Thoughts on healthcare transformation, Value-Based Healthcare, Population Health Management, AI, and organisational design by Dr Jason I Broch.
Organisational silos are not caused by boundaries themselves, but by boundaries that have lost their capacity to adapt. Drawing on complex adaptive systems, Dr Jason I. Broch shows how functional, informational, social, and fiduciary boundaries can be transformed into intelligent interfaces that preserve capability while enabling higher-order collaboration and system-wide resilience.
Traditional commissioning was built to purchase services from discrete organisations, but modern health outcomes emerge from the interactions of people, providers, communities and infrastructure. This article argues for a capability-driven model of distributed commissioning that enables health systems to sense population need, share risk and continually redesign themselves for better outcomes.
Internationally, healthcare has operated by similar rules for decades — a payer, a provider, and an ever-increasing cycle of activity and cost. Value-based healthcare offers a fundamentally different model. But what does it actually mean?
As the government ponders the NHS 10-year plan, developing a neighbourhood-based health and care system would be strengthened by understanding the principles behind Value-based healthcare. General Practice must be considered beyond traditional reactive service delivery.
Effective population health management begins with a clear understanding of risk — who is at risk, of what, and why. This essay sets out a framework for understanding, measuring, and acting on population health risk in a value-based care context.
Beneath every healthcare management decision lies mathematics — often invisible, frequently misunderstood, and consistently underused. Understanding the quantitative frameworks that drive system behaviour is not optional for modern health leaders.
Neighbourhood health systems are increasingly being positioned as the unit of integration for the NHS. But what does the evidence actually say about whether neighbourhoods can function as genuine innovation platforms? This essay examines the science.
I've been intrigued by the explosion of Artificial Intelligence products on the market, especially in Healthcare. The technology is impressive — but there are important questions about how much we should trust it, and whether we are equipped to spot when it is wrong.