Clinical entrepreneurial barriers and how to overcome

themArlen Meyers, MD, MBA

Society of Physician Entrepreneurs

1. Lack of entrepreneurial mindsetThe size of the challenge, not the size of the

kingdomThe new direction is the challenge, not the

destinationMake the present model obsoleteProblem seeker, not problem solverQuestions not answersWork from the challenge backward, not capability forward

2. A highly regulated ecosystem Differs around the worldIn US, shifting from FFS to value based

3. A lack of patient awarenessLow health IQLow insurance IQBad consumers of careBad judges of qualityLack of transparent information to make

choices

4.Vested interestsThere is nothing more difficult to take in hand,

more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things. For the reformer has enemies in all those who profit by the old order, and only lukewarm defenders in all those who would profit by the new order, this lukewarmness arising partly from fear of their adversaries … and partly from the incredulity of mankind, who do not truly believe in anything new until they have had actual experience of it.

— Niccolo Machiavelli

5. Consolidation BIG MEDICINE v small medicinePublic systems v private systemsMarket powerThreats to private practice

6. Mass eCare Scaling digital health adoptionDigital health gaps

7.Finding leaderpreneursKnowledge technicians are dead and

replaceableManagers are not leadersLeaders are not necessarily entrepreneursEntrepreneurs are not necessarily innovators

8. Finding early seed sage capitalChanging financing modelsMoney, like people and technology, go where

they are treated best

9. Generational changesRisk aversionGenerational stereotyping is stupid

10. Defining and measuring valueThe perceived difference in the mind of the

user between the tangible and intangible benefits-the tangible and intangible costs when compared to other offerings

Changing value factors

SolutionsUpside down organizational structureRevised platforms and processes of care with

innovative business models; systems of systems

The right people in the right jobs of the future

Changing rules

Obrigado por me convidarArlen.meyers@ucdenver.edu