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December 1, 2023: Lori Boisjoli, CIO of the University of Vermont Health Network, explores the transformational journey of implementing Agile methodologies across IT departments and its impact on healthcare delivery. How does Agile foster a culture of continuous improvement and adaptation in healthcare IT? What challenges and successes has UVM faced in integrating this approach? […]
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Yes there are complexities in healthcare . But I don't know if I would give the system that escape route to say, oh, it's different, so we can't do these things. Yes we can. We just need to start somewhere and focus and make it simpler and more fluid and more convenient for our patients, consumers and users.

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Netflix looked at the pieces between what was and wasn’t working. How can you actually disrupt there? What are those assumptions that are wrong? The core assumption with Blockbuster is that you can't keep a DVD as long as you want. But Netflix was like, at the beginning, you can keep it as long as you want. You’re just not getting another one, which is brilliant.

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One of the problems in healthcare is elasticity of demand. We learned this in economics. When you increase pricing demand goes down and when you decrease pricing demand goes up. The reality in healthcare is that there is no elasticity. You can raise the price forever but we're still going to that hospital. You can lower the price and it's not going to increase. So it doesn't respond to normal market demands.

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