITEI
has garnered an impressive membership,
including BP, ExxonMobil, Shell, Saudi
Aramco, Bosch, Edison International, and
Lockheed Martin Corporation. All in all, 71 member enterprises
make up the collaboration, with room for many more. They are
all working with MITEI faculty, staff, and students on various
projects to transform the earth’s energy systems and move the
products of this alliance into the energy marketplace.
WINTER 201518 INSIGNIAM QUARTERLY
Cutting-edge research and development of cleaner energy systems is proving to be a valuable investment.
BY GEOFF WILLIAMS
MIT’S ENERGY INITIATIVE INTENDS TO CHANGE THE WORLD
WINTER 2015 INSIGNIAM QUARTERLY 19
The brains behind MITEI are academics working in the
proverbial ivory halls across the Massachusetts Institute of
Technology campus. The theory is that you can’t expect to
transform the earth’s energy systems without engaging the
world, and MITEI is looking at energy problems from all angles
— economic, environmental, and security concerns.
STRATEGIC ALLIANCES
While it might seem like a no-brainer for energy companies
like Duke Energy Corporation to work with an energy initiative,
MITEI also has active members that aren’t readily associated with
fossil fuels, such as Rockport Capital Partners and BlackRock,
Inc. Walmart is currently working with MITEI on its long-
term goal of being supplied by 100 percent renewable energy.
In addition, Walmart and MITEI are making great progress on
the company’s goal to produce or procure 7 billion kilowatt
hours of renewable energy globally by 2020. Armstrong views
these partnerships essentially as logical byproducts of common
corporate initiatives.
“Every company is an energy company,” according to
Armstrong. “Companies either produce energy, generate it,
distribute it, or they use it. Okay, so we bring all of those aspects
to the table in our meetings and discussions, and I think that’s a
very valuable part of MITEI, to get the discussion going between
the ones using energy and the ones producing it, and I think
they learn a lot from each other.”
Armstrong makes it clear that MITEI is not simply a forum
for getting together to exchange business cards and share energy
ideas. Since it was launched in 2006, the MITEI Seed Fund
Program has offered funding of approximately $15.8 million to
129 promising early-stage research proposals. In addition to its
funding efforts, MITEI provides brainpower as well. “It’s a very
engaged process, so we work very closely with the members in
designing and executing the process,” Armstrong says.
WINTER 201520 INSIGNIAM QUARTERLY
In 2014, more than $1.6 million was awarded to 11 projects,
including one that would allow methane gas to be converted
into liquid methanol at remote recovery sites, which would make
it cheaper to store, transport, and use the fuel. Other projects
include work on dual-mode lithium-bromine seawater batteries
and nanostructured high-performance electrostatic capacitors.
POWERFUL BREAKTHROUGHS
Although these types of cutting-edge projects are immensely
complex, Armstrong, a professor of
chemical engineering, affably shares
his enthusiasm about their potential
applications in layman’s terms. For
instance, it’s easy to understand how
one can get excited about energy
transformation when he discusses the
work that’s being conducted with
MITEI member Ferrovial, S.A. The
Spanish multinational company owns,
or partially owns, everything from
airports to toll roads, within which
they’re working to make drive-by
energy audits.
According to Armstrong, the
technology Ferrovial is developing
will someday afford city employees the
capability of driving through at night
and taking rapid infrared images of buildings — all while using
the already-existing cameras that are so prevalent on city streets.
And what’s so useful about that? Armstrong forecasts that
this technology could save cities thousands, perhaps millions,
of dollars, while making millions more for companies like
Ferrovial. “You’ll be able to much more easily find leaks in
windows and uninsulated attics, along with parts of the buildings
that are energy losers,” Armstrong says. “And by doing that, it
can help put less pressure on the grid and reduce the need for
new power generation.”
Another MITEI project is built around a partnership with
Eni, an energy company with a footprint in 70 countries that
employs approximately 79,000 people. The Eni-MIT Solar
Frontiers Center is working on developing the next generation
of solar technology.
“The center has been focused on
active solar technology,” Armstrong says.
The problem with utilizing today’s solar
panels is that they’re “heavy, made of
glass, and you need a bunch of people
to carry and install them,” Armstrong
says. He adds that they’re also expensive
to manufacture.
But if the future follows the path
that Solar Frontier Centers has laid out,
implementation of solar technology is
going to be much less expensive to
manufacture and far easier to install.
“Think about the photographic
business, and how Eastman Kodak’s
film with multiple coatings allowed you
to develop high-quality photographs”
Armstrong explains. “I want us to do the same thing with
photovoltaic material, where you can roll it out over the roof
and plug it in, and you’re up and running. We’ll have to be able
to deploy this on a large scale for the price requirements to come
down, but to me, that’s the future.”
“EVERY COMPANY IS AN ENERGY COMPANY. COMPANIES EITHER PRODUCE ENERGY, GENERATE IT, DISTRIBUTE IT, OR THEY USE IT.”— ROBERT ARMSTRONG
MITEI BY THE NUMBERS
71 MEMBER ENTERPRISES MAKE UP THE MITEI COLLABORATION
YEAR MITEI WAS LAUNCHED TO CREATE A PLATFORM FOR RESEARCH, EDUCATION, AND OUTREACH PROGRAMS WHILE PARTNERING WITH COMPANIES ACROSS A WIDE ARRAY OF ENERGY-RELATED BUSINESSES
2006WALMART AND MITEI ARE MAKING GREAT PROGRESS ON THE COMPANY’S GOAL TO PRODUCE OR PROCURE 7 BILLION KILOWATT HOURS OF RENEWABLE ENERGY GLOBALLY BY 2020
WINTER 2015 INSIGNIAM QUARTERLY 21
INVESTMENT IN TRANSFORMATION
The assumed CEO viewpoint may be that if tried-and-true
energy systems are still working, he or she wouldn’t particularly
be interested in working on using microorganisms from the
ocean to make biofuels, or harvesting energy from water waves
and vibrations on a sidewalk and turning it into electricity.
But the reception from business leaders has been extremely
positive. “I haven’t heard anyone say that this is a waste of money,”
Armstrong says.
“Having the top leadership buy into transforming an energy
system is important,” Armstrong says. “I think the leaders we’ve
worked with are all very forward thinking. That’s definitely
a common trait of the top executives who invest in new
technologies.”
It also helps when companies have forward-thinking board
of directors, Armstrong adds. In fact, Ferrovial started its own
in-house corporate research group after aligning itself with MIT.
“They’re looking for new ways to improve their business’s
bottom line,” Armstrong says. He adds that, along with
identifying energy leaks in buildings, Ferrovial also is working on
technology that eventually will allow them to scan infrastructure
such as buried pipeline so that leaks or potential problems can
be identified.
“If I can do that and know where to find pipe that need
repairs, then I can provide the same services to other cities,”
Armstrong says, offering a glimpse into how technology can be
a game changer for companies and communities in the future.
Everybody wins — the businesses and cities that save money
on energy costs and the companies that can help them find
those savings.
IN 2014, MORE THAN $1.6 MILLION WAS AWARDED TO 11 PROJECTS, INCLUDING ONE THAT WOULD ALLOW METHANE GAS TO BE CONVERTED INTO LIQUID METHANOL AT REMOTE RECOVERY SITES
WALMART IS CURRENTLY WORKING WITH MITEI ON ITS LONG-TERM GOAL OF BEING SUPPLIED BY 100 PERCENT RENEWABLE ENERGY
SINCE IT WAS LAUNCHED IN 2006, THE MITEI SEED FUND PROGRAM HAS OFFERED FUNDING OF APPROXIMATELY $15.8 MILLION TO 129 PROMISING EARLY-STAGE RESEARCH PROPOSALS
100% 11$15.8 MILLION
WINTER 201522 INSIGNIAM QUARTERLY
Health care has seen many transformative moments
throughout history. The creation of penicillin. The development
of the polio vaccine. The use of gene therapy to treat a variety
of illnesses, including cancer. The evolution of minimally
invasive surgery. All have substantially transformed the well
being of humanity. Perhaps the biggest transformation within
the past decade is the movement to mobile — the drive to
place critical information in the hands of
the consumer, physicians, and other health-
related professionals when and where they
need it.
Mobile leverages best practices from the
past by taking health care out of the doctor’s
office or hospital and placing it back in the
patient’s home or other care setting. It also
places information on best practices in the
hands of practitioners when they are bedside or with the patient
and family, helping them make informed decisions to improve
the care they deliver.
OUR WORLD WILL NEVER BE THE SAME
The integration of mobile technology with smartphones,
tablets, and other devices is a global phenomenon that promises
How smartphone and handheld devices are changing health care
BY TOM PECK
THE MOVEMENT TO MOBILE
WINTER 2015 INSIGNIAM QUARTERLY 23
to change the very fabric of our businesses and our everyday
lives. Health care delivery is an excellent case study in how
mobile technology is transforming and improving the health of
billions of people. Mobile health, otherwise known as mHealth,
has turned heads in the C-suite because of its mammoth revenue
potential — some estimates place it at $20 billion by 2018. Today,
more than 100,000 health apps are available for download to
smartphones and handheld devices. In fact, almost every person
in the U.S. — 247 million — currently has a health care app on
his or her personal device.
The true magnitude of the mobile health tsunami is apparent
when you glance at the agenda of the recently held 2014
mHealth Summit. Many Fortune 500 companies — IBM,
Samsung, Pfizer, Sprint, and Verizon — as well as leading
health care organizations that included the National Institutes
of Health, Kaiser Permanente, Partners HealthCare, and
Walgreen’s came together at a meeting designed to focus on
real-world applications and innovations being integrated into
care delivery today. Their impact includes increased patient-
provider communication, greater access to care for populations
around the world, and empowered individuals who have tools
to better manage their own health and wellness.
mHEALTH EXPANSION AND SMARTPHONE
ADOPTION
So, why are mHealth apps so popular and who is behind
the development and rollout of this technology? In its recently
published fourth annual study on mHealth app publishing,
research2guidance, a global market research company focused
on the world’s app economy, predicted the main market drivers
for the next five years are the increasing penetration of capable
devices and user/patient demand. In today’s “I want it right
WINTER 201524 INSIGNIAM QUARTERLY
now” society, individuals are eager to use mobile technology
that could lead to improved health while using apps that will
help them monitor their blood pressure, measure their blood
sugar, keep up on daily pollen counts, sleep better, eat healthier,
manage medications, get and stay fit, and much more — when
and where they need it.
According to the study’s authors, fitness apps, which today
constitute the category that offers the highest business potential
for mHealth app publishers, will diminish in their relative
importance, slipping to fifth position within five years. The app
categories that have the highest expected market potential in the
near future are remote monitoring and consultation.
INNOVATION AND ENTERPRISE DRIVING THE
FUTURE
The power of mobile health to connect people in some of the
most remote regions of the globe with researchers and physicians
is being driven by universities and academic medical centers.
Johns Hopkins University and the University of California, San
Francisco, are two prime examples of mHealth innovation hubs.
The work being done by Alain Bernard Labrique, PhD,
exemplifies the advances mHealth has made in the academic realm.
He currently serves as an associate professor in the Department
of International Health, Department of Epidemiology at Johns
Hopkins University in Baltimore, Md., and director of the Johns
Hopkins University Global mHealth Initiative (JHU-GmI).
“I’m an infectious disease epidemiologist, trained in molecular
biology, but an innovator at heart,” says Labrique. “I’ve lived and
worked in rural south Asia and Sub-Saharan Africa for more than
20 years, and I’ve seen how information and communications
technologies have not only emerged out of thin air as a consumer
phenomenon, but also as a transformative force in how global
health programs are being implemented.”
Labrique’s work through JHU-GmI includes partnering
WINTER 2015 INSIGNIAM QUARTERLY 25
with the Ministry of Health in Bangladesh and social enterprise
company mPower Health to develop and test an integrated
mobile phone pregnancy surveillance system. He has also been
instrumental in perfecting Momconnect, a project aimed at
using mHealth messaging services to create awareness among
pregnant women about available health services in the Republic
of South Africa.
“mHealth strategies stand to democratize health and accelerate
our achievement of universal health coverage by empowering
citizens with information where and when they need it, by
extending the arm of providers to reach citizens, no matter how
remote they may be, and by filling long-
standing information gaps that have led
to inefficiencies and dysfunction,” says
Labrique.
Leading health care enterprises
such as Partners HealthCare, affiliated
with Harvard University, have realized
mHealth’s potential for embellishing
their brand and expanding their patient
base to global proportions. Joseph C.
Kvedar, MD, founder and director of
the Center for Connected Health at
Partners HealthCare, has developed
a technology platform that leverages
cellphones, computers, networked
devices, and remote health monitoring
tools to improve care delivery. He
also established the first physician-to-
physician online consultation service
in an academic setting, linking patients
from around the world with specialists
at Harvard-affiliated teaching hospitals.
The Federal Communications
Commission (FCC) has jumped into the mHealth fray by
adopting rules that enable Medical Body Area Networks
(MBAN), low-power wideband networks consisting of multiple
body-worn sensors that transmit a variety of patient data to a
control device. Investors see the potential in MBAN, offering
venture funding in the first quarter of 2013 that has supplied
$42 million to companies developing products in the remote
monitoring space.
David Muntz, senior vice president and chief information
officer for GetWellNetwork and former principal deputy in
the Office of the National Coordinator for Health Information
Technology in the Department of Health and Human Services,
sees MBAN as a sign of things to come for mobile health.
“One of the biggest advantages of mobile health technology
is that it has closed the digital divide between those lacking
resources and those flush with resources,” Muntz says. “People
around the globe own mobile phones because they are generally
affordable. This helps researchers and clinicians reach and treat
traditionally underserved populations who experience costly
chronic illnesses.”
IMPACT ON NON-CLINICAL DECISION-MAKING
Novation, a health care services company that develops
and manages contracts with more than 700 suppliers for the
members and affiliates of VHA, Inc. and UHC, has developed
VHA LYNX™, a suite of mobile
analytics solutions tailored for
various components of the hospital
supply chain. “By giving members
access to the right information in
the right place at the right time via
their smartphones or tablets, we help
them improve their productivity and
save money,” says Hari Subramanian,
Novation’s director of product
management. “Our members have
found the mobile solutions to be
especially helpful when they are
sitting across the table from a supplier,
negotiating a contract.”
CAUTIOUS OPTIMISM FOR
A BOLD NEW FUTURE
A recent Becker’s Hospital Review
article points to increasing adoption
and acceptance of mHealth by
consumers. By 2016, a majority
of consumers expect mHealth to
significantly change their health care experience by helping
them access information, manage their health, and communicate
with their physicians and other caregivers. They also think that
mHealth will make care more convenient, improve quality, and
reduce costs.
What factors could cloud this rosy picture for mHealth?
Industry experts warn that data security could present barriers
to progress. Regulation and red tape imposed by government
oversight, accompanied by a lack of clarity, could also be a threat
to the burgeoning sector.
Challenges aside, it’s clear that mHealth is no longer a fad —
the movement has become firmly embedded in global health
care diagnosis and delivery. What’s the future prognosis? Rapid
improvement and continual innovation.
LEADING HEALTH CARE ENTERPRISES SUCH AS PARTNERS HEALTHCARE, AFFILIATED WITH HARVARD UNIVERSITY, HAVE REALIZED mHEALTH’S POTENTIAL FOR EMBELLISHING THEIR BRAND AND EXPANDING THEIR PATIENT BASE TO GLOBAL PROPORTIONS
WINTER 201526 INSIGNIAM QUARTERLY
THE METEORIC RISE OF THE MOBILE REVOLUTION
With millions of users migrating to mobile technology, rapid adaptation could mean the difference
between your organization’s successful future or eminent extinction.
of Americans say their phone is the first and last thing they look at
every day
of Americans use only mobile devices to access
the Internet
30 MILLION consumers watch TV content on their phones
= 100,000 consumers
of adults have their mobile phones within
arm’s reach 24/7
29% 91% 25% BY 2015, MOBILES WILL OVERTAKE PCS AS THE MOST COMMON WEB ACCESS DEVICE WORLDWIDE
INFOGRAPHIC
WINTER 2015 INSIGNIAM QUARTERLY 27
of web users say they expect a site to load on their mobile phone in three seconds or less
of users prefer mobile because it’s easy to use and constantly with them
TODAY’S AVERAGE MOBILE PHONE IS MORE POWERFUL THAN THE PCS THAT SENT TWO ASTRONAUTS TO THE MOON IN 1969
of mobile shoppers abandon a transaction if the experience is not optimized for mobile
DATA IS PROJECTED TO GROW 66% EACH YEAR THROUGH 2017 TO 11.2 EXABYTES PER MONTH
of mobile searches lead to action within one hour (It takes a month for the same percentage of desktop users to catch up)
AS MANY CELLPHONES IN THE WORLD AS THERE ARE PCS
5X2013
20142015
20162017
7.1 BILLION PEOPLE ON THE PLANET
4 BILLION USE A MOBILE PHONE
1.5 BILLION ARE SMARTPHONES
3.5 BILLION USE A TOOTHBRUSH
47%
30%
60%
70%
In 2009, the management team at AstraZeneca
embarked upon an unprecedented and, in hindsight, wholly
unrealistic goal. The multinational biopharmaceutical giant had
set out to deliver an initial submission for approval of the lifesaving
drug, Brilinta (known in scientific circles as ticagrelor) within a
timeline of just 60 days. Brimming from their excitement over
the positive findings from a comprehensive, three-year study
demonstrating that Brilinta was more effective than Plavix in
preventing heart attacks and death, they were more than eager
to complete the new drug application (NDA) process. The
hope was that a quick approval in the U.S. and Europe would
accelerate the drug’s time-to-market
and broad availability.
The excitement swelling around
Brilinta was justifiably palatable,
according to Sandy Fitt, who was
leading the clinical development
team at the time. Results from a mega,
international, head-to-head Phase III
trial titled PLATO (a study of PLATelet
inhibition and patient Outcomes) had
conclusively demonstrated Brilinta’s
positive impact on survival for acute coronary syndromes
(ACS), which includes a group of symptoms for any condition
(such as unstable angina or heart attack) that could result from
reduced blood flow to the heart. Brilinta, an oral antiplatelet
treatment, works by preventing the formation of new blood
clots, thus maintaining blood flow in the body to help reduce
the risk of another cardiovascular event.
To this day, PLATO, which recruited 18,624 patients in more
than 43 countries to analyze the efficacy, safety, and tolerability
of the drug, is considered one of the most comprehensive
worldwide clinical trials ever conducted. Only six percent of
WINTER 201528 INSIGNIAM QUARTERLY
AstraZeneca mobilized a cross-cultural team to roll out one of the world’s largest clinical trials for a new drug application.
BY LIZ WILLDING
TAKING BREAKTHROUGH PERFORMANCE TO HEART
“To achieve great things, two things are needed: a plan, and not quite enough time.” — Leonard Bernstein
WINTER 2015 INSIGNIAM QUARTERLY 29
clinical trials are conducted on a worldwide scale, typically with
smaller populations. Armed with extensive, promising data from
the PLATO study, which was initiated in October 2006 and
completed by March 2009, the AstraZeneca management team
elevated Brilinta to the top of its development list. Convinced
it would save the lives of many patients when approved, they
launched a cross-cultural project with an extended team of 45
members to fast-track the submission of the findings to health
authorities in record time.
The herculean efforts of Fitt and her team were rewarded
with approval for the drug from the European Commission in
2009, marketing it under the names Brilique and Possia. The
FDA requested additional analysis of the PLATO data before
approving Brilinta in 2011. Currently, the drug is approved in
more than 100 countries. The story of how Fitt and the team,
working with Insigniam, led the rollout of dual applications to
bring Brilinta to market is a study in breakthrough thinking,
innovation, teamwork, and persistence.
BUILDING COMMITMENTThe AstraZeneca team issued its initial 60-day challenge to
deliver the new drug applications to the U.S. and Europe by
working with an internal Lean Six Sigma expert. The team
responsible for execution decided that an 85-day target was
more reasonable, but they were highly skeptical that the revised
timeline would be met, says Fitt. “Authentic alignment and
commitment were not there, even at 85 days,” she explained,
“but no one would speak up and be honest with the senior
leadership. It was a very passive aggressive culture.” Making
matters worse, the team had a notable lack of experience with
conducting submissions.
Given the prodigious scale of the task, Fitt’s strategy involved
coordinating with Insigniam to conduct its Breakthrough
Project process, which focuses on revealing and disengaging
from the hidden beliefs, assumptions, and presuppositions from
the past that prohibit unprecedented performance in the future.
“We had an exercise where team members were able to say what
they needed,” she said. “When we gave them permission to be
authentic, they felt their voices were listened to for the first time,
and they started believing in the possibility of being successful.”
In her role as the team leader, Fitt’s next step was to stand
up for her team with senior leadership, framing it as a high-
performing team that could work together and commit to an
achievable breakthrough goal. To do so, Fitt had to establish
a perspective for the team that would create a new work
environment or context for the project. “All work happens in a
non-physical environment of beliefs, opinions, assumptions and,
most importantly, views of what is possible in the future,” says
Insigniam partner Jennifer Zimmer. “That environment sets a
context that is decisive in determining the range of results that
are possible.”
Through the process, Fitt had to “unhook” key issues that set a
WINTER 201530 INSIGNIAM QUARTERLY
context that would prohibit success. The prevailing environment
emerged from several issues and could be summed up as “The
Blame Game.” Among these issues were:
2 Threads of a passive-aggressive culture
2 A mood of being victims of an overly aggressive, unrealistic
target set by leadership
2 Trust issues between team members (such as between
the physicians and the medical writers charged with
developing the product documentation)
2 A silo mentality characterized by finger-pointing and
shifting blame when something went wrong
2 An “Us” versus “Them” mentality, particularly cross
culturally
2 Unclear roles and responsibilities throughout the global
team
After clearing the air of the issues that were holding back
breakthrough thinking, the process steered the team to invention
and implementation achieved through an intensive, two-day
period of discussion. Thanks in large part to Fitt’s guidance
through much productive debate, the team built a new context.
Instead of focusing on “who’s right and who’s wrong and why
it can’t be done,” they rallied around the theme, “With patients
at heart: be brilliant, be bright, be best.” Inspired by their new
sense of purpose and now accepting full accountability for the
success of the project, they adopted the theme as their motto,
encouraging each other to keep the patient imperative at the
forefront of their efforts. Alignment also was formed by replacing
the 85-day timeframe with a final, realistic breakthrough goal for
the Brilinta submission of 106 days, based on clear, achievable
milestones that the team could truly commit to moving forward.
GETTING TO THE GOALThe next challenge centered around bringing the new
context to life and engaging the work team on the still highly
aggressive timeline. Inspiring them to believe in the goal was the
first hurdle. Once again, Fitt led the team through the process
of creating an innovative pathway for strategic breakthrough
outcomes aimed at achieving the 106-day goal. By seeing the
possibility of delivering in the 106-day window, she reports
that they felt inspired to “roll up their shirt sleeves and make
it happen.”
An “A team” or steering committee was established to create
accountability within the project. Each leader on the team was
accountable for a piece of the deliverables. Guided by Fitt, they
met three times per week during the delivery phase to review
progress, discuss issues, and mitigate risk. Through a roles and
responsibilities exercise, they mapped out 16 work streams
and clarified the downstream roles and responsibilities for the
45 team members who would ultimately be accountable for
delivering the work.
Along with Fitt, the team also included five project managers
responsible for overseeing multiple contacts in the work streams
to ensure successful implementation of the highly complex
plan. In particular, timelines were tweaked constantly due to
conflicting priorities or issue management. “I made sure the
team was aligned on the interim milestones,” she explains, “and
as we met them, I made sure this was communicated broadly to
demonstrate that we were working according to plan. We even
had a chart displaying progress for everyone to see.”
Delivering on the milestones created trust with executives
and bonding among the teams. “You could see everyone truly
BY THE NUMBERS: BRILINTA’S APPROVAL
18,624 PEOPLE
43 COUNTRIES
The Phase III trial titled PLATO recruited
The trial was conducted from October 2006 to
March 2009
Only 6% of clinical trials are conducted
on a worldwide scale
and is considered one of the most comprehensive worldwide clinical trials
ever conducted
Convinced Brilinta would be wildly successful when approved and launched
in the U.S. and Europe, management commenced a cross-cultural project
with an extended team of 45 people to ensure the new application process
would happen in record timein more than
6%
WINTER 2015 INSIGNIAM QUARTERLY 31
working together, helping each other, having each other’s back.
They would do anything for each other.”
CHANGING MINDSETS AND PROVIDING INSPIRATION
Sustaining momentum became the clear challenge as the
project progressed and became more grueling. A huge part of
Fitt’s responsibility was remaining bold and decisive, continually
inspiring the team to unrelentingly pursue its goal and stay
connected to the purpose that the team invented. Encouraging
collaboration and holding
everyone accountable
motivated the team to stay
focused and work hard,
while strengthening their
drive and dedication. She
continually reminded them
that their efforts were all
about making a difference
for patients. “The faster we
could get Brilinta into the
hands of the people who
needed it, the more lives
would be saved,” she says. “We had to do our very best to get
it out the door.”
Engaging top leaders to maintain their motivation was
also a necessity while managing barriers and roadblocks that
inevitably cropped up. Fitt called on the Insigniam Breakdown
Methodology and Toolkit to manage and resolve every issue
as they arose during the process. One particularly challenging
breakdown centered on the sheer size of the submission; the
study report was over a million pages and taxed the limits of the
computer systems and software. “On a regular day, it was overly
complicated to reach the computer support desk,” Fitt explains.
“Because we knew about prior breakdowns, we sought the
support of management and created a task force for swift issue
management, establishing a ‘white glove service’ for technical
support 24-7.”
Predictably, multiple technical breakdowns occurred while
preparing the new drug applications for the U.S. Food and Drug
Administration (FDA) and
the Marketing Authorized
Application (MAA),
which is used in Europe.
“Because we had a backup
plan, we were not delayed
significantly,” Fitt says. “We
sent 12,772 files for a total of
54.3 gigabytes of data.”
Ultimately, Fitt and her
team successfully delivered
the findings of this large
drug development program
on time and on schedule. “The approval of Brilinta ensures
ACS patients worldwide have access to this important medicine,
ultimately saving lives,” she says. “None of us who worked on
this project were the same people after it was complete. We met
the goals and everyone grew a lot as a result of the experience. It
was a personal achievement and it resulted in a lot of professional
development for everyone who touched it.”
2009
2011
12,772 FILES
54.3 GIGABYTES OF DATA
Year Brilinta was approved by the
European Commission
Year Brilinta received FDA approval
The final, realistic breakthrough goal for the Brilinta submission based on
clear, achievable milestones to which the AstraZeneca team could truly commit
Currently, Brilinta is approved by the European Commission and the FDA in
more than 100 countries worldwide
106 DAYS
100 COUNTRIESAmount of material sent to the FDA and
the Marketing Authorized Application
(MAA), which is used in Europe
A HUGE PART OF FITT’S RESPONSIBILITY WAS REMAINING BOLD AND DECISIVE, CONTINUALLY INSPIRING THE TEAM TO UNRELENTINGLY PURSUE ITS GOAL AND STAY CONNECTED TO THE PURPOSE THE TEAM INVENTED.
ROBERT WISEMAN
Q&A WITH
The former CTO of Angie’s List on how he overcame the challenges of technology transformation with one of North America’s fastest-growing online marketplaces.
BY SCOTT BECKETT
WINTER 201532 INSIGNIAM QUARTERLY
Robert Wiseman preaches the ability of technology to impact a company’s culture during a large-scale transformation.
WINTER 201534 INSIGNIAM QUARTERLY
The questions are many: How do CIOs, CTOs, and their peers
better work together to ensure momentum and success? How does
technology change impact a company, and what is on the list of things
companies often do not think about once the trigger is pulled on
large-scale tech investments? And with transformational technologies
also changing customer and market expectations, how do companies
resolve the dilemma of what to invest in?
To answer these highly complex questions, we spoke with Robert
Wiseman, who most recently served as CTO of U.S.-based Angie’s
List, a paid-subscription website containing crowd-sourced reviews
of local businesses to help facilitate transactions with nearly 3 mil-
lion consumers nationwide. He shared his thoughts on these and
numerous other technology-related transformation challenges that
can ultimately lead to a company’s success or failure.
Insigniam Quarterly: Tell us a
little about your background
and key accountabilities.
Robert Wiseman: I have
spent most of my career driving
technical innovation in the travel
industry, holding CIO/CTO/
SVP IT equivalent roles since
2000. I consider myself a Business
IT partner who has led IT trans-
formations and technology strat-
egy at several major companies
resulting in hundreds of millions
of dollars in cost savings, greater
efficiencies through standardiza-
tion, and enablement of product
and business differentiation.
My most recent position was
acting as CTO at Angie’s List
reporting to the CEO. I ran all
technology from operations to
development to architecture and
led a technology transformation
effort migrating from a legacy
.Net platform to a new contain-
erized, cloud-based, fully open-
source solution built on Scala and
Ubuntu Linux.
I.Q.: Considering your
extensive CTO background
working with enterprise
technology, what are
your thoughts on the dilemma that
big companies face today in making
technology decisions?
R.W.: They are very likely building tomor-
row’s headache today. As the ever-increasing
rate at which technology — and also tech-
nology providers — comes and goes, al-
most every technology solution around
today will very quickly become tomor-
row’s legacy system and need to be replaced.
Good CTOs get this. They ensure that sys-
tems are designed with obsolescence in mind
with clean abstraction layers, and they resist the
temptation to tightly couple themselves to any
IN ORDER FOR COMPANIES TO COMPETE, GROW, AND REACH THEIR STRATEGIC HORIZONS, TECHNOLOGY MUST PLAY A LARGE ROLE IN HOW THEY EVOLVE. WHILE TECHNOLOGY CAN TRANSFORM AN ENTERPRISE IN MANY WAYS, IT CAN ALSO STALL AND HANDICAP COMPANIES ENGAGED IN THE EXECUTION PHASE OF COMPLEX ENTERPRISE TECHNOLOGY TRANSFORMATION STRATEGIES.
“
WINTER 2015 INSIGNIAM QUARTERLY 35
particular technical feature or vendor that might increase the diffi-
culty of switching at a later date. Future competition will inherently
be built on newer technology. If that newer technology provides
them with a competitive advantage that you are unable to leverage
because you didn’t design this way, you may well be putting your
company’s future at risk.
I.Q.: Describe how the CTO and technology team at Angie’s
List previously worked with other C-suite leaders to position
for either ongoing transformation with technology or big
knife-edge decisions?
R.W.: As I mentioned earlier, Angie’s List embarked on a major effort
to replace its legacy Microsoft stack with a containerized, cloud-based,
open-source Linux stack. Similar to a doctor’s Hippocratic Oath (“do
no harm”), our first goal was to make sure that the new platform was
at least as good as the system it is replacing — in addition to ensuring
we delivered on certain Non-Functional Requirements (NFRs) that
guarantee to make it better. Those include faster response times, greater
scalability and resiliency, ease of maintenance, faster time to market, etc.
I.Q.: What are five things that companies underestimate
when it comes to implementing new technology across
the enterprise?
R.W.:1 Complexity. It’s human nature to think that something will
be much easier than it inevitably is. It’s important to solve the
difficult problems first.
2 User acceptance. Getting buy-in from the end users early on
is key.
3 Safety nets. Assume everything will fail and have a good plan
for what to do when that happens.
4 Bubble cost. This is the cost of supporting both the old and
new technology. Understand the size and duration of these costs
and make sure you have a supported plan
to make it through the bubble.
5 Nothing beats experience. Everyone
thinks they can do it better than the next
person, but the one most likely to do it
better is the one that has already done it.
They know where the mines are
and what mistakes not to make
again.
I.Q.: Talk about your build-
for-failure philosophy. Is that
a difficult topic within most
companies to discuss?
R.W.: Ironically, I think that IT
people seem most surprised by
this. I can’t count how many times
I’ve asked an engineer, “What
happens when this fails?” and been
met by an incredulous blank stare.
Technology fails. It always has and always will.
This is more true now than ever as most com-
panies start to migrate their operations to cloud
providers that are financially motivated to offer
lower-cost and therefore probably lower-quali-
ty technologies (hardware, OS etc.). Build your
system right — organic, self-healing, highly re-
dundant, distributed computing, designed for
the inevitability of constant failure that is ob-
vious to IT operations and transparent to end
users — and this shouldn’t be an issue.
I.Q.: Oftentimes the right questions do
not get asked when “the boardroom”
is making broad, sweeping technology
investment decisions. What are some
questions that often do not get asked,
which you recommend every CEO and
their board should answer before a go/
no-go decision?
R.W.: 3 What would you ask if you were in my
shoes?
3 What is the impact to the business and to
our users of stopping the project before it
fully completes?
3 How long and severe is the bubble cost
Technology has a huge impact on the culture of a company, and the human factor is one of the most important aspects to consider — either when making changes or as a reason to make changes.
“
(the cost of running both the new and old systems simultane-
ously) and what is the customer impact?
3 What are the worst-case scenarios and what are we doing to
mitigate them?
3 What is the likelihood that this project will surpass the time and
cost estimates, and what can we do to avoid that if it seems likely?
3 How did you pick this technology? Why is it the best for us?
I.Q.: When a CIO talks with his/her CEO, how do you bridge
tech speak and get buy-in to drive the right decisions?
R.W.: Be able to sell your ideas in each direction. Technical teams will
want to know how this will enrich their careers and/or make them
more productive; your peers will want to know that at a minimum,
they won’t be negatively impacted by this if it fails and, if it’s a success,
they get to share in the upside and glory; but your CEO will mostly
want to know how it will improve the bottom line.
I.Q.: What are some lessons learned? What would you
advise another CIO/CTO on when it comes to leadership,
people, creating change, and being innovative?
R.W.: 3 Lead your teams — don’t try to manage them. Set clear goals
for your leaders to hit and empower them to do so.
3 Be available to your people at all times. If you aren’t, you
become a bottleneck.
3 Success is often the point just short of failure — the trick
is to get as close as you can without crossing that line.
If you’ve just taken over a project, you have a rare honeymoon.
WINTER 201536 INSIGNIAM QUARTERLY
Cherish it and use that time to understand all
the problems you have adopted and come up
with a plan to resolve them. After six months,
you own any problem you haven’t flagged. Get
independent third parties to help deliver objec-
tive expertise.
At the start of any new project, make sure you
have organization-wide support up, down, and
sideways. Each direction will probably require
a different selling point — understand how to
express that clearly and concisely. Respect the
opinions of others. There can be lots of winners
and only one loser, so it’s okay to share.
Make sure you have support to get to at least
a logical stopping point. Stopping halfway may
be worse than not starting.
I.Q.: What are some new, transformational
technologies that companies should
keep their eyes on?
R.W.: An important point to consider is the
trend which existing technologies are follow-
ing in terms of price per com-
putational unit and how — to
quote hockey legend Wayne
Gretzky — we need to go to
where the puck is going, not
where it is. I’ve begun numer-
ous successful projects without
having the end-state technol-
ogy available, as I was confident
that by the time we were ready,
it would be available or I could
build it myself. Examples in-
clude Cloud Computing, Auto-Scaling, Cloud
Brokering, and Off-Loading Air Shopping
from Mainframe to Linux Servers. It’s impor-
tant to view the cost-per-performance trends
of foundational computing technologies like
Five things that companies underestimate
Lead your teams — don’t try to manage them. Set clear goals for your leaders to hit and empower them to do so.
01 COMPLEXITY
02USER
ACCEPTANCE
03SAFETY NETS
04BUBBLE COST
05NOTHING BEATS
EXPERIENCE
WINTER 2015 INSIGNIAM QUARTERLY 37
hardware, memory, and network bandwidth. In doing so, we see
that historically each has made huge gains and still show little signs
of slowing down.
Based on what we are paying today versus what we will be paying
for the same horsepower, throughput, etc., computing will appear
to be free. We shouldn’t limit ourselves by what something will cost
because cost is a rapidly shrinking barrier.
I.Q.: How does technology impact culture at a company,
and do you feel that companies could do a better job at
evaluating the human factor of technology changes? If so,
what might be some examples of where this has worked
well in your opinion?
R.W.: Technology has a huge impact on the culture of a company,
and the human factor is one of the most important aspects to consider
— either when making changes or as a reason to make changes. Most
people just want to do a good job. They want to feel that what they
do is important and valued as such. Inadequate tools and technologies
can gut an organization and kill its morale.
I’ve had hugely rewarding responses by:
3 Automating mundane manual processes
3 Giving people the right tools, laptops, tab-
lets, software, etc., to do their jobs right
3 Creating on-demand test systems to re-
move forward blockers
3 Upgrading infrastructure to give faster
response times
3 Providing better problem diagnostic tools
3 Establishing rules engines for nearly in-
stant time-to-market changes
3 Allowing people to bring in their own
devices and choose their own tools where
it makes sense
It’s important, therefore, to get continual feed-
back from your teams. Understand what’s stop-
ping them from being great. Fix it and you’ll not
only improve productivity, you’ll put a spring in
the steps of your teams.
BY JOE GUINTO
TECHNOLOGY TRANSFORMATION EQUALS CULTURAL CHANGE As president of Dell Services, Suresh Vaswani has seen the ability of technology to drive a top-to-bottom transformation both internally and for their customers.
WINTER 201538 INSIGNIAM QUARTERLY
WINTER 2015 INSIGNIAM QUARTERLY 39
WINTER 201540 INSIGNIAM QUARTERLY
uresh Vaswani knows a way businesses can use technology
to help outperform their competitors by a 2-1 margin. It’s
a method employed by some of the top companies in the
U.S. in order to beat their rivals. But as Vaswani, the president
of Dell Services, the global IT services business unit of the
Austin-based company, will tell you, this method is not exactly
a closely guarded corporate secret.
Actually, it’s quite simple: Just invite the chief information
officer to strategy sessions. That was one conclusion of a
report that Dell commissioned the Economist Intelligence
Unit to conduct. The report surveyed more than 500 C-suite
executives from FedEx, Zappos, Verizon, and other leading
companies. It found that companies involving CIOs in setting
business strategy — with CIOs and CEOs meeting jointly —
outperform their peers by that 2-1 margin.
“It’s no secret IT is changing faster than ever before,
and companies and CIOs that take advantage of the latest
technologies to improve business results can have a huge
competitive advantage,” Vaswani says.
Indeed, technology change today can itself be a catalyst for
enterprise transformation — for large-scale shifts in the way in
which workers interact with each other within an organization,
in addition to the way a company and its customers, partners,
and other stakeholders interact. That’s especially true of digital
transformation, which can transform the business models of
companies through mobile platforms, social media, cloud-
based systems, and advanced analytics.
Those kinds of digital transformations may be exciting for
companies and their workers because they come with the
promise of putting an organization on the cutting edge. But
beware. “It’s easy to get caught up in the hype of the ‘new
and emerging,’” Vaswani says. “Successful transformations are
clearly tied to business strategy and are supported by the entire
senior leadership team, not just the CIO.” Leaders don’t have
to understand all the nuts and bolts of new technologies being
adopted, but they do have to know how new technologies will
help them achieve their desired business outcomes.
Vaswani has first-hand experience with this. Not only
has his division aided numerous customers in technology-
led transformations, but he’s also witnessed Dell’s own
S
WINTER 2015 INSIGNIAM QUARTERLY 41
transformation during his time there. Vaswani joined Dell in
April 2011, initially overseeing global applications and business
process outsourcing services and serving as chairman for
Dell India. In recent years Dell has evolved from a computer
hardware company into the world’s fastest-growing integrated
technology company, providing customers with end-to-
end solutions to meet their business and IT needs. “Our
entrepreneurial culture is one that encourages innovation, so
technology-led transformation comes naturally to us,” Vaswani
says. “We apply the experience we’ve gained from evolving
our own organization to what we deliver for our customers.”
So how do Vaswani and Dell recommend organizations go about technology transformations? Focus on four key areas.
CHANGE THE WAY YOU PERCEIVE THE
IT DEPARTMENT
Let’s start with a definition. Technology transformation,
to Vaswani, means, “To migrate our customers to modern
technology environments so they can react faster, reduce
costs, and serve their customers better. This could involve
moving off a mainframe system to an environment that is
more agile and scalable or helping organizations embrace
the cloud and its many benefits.”
In other words, technology-led transformations are, at their
core, change processes that leverage new technology to make
organizations more nimble. “Transformation efforts are driven
by the need to survive in a world where old models no longer
endure,” Vaswani says. “New business models, new operating
models, and new organizational models are all needed — and
the role of technology is to enable that. But the objective is
not just to lift and shift to faster, better, cheaper technology.
WE APPLY THE EXPERIENCE WE’VE GAINED FROM EVOLVING OUR OWN ORGANIZATION TO WHAT WE DELIVER FOR OUR CUSTOMERS
01
WINTER 201542 INSIGNIAM QUARTERLY
It is to invent and innovate whole new ways to do business.”
That innovation process toward a new way of doing business
can start, appropriately, right in the IT division of a company.
The old way of doing business called for IT divisions to install
and analyze systems. Or, as Vaswani puts it, “keeping the lights
on.” But the new way of doing business requires IT divisions
to be involved with the strategic direction of the company,
and to work across the organization to develop new tools
and systems to better engage with customers. And Vaswani
says that it is imperative that companies now integrate their
IT divisions more into their strategic thinking. IT divisions,
he says, must work across organizational boundaries.
In its aforementioned report, the Economist Intelligence
Unit found that only 46 percent of CEOs think their CIO
understands the business. Given how much more successful
companies who involve their CIO in strategy seem to be, that
represents a staggering disconnect — and a great opportunity.
GET ON THE ROAD TO DIGITAL
Here’s something else that’s not a secret: A number
of companies today are dealing with legacy applications
running on old hardware that costs more and more each
year to maintain. This reality illustrates just one of the reasons
companies embark on digital transformations.
Often, that transformation begins with companies “re-
hosting” their technology applications on more modern
platforms that can handle the increased demands that, say,
starting a social media conversation with tens of thousands
of customers would have placed on older systems. This
kind of shift can also save money. For instance, Deutsche
Rentenversicherung (DRV), a German federal pension
provider, adopted Dell’s mainframe re-hosting technology
after the German parliament required it to cut operational
costs. Dell has also worked with federal agencies in the U.S.
to achieve similar cost savings through re-hosting.
Sometimes, though, it’s speed that matters most. Zurich
Insurance U.K., one of Dell’s customers, recently made a
change from outdated hardware and applications to a new,
social media-driven web system and mobile platform. The
result was dramatic: New product development cycles were
cut from 12 months to just eight weeks. “Digital,” Vaswani
says, “is completely changing development cycles.”
Whatever the reason for the change, when companies
adopt new technology, that technology has to be more
effective than the old technology and fit into the corporate
strategy. It’s not about investing in the best technology in the
world, it’s about investing in the technology that will deliver
the kind of solutions that are right for a given organization.
“Today, all roads lead to digital,” Vaswani says. “From business
strategy to execution, digital is a part of everything we do. The
truth is, however, that instead of striving to simply transform
with this technology, the best companies combine digital
activity with strong leadership to create innovative business
models, processes, products, and services.”
In that way, technology transformation is like any other
kind of business transformation. The change needs to be
embraced from the top of an organization down through the
ranks, even if that requires a change in mindset. “Getting team
02
WINTER 2015 INSIGNIAM QUARTERLY 43
member and frontline leader buy-in with technology-led
transformations is critical,” Vaswani says. “Whenever possible,
it helps to have team member engagement and involvement
from start to finish. It is hard to ask people to take a journey
with a business transformation or adopt new technologies
into their working environment without inviting them
to participate in the process. This is especially true with
processes and technologies that directly impact how team
members may do their work day-to-day or how they then
engage with customers.”
Take the recent U.S. healthcare reform. When the U.S.
Congress passed the Affordable Care Act (ACA) in 2010,
the health insurance industry knew the status quo would
eventually change — dramatically. What wasn’t known was
how much or exactly what the “new normal” would be.
One clear seismic shift, however, was that by 2014 the ACA
would require a big expansion of a retail market for millions
of consumers wanting to buy coverage directly from health
insurers, instead of the long-standing U.S. tradition of getting
it through their employers.
DELL HAS SHIFTED FROM MAINLY A COMPUTER HARDWARE SUPPLIER TO AN INTEGRATED TECHNOLOGY COMPANY THAT DELIVERS END-TO-END SOLUTIONS.
WINTER 201544 INSIGNIAM QUARTERLY
Health Care Service Corporation (HCSC), the largest
customer-owned health insurance firm in the U.S. with 14
million members, worked with Dell to better engage and
educate consumers and expand its social media outreach.
HCSC needed to use social media to become a social business.
Lynde O’Brien, Director of Electronic Media Strategy,
HCSC, said, “I wanted to work with Dell’s social media
experts who had actually built what we were looking to
build, not an agency that hasn’t actually been in the trenches
and done this.”
Dell’s solution aligned HCSC’s social and business
objectives while improving its social community and content
strategies — expanding reach, increasing retail leads by almost
383 percent over the prior year, boosting video views by 963
percent and website traffic from those views up by 21 percent
in a year, and improving social media analytics and reporting
to better gauge business impact.
According to O’Brien, “It was exactly what we needed
to push forward in our evolution from communicating via
social channels to becoming a social business.”
FIND YOUR TYPE
The Early Adopters. The Mainstream. The
Cautious. Those are the three types of organizations Dell
finds itself working with today.
The Early Adopters are companies who are excited to
bring the newest technology into their business — if they
see the future potential in that technology. The Mainstream
prefers to wait until the bugs in new technologies have been
worked out and their peer companies are using it effectively.
The Cautious worry that adopting new technologies might
disrupt their current business, meaning they’ll lose more
than they’ll gain from change. To effectively partner with
all three of those types, especially in the newer area of
cloud services, Dell has focused on providing a consultative
approach that helps companies know what their actual return
on investment will be.
But they also discuss in detail how any organization’s
business strategy might be affected and improved by
implementing cloud-based technologies. “For the greatest
project success,” Vaswani says, “IT leaders consider cloud
not just as a technology but as an enabler to better business
outcomes. Cloud creates an opportunity for IT leaders to
co-innovate and co-invest with the business, and shift from
being an infrastructure-centric to a service-centric provider.
To do so is as much a financial and cultural discussion as a
technical one.”
Vaswani says it doesn’t matter if top executives understand
the technical intricacies of how cloud technology works.
It’s more important, he says, that they know the strategic
intent of moving business to the cloud and the capabilities
implementing cloud services can have on helping a
company achieve the successful business outcomes it wants.
“If a company is on a transformational journey, leaders need
to understand the strategic themes of that journey and
how technology (among many other things) will address
those themes,” Vaswani says. “Leaders must know — or be
mentored by the CIO on — sufficient information on
what they are trying to accomplish, and the role technology
can and should play in making it happen. Knowing that,
then they also know the potential challenge and disruption
these same technology capabilities can and will be to the
status quo.”
A potential pitfall of technology transformation is
when companies adopt new technologies that end users
don’t understand well enough to leverage all the potential
capabilities. “Or even worse,” Vaswani says, “is when a
technology solution is simply not utilized because of poor/
ineffective change management during implementation.”
AVOID COMMON MISSTEPS
Vaswani says there are several ways leaders can
avoid some common missteps when undertaking large-
scale technology transformations. Here are four enablers
for success:
03
04
A POTENTIAL PITFALL OF TECHNOLOGY TRANSFORMATION IS WHEN COMPANIES ADOPT NEW TECHNOLOGIES THAT END USERS DON’T UNDERSTAND WELL ENOUGH TO LEVERAGE ALL THE POTENTIAL CAPABILITIES
WINTER 2015 INSIGNIAM QUARTERLY 45
01
02
03
04
Know and clearly define your
business objectives.
Figure out how technology
change will affect your people
and your customers.
Outline any new processes
or policies that need to be
adopted along with new
technologies.
Technology transformation
is not a one-time deal.
THREE: Outline any new processes or policies that need to be adopted along with new technologies.
“Organizations that move a system or business process to
the cloud, for example, need to examine security protocols
for transferring and protecting sensitive information,” Vas-
wani says. “Companies that implement new social media
tools need to ensure employees know what the usage poli-
cy is and how to handle negative or inappropriate dialogue
before it happens. Every major technology disruption,
no matter how positive, has a resulting impact on process
which needs to be carefully planned for.”
FOUR: Technology transformation is not a one-time deal. “Given the current pace of change, organizations need
to continuously evaluate their IT capabilities, look at new
technologies that might help them better serve customers,
and institutionalize an ongoing process to do so,” Vaswani
says. “This is the hallmark of an open, innovative culture
that gets ahead by constantly pushing the envelope in terms
of what might be possible.”
ONE: Know and clearly define your business objectives. “People sometimes get excited about new technology with-
out fully considering how their organizations are going to real-
ize long-term business value from it, what the extent of the
value will be, or how it will be measured,” says Vaswani. “These
are foundational issues that need to be addressed up front.”
TWO: Figure out how technology change will affect your people and your customers.
“Employees may need to be re-trained to adapt to and
leverage the new technology,” Vaswani says. “In other cases,
new employees with unique skill sets may need to be hired.
The trick is planning for this need before the transforma-
tion is underway so you can derive value immediately.
Similarly, leaders need to develop a clear plan for ensuring
that any changes to the customer experience are positive
and seamless. How many times have we heard about a new
service, application, or feature that was poorly received be-
cause customers were not properly considered or commu-
nicated to as part of the rollout?”
FOUR ENABLERS FOR TECHNOLOGY TRANSFORMATION
WINTER 201546 INSIGNIAM QUARTERLY
WINTER 2015 INSIGNIAM QUARTERLY 47
THE HEALTH 2.0 REVOLUTION
Rapid advances in technology are upending traditional health care models.
BY CHRIS WARREN
WINTER 201548 INSIGNIAM QUARTERLY
It’s not unusual in the least to hear people in Silicon Valley
cheerlead the upending of even the biggest of industries.
From banking to real estate to retail, disruption fueled by
innovation and technology is at the core of the valley’s
ethos. But what made this call for disruption in health care
so notable was the person who made it. Far from being a
scrappy entrepreneur, Tyson is the chairman and CEO of
Kaiser Permanente, the health care consortium with $50
billion in annual revenue and a network of 19,000 physicians
serving nearly 10 million patients in eight states and the
District of Columbia.
Nor is Tyson the only health care executive who has
mounted the Health 2.0 stage to cheer on tech disrupters.
At an earlier conference, Mark Bertolini, chairman, CEO
and president of health insurer Aetna, cheekily prefaced his
presentation by stating, “I’ll show you some pretty cool new
technology that we’re using to empower health systems to
put insurers out of business.”
To put it mildly, the CEOs of
Aetna and Kaiser Permanente
were not the sort of speakers who
addressed the first Health 2.0
conferences in 2007. Launched
with the mission to identify
and harness so-called Web 2.0
technologies — think cloud-based,
user-friendly software platforms
like Facebook that enable social
sharing — to engage and improve
health care for practitioners and
patients alike, Health 2.0 originally
attracted mostly tech companies
such as Google, Microsoft Health,
and WebMD. “It wasn’t the health
care establishment paying attention
at all,” says Indu Subaiya, co-chair
and CEO of Health 2.0, which
today hosts a series of worldwide
conferences that bring together
health care and tech leaders and runs an intelligence service
that tracks thousands of new health technology companies.
“Slowly, over the years they learned if they weren’t paying
attention to this, they realized their business would
fundamentally change for the worse.”
Obviously, much has changed since those first conferences.
There are already countless examples of technology altering
and improving the patient experience and health care
he scene would have been unimaginable as little as a
decade ago. At this past fall’s Health 2.0 conference in Silicon
Valley, Bernard Tyson stood on the stage and exhorted audience
members to fundamentally upend an industry. His industry.
“Many of you are hoping to innovate and disrupt the health care
industry. And I am actually looking forward to your great success
in totally turning the health care industry upside down,” Tyson
told the attendees, a mixture of big and small tech players as well
as representatives of a cross-section of health care companies.
WINTER 2015 INSIGNIAM QUARTERLY 49
The charge to integrate Health
2.0 is driven by a desire to improve communication, information, and ultimately quality of care, between
doctors and patients who are tapping into the
latest technologies.
delivery. In many ways, says Subaiya, the technology that
is making an impact follows the classic disintermediation
model that, in the past, has allowed people to make their own
plane reservations without a travel agent and manage their
savings and investments without a banker.
“There are a whole number of companies that call
themselves the Uber of health care, helping make a connection
to a doctor faster and easier,” she says. She cites the example
of Doctor on Demand, which enables consumers willing to
pay a small fee to have a 15-minute virtual consultation with
one of the thousands of physicians in the company’s network.
“That concept of having immediate access to a doctor is
going to be radical in terms of changing things.”
Subaiya believes patient empowerment via technology
will only grow in the future and, in many instances, will
be key in helping health care providers improve care. For
instance, patients with sensor-enabled smart phones will do
everything from monitor their heart rate and blood pressure
to administer a high-quality EKG or eye examination.
“Companies like Ginger.io use the phone to track whether
you are at risk of depression or suicide because it knows if
you left your house over a period of days,” she says. When
all of this patient data being generated is shared with doctors
and nurses, it can be acted upon to alter and improve care on
a day-to-day basis. Technology then instantly makes patients
an integral partner in their own care.
But individual data generated by patients represents a
single aspect of technology’s promise for improving health
care delivery and the patient experience. Kaiser Permanente
is just one of many providers to use data analytics to examine
and alter its approach to what’s broadly known as population
health management. “Whether it’s a hospital administrator or
doctor or health plan or executive, it’s impossible to look at
data from thousands of people to find patterns and say, gosh,
of all the patients I have with diabetes, 40 percent aren’t where
they need to be. What can I do?” says Subaiya. “Or, if you’re
a health plan you can see that doctors in your network are
prescribing services that are costing a lot of money but aren’t
delivering results. Tools that allow mass data examination
and data visualization will become increasingly important.”
The examples go on and on — witness the Mayo Clinic’s
use of iPads to monitor their heart patients as they make the
transition from the hospital to their homes, or clothing that
tracks people’s heart rates, breathing, and calories burned.
While exciting in many ways, the advent of so much
technology poses real challenges to health care leaders charged
WINTER 201550 INSIGNIAM QUARTERLY
with identifying and implementing tools that will provide
genuine benefits. “Executives face information overload,” says
Subaiya. “They know there’s a lot of innovation out there,
but they just don’t know where to begin.”
One place to start, she says, is with some rigorous self-
examination. What exactly do you
want technology to accomplish?
What problems can it solve? How
does it help doctors and nurses
provide the kind of care they want
to deliver? “A huge piece of advice
is to look for inefficiencies in your
system that frustrate employees
and consumers,” she says. At MD
Anderson in Houston, notes
Subaiya, there is a small department
of innovation whose mission is to
observe how the business runs and
identify hurdles and irritants that
could be addressed with technology.
“Before you rush out to buy the
latest new technology, study your
own culture and create a department
that doesn’t necessarily need to be
part of the traditional org chart and
that reports very high up in the
organization,” she says.
Actually pinpointing technologies
that can be helpful is also a challenge
leaders face. Fortunately, there are
plenty of avenues to search out
what is new. Subaiya recommends
executives take a close look at what
early-stage investors are supporting
as well as the kinds of companies that
are working with digital health incubators, including Rock
Health and Healthbox. Subaiya says it can also be helpful to
keep an eye on the grants the federal government awards to
innovative health technology startups. But don’t be limited
by geography. “Tomorrow’s innovative startup might come
out of Bangalore, India, not Silicon Valley,” she says. “Educate
yourself and be open to innovation and don’t expect it to
come to you.”
Wherever the technology idea comes from, though, Subaiya
believes executives need to be clear that there’s something
more substantial there than just an idea. “You have to examine
technologies carefully for data. Have they been tested in
situations that resemble your own environment?” she says.
Companies, including Health 2.0, offer vetting services so
that leaders can be sure that technologies have gone through
the appropriate validation steps and been tested with actual
patients. When a promising technology is identified, Subaiya
suggests experimenting with it in your company. “Executives
and leaders need to be willing to
experiment in small ways. You don’t
have to go crazy, you don’t have
to make a big splash. You can try
something in small groups and share
what you learn.”
There are two other major
temptations Subaiya says are
important for leaders to resist
when evaluating and implementing
technologies. One is the notion that
your operations are so unique that
only a custom-made solution will
get the job done. “Nothing frustrates
entrepreneurs more than having a
good product and going into a
hospital or insurance company and
having them make it completely
their own in a way that doesn’t allow
you to share data and connect with
the rest of the health care system,
which is so important in health,” she
says. “When making a decision about
implementing a solution, really ask
yourself if you have looked out there
to see if there is something that is
close enough that exists? We see so
much reinvention of the wheel, it’s
staggering.”
In a more general sense, Subaiya
insists that executives considering health care technologies
need to embrace a big-picture perspective. “Don’t make
shortsighted decisions around technology that promise
you market share at the risk of compromising quality,” she
says. For instance, Subaiya would warn against embracing a
technology that would limit doctors to referring patients
only to specialists within their network. “While that is a tool
that can help an executive technically claim they kept dollars
within their system, it may not be a tool that helps patients
get the best care,” she says. Instead, promoting the greatest
levels of transparency and choice should guide executives.
“Because at the end of the day, that will drive better outcomes
and allow you to have the reputation you want to have.”
“THERE ARE A WHOLE NUMBER OF COMPANIES THAT CALL THEMSELVES THE UBER OF HEALTH CARE, HELPING MAKE A CONNECTION TO A DOCTOR FASTER AND EASIER. THAT CONCEPT OF HAVING IMMEDIATE ACCESS TO A DOCTOR IS GOING TO BE RADICAL IN TERMS OF CHANGING THINGS.”— INDU SUBAIYA
WINTER 2015 INSIGNIAM QUARTERLY 51
WINTER 201552 INSIGNIAM QUARTERLY
Cone Health’s integration of a powerful electronic medical records system is bringing true transformational change.
BY LIZ WILLDING
COMMUNICATION TRANSFORMATION
The administrators at Cone Health knew they were in need of transformational change. A large North Carolina
network with six hospitals, a plethora of outpatient centers,
and more than 75 physician practices, Cone recognized the
necessity of a technology-driven solution to address the reality
all providers on the frontline of health care have always known
— the strong, vital correlation between access to lifesaving
information and quality of care. Tapping into this information
to understand the nuances of a patient’s condition can make all
the difference, particularly in an emergency situation.
Understanding the shortcomings of the current systems
and taking action on resolving them wasn’t nearly enough.
While it’s true that broader use of IT holds the potential to
help clinicians connect the dots and make better decisions,
effectively harnessing today’s sophisticated electronic medical
record (EMR) systems — and the people behind them — is
an outcome that doesn’t come about without difficulty. Where
technology leaves off, the human condition picks up and raises
a number of challenges, from crafting well-mapped workflows
to training physicians and other users to flex
the system to its highest potential.
Steve Horsley, Cone Health’s Chief
Information Officer, understood these
potential impasses early on and has smartly
taken the long view regarding successful IT
integration on its new EMR system. From
the outset, he says, “We knew we were
dealing with much more than an IT project.”
Horsley notes that progress has happened “in
stages over time,” crediting the considerably
evolved state of their current EMR system
to “an organizational initiative for transformational change.
Organizations that just make this an IT project will fail.”
LETTING LEADERS TAKE CHARGE
Cone Health decided early on to put the responsibility for
technology-enabled transformational change in its rightful place
— with site presidents and their management teams. “We already
had done culture work with Insigniam in our organization that
helped create strong accountability and better teaming between
work groups,” says Horsley. “That coincided with our next-
generation EMR development and implementation. We had a
foundation for transformation that we were able to build upon.”
The employees and leaders of Cone Health knew that, while
they may have had mixed feelings about the new technology,
delivering exceptional, leading-edge care depended on them
embracing change at all levels. “The right kind of culture is
critical and essential for this kind of transformation,” says Shideh
Sedgh Bina, Insigniam’s co-founder. “Unless the culture has
very strongly aligned leadership that has in turn mobilized the
WINTER 2015 INSIGNIAM QUARTERLY 53
workforce to build a bold, inspiring future, established deep tracks
for cross-functional collaboration, and instituted clear structures
for accountability and execution, the implementation of a game-
changing technology like an EMR system is doomed.”
Putting structure and form to the foundation began by
creating Site Planning and Adoption Councils (SPACs) to drive
organizational leadership and change management. Horsley says
it was the initial work through these cross-functional councils
that drove the agenda, leading to a true change management
strategy. “We realized that we had to help everyone understand
what would be different if the strategy was to be successful,”
Horsley states. “We also knew that the organizations had to own
their part of it and celebrate their wins.”
BRINGING PHYSICIANS INTO THE FOLD
A key variable to make the strategy work was winning
physician support. The changing workflows were dramatically
different for them, and it was clear that their questions and
concerns had to be addressed. The biggest changes were in the
areas of order entry and documentation, where “it’s quicker to
scribble on a piece of paper or give a verbal order, versus taking
the time to enter it online,” Horsley explains. “When you are
trying to get information in a structured way, it changes the
burden. Training is a huge part of proactively answering these
questions that arise.”
However, from the first “go-lives,” it became clear that to get
more physician engagement they needed to reduce physician
time in the classroom. For a practicing physician, time in a
classroom not only means a reduction of their incomes, but
more significantly, it means being unavailable for urgent patient
needs. To accommodate the physician schedules, they increased
what Horsley calls “training at the elbow,” coaching physicians
as they go about caring for patients. Meeting these demands
called for a new team of health informatics professionals, which
Cone calls Informaticists. Essentially tech-savvy clinicians, they
provide hands-on training, while also optimizing workflows
and managing system redesigns. Two operational hurdles that
immediately landed on their radar involved changes in the way
appointments were scheduled for surgeons and more structured
systems for increased data input that utilized system-wide voice
dictation software. The Informaticists stressed the integrated
nature of the EMR system while helping the physicians feel
comfortable with an organized, logical process flow to view
and enter information. Just as importantly, ongoing training
to reinforce these changes and compensate for workflow
improvements has eased the real-time implementation of
processes during the transition.
Cone’s intensive effort to help its physician population
become more efficient on the EMR is working. In a recent
survey, 33.14 percent of responding physicians indicated that
they are “doing fine” using the new system, with another 43.02
percent responding that they are “comfortable, but need to
improve their speed.” Another 20.35 percent say they “have the
basics down, but need help,” while only 3.49 percent indicated
they are “struggling with the basics.”
For the approximately 25 percent who still need more help,
Horsley says Cone has already launched what it is calling an
“optimization project.” This involves more “at the elbow
support” to assist providers in becoming more comfortable with
the system and looking for ways to streamline their workflows.
THE PAYOFF FOR THE PATIENT
The hospital began seeing the payoff of improved patient
care almost immediately upon launching its broader EMR
implementation. “From day one of launching the EMR system,
we were preventing medical errors,” he explains, citing an example
where the system alerted a nurse to a patient’s medication allergy,
despite it being missed by other means. “Fortunately, the bar-
coding system flagged the error, prompting the nurse to contact
the physician and receive new orders.”
Similarly, the health information exchange component
available in the new EMR system also has proved particularly
helpful in Cone Health’s emergency departments (ED). “We
are able to get records from other health care organizations
when a patient presents in our ED, which helps us make better
decisions,” he explains.
CONTINUING THE JOURNEY
While Horsley says it is gratifying to see the strides that his
hospital system has made through the broader use of IT, he has a
clear picture of the challenges that lie ahead, in particular around
revenue cycle management. “We need to change old processes to
optimize the new system,” he explains. “You can’t lay technology
over poor processes and expect to get good results. They need
to be overhauled.”
The irony, he adds, is that revenue cycle, while not directly
connected to patient care, “does impact how patients feel
about us.” This impression isn’t always positive given poor cost
estimating and multiple bills for services. “We are consolidating
where we can, but it is a lofty problem,” he says. “Billing systems
for a lot of the services are separate.”
As the health care industry continues to rapidly evolve, Cone
Health has built a sturdy foundation based on IT integration
— with the understanding that the process is still in its infancy.
“This is just the beginning of more transformation to come,”
Horsley states. “This is not the end game. This is the beginning.”
WINTER 201554 INSIGNIAM QUARTERLY
Are you serious about creating a business environment and corporate culture that are positioned for success? Let’s talk.
BY KATERIN LE FOLCALVEZ, CHRISTINE FLOUTON, AND SHIDEH SEDGH BINA
BUSINESS RESULTS DEPEND ON MANAGING THE NETWORK OF CONVERSATIONS
WINTER 2015 INSIGNIAM QUARTERLY 55
WINTER 201556 INSIGNIAM QUARTERLY
What is a company? By definition, it’s
a bunch of people working
in a bunch of buildings who
make a product or offer a service.
Right? Wrong…
British Airways, for example, is a company that comprises
numerous facilities, thousands of airplanes, and tens of thousands
of people, all of whom offer you the opportunity, for a price, to
go from Point A to Point B. But Southwest Airlines does the same
thing. Like British Airways, Southwest has planes and hangars
and office buildings and gate agents and baggage handlers and
flight attendants and pilots working to get you somewhere in
exchange for your money. Both British Airways and Southwest
are in the same business of air transportation. But they’re not
the same.
No two companies, organizations, or enterprises are the same,
no matter how similar their operations. And the differences are
both bigger and more subtle than having different work uniforms,
or the color of the company logo, or even the key operational
strategies. The big — and small — differences between
organizations come down to its network of conversations.
A premise of our work at Insigniam is that any company is
constituted by a network of conversations. All day long people
are speaking and listening to others. They’re answering emails.
They’re talking in the hallways. They’re writing and reading
reports. They’re having executive meetings. They’re meeting
with clients. They’re sharing and receiving information. All of
that, whether it is face-to-face or written, is part of the network
of conversations within that organization.
Business gets done through these conversations — when
they’re effectively led and managed, the business performance is
remarkable. Business grinds to a halt through these conversations
when they’re ineffective. Either way, the very manner in
which organizations exist and move emerges as this network
of conversations develops. Culture also emerges from these
conversations.
And there are cultural consequences for failing to manage
the network. Tony Hsieh, the CEO of Zappos, says that when
LinkExchange, one of his earliest start-up companies, began to
grow rapidly, he lost track of the network of conversations the
larger staff was having, and in so doing, lost control of the culture.
“One of the things that we didn’t know to pay attention to at the
time was the company culture,” Hsieh told CNBC. “So as the
company got bigger and bigger the culture kind of deteriorated,
and that’s actually why we ended up selling the company.”
As Hsieh’s example shows, it is essential for leaders to pay
attention to the network. We believe that leaders are accountable
for managing the network of conversations in their organizations.
That doesn’t mean trying to exercise some kind of Orwellian
control over what’s being talked about in your company. It also
doesn’t mean simply taking an active interest in “corporate
communications” — the formal messaging composed in the
C-suite and disseminated through the ranks. And it doesn’t mean
WINTER 2015 INSIGNIAM QUARTERLY 57
simply being a great communicator as a leader. The network
of conversations is about more than what leaders say. It’s about,
at all levels, what is being said in an organization, what is not
being said that probably should be said, and most importantly,
what is being heard.
In a large organization, it’s a challenge to manage that entire
network of conversations. But leaders should spend time
developing a sense for it and helping to foster an effective
network. A well-managed network of conversations will clearly
communicate messages about the organization’s shared values, its
expectations, its principles, its mission, its strategies, and a clear
picture of the future for which everyone ought to be striving.
Talk is not cheap. And whether that talk is written or verbal,
internal or external — brand management is an example of the
function of the external network of communications — leaders
need to make a serious time investment in managing it. Like
an actor who has greater power in their craft when they can
play a range of diverse roles, we find that the most powerful
organizations feature a diverse range of conversations that leaders
are effectively managing. We have identified the five types of
conversations we believe must be present in any organization.
CONVERSATIONS THAT BUILD RELATIONSHIPSConversations that build relationships give people an
opportunity to get to the heart of what matters to them and to
understand commitments and concerns of the people they’re
working with.
One way executives often do this is by having “coffee talks”
with small or large groups of randomly selected employees.
The talks are a chance for workers to tell leaders whatever they
want to discuss, and for leaders to share some general insight
into where the people in the company stand.
In the 2012 book, Talk, Inc., the authors say James Rogers,
when he was CEO of Cinergy before it became a part of
Charlotte-based Duke Energy, began a series of discussions
modeled on the “coffee talk” concept. He held his “listening
sessions” with as many as 100 participants from different parts
of the company. At one such session, a worker told him about
an issue with uneven compensation in one division, something
Rogers could fix but that he thought might otherwise have
taken forever “to bubble up in the organization.”
THE TAKEAWAY//All results are built on a foundation
of relationships. The bigger the foundation, the bigger
the opportunity for results.
CONVERSATIONS THAT GENERATE NEW POSSIBILITIES OR NEW INSIGHT
People talk to each other sometimes not because they have
any specific agenda, but just because they enjoy conversation.
Organizations should seek to foster those same kinds of
discussions.
Recently, the C-suite leaders at one of our clients met to
WINTER 201558 INSIGNIAM QUARTERLY
talk about a change in direction. Although their bottom line
numbers were good, they believed their industry was moving
in a new direction, a new normal so to speak, and that in time
— perhaps five years or so — they would be left behind if
they stuck to business-as-usual. As one of them put it to us,
“We saw a freight train coming our way.” So for months the
executives discussed and speculated on different ideas about what
might be the boldest, most inspiring future they could pursue.
They brought in non-executives to measure the appetite for
change within the organization. They engaged representatives
from different categories of their workforce to talk about what
would be possible. They paid for new market research reports and
poured over the resulting data. In other words, they talked among
themselves, to others, in person, by email, in reports, by phone,
et cetera. They explored possibilities without driving to an
immediate commitment. As they engaged in these various and,
at times, divergent ideas, a common view of a very bold, game-
changing future direction naturally emerged. This common
platform became the basis of a powerful new strategy that took
them off the tracks of being run over by the freight train to
driving the train in a new direction — and thrust them ahead
of competitors in a relatively short time frame. In the months
after they launched the new strategy, they saw an immediate and
significant uptick in their financial measures.
THE TAKEAWAY// All conversations about the
business don’t need to end in a commitment to action.
Some conversations that deal with possibilities tackle
huge challenges. Others deal with smaller changes
— perhaps signing a new client, or making a minor
adjustment to a product or service. Whichever it is, the
key is to be sure and have conversations that create
and explore new possibilities to help people see the
world and their business differently. This will smooth the
path to new and more effective actions.
CONVERSATIONS THAT DEAL WITH OPPORTUNITIES
These kinds of conversations take something that is aspirational
and try to make it feasible. They take speculation and create a
pathway to make it actionable.
At one of the companies we worked with, employees told
us that executives were so focused on present results and on an
aggressive stock buyback program that they were not investing
in the future. Since the employees wanted to commit to a long-
term relationship with the company, they worried whether
leadership was not prepared to commit to them in the same
way. When we surveyed employees and found out that this was
the conversation that was going on, leadership was shocked.
The truth was that the stock buyback program was intended to
solidify the company’s future and that other types of investments
in the future hadn’t changed at all — in fact, they had increased!
In need of a solution, the CEO and his direct reports then
took the responsibility to manage the network of conversations
going on about the future. They more clearly communicated
the investments the company was making and brought a larger
number of workers in to share in the development of those
investments so that conversation could more easily spread
throughout the company.
THE TAKEAWAY// We see the world in how it is
framed for us or how we frame it for ourselves. We
make assumptions. And bad assumptions can clog
up a company’s network of conversations. To gain
commitment to new aspirations, the people you lead
must also see clear pathways to accomplishing those
aspirations.
CONVERSATIONS THAT GENERATE ACTIONThis kind of conversation asks something like, “Who is doing
what and by when will it be done?” It’s self-explanatory in
a sense. You’re talking with a very specific purpose — to get
something done or to ensure that something has gotten done.
But this conversation also provides a good example of how
the network of conversations builds on itself. Every leader has
to ask these kinds of questions of people. But suppose you spin
that question to this: “Who was tasked to do this and when was
it scheduled to be done?” Then suppose you haven’t had effective
conversations about relationships (you don’t know what values
are shared among your group), possibilities (you never explore
different ways of thinking or talk just to talk), or opportunities
(your organization is all about today’s tasks and never about
making other ideas into reality). What happens when you get
to an action-based conversation and the action didn’t happen?
What happens when someone failed to perform? That resulting
conversation — if you don’t know each other, trust each other,
and share some bigger vision of the future — devolves into a
blame game. “It’s his fault.” “She messed up.”
THE TAKEAWAY// To avoid blame that causes
bottlenecks, conversations that generate action must
be held in the context of conversations that have built
relationships and explored and attempted to create
new possibilities and opportunities. Don’t assume
accurate and fair things are being said to people all the
time. Actively manage the network of conversations
WINTER 2015 INSIGNIAM QUARTERLY 59
to learn what is being said and what is being heard
and to keep the dialogue flowing as accurately and
cooperatively as possible.
CONVERSATIONS THAT UNCOVER BREAKDOWNS AND RESOLVE THEM
Every organization has problems, challenges, and failures. In
too many companies, when things go poorly, people hide. They
deflect blame. They give up altogether.
But we have a saying: breakthroughs are really just a series
of well-met breakdowns. Look at what happened at GM. The
300-page report that details the company’s ignition switch
failures shows that there were no conversations taking place
about breakdowns. Culturally, this was simply not part of GM’s
network of conversations. The report repeatedly states that
cultural issues convinced employees to remain silent about safety
issues and then prevented managers from taking responsibility
for those issues once they occurred. In GM’s case, failing to
foster that kind of conversation was a life-and-death issue. In
most companies it won’t be. But it’s still serious. And leaders are
the ones most responsible for embracing and even beginning
the conversations that uncover why something went wrong and
how it can be corrected.
THE TAKEAWAY// As with conversations that generate
action, conversations that uncover and resolve
breakdowns can only be effective when a larger, open,
and honest corporate dialogue has been established.
Make it popular to illuminate breakdowns and frame
them as milestones along the way to aspirations, not
problems that are obstacles. Otherwise, it’ll be all about
blame and not about resolution.
BRINGING IT ALL TOGETHEROne of our clients, a highly unionized firm that paid its workers
the best wages in their region, called us in when trouble was
brewing between management and workers. In spite of the good
level of financial compensation throughout the organization,
workers and leaders were not getting along. At its core, the issue
was about loyalty. The workers believed leaders were not loyal to
them. When a new pay-for-performance system was rolled out,
a worker had asked the former CEO in a meeting with union
workers, “What about loyalty?” The story quickly circulated
that the former CEO had responded to that loyalty criticism by
saying, “If you want loyalty, buy a dog.” The workers then often
complained about being considered in the same class as dogs.
The company addressed these tensions in many ways, one
of which was to start simple dialogue that asked leaders and
workers what they valued. In doing so, they were having
the very first kind of conversation that we’ve discussed, a
conversation about building relationships — a conversation
that’s fundamental to the other things going on in the broader
network of conversations. These discussions brought to light that
the workers were putting up with some
undesirable work practices for the great
pay because of a strong commitment
to providing well for their families. The
undesirable work practices were ways of
handling overtime, holiday scheduling,
and environmental stressors that ended
up actually diminishing their quality
of family life. During these discussions,
the managers realized that they shared a
common commitment to family with
the workers.
That awareness led to discussions around “creating a workplace
where families thrived.” To realize that possibility, employees and
management together established a set of opportunities that
included an annual family picnic. They also set up an annual
awards ceremony to acknowledge and recognize outstanding
job performance — an event they hoped would communicate
the company’s loyalty to its workers. A few simple adjustments
to their practices for scheduling eliminated the factors in the
environment that were triggering stress.
In the end, both of these events cleared a path for more honest
conversations between the formerly fractured parties. And here’s
our favorite single example of how that happened. At the first
of the award ceremonies, one of the workers went up to the
CEO and said, “I was at that meeting where the story came
from about (the former CEO) telling us to buy a dog. I don’t
know where that rumor came from. He never said that about
us — he used that phrase about another topic.”
TALK IS NOT CHEAP. AND WHETHER THAT TALK IS WRITTEN OR VERBAL, INTERNAL OR EXTERNAL — BRAND MANAGEMENT IS AN EXAMPLE OF THE FUNCTION OF THE EXTERNAL NETWORK OF COMMUNICATIONS — LEADERS NEED TO MAKE A SERIOUS TIME INVESTMENT IN MANAGING IT.
GREAT LEADERSHIP, A GREAT ORGANIZATION & A GREAT PERSONAL LIFE
The four ways of being that create the foundation for
BY WERNER H. ERHARD AND MICHAEL C. JENSEN
LEADERSHIP
REVIS
ITED:
ONE OF T
HE MOST W
ELL-R
EAD ARTIC
LES IN
INSIGNIAMQUARTERLY.
COM’S HISTORY IS
REPRISED
TO IM
PACT Y
OUR APPROACH TO
LEADER
SHIP AND LIFE
.
In this paper we argue that the four ways of being we identify as
constituting the foundation for being a leader and the effective
exercise of leadership are also the the foundation for an
extraordinary organization and the foundation of an extraordinary
personal life.
We start with a brief overview of each of these four foundations
before going into an expanded discussion of each.
WINTER 201560 INSIGNIAM QUARTERLY
AN OVERVIEW
è Being Authentic
Being authentic is being and acting consistent with who you
hold yourself out to be for others, and who you hold yourself
to be for yourself. When leading, being authentic leaves you
grounded and able to be straight with others without the use
of force.
è Being Cause In the Matter of Everything In Your
Life
Being Cause in the Matter is a stand you take on yourself and
your life. A stand is a declaration you make, not a statement of
fact. Being Cause in the Matter is viewing life from and acting
from the stand that “I am cause in the matter of everything in
my life.” Being willing to view life from this perspective leaves
you with power. You are never for yourself a victim.
è Being Committed to Something Bigger than
Oneself
Being committed to something bigger than oneself is the
source of the serene passion (charisma) required to lead and to
develop others as leaders and the source of persistence (joy in
the labor of) when the path gets tough.
è Being A Person or an Organization of Integrity
In our model, integrity for anything is the state of being
whole, complete, unbroken, sound, in perfect condition1. For
a person and any human organization, integrity is a matter of
that person’s word or that organization’s word being whole
and complete — nothing more and nothing less. Integrity is
required to create the maximum opportunity for performance
and quickly generate trust.
A WORD ABOUT VALUES
In our discussion here we are not concerned with values
— that is, we are not concerned with what is considered good
as opposed to bad, or right as opposed to wrong. We advocate
these four principles not because they are “right,” but simply
because they are in each individual’s personal self-interest and
in each organization’s self-interest. These insights into the actual
nature and function of the four aspects of the foundation for
great leadership, great organizations, and a great personal life
create workability, trust, peace, joy, and private and social value.
They provide a path for individuals, organizations, and societies
to realize much of what people generally think ethics and
morality produce. And, if we look at the state of the world
around us, obviously that latter path has not worked.
WINTER 2015 INSIGNIAM QUARTERLY 61
Dr. Michael C. Jensen is the Jesse Isidor Straus Professor of Business Administration, Emeritus at Harvard Business School. He has played an important role in the academic discussion of the capital asset pricing model, stock options policy, and corporate governance.
Werner H. Erhard is recognized worldwide as a business, management, and humanitarian leader. He has consulted for numerous corporations and charitable and governmental agencies.
FOUNDATION ONE: BEING AUTHENTICBeing authentic is being and acting consistent with who you
hold yourself out to be for others, and who you hold yourself
to be for yourself.
Surprisingly, there is nothing authentic about any attempt
to be authentic. Any attempt to be authentic on top of our
inauthenticities is like putting cake frosting on cow dung,
thinking that will make the cow dung go down well. In any
case, the attempt to be authentic is a put on and therefore
inauthentic.
One cannot pretend to be authentic. That, by definition, is
inauthentic. Remarkably, the only path to being authentic is
being authentic about one’s inauthenticities. Being authentic
is being willing to discover, confront, and tell the truth about
your inauthenticities — where you are not being genuine,
real, or authentic. Specifically, being authentic is being willing
to discover, confront, and tell the truth about where in your
life you are not being or acting consistent with who you hold
yourself out to be for others, or not being or acting consistent
with who you hold yourself to be for yourself.
Most of us think of ourselves as being authentic; however,
each of us in certain situations, and each of us in certain ways,
is consistently inauthentic.
SOME EXAMPLES OF OUR INAUTHENTICITIES
We as persons and in our organizations desperately want to
be admired. For many, admiration is the most valuable coin
of the realm. Almost none of us is willing to confront just
how much we want to be admired, and how readily we will
fudge on being straightforward and completely honest in a
situation where we perceive doing so threatens us with a loss
of admiration. We will do almost anything to avoid the loss of
admiration — stretch the truth, manipulate the facts, hide what
might be embarrassing or unpleasant or even awkward and,
where required, outright lie.
We also all want to be seen by our colleagues as being loyal,
protesting that loyalty is a virtue even in situations where
the truth is that we are acting “loyal” solely to avoid the loss
WINTER 201562 INSIGNIAM QUARTERLY
WINTER 2015 INSIGNIAM QUARTERLY 63
EDITOR’S NOTE: The following article is excerpted by the authors from an academic paper on which they are working. While different in style and length from our typical IQ article, you can be sure that it is worth your time to read, and even study, this article. Erhard and Jensen are making a significant contribution to the field of leadership development and the effective exercise of leadership. Moreover, their work reinforces, illuminates, and expands the principles and practices that Insigniam’s clients have found so valuable:
è At the core of Insigniam’s leadership development work is the notion that leadership starts with taking a stand — the access to which is your word. In particular, Jensen and Erhard’s seminal work to define integrity as “working as your word” elevates that notion and extends it in multiple dimensions.
è One highly effective supply chain executive who has worked with Insigniam for a decade says that his most impactful learning is that, if he touches or sees it, he is responsible (a leader is responsible); that discovery is harmonic with the authors’ foundation of being cause in the matter of everything in your life.
1See Erhard, Jensen, and Zaffron (2009), “Integrity: A Positive Model that Incorporates the Normative Phenomena of Morality, Ethics and Legality.” Harvard Business School NOM Working Paper No. 06-11. Available at SSRN: http://ssrn.com/abstract=920625
2George, Bill. 2003, p.11. “Authentic Leadership: Rediscovering the Secrets to Creating Lasting Value”. San Francisco: Jossey-Bass.
of admiration. And, in such situations, how ready we are to
sacrifice authenticity to maintain the pretense of being loyal,
when the truth is that we are “being loyal” only because we
fear losing the admiration of our close colleagues, subordinates,
or bosses.
In addition, most of us have a pathetic need for looking
good (and in certain situations this shows up as wanting to be
liked), and almost none of us is willing to confront just how
much we care about looking good — even to the extent of
the silliness of pretending to have followed and understood
something when we haven’t.
Each of us is inauthentic in certain ways. While this may
sound like a description of this or that person you know, it
actually describes each of us — including you the reader and
each of us authors. We are all guilty of being small in these ways
— it comes with being human.
If you cannot find the courage to be authentic about your
inauthenticities, you can forget about being a great leader or
having a great personal life. And an organization that cannot
be authentic about it’s inauthenticities will experience great
conflicts, costs, and inevitably loss of reputation.
Great leaders, great organizations, and those who lead great
personal lives are noteworthy in having come to grips with
these foibles of being human, not eliminating them, but being
the master of these weaknesses.
IS BEING AUTHENTIC IMPORTANT TO BEING A LEADER?
Quoting former Medtronics CEO and now Harvard
Business School Professor of Leadership Bill George: “After
years of studying leaders and their traits, I believe that
leadership begins and ends with authenticity.”2
To be a leader and to have a great organization and to have
a truly great personal life, you and your organization must be
big enough to be authentic about your inauthenticities and
your organization’s inauthenticities. This kind of bigness is a
sign of power, and is so interpreted by others. Being a leader
requires that you be absolutely authentic, and true authenticity
begins with being authentic about your inauthenticities; and
almost no one does this.
THE ACTIONABLE ACCESS TO AUTHENTICITY
As we have said, the only path to authenticity is being
authentic about your inauthenticities. In order to achieve this
you must find in yourself, that “self” that leaves you free to
be authentic about your inauthenticities. That “self,” the one
required to be authentic about your inauthenticities, is who
you authentically are.
And you will know when this process is complete when you
are free to be publicly authentic about your inauthenticities,
and have experienced the freedom, courage, and peace of
mind that comes from doing so. And this is especially so when
you are authentic with those around you for whom those
inauthenticities matter (and who are likely to be aware of them
in any case).
WINTER 201564 INSIGNIAM QUARTERLY
FOUNDATION TWO: BEING CAUSE IN THE MATTER
By “Being Cause in the Matter” we mean being cause
in the matter of everything in your life as a stand you take
for yourself and life, and acting from that stand. To take
the stand that you are cause in the matter contrasts with it
being your fault, or that you failed, or that you are to blame,
or even that you did it.
It is not true that you are the cause of everything in
your life. That you are the cause of everything in your life
is a place to stand from which to view and deal with life,
a place that exists solely as a matter of your choice. The
stand that one is cause in the matter is a declaration, not an
assertion of fact. It simply says: “You can count on me (and,
I can count on me) to look at and deal with life from the
perspective of my being cause in the matter.”
BEING CAUSE IN THE MATTER MEANS YOU GIVE UP THE RIGHT TO
BE A VICTIM
When you have taken the stand (declared) that you are
cause in the matter of your life, it means that you give up
the right to assign cause to the circumstances or to others.
That is you give up the right to be a victim. At the same
time, taking this stand does not prevent you from holding
others responsible.
As we said, it is not true that you are the cause of
everything in your life. Being cause in the matter does not
mean that you are taking on the burden of or being blamed
for or praised for anything in the matter. And, taking the
stand that you are cause in the matter does not mean that
you won’t fail.
However, when you have mastered this aspect of the
foundation required for being a leader and exercising
leadership effectively, you will experience a state change in
effectiveness and power in dealing with the challenges of
leadership and living a great personal life (not to mention
the challenges of creating a great organization).
In taking the stand that you are the cause of everything
in your life, you give up the right to blame others or the
environment. In fact, you give up the right to blame the
circumstances for anything that is going on with you or
your organization.
FOUNDATION THREE: BEING COMMITTED TO SOMETHING BIGGER THAN ONESELF
What we mean by “being committed to something bigger
than oneself” is being committed in a way that shapes one’s
being and actions so that your ways of being and acting are
in the service of realizing something beyond your personal
concerns for yourself — beyond a direct personal payoff. As
they are acted on, such commitments create something to
which others can also be committed and have the sense that
their lives are about something bigger than themselves. This is
an important aspect of a great personal life, great leadership, and
a great organization.
BEING COMMITTED TO SOMETHING BIGGER THAN ONESELF IS
THE SOURCE OF PASSION
Without the passion that comes from being committed
to something bigger than yourself,
you are unlikely to persevere in the
valley of tears that is an inevitable
experience in the lives of all true
leaders. Times when nothing goes
right, there is no way, no help is
available, nothing there except
what you can do to find something
in yourself — the strength to
persevere in the face of impossible,
insurmountable hurdles and barriers.
And, by the way, every great personal life includes having to
come to grips with one or more of these profound challenges.
When you are committed to something bigger than yourself
and you reach down inside you will find the strength to
continue (joy in the labor of).
IF YOU CANNOT FIND THE COURAGE TO BE AUTHENTIC ABOUT YOUR
INAUTHENTICITIES, YOU CAN FORGET ABOUT BEING A GREAT LEADER OR HAVING A GREAT PERSONAL LIFE.
WINTER 2015 INSIGNIAM QUARTERLY 65
EXAMPLE OF A VALLEY OF TEARS THAT ALMOST EVERYONE
EXPERIENCES: THE MID-LIFE CRISIS
At some point in life we all stop measuring time from the
beginning and start measuring it from the end. It shifts from
how far have I come to how much time and opportunity
do I have left?
No matter how good you look, no matter how good
you’ve gotten your family to look, and no matter how
much wealth, fame, power, and position you have amassed,
you will experience a profound lack of fulfillment — the
incompleteness, emptiness, and pain expressed by the common
question: Is this all there is?
Let us be clear: There is nothing inherently wrong with
wealth, good looks, fame, power, or
position, but, contrary to almost universal
belief, they will never be enough. And
facing up to that leaves people and
organizations disoriented, disturbed, and
lost. No matter how good you look or
how much you have personally amassed,
it will never be enough to avoid this crisis.
Dealing with the crisis of “Is this all there
is?” lies in having a commitment to the
realization of a future (a cause) that leaves
you with a passion for living.
This principle, being committed to
something bigger than oneself, applies to
corporate entities as well as to human beings. Value creation for
both is the scorecard for success. Value creation is not the source
of corporate or personal passion and energy. Being committed
to something bigger than oneself is the source of that passion
and energy. Every individual and every organization has the
power to choose that commitment — there is no “right
answer.” It is creating what lights up you and your organization.
FOUNDATION FOUR: INTEGRITY — A POSITIVE MODEL
Definition: We use the first two definitions of integrity from
Webster’s New World Dictionary: 1. the quality or state of
being complete; unbroken condition; wholeness; entirety 2.
the quality or state of being unimpaired; perfect condition;
soundness.
We use the phrase “whole and complete” to represent
our definition of integrity. Defined this way, integrity is
a positive phenomena, not a virtue. There is nothing
inherently good or bad about it, it is just the way the world
is. (We show how morality and ethics are related to our
definition of integrity below.)
An object has integrity when it is whole and complete.
Any diminution in whole and complete results in a
diminution in workability. Think of a wheel with missing
spokes, it is not whole and complete. It will become out-
of-round, work less well, and eventually stop working
entirely. Likewise, a system has integrity when it is whole
and complete.
The Law of Integrity states: As integrity (whole and complete)
declines, workability declines, and as workability declines, value
(or more generally, the opportunity for performance) declines.
Thus, the maximization of whatever performance measure you
choose requires integrity.
Attempting to violate the Law of Integrity generates
painful consequences just as surely as attempting to violate
the law of gravity. Put simply (and somewhat overstated):
“Without integrity nothing works.” Think of this as a
heuristic: If you or your organization operate in life as though
this heuristic is true, performance will increase dramatically.
And the impact on performance is huge: easily in the range
of 100% to 500%.
INTEGRITY FOR A PERSON (OR AN ORGANIZATION)
In this positive model, integrity for a person is a matter of a
person’s word, nothing more and nothing less. You are a man or
VALUE CREATION IS NOT THE SOURCE OF CORPORATE OR PERSONAL PASSION AND ENERGY. BEING COMMITTED TO SOMETHING BIGGER THAN ONESELF IS THE SOURCE OF THAT PASSION AND ENERGY.
WINTER 201566 INSIGNIAM QUARTERLY
The Social Moral Standards, the Group Ethical Standards
and the Governmental Legal Standards of right and wrong,
good and bad behavior in the society, groups and state in
which I enjoy the benefits of membership are also my word
(what I am expected to do) …unless I have explicitly and
publicly expressed my intention to not keep one or more of
those standards, and I am willing to bear the costs of refusing
to conform to these standards (the rules of the game I am in).
NOTE: These six categories define one’s Word, they do not
define integrity.
THE BAD NEWS
We can say with great confidence that no one (including
us authors) is a person or organization completely in
integrity. That self-satisfied view is one of the causes of
the universal lack of integrity in the world. To repeat:
the common belief that we have made it as people and
organizations of integrity is one of the major factors
contributing to the systemic worldwide lack of integrity.
The fact is integrity is a “mountain with no top,” so we
had better get used to (and grow to like) climbing. Even
when people (and other human entities, such as banks,
corporations, partnerships, and other organizations) have
some general awareness of the damaging effects of out-
of-integrity behavior, for the most part they fail to notice
their own out-of-integrity behavior. As a result, they end
up attributing the damage from their out-of-integrity
behavior to other causes. They systematically believe that
they are in integrity, or if by chance they are at the moment
aware of being out of integrity, they believe that they will
soon get back into integrity.
However, the combination of 1) generally not seeing
our own out-of-integrity behavior, 2) believing that we are
persons of integrity, and 3) even when we get a glimpse of
our own out-of-integrity behavior, assuaging ourselves with
the notion that we will soon restore ourselves to being a
person of integrity keeps us from seeing that in fact integrity
woman of integrity, and enjoy the benefits thereof, when your
word is whole and complete. Your word includes the speaking
of your actions as in “actions speak louder than words.”
HONORING YOUR WORD
While keeping your word is fundamentally important in life,
you will not be able to always keep your word (unless you are
playing a small game in life). However, you can always honor
your word. Honoring your word is:
1. Keeping your word, OR
2. Whenever you will not be keeping your word, just as
soon as you become aware that you will not be keeping your
word (including not keeping your word on time) saying to
everyone impacted:
i. That you will not be keeping your word, and
ii. That you will keep that word in the future and by when, or
that you won’t be keeping that word at all, and
iii. What you will do to deal with the impact on others of the
failure to keep your word (or to keep it on time).
YOUR WORD DEFINED
WORD 1 – WHAT YOU SAID: Whatever you said you
will do, or will not do (and in the case of do, doing it on
time).
WORD 2 – WHAT YOU KNOW: Whatever you know to
do, or know not to do, and if it is do, doing it as you know it
is meant to be done (and doing it on time), unless you have
explicitly said to the contrary.
WORD 3 – WHAT IS EXPECTED: Whatever you are
expected to do or not do (unexpressed requests) and in the
case of do, doing it on time, unless you have explicitly said
to the contrary.
WORD 4 – WHAT YOU SAY IS SO: Whenever you
have given your word to others as to the existence of some
thing or some state of the world, your word includes being
willing to be held accountable that the others would find
your evidence makes what you have asserted valid for
themselves.
WORD 5 – WHAT YOU STAND FOR: Whether
expressed in the form of a declaration made to one or more
people, or to yourself, as well as what you hold yourself out
to others as standing for (formally declared or not).
WORD 6 – MORALITY, ETHICS, AND LEGALITY:
WITHOUT INTEGRITY NOTHING WORKS.
3Erhard, Werner and Jensen, Michael C., 2013. “Four Ways of Being that Create the Foundations of A Great Personal Life, Great Leadership and A Great Organization — PDF File of Powerpoint Slides” (September 12). Harvard Business School NOM Unit Working Paper No. 13-078. Available at SSRN: http://ssrn.com/abstract=2207782
WINTER 2015 INSIGNIAM QUARTERLY 67
integrity in our life with all sorts of unworkability fallout.
And this is true of all our associations with persons or
entities that are out of integrity. The effects are huge, but
generally attributed to something other than the lack of
integrity.
In the Appendix to Erhard and Jensen (2013)3 we apply
these principles to the Goldman Sachs’ experience with
its Abacus Mortgage Backed Securities Scandal in which
Goldman violated 7 of its 13 Goldman Business Principles
(their word to their clients, employees, and the world).
Goldman employee Fabrice Tourre was found guilty of
defrauding investors. See Alloway and Scannell (2013)4. In
addition, Goldman paid a $550 million fine to the SEC
for its actions surrounding its Abacus mortgage-backed
securities, a record at that time. Applying the principles laid
out in this paper to Goldman’s actions, we conclude that
Goldman was: 1. Out of integrity because it did not honor
its word: violating in part or in whole, 7 of its 13 “Goldman
Sachs Principles.” 2. Inauthentic because it was not true
to what it holds itself out to be for itself, its employees, its
clients, and the public and 3. Not committed to something
bigger than itself. (We could find nothing in the Goldman
literature indicating that it was committed to anything
bigger than itself.)
is a mountain with no top. To be a person of integrity (or
bank or other organization of integrity) requires that we
recognize this and “learn to enjoy climbing.” Knowing
that integrity is a mountain with no top, and being joyfully
engaged in the climb, leaves us as individuals with power,
and leaves us known by others as authentic, and as men or
women of integrity (or organizations of integrity). While
counterintuitive, owning up to any out-of-integrity behavior
and dealing with it with “honor” actually leaves one showing
up for others as a person of integrity. Recognizing that we
will never “get there” also opens us up to tolerance of (and
an ability to see and deal productively with) our own out-of-
integrity behavior as well as that of others.
THE COSTS OF DEALING WITH AN OBJECT, PERSON, GROUP,
OR ENTITY THAT IS OUT OF INTEGRITY
Consider the experience of dealing with an object that
lacks integrity. Say a car or bicycle. When it is not whole and
complete and unbroken (that is a component is missing or
malfunctioning) it becomes unreliable, unpredictable, and
it creates those characteristics in our lives. The car fails in
traffic, we create a traffic jam, we are late for appointments,
fail to perform, disappoint our partners, associates, and
firms. In effect, the out-of-integrity car creates a lack of
4Alloway, Tracy and Kara Scannell (2013). “Jury finds Tourre Defrauded Investors”, Financial Times, August 1. http://www.ft.com/cms/s/0/18098490-f86a-11e2-b4c4-00144feabdc0.html#axzz2f5BKytNd
Copyright 2014. Werner Erhard, Michael C. Jensen, Landmark Worldwide. All rights reserved.
IQ BOOST
LEAD WITH THE FUTURE — LEAVE THE PAST BEHINDBY BRUCE ZIMMER
In a new era of technology and innovation, companies
seeking change requires fully engaging breakthrough
thinking for breakthrough results. When the paradigm
shift that can only come from true transformational
change is the focus, that ability to create a new future
becomes critical.
What can have a dramatically negative impact on
this transformation? As in life, the answer may be basic
human nature. We’re wired to watch out for our own
survival. Changes that threaten our environment can
lead to a fear of the process and holding on to past
behaviors that have been successful. This survival
mechanism can perpetuate itself, unnoticed by all.
A vital step of effective change management starts
with identifying the behavior that results in business
as usual, leading to minor, predictable improvements.
At Insigniam, we refer to this as “the drift.” The “drift”
is the ever-present flow that determines the constant
direction of an enterprise. It won’t take you to a new
future, it just gives you more of the past.
Consider an alternate path to a breakthrough with
the Merlin process: creating a bridge from the desired
future to the present reality by working backwards.
Start with painting a picture that captures the essence
of winning in the future. Then build a path backward
from that future. While using that future picture, ask the
question, “What outcomes did we produce that were
precursors to this future? It’s a brain twister, but the
outcomes will be very different than the drift.
Executive leadership should point toward a bold
future while realigning the corporate culture to remove
obstacles from traditional modes of thinking. Address
the source of people’s behaviors and actions and
implement change that they embrace, rather than
avoid. Learning from the future instead of the past
creates a lasting platform for transformation.
Bruce Zimmer is an Insigniam partner. He is driven
by a passion to help clients achieve dramatically
improved results and help companies accomplish
that which might typically be seen as impossible.
3XFind out why companies like HP, Fossil, Texas Farm Bureau Insurance Company, Teradata, Omni Hotels & Resorts, Lennox Industries, Inc., and Dell have turned to us for content marketing strategy and brand communications programs.
Learn how you can join them in transforming your marketing at dcustom.com/contentstrategy.
If you want to generate more revenue, maybe you need a new plan.
CONTENT MARKETING PRODUCES THREE TIMES THE LEADS PER DOLLAR THAN TRADITIONAL MARKETING AND ADVERTISING.
Today more than ever, innovation is essential and necessary to the success of our enterprises. While most businesses need to be innovative, few achieve the level of innovation they need to remain competitive. Insigniam will help your organization build an enterprise that can sustain innovative growth, and support you to grow profits and loyalty, while reducing risks and costs today and in the future.
Delivering Game-Winning Innovation
PRSRT STDU.S. Postage
PAIDLiberty, MO
Permit No. 441301 Woodbine AvenueNarberth, PA 19072
Change Service Requested
Big Think Edge is a video-based learning and development program featuring the world’s most recognized experts from
business leaders, to Nobel laureates, to entrepreneurs and actors, sharing relevant and actionable knowledge
for professional excellence.
Edge is the learning tool of the future that’s here today.
edge.bigthink.com