The Value Creators Podcast Episode #17. Jeremy Vesta: Curally, Nurse-Coaching, and Medicine 3.0

Jeremy Vesta is a Value Creator in a field where value creation is intensely focused on the experiences of individual consumers: health care. He’s CFO of Curally, an innovative services company designed to help individuals in a highly distinctive and intensely focused manner: helping every individual to be healthier today than they were yesterday. Curally is bringing a fresh new kind of innovation to an industry with a traditionally closed structure.

Show Notes:

0:00 | Intro

02:14 | A Conversation with Jeremy Vashta: How He Surveyed the Healthcare Field

06:00 | Discussing Healthcare Economics in Detail

10:22 | Defining Nurse Coaching

12:31 | Initiating Relationships with High-Risk Individuals

14:35 | Training Nurses as Coaches

16:24 | The Key Variable in Engagement

18:08 | Jeremy’s Unique Corporate Value Proposition: Promoting Wellness and Building a Cohesive Culture

21:57 | Discussing Measurable ROI in Detail

23:53 | Sedentary Lifestyles and Obesity: Discussing the Biggest Healthcare Problem

26:40 | Embracing Long-Term Health and Behavior Modification

31:34 | Creating a Hospitable Environment Can Prevent Diseases

36:12 | Coaching Definition Beyond the Medical Field By Jeremy

39:01 | Can AI Help With Coaching in the Future?

41:30 | Wrap Up: Reach out to Jeremy at curally.com

Resources
https://curally.com

https://www.linkedin.com/in/jeremy-vesta-b967505/

Knowledge Capsule

The healthcare ecosystem can appear to be intimidatingly closed to entrepreneurial insurgency.

  • It’s a field populated with large, inflexible, highly regulated entities: hospital chains, insurance companies, pharmaceutical companies.
  • They’re all intertwined in a structure that defends against innovation from outside the system..
  • The economic signals to the industry are obscured by the third party payment mechanism and the insurers’ and employers’ drive to reduce costs.

Yet there are significant innovation opportunities if the industry were more hospitable to them.

  • An entrepreneurial focus on improving the end-user (patient) experience quickly identifies gaps to be addressed.
  • The gaps are fundamental: understanding the root causes of many long term health problems such as obesity, diabetes, and lost stability and movement.
  • A new focus on behavioral change and individual responsibility for prevention can lead to long term health improvements for individuals and populations.
  • Behavior from twenty years ago affects current health problems.
  • Insight comes from recognizing the long-term impact of past behaviors.

Curally offers a new Value Proposition to Corporations who provide healthcare programs to employees.:

  • Providing real wellness, not just a healthcare insurance program.
  • Improving employee well-being and productivity and reducing losses of workdays for health reasons.
  • Creating a positive cultural impact within the company.
  • With a calculable ROI.

The innovation is delivered through a creative, human interpersonal medium: Nurse-Coaching.

  • Nurse-coaching offers an innovative approach to healthcare, with a focus on behavior modification.
  • It involves building a strong relationship with patients to help them make healthier choices.
  • It’s both human and scalable – there’s the capability to train and equip a large number of nurse-coaches.

Combination of Digital and Human Delivery in Nurse-Coaching:

  • Authenticity in Coaching is of critical importance in human relationships.
  • But there’s a role for digitally delivered information, expert input and digital behavior tracking, too.
  • There is potential for AI to play a role in coaching but challenging due to the need for authenticity.
  • Balancing the human touch with technological efficiency.

Relationships and Engagement are important.

  • Viewing medicine as a holistic approach beyond just science.
  • Addressing the mental, emotional, and relational aspects.
  • Building trust and authentic relationships with individuals.

Solving the Problem of Sedentariness, Lack of Physical Activity, and Obesity:

  • The need for a more individualized and relationship-based approach.
  • Addressing behavior modification rather than relying solely on prescriptions.
  • The challenge of making the long-term costs of unhealthy behaviors more immediate.

Curally is contributing to the emergence of Medicine 3.0:

  • Shift from the goal of lifespan to the goal of healthspan: longer quality of life, not just duration.
  • Recognizing the contribution of behavior to overall health.
  • Shifting from medicine 2.0, which identifies and addresses critical events, to medicine 3.0, focusing on healthspan.
  • Intervening earlier and understanding the long-term impact of current actions on future health.

The Value Creators Podcast Episode #16. Beverlee Rasmussen On Systems For Organized And Profitable Small Business

A breakthrough technique for Small Business: Don’t manage, build systems. 

Many small business owners experience frustration in trying to manage their businesses. So many things can get in the way of organized and profitable implementation. Management is hard, especially when it involves managing other people. Beverlee Rasmussen has interviewed and coached thousands of small business owners all over the world, and spent 10,000 hours developing her small business system of systems.

Systems are how things get done. If you build systems, you don’t have to manage people. Beverlee offers systems for every facet of small business: Leadership Systems, Operations Systems, Financial Systems, Team Systems, and Marketing Systems. Those titles might seem like something for big businesses only. But they’re not. Every business owner can design and implement their own systems – and doing so will bring back all the joy and freedom and success that you expected from becoming an entrepreneur.

Don’t manage, build systems.

Resources:

Beverlee’s latest book: Small Business, Big Opportunity: Systematize Your Business.

Small Business Coach Training

Small Business Field Guide: Organized and Profitable

The Small Business Coach Gameboard

Knowledge Capsule:

Leadership Systems:

  • Leadership systems are essential for maintaining consistency and stability in a small business.
  • Having a leadership system means paying attention to what you measure, control, how you allocate resources, and how you react to incidents.
  • Leaders need to ensure they don’t favor certain employees over others and maintain fairness.
  • Leadership systems are about creating a consistent experience for employees and customers.

Financial Systems:

  • Understanding financial concepts like cash flow, profitability, debt, P&L (Profit and Loss), and balance sheets is crucial for entrepreneurs.
  • Entrepreneurs often struggle to differentiate between cash flow and profitability, which can lead to financial problems.
  • Borrowing money for a small business is acceptable but comes with rules; avoid high-interest traps.
  • Tracking real expenses accurately is vital for borrowing and financial stability.

Operations Systems:

  • Effective operational systems enable a business to run efficiently and independently of its owner.
  • Having documented processes and checklists for various operations ensures consistency and reduces errors.
  • Adaptation and change are part of small businesses, so having systems in place can help pivot and respond effectively.
  • Operational systems are crucial for scaling and maintaining high-quality service.

Organization Systems:

  • Organizational systems include structure, job roles, and defining how things are done within a business.
  • Position agreements and clear expectations for employees help in reducing frustrations and improving productivity.
  • A system for compensation is essential for profitability and stability.
  • Understanding your target market and catering marketing efforts to specific customer segments is part of organization systems.

Marketing Systems:

  • Effective marketing systems require a deep understanding of your target market and consistent messaging.
  • Avoid falling into the trap of chasing the latest marketing trends without understanding your customers.
  • Making and consistently keeping promises to customers is crucial; going above and beyond creates a memorable experience.
  • Marketing should be based on a value proposition and understanding customers’ emotional and product needs.

In summary, Beverlee emphasizes the importance of systems thinking in leadership, finance, operations, organization, and marketing for small business success. Systems provide consistency, stability, and adaptability, allowing entrepreneurs to achieve prosperity and freedom in their businesses.

The Value Creators Podcast Episode #15. Damon Lembi: The Learn-It-All Leader

Damon Lembi is CEO of LearnIt, a service company dedicated to helping all firms to become learning organizations. He is the go-to expert on learning, change and people development. He shared some of his 25+ years of experience with The Value Creators podcast.

Resources:

Learnit.com

Learnit YouTube channel: https://www.youtube.com/user/LearnitTraining

Connect with Damon Lembi: https://www.linkedin.com/in/damonlembi/

Damon Lembi’s YouTube Channel: https://www.youtube.com/@DamonLembi

Knowledge Capsule

Embrace Change for Learning Agility.

  • To be a learning organization, it’s necessary to commit to embracing change and fostering a culture of continuous learning. Individuals and organizations must be willing to evolve, adapt, and pivot in response to changing circumstances and market dynamics. That’s not easy, and sometimes it can be uncomfortable.

Action: Make the commitment to learning and change – as individuals, as a team, as a firm.

Cultivate a Growth Mindset.

  • The purpose of learning is growth, so a growth mindset is a crucial factor for personal and professional development. This mindset values the process of learning and improvement over immediate results, encouraging individuals to view challenges as opportunities for growth and development.

Action: Set targets and devote your firm to learning for long-term growth.

Accountability and Leadership.

  • Leaders are accountable for organizational culture. Effective leaders are those who take ownership of their decisions and actions, openly admit their mistakes, and create a culture where team members feel comfortable acknowledging their own errors. That’s learning!

Action: Leaders must lead by demonstrating their own learning.

Empathy and Customer-Centricity.

  • Empathy and a deep understanding of customer needs were emphasized as key business skills. Learning is enabled by putting oneself in the customer’s shoes and actively working to bridge the gap between their current state and desired outcomes.

Action: Cultivate and practice empathy as the #1 customer-orentated skill.

Decision-Making and Feedback Loops

  • The right strategy for decision-making is to ensure decisions are as informed as possible while acknowledging uncertainty. Feedback loops and after-action-reviews are employed to facilitate continuous learning from both successes and failures.

Action: Decide and act with the information that’s available, and create new information via feedback and review.

Ethical Leadership and Principles.

  • All learning must be based on ethical leadership and maintaining principled behavior in business. Upholding a strong ethical foundation contributes to long-term success and helps build a positive organizational culture.

Action: Declare values, and adhere to them.

The Value Creators Podcast Episode #14. Josefine Campbell on The Personal Energy Of Agile

Agile is the most important and most impactful management innovation of the 21st Century. It’s the approach of stripping away all bureaucratic and processual obstacles to fast delivery of superior customer experiences. Agile emerged from the sneakers-and-jeans world of software development and overwhelmed and obviated the suit-and-tie world of management control and hierarchy. It’s an organizational breakthrough that opened up a whole new realm of productivity. 
The principles of agility can apply at the individual level as well as the organizational level. Our guest Josefine Campbell delivers agility as an act of self-awareness and self-management.

Find her book, Power Barometer, here, and benefit from the major points she shared with us on The Value Creators Podcast Episode 14.

Resources: 

Power Barometer: Manage Personal Energy For Business Success.

Knowledge Capsule:

Practice Personal Energy Management:

  • At the fundamental level, spend some time learning about the role of the amygdala in the brain’s fight-flight-freeze response.
  • This response impacts both behavior and bodily functions.
  • Raising your awareness helps control reactions and behaviors.

Action: Be aware of your personal energy level and actively manage it.

Use The Power Barometer:

  • The “power barometer” is a tool for quantifying personal energy levels.
  • Use it both individually and within teams.
  • Experience the benefits of monitoring energy levels, such as improved meeting efficiency and better team dynamics.

Action: Every act of management can be improved by using tools. Find one that works for you.

Identify Your Own Top Values:

  • There’s great significance in identifying and living in alignment with top values.
  • Select two or three core values for personal and professional life.
  • Living by these values can prevent energy drain and contribute to well-being and success.

Action: Know your own values and apply them in everything you do.

Live Forward and Reflect:

  • Life is lived forward, and understood better in hindsight.
  • Challenging experiences lead to valuable lessons and personal growth.
  • Reflection and learning from past experiences guides personal development.

Action: Entrepreneurship is action. Learning comes via feedback loops.

Navigate Change:

  • Acknowledge people’s resistance to change, especially when it requires substantial energy.
  • Manage change in a way that individuals can absorb it.
  • Infuse change initiatives with energy to facilitate smoother transitions.

Action: Continuous change is necessary, but often hard on people who prefer stability. Help them to feel comfortable, without loss of commitment.

Build Organizational Culture:

  • It is absolutely possible to build an organizational culture that embraces energy management.
  • Josefine’s book presents an extensive case study illustrating successful integration of energy management into the culture.
  • Focus on those who embrace the change to create a positive movement within the organization.

Action: Culture is emergent from people and their interactions, but it can be guided with positive energy.

Why Do People Say Bad Things About The Capitalist System That Delivers Superabundance?

Consider this chart. It appears in a book entitled A Farewell To Arms: A Brief Economic History Of The World and illustrates the worldwide change in personal income over 3000 years.

We can think of increased personal income per person as pleasurable progress for all. Increased income is a proxy for many life improvements: better food and beverages, better shelter from heat and cold, better health and better healthcare, better education, better jobs, better transportation, better entertainment, expanded knowledge, greater freedom, and many more in a long list that covers all of life.

As the chart shows, the progress is recent. There was no progress in income per person for the first 2800 years or so depicted in this chart, and then a high energy surge of almost exponential growth in the most recent 200 years. The pivot point is the invention and introduction of capitalism. 

The pivot is often labeled “the Industrial Revolution” (as it is in our chart), referring to new forms of physical capital such as steam engines and factories that proved capable of producing more and better goods at lower and lower prices and creating the jobs that paid the wages that increased income per person and gave individuals the opportunity to become consumers. It was a technological revolution, a knowledge revolution, and, most importantly, an economic system revolution, the switch to capitalism.

Over the 200 years since the switch, capitalism has delivered more than personal income growth; it has delivered superabundance. That’s the term employed by researchers Marian Tupy and Gaye Pooley in their book of that title. Superabundance is defined by the phenomenon of us each needing to spend less and less time working to purchase more and more goods and services. It’s a new economics, not of scarcity but of abundance.

A similar story is told by Hans Rosling and Anna Rosling Rönnlund in their 2018 book, Factfulness. They provide us with long lists of “good things that are getting better, and bad things that are decreasing”. The former list includes child cancer survival, access to education, women’s rights, clean water, literacy and democracy. The latter list includes child labor, hunger, smallpox, oil spills, and many more.

These and many similar books and papers provide extensive data compilations regarding the improved lives we all enjoy as a result of capitalism. So why do so many people – students, intellectuals, democratic politicians, writers, celebrities, and cultural influencers in general – speak so badly of capitalism?

The authors of the books we’ve quoted put it down to human psychology, that we are wired to be apprehensive, skeptical, and negative even in the face of incontrovertible evidence to the contrary. Our negative affect comes from our time roaming around prehistoric forests in constant fear of being attacked by some predator. The Roslings point to psychology research that indicates that humans have a gap instinct. We are prone to divide the world in two (e.g. developed economies versus underdeveloped economies, or rich versus poor) and focus on the gap between the two extremes of perception we have just created. We don’t see a continuum and we don’t see continued progress for everyone.

It’s a little hard to accept this psychological perspective in the 21st Century, when there is so much data to refute it, but if we are looking to psychology for an explanation, we can certainly look at envy. According to Helmut Schoeck (in Envy: A Theory Of Social Behavior), envy is universal among humans.

Envy is a drive which lies at the core of man’s life as a social being, and which occurs as soon as two individuals become capable of mutual comparison.

From a perspective of envy, the absolute gains that capitalism brings are ignored and the perception that some gain more than others prevails. Envy itself is an individual emotion – a lonely one since it’s a rejection of relationships – but the great danger occurs when a culture of envy is cultivated. That’s exactly what happens in our educational institutions, both universities and high schools and even elementary and middle schools. A class of educators, resentful because they feel underpaid and underappreciated in the capitalist system that rewards innovative value-creating entrepreneurship more highly than institutional maintenance, teach our children that capitalism is unfair, extractive, and exploitative. 

The teachers are reinforced by the communicators in the media, the writers, influencers, and talking heads who find that anti-capitalist content is amenable to their customers who have passed through the channels of education and become permanently misguided by the perspective they absorbed there. The media continuously reinforce the disaffected envy of their audience, deepening it, extending it, and distorting reality even further. The negativity instinct in the media leads to selective reporting and downright distortion of facts.

And then the politicians and government bureaucrats pile on. Politicians have no interest in progress and improvement. Their stock in trade is to point out how the opposition is failing – undermining or destroying prosperity. They also feed on the idea of the gap – that their constituency suffers by comparison to whomever the politicians decide to compare them to: women to men, non-whites to whites, Southerners to Northerners, less-educated to more-educated, my constituents to your constituents. It’s always about the gap for politicians. And the notion of the gap leads them to anti-capitalist rhetoric: capitalism is responsible for these gaps, that wouldn’t otherwise occur. There’d be equality under alternative systems. 

Government bureaucrats can claim to fix the gap problem in a different system that they run. Call it socialism, call it public-private, call it interventionism or regulationism, call it the entrepreneurial state. Governments are anti-capitalist because capitalism gives no role to government. Government can divide the pie, but only after capitalism has created the recipe for the pie, assembled the pie ingredients, baked the pie, served the pie, accepted and incorporated the feedback of the consumers of the pie, and nurtured the broad and deep market for pies that generates the commercial revenues that governments can then tax and redistribute. Politicians and bureaucrats must condemn capitalism so that they can offer their so-called solutions to the problems they claim capitalism causes.

We have a deep and wide circle of groups willing to say bad things about capitalism: educators, intellectuals; the students and others whom they influence; the media who act as their cheerleaders; and politicians and bureaucrats whose professional incentives are to undermine the popularity of capitalism in order to justify their own anti-capitalist ends and means. Together, they represent a formidable array.

There isn’t a word for fans of capitalism. If we use the word “capitalist”, it’s perceived as derogatory. Whatever the name for fans of capitalism, we need them to be confident, vocal, well-armed with data, and positive and persuasive in its presentation. We need to strengthen the pro-capitalist mentality.

The Value Creators Podcast: Episode #13. Ben Johnson On The Evolution of Software Entrepreneurship

It is evident that in today’s economy, AI & software are extremely powerful tools in business, creative pursuits, and innovation. 
 
In this episode, Ben Johnson, co-founder of Particle41 and other successful software companies, joins to discuss the integration of AI from enhancing customer support to aiding software development, the ethical considerations of AI usage, and its simulation of empathy.

Resources:

Particle41.com

Ben Johnson on LinkedIn

Knowledge Capsule:

Agile and Lean Methodologies in Software Development:

  • The adoption of agile and lean methodologies in software development has enabled faster and more efficient processes.
  • These methodologies involve iterative development, user feedback, and continuous improvement to align with market demands.
  • Continuous adaptation and flexibility are crucial components, as they allow software to evolve according to user needs.

Action: Observe software development in action, and ask how you can transfer its methods to other parts of management.

Challenges and Rewards of Continuous Improvement:

  • Embracing continuous improvement in software development requires a thick skin, humility, and openness to user feedback.
  • While it can be intimidating and unstable, the process focuses on efficiently achieving business goals rather than merely creating perfect products.
  • Businesses must be prepared to adapt and evolve software as long as it remains relevant to users’ needs.

Action: Make continuous improvement a commitment in all parts of business management. Set challenging goals and don’t be deterred.

DevOps and AI Integration:

  • DevOps involves platform engineering and continuous integration/deployment, streamlining software development and deployment processes.
  • Infrastructure as code and robust assembly line processes are key components of DevOps.
  • AI, especially natural language processing, is being integrated into customer support and development workflows to enhance efficiency and provide novel solutions.

Action: Make use of DevOps experts like Particle41 for robust provision of digital operations.

Ethical Considerations of AI:

  • Businesses must establish policies around AI usage, especially when sensitive or private information is involved.
  • Integrating AI tools requires a thorough understanding of how they work to ensure quality control and ethical use.
  • The use of AI for customer interactions and support should be accompanied by clear communication and expectations.

Action: A.I. is coming. Develop policies in advance.

Empathy and AI:

  • While AI can simulate empathy through language patterns, it’s essential to understand that AI’s responses are correlated patterns rather than genuine emotions.
  • AI’s capacity for simulating empathy and emotions is a tool, not an end in itself, and users should be educated on its limitations.

Action: Entrepreneurship is subjective, empathic, human-to-human. Use A.I. to help, but not for human-to-human understanding.

Innovation and Economic Changes:

  • The current shift in venture capital dynamics could impact innovation and startup culture.
  • Smaller companies might need to adopt cash flow-based models similar to historical entrepreneurship, favoring incremental growth and learning.
  • Larger corporations could potentially support smaller startups to foster innovation, possibly through divisional startups or collaborations.

Action: The VC funding world often chases fashions and fads. You may have to spread your net wider for funding if you are not part of the current fad.