Tuesday, November 26, 2013
5 things you can do to think like a futurist
Monday, November 25, 2013
A better forecast for 3D printing
Today I was pleasantly surprised to come across what is by far the best example of proper forecasting regarding the future of 3D printing that I have seen yet. It's an article titled, "A Skeptic's Guide to 3D Printing," from of all places, Booz & Company.
In particular, I like the authors' employment of well-documented patterns of change to develop their sense of the future potential and time horizon for 3D printing: experience curves, economies of scale, and total landed cost. Would that more folks would employ some of these models when contemplating the future of emergent issues and technology.
Having said this, I also offer that this is an excellent example of how good forecasting, particularly that which aims beyond a three year horizon, should begin. Beyond what these authors have presented there are a number of additional models that could and should be brought to bear in considering the multiple possible trajectories that 3D printing could follow.
Working the hype cycle, part 2
Trained, professional futurists, in addition to a great many other professionals, often use s-curves as our own thumbnail sketches as that sigmoid function is found so often in the maturation of public policy issues, development of technology, diffusion of tech, etc... And so I began to think in terms of the s-curve, and more specifically, I began thinking about where you would expect to find different consultants entering a thought leadership/idea space.
Figure 1 is the result of my most recent thinking.
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| Figure 1: applying the s-curve to mapping thought leadership |
Something like 2/3 the way through the curve you can see (what we're surmising as) the typical entry point for major consulting firms. The reasons are neither terribly mysterious nor necessarily nefarious. It generally isn't until about that point in the development of an issue that there is sufficient "trend" data or enough cases to study to begin to propose any sort of "best practice" action in response to an issue confronting a large organization.
Firms run by trained futurists, such as ours, are oriented below that point, spanning the entire first 2/3 of the curve, but often most useful in the Foresight Zone just before the "Application Gap." And the application gap refers to the period of time in the development of an issue in which there is very little in the way of sound new wisdom to apply; no best practices to implement, no well-studied improvement projects to launch. Just people more comfortable with risk and ambiguity deciding to wade in/strike early.
Put simply, our job is to help frame the full set of issues that will be cascading over you in the years ahead. How can you make a truly informed decision regarding the "big" issues of the next 2-3 years without understanding the the waves of issues following right behind them?
Sunday, November 24, 2013
Working the hype cycle, part 1
Most of the big firms today like to claim thought leadership in their various practice areas, so their reports tend to be written as deeply insightful probes into an issue of critical future importance to (potential) clients. But I have found over the years that for any particular area, a true subject matter expert would often not find anything they had not already read about or discussed with other experts for years, and sometimes decades.
And I'm not digging on anyone here, just thinking about what it means, in terms of the maturity and "lifecycle" of a big issue, that the big C firms have decided to start addressing it for (potential) clients.
Almost as a joke, I posted the following question yesterday on Twitter: "Where do we plot an issue on the @Gartner_inc hype cycle if the major consulting firms are piling into the space?"
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| Gartner Hype Cycle Special Report 2013 |
More to follow shortly.
Monday, November 11, 2013
Is Tech THE Agent for Change in Healthcare
As with all complex social institutions, the answer to the question of whether or not technology can be an agent for change is, Yes, with caveats. It can of course be an agent for change, and is an agent for change, but I think the real question that's being debated here is whether or not technology is the primary agent for change in healthcare. And because this discussion is framed as a generational divide issue, it becomes a question of whether or not we think a younger generation will let technology do its change-agent thing on healthcare.
Having worked with health insurers, community health centers, specialized health services organizations, and small business physicians, my take is that in healthcare in the US (being made up of lots of sometimes-interoperable systems), change and/or stability is impacted by more drivers than in other countries. The larger financing mechanisms, the reimbursement systems, privacy regulations, and even the straight-up ease-of-use of new technical infrastructures are all hugely important for shaping change or stability within a given area of American healthcare. Layer under that competing value sets and worldviews (and here's where generational differences become even more important) and you've got a wonderfully complex turbulence.
So, structure matters. Just replacing all of the America's current crop of congressional representation with under 40 individuals, but leaving all else in government and civic life constant, would not by any means necessarily produce significantly different outcomes. So suddenly replacing all physicians (and we're not yet talking about all of the other people who actually make healthcare happen) with under 40 individuals, but keeping all the current systems and relationships in place, would not necessarily and magically produce new health outcomes.
Technology is a major driver of social change (which is why trained American futurists are normally so focused on it), but its impacts, and its trajectory, can be altered by the very social institutions in which we expect changes. We can resist, delay, and deflect change.
So, our question is really, "will a younger generation (of physicians) unleash technology to truly transform healthcare?"
And my answer to that question right at this moment is, No.
Part of my answer comes from my belief that structures matter and that we need much more institutional and systemic change than, say, ACA is able to command into existence. And part of my answer comes from my belief that the very centrality of the allopathic physician in our modern conception of health and healthcare is one of the elements that needs to change in order for real transformation to occur.
Put another way, if younger Gen X physicians and Millennial physicians age up into leadership positions, but the rest of the systems underpinning healthcare in the US don't significantly change, then I don't expect real impressive transformation emerging under their watch.
On a minor note, it's interesting (and perhaps refreshing) to note that Jay marks a 40 year-old dividing line, which places Baby Boomers squarely on one end, Millennials on the other, but rather nicely splits Generation X across that line. Interesting...
Sunday, November 10, 2013
Can a 2x2 Matrix Help You Facilitate Better?
I've done my fair share of process design and workshop facilitation over the years, and have had the benefit of a number of formal facilitation trainings. Then last year I read Quiet: The Power of Introverts in a World That Can't Stop Talking
Most pertinent to this post is what I've always called the "fallacy of the facilitated workshop." This fallacy deals with the often unreasonable expectations we set for facilitated meetings to generate, validate, and secure consensus on important strategic decisions. All within a one-day session!
Now related to this is the issue of extreme time constraints for participant exercises. It is not uncommon to find groups tasked with answering deep questions within the space of 40 minutes, or rushing through important critical thinking exercises in 20 minutes. In most cases this simply is not enough time for an individual, to say nothing of a team of people, to adequately wrestle with truly strategic issues.
What can often happen in these situations, and indeed, in American workshops in general, is that extroverts gain an advantage in shaping the conversations, especially in workshops that are extremely time-constrained. In order to counter this a workshop designer has to think very carefully about the kinds of exercises and timing they program.
One book that I haven't yet read is Thinking, Fast and Slow
And my thought was: what if you used this matrix to help you make sure that no one type of thinking or one type of personality had an overwhelming advantage in a workshop? Put another way, could you use this to help design the right workshop?
My experience tells me that, at least in the US, most facilitated privilege the upper right quadrant, the realm of the extroverted and the fast thinking response. And often the issues we are assembling people to deliberate on are strategic and complex.
It seems to me that using a framework like this should make it easier to design a session that draws on the strengths of the full spectrum of personalities and that plays with the interplay between Kahneman's system 1 and system 2 thinking.
We'll definitely be using this in 2014 for our client sessions and we'll post later on how it seems to work.
Saturday, November 9, 2013
Working on the Future
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| Figure 1: the basic 2x2 matrix |
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| Figure 2: common methods plotted |
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| Figure 3: the four quadrants |
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| Figure 4: processes across the matrix |






