Alloutcoach

Years ago, watching TV at home, I discovered a true modern age humanist and true ambassador, Francesco Trecci, political science and history graduate, author, historian and commercial director who challenged himself to connect two antique and proud cultures, Italy and Republic of Georgia, illuminate them with knowledge to connect them on a deeper level. Ever since, I can proudly say we have become friends due to a common passion and interest that is central to the multicultural, global business leadership mission of the Alloutcoach Podcast. Enjoy this episode, which is a deeply personal conversation between us in which we discuss Francesco's journey and essentially describe how far a person's patriotism, humanism, as well as curiosity can go in becoming a celebrated, respected and admired figure an entire country knows based on the three books Trecci has written and his own inspiration to learn about a new culture in such incredible depth. Get to know Francesco Trecci on Facebook and across social media channels. The podcast is in Italian, but is fully subtitled in English. As a bonus musical dedication to this podcast, you will also hear a song called "Born in Georgia" I had written and produced completely with a new arrangement years ago based on a worldly famous Italian patriotic song "L'Italiano" by Toto Cutugno. The production in the studio involved people from 6 different cultures - a testament to how modern age humanism, respect, and curiosity for not just one's own but other countries can build bridges between people, illuminate, and enrich them, which is ever so critical in today's world.Timeline0:00 Speaker and Episode Introduction3:30 What inspired you initially to learn about the Republic of Georgia?4:40 Where does your curiosity come from?6:39 How do you define a person to whom one culture or one passion is not enough to be happy?7:52 What are some historic figures that transcended borders that influenced you?10:36 Why studying a foreign country in depth does not reduce your patriotism12:54 Personal Story - Returning to my native Georgia after 8 years and its personal impact14:06 Value of Modern Humanism and Ambassador Connecting 2 Cultures14:48 Francesco Trecci's Three Books in Italian about Georgia16:47 Biggest Success and Lesson in Francesco's JourneyConnecting with people in Georgia thanks to the books he has written18:02 Greetings and announcement of a musical dedication19:04 Song: "Born in Georgia" - new arrangement based on an Italian Patriotic Song in Georgian22:37 Closing Remarks: How a patriotic song dedicated to 1 song connected people from 6 different cultures in the recording studio

At the 2025 Medical Innovation Olympics, a powerful all-star expert panel moderated by Melissa Norcross (Vice President, Corporate Strategy, Hyland Software) featuring Eddie Power (CEO, Empower Medical, former Global Medical Affairs Leader at Pfizer), Vivek Mukhatyar (Senior Director, Medical AI Team Lead, Pfizer), and Ravi Kiran Koppichetti (Senior Analyst, Manufacturing Technology, Vertex; former Lead IT Data Engineer, Novo Nordisk) cut through the hype and delivered a practical playbook for leaders in healthcare: 1) Fall in love with the problem, not the tool; 2) Think in systems, not silos; and 3) Train your people, not just your models.Timeline00:00 Highlight 1: Why AI Innovation Fails When the Problem Is Mis-framed01:20 Highlight 2: Probable vs Precise Decisions: Where AI Helps vs Where Governance Must Lead03:38 Highlight 3: Falling in Love with the Problem, Not the Solution04:38 Highlight 4: Non-Patient AI Use Cases: Process, Partnership & Proof06:00 Leadership in the Age of AI: Framing the Right Questions08:52 Systems Thinking in Healthcare Innovation (Hepatitis C Case Study)11:35 Constraints in Medical Affairs: Where Humans Must Stay in the Loop13:19 AI as “Intelligence on Tap” vs Clinical Decision Authority17:53 Defining Target Conditions and What “Done” Really Means20:15 Systems Failures in Real-World Healthcare Environments22:50 How Providers, Payers, and Pharma Are Using AI Today25:47 Who Decides: Human vs AI Agents in Regulated Healthcare27:18 Industry 4.0 Explained: Integrating OT and IT in Pharma Manufacturing30:33 Data Quality, Trust, and Why Most Organizational Data Is Unstructured32:03 Probabilistic AI vs Precision Decisions: A Leadership Framework34:35 Trust, Evaluations, and Human-in-the-Loop AI Design39:11 Why 95% of AI Pilots Fail — and the Role of AI Ambassadors43:08 Closing Reflections: Systems Thinking, Learning Loops, and Fearless Curiosity

The 2025 Medical Innovation Olympics featured one of the most memorable and personal interviews with Amber Salzman, CEO at Epicrispr Biotechnologies, an extraordinary leader with unparalleled sense of purpose, urgency, PhD in mathematics and illustrious track record of success as a pharmaceutical industry executive with over 30 years of experience that included growing revenue, shareholder value, and accelerating innovative treatments. She began her career leading R & D at GSK with a clinical pipeline responsibility for $1.25 billion, prior to serving as CEO at Cardiokine, CEO at Avalanche, co-founder of Annapurna, SAS, CEO of Adverum, Ohana Biosciences. She currently serves on the Osler Diagnostics (UK) and AviadoBio (UK) Boards. In addition to advocating for patients living with rare diseases, Dr. Salzman leads the Stop ALD Foundation, a non-profit medical research foundation focused on developing.In this interview Amber speaks about her personal and family's struggle with neurodegenerative rare diseases and the critical new discoveries in gene regulation to switch genes on and off rather than cut DNA which she has guided and accelerated with the support of an extraordinary team of Nobel Prize laureates and scientists at Epicrispr. 0:00 - Highlight 1 - Amber's Family's Personal Struggle with Rare Neurodegenerative Disease1:02 - Highlight 2 - Patient's Real-World Story from the 9/11 tragedy2:31 - Highlight 3 - Vision & Stamina Needed to Address Unpredictability of Human Biology 4:03 - Speaker Introduction7:19 - Keys to Transition from R & D to CEO/Commercial Leader10:22 - Approach to decision-making as a leader with urgency & purpose14:00 - Epigenetic Editing and How it is different from CRISPR16:36 - Challenges on the journey to Epicrispr's discovery18:14 - Second challenge - finding a gene modulator with which to fuse it 18:49 - Patients vary significantly in how they express their symptoms19:52 - Springbuck Analytics Partnership - Whole Body Imaging21:14 - Recent disappointments from Sarepta in Duchenne’s muscular dystrophy25:48 - How Amber’s personal family experiences with Genetic Diseases impacted her leadership journey29:47 - When could FSHD patients finally access this new treatment?31:27 - What other disease conditions is Epicrispr considering in its development program?33:27 - Amber's Lessons: Stay focused on patients, learn, and co-develop treatments together

Alex Giorgetti is a celebrated professional water polo World Champion, Olympic Silver Medalist and owner of a non-profit organization, Giorgetti Athletics where his goal it to build next generation champions ready to earn top scholarships in best U.S. universities or reach professional water polo leagues across Europe. He was a guest keynote speaker at the 4th annual Medical Innovation Olympics where he shared vivid lessons from Olympics and World Championships on maintaining a resilient mindset, the power of generating strong unity and habits in teams, Medical Innovations in analytics to personalize training to a given player or position, and tangible lessons to build winning teams in business.0:00 Team Sport is like an Orchestra - Highlight2:22 Speaker Introduction3:25 Lessons from Championships on BusinessDiscipline, power of teamwork. Tough sport mentally and physically. Giorgetti Athletics is a non-profit organization. We teach young swimmers about water safety, teach young athletes how to achieve sports scholarships at the most competitive colleges in the U.S., reach professional leagues in Europe. Our goal is to be an inspiration for the next generation.5:15 - Secrets to 4-year Championship Streak on Italy's Water Polo Team5:59 - Team Sport is like an Orchestra Everyone needs to be connected and synchronized in the right moment or music loses its flow. Sports teams without unity lose rhythm. Unity with strong mindset is what Alex calls the magic bubble. Our winning teams during this 4-year streak won games 2 hours before we even jumped into the pool. We did not have to think or plan - we were spontaneous.8:04 - Role of Preparation, Visualization and Recovery on Winning80% of the result depends on your mindset. Visualization and Recovery are most critical9:42 What types of medical approaches did you use in those Championship teams?Cold water therapy, heart rate monitoring scans. 10:20 - Physicians were taking blood tests during 100% fatigue and pressure. This allowed our coaches to know when to rest which roles - centers who fight a lot under water. These medical analytics and tools11:44 - What role do rules and formats of competition play on the outcomes in sports and business?The pool length has shortened from 33 to 25 meters to , lower threshold for exclusions or penalties including physical contact even with one hand blocking a player.13:16 Key in Sports & Business - who is quicker to adapt & keep calm?Peace of mind. Those more calm, self-confident who understand that they have all the answers inside ultimately win.15:18 Life & Business LessonOnly 1 Good Habit can build the Best Version of Yourself

On October 6, the Host of the 4th annual global, virtual Medical Innovation Olympics, recognized as one of the top 4 innovation challenges across the globe by Fierce Pharma in 2025, Tim Mikhelashvili, CEO and Co-Founder of Amedea Pharma, welcomed all the guests and competitors at this 16-day competition along with two industry executives on the Board and Expert Judges - Melissa Norcross, Vice President, Corporate Strategy, Hyland Software, and Eddie Power, CEO, emPower medical.0:00 Welcome - Tim Mikhelashvili, CEO, Amedea Pharma, Host #MIO20251:38 Power of Gathering Leaders who do not usually Interact Together1:58 Layer the Science - Horizontal Innovation to Master Consistency2:21 Power of Creating Momentum - Lorne Whitehead's Domino Experiment3:13 Leap with Defiance - Healthcare Ecosystem is hostile to Innovation3:47 Advances in Neurocircuitry, Alzheimer's biomarkers, Wearable Devices4:58 Why Humans are Resilient and Innovators by Design5:36 Today We have to be More Responsible than ever, not only Resilient6:14 Innovation in Medicine is like Building a Tall Jenga Block Tower6:54 Why MIO2025 requires Competitors to Present Multiple Times x 16 days7:54 Goal = Feel Like Healthcare Champions Ready for Future Challenges8:25 Melissa Norcross, PhD - Peer Group to Bring out Your Best9:20 Eddie Power, CEO, emPower Medical - Power of Learning, Curiosity

Ellie Holbert, founder and principal of Empact Advisory Services, is a scientist, researcher and organizational change expert who has mastered unlocking full potential of organizations including transforming some of the largest health systems in the U.S. as well as large enterprises with over 250,000 employees. In this latest episode, she highlights the key factors to her system of discovering the human potential to perform in organizations with KPI structure, culture, and habits that drive results.0:00 Episode Highlight 1 - Redefining Failure & Circle of Safety0:42 Episode Highlight 2 - Case: Wrong KPIs harmed Customer Satisfaction in a Large U.S. Healthcare System03:34 Personal Inspiration: Lessons from Motherhood & Reading“Redefining strength, resilience, and inspiration.”04:53 Academic Excellence & Early Career Discipline“Why structure, early mastery, and emotional intelligence shaped her career.”07:46 Metrics vs. Culture: Avoiding the Wrong Incentives“How poorly designed KPIs can backfire—and what to measure instead.” Importance of balancing individual and team metrics. Measuring trust, approachability of leaders and emotional intelligence factors is linked to observable leadership that drives business outcomes.10:30 Unintended Problems of Procurement KPIs in Largest US Health System. Created Customer Dissatisfaction despite opposite intentions.11:40 When to Invest in Team Effectiveness Interventions“Times of change, fear, and stagnation demand cultural investment.”Employees are operating from self-protection which is slowing innovation, and performance.16:42 Today's Need to Protect Top Performers & Measure ROI“Why high performers deliver 8X output and how to retain them.”19:49 Building Self-Driven Teams That Last Beyond ConsultingEllie anchors specific techniques to “Psychological safety, retrospectives, and boldness as cultural cornerstones.”20:30 Leadership Power of Describing Reality Accurately without BlameSelf-regulation is a norm in the most successful teams, centered on creating structure with clarity, safe environment and analysis of emotional intelligence.24:48 Keys to Thrive in Uncertainty: Mindset, Delegation & Letting Go27:57 Redefining the Modern OrganizationEllie reacts to Netflix custom to encourage executives to make $1 million dollar mistakes. Failure is a critical part of our success, as well as sharing lessons from failures because of the benefits of learning. “The four pillars: psychological safety, belonging, clarity, and purpose.”33:03 Case Study: From Chaos to Clarity in 8 WeeksEllie tells how she created champions in a financial services organization with 5000 employees handling a major cybersecurity initiative, pressure and uncertainty. “How one healthcare team improved ROI by 45X and revenue by 11X.”37:35 – Final Words & Team Health Assessment“Start small: measure and improve team health."

Celebrate the start of your busy summer with an inspirational conversation that will drive you to see the bigger goals more clearly and celebrate your smaller wins more often. This episode is full of real-world stories and case studies with a gifted healthcare innovator, scientist and sports athlete turned Sales executive, Graham Long, Chief Commercial Officer, Tobin Scientific. Graham is a Commercial Leader specializing in sales, marketing, and business development within high-growth life science research, drug discovery, and diagnostic sectors who had previously worked for BioPharma (Glaxo Group Research ,Ciba-Geigy) and biotech (Biotal Ltd.) companies in various research roles. He is an expert in building winning teams and transforming life science companies such as SmartLabs with a proven track record in revenue generation, portfolio management, global product launches, and strategic partnerships.0:00 Episode Highlight #1 - How Data Transparency Inspires Meaning and Performance1:24 Episode Highlight #2 - Detailed Data Analysis Driving an Underdog to Win3:19 Speaker Introduction5:27 Key Lessons from the Career of a Scientist Athlete-turned Biotech Sales Executive7:13 Early cancer research highlights in oncogene and pharma transition9:53 Career Turning PointIndustry first technology from a Harvard spinout12:13 How Graham continues to be an innovator regardless of the tough journeyPower of giving voice and psychological safety to unlock human creativity and superpower in teaming and using technology.16:10 Critical value of curiosity, desire for learning, adaptability to address blind spots17:14 Qualities of mentors that influenced Graham to 18:20 Identifying small windows of opportunity to scale companies like SmartLabsTiming of the interaction between the client and vendor have happen at the Identifying end-user journey Why end-users can benefit from the productCommunication of benefitsReaching end usersProcesses to identify recurrent patterns in type of clients and needs21:25 Metrics details necessary in manufacturing and high stakes regulatory scenariosRegulatory environment does not leave any room for error and calls for right metricsLog and track where errors occurConstant process improvement mindsetSOP is fixed in manufacturing but root cause analysis26:05 John McNeil - former Sales/Mktg President @Tesla: Innovation by Subtraction26:50 How Performance Analytics transformed the Oxford vs. Cambridge Boat Race29:13 From a Personal Sports Background to Scaling Companies: See the Bigger Goals, and Celebrate Small Wins along the Journey 31:08 Individual Recognitions in Teams are critical33:07 Ultimate benefits of Data on Individual Motivation and Team Progress34:47 Shifts in Mindset necessary to transform into a Winning Commercial Leader36:22 Technical shifts to drive Commercial Success - validation, research, and insights38:55 Game-changing steps of financial modeling, viability and economics40:30 Bridge from R & D to Commercial through a Tech Transfer Scientist role42:27 Final Thoughts - Maintain Excitement and Curiosity for Healthcare Advances

The first Alloutcoach episode of 2025 is a powerful and honest conversation from an unforgettable Expert Panel at the 2024 Medical Affairs Innovation Olympics about a much needed modern view of leadership in Medical Affairs, pharma, healthcare and beyond. The thought-provoking discussion will certainly challenge you and offer practical solutions. It features some of the most dynamic, accomplished leaders who provide intriguing, candid, and diverse perspectives across pharma and biotech, Medical Affairs, ESG, finance, technology, and life sciences backgrounds. Speakers: Melissa Norcross, AVP, Corporate Strategy and ESG, Hyland SoftwareChristopher Piedmonte, Managing Director, NeoTerra Capital, Tech Executive, Angel Investor Natasha Hansjee, Integrated Medical Enabling Catalyst, RocheTopics1. Leadership & Talent: What are the current gaps in innovative Medical Affairs leadership approaches from a talent management perspective – how do we maximize the power of medical decisions from a skillset and mindset perspective (AI savviness, critical thinking, innovative, digital HCP engagement)? 2. Measuring and Improving Impact on Patients: How can Medical Affairs continue to reinvent itself with emerging challenges, technology, or competitive sources of information that drive clinical decisions to instead utilize them appropriately yet demonstrate its independent value and impact in the future? 3. Decision-Driven Analytics – what case studies or best practices can we learn from in decision-driven analytics and excellence in internal decision-making and strategy across the different life cycles of products, devices, etc.4. How do we stimulate problem solving and adaptive performance, not only tactical performance to drive innovation in Medical Affairs? 0:11 Episode Highlights 8:20 Introduction of Panel 9:50 Moderator's Introduction - What Gaps are there in Medical Leadership? What does it mean to lead well? Provide not only skillsets but toolsets. Celebrate and stimulate failure.Emphasize customer experience15:46 Gaps in Clarity of vision, Access to Resources18:35 Setting the right foundation of trust and mindset as LeadersLeader's job is to help team members to avoid trouble, resolve problems and not assign blame.21:59 Empowerment comes through accountability, which is missingPerformance Feedback is critical23:57 Unlocking Innovation and Critical ThinkingPsychological safety is effective only when combined with AccountabilityTeaching others how to think in order to maximize performance25:20Leaders Drive Business PerformanceTrust and accountability fall along a spectrum, and are not opposites27:26 How do the greatest leaders drive more effective innovation? 31:44 Innovation through accidental discovery accelerated by Generative AIIn many ways AI stands for artificial intern vs artificial intelligenceHow critical collaboration is as well as competition33:45 At the edge of performance, athletes learn from other competitors who have superior skills.34:45 Case Studies of Utilizing Analytics to Drive Better Decisions36:45 Get diverse perspectives, from relevant and large groupsBeware of making assumptions based on data39:31 Take data you have available, match the quality of the data to make best decision. It is never perfect. Do more with less resources - innovation.43:14 Last Call to Action to Lead differently tomorrow in Medical AffairsClarity - Objectives, Timelines, Resources, Performance metricsVoice of Customer + Voice of Employee46:53 Find Someone to Compensate for your Blind Spots

Clinical research is undergoing a revolution in light of new demands for speed and opportunities from a technological standpoint. These trends have given rise to a debate about the quality and clinical meaning of traditional methods of investigations versus modern types of clinical studies to collect real world evidence. This debate at the 3rd annual Medical Affairs Innovation Olympics #MAIO2024 in a unique and exciting format with a live poll at the conclusion, features an animated discussion from three speakers: Rashad Massoud, MD, MPH, CEO of Rashad Massoud Associates, LLC., globally recognized healthcare quality expert, physician, formerly visiting faculty at the T.H. Chan School of Public Health; Suzanne Pavon (moderator), Doctor of Pharmacy, Board Member at Iethico, former Vice President of Pharmacovigilance and Quality at Argenx; and Sana Syed, Senior Medical Director - Clinical Lead at Sanofi and public health expert formerly at T.H. Chang School of Public Health. Debate Objectives: ● To discuss the utility of RCTs in research and learning ● To discuss the challenges in translating RCT findings into the real-world environment ● To review the utility of the RCT approach to facilitate real world implementation ● To review the impact of the RCT approach for impact and limitations ● To discuss alternative research methods for research and learning ● To conclude with the research approaches that fit best for clinical trials and the real world; indicating a need for an adaptive, dual approach. 0:00 Alloutcoach Intro Music 0:09 Episode Highlight 3:09 Innovation Olympics Introduction 4:44 Debate Rules & Introduction 6:30 RCTs are the Gold Standard for Research and Learning - For the Motion - Sana Syed 8:12 The Scientific Method - Standard RCT Design 9:46 Rare Disease Case Study 11:38 Translating Biology vs Translating Real World Factors 14:34 Diversity of patients critical for data to represent populations 18:50 RCTs are NOT the Gold Standard for Research: Against the Motion - Rashad Massoud 20:27 Properties of an RCT 21:19 Other Research Questions to Eliminate Other Factors that may influence the results 24:13 Access Questions and Outcomes of Interest - Discovery and Delivery 24:48 Agency for Healthcare Research and Quality (AHRQ) - ~17 yrs to translate data into real world 26:33 Efficacy vs. Effectiveness Research 31:02 Concluding Remarks - case study in which RCT designs are not beneficial 35:30 Question: Health Avatar and AI to create real and virtual control arm Using virtual control arm using real world databases using Bayesian statistical methods 39:23 Case study to emphasize Harnessing Tacit knowledge 42:02 Comment: Weaknesses in generating data we can translate into populations 43:44 Question: Are we creating RCTs from virtual patients or classical RCT design? 47:34 Final Comments - For the Motion, Sana Syed Clinical Studies and Scientific Method - adjustments in diverse patient recruitment tactics 49:31 Final Comments - Against the Motion, Rashad Massoud 53:14 Live Voting Results

Bob Beamon is a multi-talented champion that has followed the path of his own inspiration to generate excitement and purpose throughout life. In order to succeed and leave a legacy on others, he had to make the decisive steps to make the right jumps in sports to break longest-standing world and Olympic records as well as in life to follow his many dreams and succeed. At the 3rd annual Medical Affairs Innovation Olympics, I sat down with Bob Beamon to learn how his sports career and multiple inspirations (basketball) influenced the decisions he has made in his personal life and success in continuing to reinvent himself as a champion in music. We explored explore what makes the long jump one of the most classic and difficult events in track and field and possibly sports, the individual components and mechanics of the jump, how his talent, circumstances, and training led to his success. In addition, he discusses his personal theories on competition, approaches to edging out competitors in sports, and transition into how he defines competition in life and what impact his environment, character, and personal inspiration have played on the kinds of jumps he has had to make in his personal life to follow multiple different and challenging paths yet succeed. In this absolutely inspirational and candid discussion, Bob speaks about his own health, how healthcare professionals throughout his career and life have helped him make personal decisions, the role his coaches and training have had on his health after retiring from sports, and what types of innovation inspire him currently or those he hopes to see in healthcare in particular. 0:00 Episode Intro 2:17 Keynote Speaker Welcome 4:20 First Jump in Bob's Life that shaped his career afterwards. Bob's tough childhood and background 8:42 Basketball and Track Field in Police Athletic League Activities Bob wanted to find a sport in which he could simply win. 10:07 First long jump at age of 10 was 19 feet 10:43 Bob's personal approach and philosophy on competition His motivation was to be "somebody special" and "proving to people" he was going to be a "shining star" in his community. 12:23 Daily discipline of practice His goal was not only Athletic but Personal and Social Achievement 13:04 First time he competed in the Junior Olympics 14:29 Bob had no coach or supporter at the Junior Olympics He jumped 24 feet 1 inch and newspapers mentioned him as a "future Olympian" 15:18 Dean of Students became Bob's coach and "saving graces" Larry Ellis 16:47 What part of his success was due to his God-given talent vs training? Bob had the foundation - basics of jumping. He was always open to Learning and to making himself feel good about what he was doing. His drive was rooted deep inside. 19:19 How Bob put the world-record performance together in Mexico City He trained with the fastest sprinters in the world which 21:07 What makes the long jump one of the most difficult disciplines? His strong inner spirit helped him. He knew deep inside he would one day be successful. He had lost so often that he felt even 23:23 How becoming a champion influenced Bob's career and life? Many athletes are lost and do not know how to transition after ending their sports career. We need to coach athletes and prepare them for life after sports. 26:53 Bob's problem with blood pressure and kidneys 29:10 Message on healthcare innovation to the medical community Bob educated people on hypertension through opportunities opened by pharma companies. He developed kidney problems and diabetes. He dealt with health problems like a sports athlete, like an intelligent athlete. I am going to continue to be a winner. 33:33 How Bob has reinvented himself recently as a musician, drummer 38:25 Bob's experience as a percussionist and favorite instruments 42:20 How do you teach someone to find the fire inside them" Open up - How you really feel about yourself helps you open yourself to win, achieve, and find opportunities.

This is a special Episode Edition on the @Alloutcoach Podcast. Tune into this memorable highlight from the 2023 Medical Affairs Innovation Olympics event Opening Ceremony full of real-world practical case studies, striking new statistics, and critical commentary - an expert panel discussion about the details necessary to make both short-term and long-term marks on improving healthcare quality from both the perspective of a globally recognized healthcare quality expert physician and public health speaker, Dr. Rashad Massoud (Visiting Faculty T.H. Chan School of Public Health), and of an innovative pharma industry executive recognized for his leadership and dedication to patient advocacy groups, holding senior leadership roles in Commercial, Marketing, Market Access and most recently in Medical Affairs, Rob Adamoski (Vice President, Corcept Therapeutics). 0:00 Intro Music 0:22 Episode Highlight Cushing Syndrome Case Study - Perception Gap on Treatment Quality between Patients vs their Healthcare Providers. 1:58 Speaker Introductions 4:11 Panel Discussion Outline 4:38 Global Healthcare Quality Improvement Case Study USAID Applying Chronic Care Model to Improve Coverage, Retention, and Clinical Outcomes: Uganda 16:46 Role Medical Affairs in Pharma can Play on Health Quality 17:56 Connection to Disease - Stimulating Purpose in Medical Affairs 19:29 Value of Recent and Relevant Clinical Experience in Medical Affairs 20:21 Aiming for Diversity of Experience across entire Care Continuum 22:07 Finding the Right Balance on Your Medical Affairs Team 22:58 Case Study: Personalized Medical Liaison led Executive Staff training 25:01 Critical Gaps in Training in Medical Affairs Team - benchmarking data Larger Organizations offer more training opportunities vs mid-sized and smaller pharma or biotech companies in Medical Affairs. Only 42% of Medical Affairs organizations provide any training and only 23% of small pharma companies (Medical Affairs Professional Society) 27:01 Why Most of Us in Medical Affairs believe Metrics are not Meaningful 28:57 Power of a Graded Data Science based KPI Feedback Loop 30:12 2023 Medical Affairs Metrics Global Benchmarking Gap in Analysis70% of Medical Affairs companies do not systematically analyze how their activities lead to outcomes 30:41 The Motive to Measure Performance in Medical Affairs with KPIs 31:24 Medical Productivity Index (MPI) Model to Increase Performance 32:25 Integrating Health Systems Approaches to Metrics in PharmaAll-Mobile Hypertension Clinics that improved quality and bridges health equity gaps - India Case Study 42:38 Medical Affairs Improving Healthcare Decisions - Patient Advocacy 47:00 How Healthcare Cost relates to Quality - latest trends 49:44 How can we make Healthcare Jobs Desirable again? 52:40 Improving Quality w/ 1) Accountability & 2) Transparent Data Culture

On the latest episode of Alloutcoach, I spoke to Neel Doshi whose research on human motivation and performance has inspired me over the years. Watch this video podcast to understand why I consider him one of the brightest minds in organizational change research who has created forward-thinking solutions that can transform your business. Neel Doshi is Co-founder and CEO of Vega Factor and Factor.AI https://www.factor.ai, NY Times and Wall Street Journal best-selling author of "Primed to Perform", multiple award-winning founder of various tech startups, MIT graduate in engineering and Wharton Business School MBA. 0:00 Intro 0:08 Episode Highlight 1:52 Neel Doshi Introduction 3:30 Why Neel decided to study human performance at work His journey from first job as software engineer at major bank and personal frustration from lack fulfillment and mediocre attempt at starting a company to researching the root causes and drivers of human motivation at work for the next 15 years 7:56 Various types of industries Neel Doshi has researched 8:58 Distinguishing and Ranking Tactical vs. Adaptive Types of Performance at work Tactical Performance refers to alignment to roles, objectives, and goals while adaptive performance refers to innovation, problem-solving, and improvisation. 13:23 Measuring Motivation to produce both Tactical and Adaptive Performance at Factor.AI Research indicates 6 motivational factors along a spectrum of stimulating or inhibiting performance: 1) play 2) purpose 3) potential (3 positive factors that stimulate adaptive performance), followed by 4) emotional pressure, 5) economic pressure, and 6) inertia (3 negative / inhibiting factors) in descending order 21:42 Tesla Model 3 Mass Market Case Study Real-world example confirming that relying completely on Tactical Performance alone through technology is insufficient and detrimental, and Adaptive Performance via human capacity to think critically is central to driving growth in business. Elon Musk's 2009 Tweet: "Excessive automation at Tesla was a mistake. To be precise, my mistake. Humans are underrated". 24:50 How do you measure performance through profitability vs social impact? Majority of the motivation of performance is local to the employee not global to the company. This is why social impact is not a driver of motivation or performance. 29:20 How to both perform and collaborate today when the pace of competition is rising so rapidly. Companies do not have to turn increasing external competition and global pressures into coersion and blame. They can make competition fun. Competition can make work more purposeful because an employee can feel like he/she matters more in the presence of an adversary. Companies turn competition into pressure rather than play and purpose. Play and purpose, our highest performance motivators are not bound by a limit and do not represent a zero-sum game unlike emotional or economic pressure, for example. So if companies are using emotional or economic pressure or indirect motives to drive performance they are fracturing collaboration by design. Collaboration suffers, and so does problem-solving and adaptive performance. When I do not have companies I work with that have internal competition, I create competitions. 35:13 What are some examples of new ways of working to drive higher motivation at work? Hierarchies and distinct roles are important to communicate diverse vantage points and perspectives. Metrics make work more fun because they provide a scoreboard to a game and can drive stronger performance as long as they are not weaponized by leaders. Similarly, performance reviews should be used not to blame and shame people but should involve teams to evaluate team performance together rather than use individual reviews to measure teams. 45:10 How Neel is currently stretching himself and lifting others Engineering stronger performance has become a science and there are specific solutions we have now built that are available for you.