Gladwell is right on the money with his approach to reform:
He described Picasso as a conceptual innovator who revolutionized art with his transformative ideas. “He had big, bold, grand ideas,” Gladwell said, which the artist then executed fairly quickly. Cezanne, on the other hand, was an experimental painter who used a trial-and-error approach and went about his work slowly. Gladwell said the two approaches of imposing genius in the world, which are profoundly dissimilar in nature, could be applied to any business or reform.“We are in danger of approaching the healthcare problem like it’s a Picasso problem and not a Cezanne problem,” Gladwell said.
Gladwell advocated for the abandonment of the notion of the grand, transformative idea, of being able to describe the plan of action and then attacking it. “With really complex problems, you can’t start with a grand idea,” he said. “You need a trial-and-error method.”
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I see that article is in a HealthCare IT journal. If any group knows about trying to modernize with “legacy” systems it’s IT.
I’ve seen my share of grand ideas for comprehensive IT systems go down the tubes after substantial amounts of money have been spent on them. I think working around the edges is a good plan.
I’m going to hope that a certain front-running candidate who was around when the best laid plans for health care reform got flushed will keep that in mind.
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