8 de gen. 2016

open data in health care organizations


Open data definition: Data that is easily accessible, machine-readable, accessible for free or at negligible cost, and with minimal limitations on its use, transformation, and distribution.
See the video: #opendatafilm 12m

Why Open Data in health care organization?

Transparency. 
In a well-functioning, democratic society citizens need to know what their health organizations are doing. To do that, they must be able freely to access data and information and to share that information with other citizens.
  • Transparency isn't just about looking for what the managers or the personnel are earning (an old fashioned idea). It is also about people empowering themselves to be better able to make decisions about their lifes: choosing the hospital with better treatment outcomes after analyse and compare different data procedures.
  • Transparency isn’t just about access, it is also about sharing and reuse — often, to understand material it needs to be analyzed and visualized and this requires that the material be open so that it can be freely used and reused. Open data helps organizations to create data more efficient.
Participation.
Citizens are not able to engage with their health organizations.
By opening up data, citizens are enabled to be much more directly informed. This is more than transparency: it’s about making a full “read/write” society, not just about knowing what is happening in the process of governing or managing a health care organization but being able to contribute to it. Patients, their families and citizens in general push the organization to be more responsive.

[Want to know how a Catalan Health Care organization are tackling open data?: SAGESSA Open Data]

Other useful information: 
Health Open Data Catalan Health Service
The Open Data Era in Health and Social Care NHS England (2014)

photo: galaxy IDCS 1426 (NASA)
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4 de gen. 2016

Great teams: exploring, engaging and breaking down the silos


Building great teams the article written in 2012 by Sandy Pentland, one of the 7 most powerful data scientist in the world, explores using data the patterns from great teams.

Successful teams share several defining characteristics:
  1. Everyone on the team talks and listens in roughly equal measure, keeping contributions short and sweet.
  2. Members face one another, and their conversations and gestures are energetic.
  3. Members connect directly with one another—not just with the team leader.
  4. Individual reasoning and talent contribute far less to team success than one might expect.
  5. The best way to build a great team is not to select individuals for their smarts or accomplishments but to learn how they communicate and to shape and guide the team.
  6. The most valuable form of communication is face-to-face.
  7. The best-performing and most creative teams sought fresh perspectives constantly, from all other groups in (and some outside) the organization.
  8. Successful teams, especially successful creative teams, oscillate between exploration for discovery and engagement for integration of the ideas gathered from outside sources.
Nowadays some of these ideas should be used inside organizations and inside "political parties". Why do we not try to breakdowm the silos?
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11 de des. 2015

Public-sector outsourcing is distinct from privatization: the desirability of outsourcing in the provision of public services

The desirability of outsourcing the provision of public services depends on their characteristics and market conditions.

This sentence is made by Panu Poutvaara from IZA World of Labor who recently has published an article about public sector outsourcing.

Pros:
  • The competition effects of privatization make private provision more efficient than public provision.
  • Outsourcing public services can lower costs and increase consumer choice.
  • Competition in service provision stimulates innovation, and more efficient use of resources.
Cons:
  • Private-sector cost minimization efforts risk worsening the quality of public services, depending on the type of service outsourced.
  • Some public-sector employees may lose their jobs.
  • Natural monopolies cannot be privatized without risking a hold-up problem or corruption.

What happen within health care sector?

The health sector picture is more complicated.
  • Adverse selection is particularly strong in the health sector, and information asymmetries are arguably higher in the health sector than in other sectors like education. Outsourcing to private institutions could lead to the exclusion of the sickest individuals in an effort to reduce costs. 
  • Public competition by comparison:
  1. The introduction of patient choice triggers a change in the choice of hospitals, with patients choosing higher-quality hospitals as measured by the mortality rate for heart-attack patients
  2. Hospitals facing more competition due to lower market concentration shows an increase in quality without an increase in cost. 
Taking to account for those who likes to confound apples with pears

Public-sector outsourcing is distinct from privatization.

  • Outsourcing, broadly defined, entails the private-sector provision of public goods or services under procurement contracts or vouchers that offer consumers of public services a choice of private-sector providers.
  • Privatization entails the sale or other transfer of ownership of a public business or entity to a private entity.
Access to the article

IZA World of Labor is a private independent nonprofit economic research institute that analyzes global labor market using evidence based information.

photo: banksy 
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6 de nov. 2015

Board meetings should be the place and time to engage board members



Board meetings provide an opportunity to actively review a company’s performance, analyse business processes, and strategize for the future.

But board meetings can also be frustratingly disorganized at times, too frequent (or infrequent, depending on the company), and a waste of everyone’s time if they’re not run properly.

As a manager who spends lots of time preparing the board meetings you probably have to think about these simple questions:
  • Does everybody know all the meeting's annual calendar in advance?
  • Does everybody know the time they will have to spend in each meeting to avoid people leave it in advance?
  • Are you presenting a good metrics? Are they standardized?
  • Are the presentations always done in the same model specially the financial and performance reports
  • Are the discussions and the time spend in each item listed good enough?
Here there is an interesting article to read from Lisa Kay Salomon: "Designing Better Board Meetings: Securing Strategic Return on Time".

Acces to the article

Nat Farbman. The LIFE Picture Collection/Getty Images 1947. At Temple Public House, club members hold formal beer session. 
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14 d’oct. 2015

Angus Deaton: In the end, it's individual peoples' well-being that counts

The Sveriges Riksbank Prize in Economic Sciences in Memory of Alfred Nobel 2015 was awarded to Angus Deaton "for his analysis of consumption, poverty, and welfare". The work for which Deaton is now being honored revolves around three central questions:

How do consumers distribute their spending among different goods? Answering this question is not only necessary for explaining and forecasting actual consumption patterns, but also crucial in evaluating how policy reforms, like changes in consumption taxes, affect the welfare of different groups. In his early work around 1980, Deaton developed the Almost Ideal Demand System – a flexible, yet simple, way of estimating how the demand for each good depends on the prices of all goods and on individual incomes. His approach and its later modifications are now standard tools, both in academia and in practical policy evaluation.

How much of society's income is spent and how much is saved? To explain capital formation and the magnitudes of business cycles, it is necessary to understand the interplay between income and consumption over time. In a few papers around 1990, Deaton showed that the prevailing consumption theory could not explain the actual relationships if the starting point was aggregate income and consumption. Instead, one should sum up how individuals adapt their own consumption to their individual income, which fluctuates in a very different way to aggregate income. This research clearly demonstrated why the analysis of individual data is key to untangling the patterns we see in aggregate data, an approach that has since become widely adopted in modern macroeconomics.

How do we best measure and analyze welfare and poverty? In his more recent research, Deaton highlights how reliable measures of individual household consumption levels can be used to discern mechanisms behind economic development. His research has uncovered important pitfalls when comparing the extent of poverty across time and place. It has also exemplified how the clever use of household data may shed light on such issues as the relationships between income and calorie intake, and the extent of gender discrimination within the family. Deaton's focus on household surveys has helped transform development economics from a theoretical field based on aggregate data to an empirical field based on detailed individual data. (Extracted from Nobelprize.org)

photo: Princeton University 2015
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31 de jul. 2015

we have to prepare the next generation with the capacity for lifelong learning.

Talent, not capital, will be the key factor linking innovation, competitiveness and growth in the 21st century, and we must each understand better the global talent value chain.

Better data and metrics are critical to this understanding. The Human Capital Index measures countries’ ability to maximize and leverage their human capital endowment. The index assesses Learning and Employment outcomes across 5 distinct age groups, on a scale from 0 (worst) to 100 (best), and assesses 124 economies.

The index is focused on learning and employment outcomes and in demographics and it covers 46 indicators.

Finland: Rank 1; Score 85.78
Spain: Rank 41; Score 73.30

The world economic forum new report provides comprehensive information on the talent base in each country, including information on education levels of the employed, unemployed and the inactive members of the population as well as the specific qualifications of the latest entrants to the workforce.
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