Archive for the ‘Change’ Category

Where People Go To Get Better

Monday, January 22nd, 2018

"Where people go to get better" could be the best definition ever for the Ligne de vie… and it is pretty good news that it is obviously still missing ;-)

Picture by Panh Rithy (RPanh)

Social Decay

Sunday, January 14th, 2018

In his Social Decay opus, Andrei Lacatusu illustrates a world where the fading lustre of social media companies only results in beat-up advertising material.

The unfair advantage

Saturday, December 2nd, 2017

Yet another great post by Seth Godin (@ThisIsSethsBlog)

Here’s a sign I’ve never seen hanging in a corporate office, a mechanic’s garage or a politician’s headquarters:


We care more.

It’s easy to promise and difficult to do. But if you did it, it would work. More than any other skill or attitude, this is what keeps me (and people like me) coming back.

Should You Use Blockchain?

Wednesday, November 22nd, 2017

The Elephant In The Room

Friday, October 6th, 2017

This "Elephant in the room" is the perfect model to explain why the hierarchy is a wrong answer to complex issues. Imagine that all these "experts" will go and make their report to a minister who, while not having been confronted with field realities, will have to build a synthesis, then make a decision for the whole community.

Past, Present and Future of AI

Saturday, May 20th, 2017

Amazing panel, moderated by Diane Greene, at Google I/O ’17 about "Past, Present and Future of AI". Françoise Beaufays, Fei-Fei Li (@drfeifei), Fernanda Viégas (@viegasf) and Daphne Koller (@DaphneKoller) depict, in a truly insightful and "buzz free" way, what AI already can achieve and has the potential to become.

The whole panel is really worth watching. I selected some great sentences from Fei-Fei Li, mainly because they are less domain specific, hence easier to understand in isolation (at 8:18).

Around 2010, thanks to the convergence of the maturing of statistical Machine Learning tools, the convergence of big data brought to us by the Internet and by the sensors and the convergence of computing to more better hardware, these three pillars came together and lifted AI from the in vitro stage into what I call the in vivo stage. AI in vivo is where IA is making a real impact to the world.

It’s just the beginning. Every single industry that we see at Cloud Google is going to a transformation because of data, because of AI and Machine Learning and this is what I see as the historical moment… AI is going to impact and transform the field.

But I also do wanna say it’s just the beginning. The tools and the technologies we have developed in the field of AI are really the first few drops of water in a vast ocean of what AI can do. We cannot over promise but there should be tremendous excitement that we can do a lot of more work to make this AI in vivo happen.

Complex vs Complicated

Monday, January 2nd, 2017

Two pictures to start this new year well. First, by John Saddington (@8BIT), The Emotional Journey of Creating Anything Great. Actually, it applies to creating anything at all; the greatness is about ending joyfully, but lame (or simply ordinary) creations mostly share the same path. The real message here is "look at what happens the days, months or years after the glorious instant when you decide that Yes You Can" :-)

The second picture, by Niels Pflaeging (@Complexitools), delineates a clear separation between the keywords to be used in our current complex universe versus the concepts that have always been used in (only) complicated environments. The blue domain is the place where "Puzzle Makers" can keep working as usual while the red area describes a world that already shifted to a highly networked universe. Better embrace the red… if you are not to retire really soon ;-)

Harold Jarche’s Best Finds in 2016

Friday, December 30th, 2016

Harold Jarche (@hjarche) shares its best finds in 2016, and I specially liked his "quotes" chapter:

@Tom_Peters: "Presidents rarely get good advice. Every ‘presenter’ presents a totally biased solution–often suppressing competing evidence."

@atduskgreg: "Machine learning is automated bureaucracy. It spits back the systemic biases we feed it in feature vectors, training sets, reward functions."

"The demagogue is one who preaches doctrines he knows to be untrue to men he knows to be idiots." ‐ H.L. Mencken via @normsmusic

@HughCards: "As the Internet makes everything cheaper, access to real networks (Harvard, Wall St., Silicon Valley etc) gets even more expensive."

"Power not only corrupts, it addicts." ‐ Ursula Le Guin via @ndcollaborative

"The object of life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." ‐ Marcus Aurelius via @MickFealty

The idea awareness cycle

Friday, December 9th, 2016

Yet another great post by Seth Godin (@ThisIsSethsBlog) describing the typical idea awareness cycle.

Ignorance We’re too busy doing our jobs to notice that.
Dismissal That? It’s trivial. Kids.
Nervousness Let’s take a look at what they’re up to, benchmark it, buy a research report… Bob, can you handle this?
Poor Copies See, I told you it was no big deal. Our new model is almost the same.
Admiration Wow, look at them go. Every once in awhile, someone comes up with something special. Good for them.
Special case Of course, this won’t effect our core business. It’s working really well here because that’s unique.
Superman Holy smokes. Who is this guy?
Catastrophe/Doomsday Run for your lives. It’s over. Over forever and ever.

Make the invisible visible

Thursday, December 8th, 2016

Listening to your customers isn’t figuring out what they want — it’s figuring out their needs.

We don’t always know what’s missing. Sometimes thirst feels like hunger. Sometimes a headache means stress. Sometimes we’re so deep within ourselves that we can’t read ourselves.

The art of business is anticipating needs. It’s going above and beyond. It’s being so attuned to your customers’ needs that you figure out their solution before they’ve identified the problem.

Naming the invisible problem is the first step to creating the visible solution.

Image and text by @gapingvoid

You may feel that it is yet another interpretation of the apocryphal Henry Ford quote: If I’d asked customers what they wanted, they would have said "a faster horse".

It is also close from the theories behind Interaction Design: you shouldn’t ask people to describe the products or services they would need, but what wishes they would ask the "genius out of the lamp" to fulfill for them… then build accurate enough Personas to be able to design the solutions that fit.

Finally, it is less about asking good questions (any question can lead to the proper answers if you listen properly) than it is about keeping in mind that innovation occurs out of the box and that, if innovators must have enough skin in the game to deliver consistent solutions, they also must keep dreaming in the wild.

Health Creation

Friday, December 2nd, 2016

The NHS Alliance’s 2016 Action Summit just occurred on December 1, 2016. It titled "In search of health creation: community by community". The subtitle read "None of us as smart than all of us" and I guess that I would have loved being there.

I discovered this Change Agents plot from this image embedded in a tweet:

Since the brits are often "borderline punks", I was not that astonished that they can write such things as Our mission is to infect the NHS with wellness. And what follows is rock’n'roll as well:

We’ve committed to address health inequalities through the concept and practice of Health Creation. Our mission is to infect the NHS with wellness.

We think Health Creation is the single most important driver to change our thinking around delivering health care. We want to press a cultural reset button, which will move us towards a health service that focuses on what keeps people well.

Our Summit on December 1 is all about being forward thinking. It’ll be highly interactive and focus on how we can achieve big change. If you’d like to attend – and be part of a new, determined movement, please get in touch with us at

The complete program is there… but it is unfortunately too late to attend to it.

Everybody knows

Friday, November 11th, 2016

Wherever I Go

Saturday, October 22nd, 2016

In a great blog post, Richard Martin (@IndaloGenesis) explained why you have to experience other people’s viewpoint in order to have a proper understanding of the world around… even if you must be conscious that, doing this, you are still elaborating a perspective that is plainly yours, and, as thus, plainly unique.

While exposure to a diversity of perspectives is essential to any attempt to understand how other people see and interpret the world around them, it is impossible to divest ourselves of all our own accumulated knowledge, experience, culture and filters. To assess someone else’s description or to sit in another’s chair, does not alter the fact that we are still using our own eyes, not theirs.

This text resonates with my own work since I have been working for more than twenty years on a "dual" issue: considering that multi-disciplinary teams (typically in health) are composed of people with very different viewpoints (a viewpoint being the sum of a view angle and a focus point, say a job and a specialty), what kind of "common perspective" (called an "artifact" in the knowledge management jargon) can we provide them so that they can contribute to a common project?

Richard would argue that, as a Neo-Generalist, he is more interested in turning around a vase of flowers :-) Nevertheless, his text contains all the concepts (viewpoints, artifact) to understand why a "record of records" (piling up each others views) will never be a tool for those who have to contribute to the (health or whatever) project of one of their fellow human being.

Back to work on the Ligne de vie ;-)

How to be [un]productive

Friday, October 21st, 2016

To be unproductive is pretty easy; as pointed out by Anna Vital (@annavitals), it is just about doing mundane things "as usual".

To be productive seems considerably more complex… to the points it actually seems you have to become fully unproductive in order to invest in understanding how to become productive.

The Network

Friday, October 7th, 2016

Not long ago, if someone mentioned the work "network"; we thought: TV or radio.

Now we think: Facebook, LinkedIn, Twitter… these networks have become far more valuable to us. They exist because we contribute to them. They are where our best ideas can spread and have impact. Sometimes they even democratize power.

Of course they are more powerful than an individual… even a powerful individual- and they are more powerful than the ‘old’ networks, because they carry our voice.

It follows that what we can do as part of a network, as part of a collective, is far more impactful than what we can do all by ourselves.

Are you using all the networks available to you to amplify your voice?

Image and text by @gapingvoid

Not so long ago – yesterday night to be accurate, I once again realized how hard it is to convince French Medical Doctors of this obvious reality. Being very busy working alone and only having trust in "authorities" keeps being the rules to them… the network being considered as a futile place where others are wasting time.

Weirdly enough, lots of people talk about a Web 3.0 or 4.0 or even 5.0 in health (yes, 5.0) when the very basics of the Web 2.0 remain largely to be understood (you know, no longer a hierarchy, but a network; a meshed society with the people inside… and maybe one day joined by their care givers as soon as they have left both their pedestal and the tyranny of "what is validated from above").


Friday, September 9th, 2016

Relations Precede Assets

Friday, September 2nd, 2016

Yet another insightful twitter series by @EskoKilpi

2. contextual problem definition and problem solving creates more value than mass solutions

3. transactions are replaced by interactions and network relations

4. relations now precede assets. People work more from their relations than their skills

It makes sense at large, but resonates specifically in health where, so far, the usual way remains to have "highly skilled professionals" do their best in isolation while applying Evidence Based Medicine guidelines that where validated for "the statistical patient".

You don’t need permission

Friday, August 26th, 2016

In case you didn’t get the memo: There is no secret validation committee, deliberating on what your destiny is allowed to be.

So that strategy about waiting for your life to be finally green-lighted by someone else?

Sorry, you’ve been wasting your time.

There is no green light. Or red light. Or yellow light.

There’s just you. And what you intend to do about the present moment.

But I suspect you already knew that…

Image and text by @gapingvoid

This issue resonates with the current status in health information system where most of those who could address the genuine problems faced by suffering people feel that they have to "get a permission" (an order form) by the system (read the Minister, a major company, a well known professor…).

At a moment when it has never been so easy to engage with the people (the true customers, the ones in need of solutions) while big organizations are "lost in complexity" in current paradigm shift moments, I often ask the hard question : are you the kind of people that can address real people issues, or just a player by the rules that builds on outdated specifications?

Blank vote

Thursday, August 25th, 2016

This black drawing accurately sums up the reason why I decided several years ago to always vote blank. The first step toward a new paradigm has always been to stop playing by the rules of a system that no longer makes sense. It is now time to invent the Meshed Society that should come next.

Substitutes for Hierarchy

Wednesday, August 10th, 2016

2/ Potential cost savings from reducing hierarchy are substantial

3/ Simply eliminating hierarchy is not a guarantee of improved performance

4/ instead of just talking about hierarchy we should look at the functions of hierarchy and ask what substitutes are available for them

5/ When jobs are simple, repeating and specialized, the need for coordination, control and hierarchically driven motivation is increased

6/ Hierarchy is needed when people don’t know what others are doing and lack the links and ability to communicate and coordinate

7/ Work is interaction between interdependent people. Not all people :-)

8/ The degree of interdependence is determined by how much people need to coordinate, cooperate and relate to others

9/ The industrial organization was based on the idea of low / controlled interdependence -> hierarchy

10/ The post-industrial org is based on high, emergent and complex interdependence -> symmetric organization

11/ Without a thorough redesign of the org it is very unlikely that a significant part of the hierarchy can be made unnecessary