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Podcast Episode

Ep. 27 Reflection: Where Do You Start When Everything Needs Fixing?

Viral Healthcare··9 September 2026·7 min

About this episode

Where would you start? In this reflection on Part 2 of the Haven Healthcare series, Dr. Bruce Spurlock looks at the choices Haven made once it moved from ambition to implementation. In Ohio, the organization experimented with benefit design and easier navigation. In Seattle, it explored technology-enabled access to primary care. Different populations, different approaches, and—most importantly—something that could finally be measured. Bruce explores a fundamental challenge of healthcare innovation: eventually, leaders have to stop designing the perfect strategy and put a foot down somewhere. That first decision creates consequences, produces information, and gives an organization the opportunity to learn. The question isn’t whether your first decision will be perfect. It’s whether you have built a process that allows you to recognize what is working and adopt, adapt, or abandon as you learn. Show Notes In this reflection:Why unlimited resources don't eliminate implementation riskHaven's experiments in Ohio and SeattleSimplifying benefit design and healthcare navigationUsing technology to improve access to primary careWhy changing physicians can become a major adoption barrierThe value of segmenting populations before scalingWhy a pre-mortem can reveal problems before implementation beginsTurning implementation into something measurableKnowing when to adopt, adapt, or abandonMaking decisions without the benefit of hindsightWhy every implementation decision creates consequencesThe question every healthcare leader eventually faces: Where do we start? Hosted on Acast. See acast.com/privacy for more information.