Monday, December 9, 2013

Failure guru Amy Edmondson deconstructs the Healthcare.gov fiasco

Amid all the breathless news coverage of the failed rollout of the Obamacare Healthcare.gov website, we now have some genuine analysis, courtesy of one of my heroes, Amy Edmondson of Harvard Business School ("The Mistakes Behind Healthcare.gov Are Probably Lurking In Your Company, Too"). She may be more qualified than anyone to weigh in, given her deep research experience in learning from mistakes and failure in very complex situations (including healthcare). A couple of potent excerpts:

Healthcare.gov is a good example of the importance of learning small and fast, rather than rolling out a risky new product or service launch all at once. Cycling out in phases includes the expectation of early failures – and demands all hands on deck to learn from them along the way. A roll-out, in contrast, implies that something is all set, ready to go — like a carpet. All it needs is a bit of momentum to propel it forward. For complex initiatives, of course, this is simply not the case. Getting people motivated enough to change is not the real challenge; it’s getting them engaged enough to learn — to become part of a discovery process.

and...

Managers must make it clear that they understand that excellent performance does not mean not making mistakes — it means learning quickly from mistakes and sharing the lessons widely.

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