Desire to avoid more screen time during Covid WFH has shifted most of my reading / learning to podcasts. These are a few conversations and podcasts that caught my ear in the last few months. Will simply list these and associated information I looked up – without my interpretation or meaning making.
In July 2020 Amazon kicked off a pilot with Crossover Health for Employee Health centers and an alternate primary care model. This March Amazon announced they are expanding to two more states. This conversation with the founder of Crossover Health Dr. Scott Shreeve gives you a first hand walk through of how they are trying to reimagine Healthcare with a combination of primary care, proactive care and analytics. Crossover Health was founded in 2010 as a solution for self-funded employers to help curb healthcare costs. They’ve built a roster of clients including Apple, Microsoft, Amazon and LinkedIn.
There may be parallels to this from history of healthcare in US. Employer-sponsored health insurance incentives during WW II were at the heart of growth of health insurance system in 40s, 50s and 60s. Structure of the private health insurance system has significant influence over rest of the healthcare industry. These new commercial models may be seeds for a new design for the healthcare system.
Human decision making is fraught with cognitive errors. Decision making in complex systems results in unintended consequences (often due to hidden causal interactions, feedback loops and delayed reactions). These traps are well documented in economics, environmental studies and public policy under systems thinking. One of those is Goodhart’s law.
Goodhart’s law points to the whack-a-mole game we end up playing by picking metrics of interest. You may have heard of this law as “Any observed statistical regularity will tend to collapse once pressure is placed upon it for control purposes” or “When a measure becomes a target, it ceases to be a good measure“.
Hal Ashton, a PhD student, wrote a paper (Causal Campbell-Goodhart’s law and Reinforcement Learning) on whether popular reinforced learning models in AI (the algorithms behind self driving cars and Google Alpha GO) have cognitive errors, like humans. Hal uses a simple decision tree example of a dog in Scotland looking to go for a walk in the right attire – predicting the weather using a manipulatable barometer !! Hal was inspired to write this paper after reading The Book of WHY by Judea Pearl.
Traditional Data Warehouses are being challenged with the emergence of AI / ML. The use cases of AI / ML are creating new demand for complex feature engineering, as well as creating new ways to process incoming difficult or complex data using algorithms (NLP, image analytics etc.). I recently framed this argument in a talk you can watch online (Next-gen data management through the power of Data Science).
Some argue that these needs and capabilities are why Data Lakes arose in the first place and the split of Lakes vs Warehouses is irreversible and irreconcilable. There are others who argue that new technology paradigms always start addressing niche or specialized use cases, but eventually make it back to the base platforms as new features. So relational databases and data warehouses will eventually rule again !
We all have scar tissue from bad interviews and hires. There is a strong argument to be made that traditional models of interviewing don’t work. Yet, organizations and many of us do it for the lack of alternative options. Yes, hackathons and coding assignments are an option for technical roles – but even those are limited in evaluating critical success factors such as team work, openness and decisiveness. Adam Grant – Wharton Prof. and organizational psychologist – summarizes research, findings and success in reimagining interviews in his popular podcast WorkLife with Adam Grant. Yes, Adam Grant looks very young. Because he became the youngest tenured professor at Wharton aged 28.
The next conversation is about two management techniques practiced in Amazon – that we have all heard about – ‘narrative memos in place of PPT‘ and ‘starting any product journey with press release‘. Authors Colin Bryar and Bill Carr talk from their first hand combined experience of 27 years at Amazon about the nuances, back stories and ways to bring these ideas alive in other cultures. Their book Working Backwards: Insights, Stories, and Secrets from Inside Amazon is now in my listening list !!
Share your interpretations and reactions to these podcasts. Keep listening. Will try and post this at least once a quarter.