Health Technology, Digital Healthcare
Article | August 16, 2023
“Health care is different, the data here is emotional! If you tell me you were buying a fishing rod online and were emotional about it, I’d say you are lying. But I do frequently see people helpless and confused when it comes to receiving health care, managing its costs, making sense of its data.”
- Senior Product Leader inOptum Global Solutions Pvt. Ltd.
Yes, health care is different, and so is product management in it. This piece highlights the top 4 product management trends that are specific to health care and serve beyond being just a list of technologies making their way into health care.
Health care consumerism
Lance broke his ankle in a bicycle accident and is now in hospital waiting for surgery. Which of these words would describe him more aptly— a ‘patient’ or a ‘health care consumer’? The fact that Lance holds a high-deductible health plan, manages an interactive relationship with his primary doctor, keenly monitors his fitness through his smartwatch, and learns about healthier diet plans and recipes online — I can say he isn’t just receiving health care, but making active choices on how to pay for and manage his health. This choice and responsibility that people demand, is ‘health care consumerism’. This trend has been growing since 2015 when value-based care started picking up in the US.
What does this imply for products/PMs?
These are challenging and exciting times to be a product manager (PM) in health tech. This is because people are now demanding an experience equivalent to what they’re used to from other products in their lives, such as e-commerce, streaming platforms, and digital payments, to name a few. Any consumer-facing product (a mobile app, a web-based patient portal, a tech-enabled service) needs to meet high expectations. Flexible employer-sponsored health plans options, health reimbursement arrangements, price transparency products for drugs and medical expenses, remote health care services, and government's push to strengthen data and privacy rights — all point to opportunities for building innovative products with ‘health care consumerism’ as a key product philosophy.
Wellness
COVID-19 has tested health care systems to their limits. In most countries, these systems failed disastrously in providing adequate, timely medical assistance to many infected people. Prevention is of course better than cure, but people were now forced to learn it the hard way when cure became both inaccessible and uncertain. With lockdowns and social isolation, prevention, fitness, diet, and mental wellbeing all took center stage.
Wellness means taking a ‘whole-person approach’ to health care — one where people recognize the need to improve and sustain health, not only when they are unwell, but also when they’re making health care decisions that concern their long-term physical and mental health. A McKinsey study notes that consumers look at wellness from 6 dimensions beyond sick-care— health, fitness, nutrition, appearance, sleep, and mindfulness. Most countries in the study show that wellness has gained priority by at least 35% in the last 2–3 years. And wellness services like nutritionists, care managers, fitness training, psychotherapy consultants contribute 30% of the overall wellness spend.
So, what do health-tech PMs need to remember about wellness?
The first principle is, “Move to care out of the hospital, and into people’s homes”. A patient discharged after knee surgery has high chance of getting readmitted if he/she has high risk of falling in his/her house, or is unable to afford post-discharge at-home care with a physiotherapist. This leads us PMs to build products that recognize every person’s social determinants of health and create support systems that consider care at the hospital and care at home as a continuum.
The second principle is, “Don’t be limited by a narrow view of ‘what business we are in’, as wellness is broad, and as a health tech company, we are in health-care, not sick-care”. Wellness products and services include — fitness and nutrition apps, medical devices, telemedicine, sleep trackers, wellness-oriented apparel, beauty products, and meditation-oriented offerings, to name just a few. Recent regulations in many countries require health care providers to treat behavioural health services at par with treating for physical conditions, and this is just a start.
Equitable AI
Last month, WHO released a report titled “Ethics and Governance of Artificial Intelligence for Health”. The report cautions researchers and health tech companies to never design AI algorithms with a single population in mind. One example I read was, “AI systems that are primarily trained on data collected from patients in high-income settings will not perform as effectively for individuals in low or middle-income communities.” During COVID-19, we came across countless studies that talked about the disproportionate impact on minorities in terms of infections, hospitalizations, and mortality. A student at MIT discovered that a popular out-of-the-box AI algorithm that projects patient mortality for those admitted in hospitals, makes significantly different predictions based on race — and this may have adversely moved hospital resources away from some patients who had higher risks of mortality.
How should I think about health equity as an AI health-tech PM?
Health equity means that everyone should have a fair chance at being healthy. As a PM, it’s my job to make sure that every AI-assisted feature in my product is crafted to be re-iterative and inclusive, to serve any community or subpopulation, and is validated across many geographies. To prevent any inequitable AI from getting shipped, it is important to ensure that the underlying AI model is transparent and intelligible. This means knowing what data goes into it, how it learns, which features does it weigh over others, and how does the model handles unique features that characterize minorities.
Integrated and interoperable
In every article that I read on topics such as digital platforms, SaaS, or connectivity with EMRs, I always find the words: ‘integrated’ and ‘interoperable’ therein. Most large and conventional health tech companies started by offering point-solutions that were often inextensible, monolithic, and worked with isolated on-prem servers and databases. To give a consistent user experience, leverage economies of scope, and scale products to meet other needs of their customers, started an exodus from fragmented point-solutions to interoperable, integrated solutions. The popularization of service-oriented architectures (SOAs) and cloud vendors like AWS, Azure, and GCP has also helped.
The what and how of integrated-interoperable solutions for PMs:
Integrated solutions (IS), as I see them, are of two kinds — one, in which as a health tech company, we help our customers (health systems, insurance companies, direct to consumers) accomplish not just one, but most/all tasks in a business process. For example, a B2B IS in value-based care contract management would mean that we help our customers and health systems by giving an end-to-end solution that helps them enter into, negotiate, plan for, manage, get payments for their value-based contracts with health plans.
In the second type of IS, we offer products that can be easily customized to different types of customers. For example, a health management app that people can subscribe to for different programs such as obesity, diabetes, hypertension, cholesterol management, as needed. The app works with different datasets for these programs and uses different analyses and clinical repositories in its backend, but still delivers a consistent user experience across programs to a user who enrolled in multiple programs, say diabetes and weight management.
‘Interoperable’ simply means that one product should be able to talk to other products both in and out of the company. For example, if product-A can alert a doctor about any drug-drug interactions or allergies a patient might have, while she is writing prescriptions for the patient in product-B (an EMR), then product-A does talk to product-B, and hence, is interoperable. This trend is picking up further with the growth of IoT devices, and industry-wide participation in adopting common standards for data exchange.
Conclusion
Though the article derives much of its context from US health care, I have tried to keep a global lens while choosing these topics. For developing economies like India, digitization is the number one trend as much of the health system is still moving from manual records to digitally store patient and medical data in EMRs. The good news is that India is booming with health-tech innovation and that is where consumerism, wellness, and equitable AI make sense. Once companies develop enough point-solutions for different health system needs and use-cases, Indian health tech will see a move towards creating integrated, interoperable (IGIO) systems as well.
There are some other trends such as — use of non-AI emerging tech such as Blockchain in health information management, cloud infrastructure for health tech innovation, big data and analytics to improve operational efficiency in areas such as claims management and compliance reporting, Agile product management for co-developing with and continuously delivering to clients etc. — but I see them either as too nascent, or too old to feature in this list.
Finally, as a health tech product manager, you can use the following questions to assess your products against the above trends — (Consumerism) do the products that I manage, empower consumers with choice, information, and actionability? (Wellness) Does my product emphasize keeping them out-of-hospitals and healthy in the first place? (Equitable AI) Am I sure that my product doesn’t discriminate against individuals belonging to underserved populations? (IGIO) And finally, is my product scalable, integrated and interoperable to expand to a platform, in the true sense?
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Digital Healthcare
Article | November 29, 2023
Explore the evolution of healthcare by diving deep into these EHR trends, as they pave the way for the future of EHR. Embrace cutting-edge solutions to enhance patient care and optimize operations.
1. Introduction
2. Significance of EHR Trends
3. Top 10 EHR Trends Shaping the Healthcare Industry
3.1 EHR Interoperability
3.2 Patient-reported Outcome
3.3 Patient Portals
3.4 Generative AI
3.5 Cloud-based EHR
3.6 Voice-enabled EHRs
3.7 Predictive Analytics
3.8 Robotic Process Automation
3.9 Telehealth-EHR Integration
3.10 Blockchain for EHR Data Integrity
4. Future Scope
1. Introduction
Electronic health records (EHRs) have transformed the medical industry by revolutionizing how medical information is recorded, accessed, and utilized. This article focuses on the EHR trends and innovations that have reshaped the healthcare field, paving the way for a more efficient and patient-centric future.From enhanced interoperability to cutting-edge technologies, professionals can unravel the key trends propelling future of EHR toward a new era of healthcare delivery.
2. Significance of EHR Trends
The importance of EHR software technology trends is highlighted by their transformative influence on the healthcare sector. This transformation was further expedited by the impact of the COVID-19 pandemic, which played a critical role in the increased adoption of telehealth services. As the pandemic necessitated alternatives to in-person visits, the demand for efficient and remote medical services surged, propelling telehealth to the forefront. Yet, looking beyond pandemic responses, the ongoing adoption of EHR trends in healthcare can significantly reshape how healthcare functions. Embracing these EHR trends enhances efficiency, facilitates personalized care, improves data exchange, drives data-driven insights, and empowers patient engagement. Irrespective of global events, it remains essential for healthcare facilities to stay abreast of these trends to remain adaptable and deliver optimized care, ultimately benefiting both providers and patients.
3. Top 10 EHR Trends Shaping the Healthcare Industry
Recognizing significant industry trends becomes crucial in a field that is constantly subject to technological advancement and global change. From adopting advanced technologies to prioritizing sustainability and customer-centric approaches, these EHR trends hold the power to bring about significant transformations across the healthcare sector.
3.1 EHR Interoperability
EMRs face a notable limitation in their ability to integrate with other systems, whereas EHRs offer robust interoperability, enabling seamless data exchange among healthcare facilities. As the demand for interoperability grows, the distinction between EMRs and EHRs becomes increasingly blurred, with vendors referring to products as EMRs that closely resemble what was initially known as EHRs. In response to this trend, developers and IT specialists continually update EHR systems to comply with interoperability policies, making EHRs more appealing for organizations seeking comprehensive and connected healthcare records.
3.2 Patient-reported Outcome
Patient-reported outcome or PRO EHR integration involves incorporating patient-reported outcome measures into electronic health record systems. PROs gather information directly from patient records about their health status, symptoms, and quality of life. These insights provide valuable subjective data for healthcare providers. For orthopedic patients at the clinic, completing surveys on their smartphones via a mobile link is easy. Clinicians can access patient responses during or after appointments to offer tailored care recommendations based on survey readings. Access to patient-reported outcome data empowers clinicians to deliver patient-centered care, fostering greater patient involvement in their treatment journey.
3.3 Patient Portals
Patient portals in EHRs are pivotal in modern healthcare practices as the industry embraces digital transformation. Patient portals within EHR systems are crucial to empowering individuals and facilitating communication between patients and healthcare professionals. These portals enable patients to access their personal health information securely. Patients can schedule appointments, ask questions, and even have virtual consultations, making healthcare more accessible and patient-centered. With improved communication and engagement, patient portals bridge the gap between individuals and healthcare professionals.
3.4 Generative AI
Integrating generative AI tools with Electronic Health Record systems holds immense promise for advancing healthcare industry. Generative AI can significantly enhance EHR software precision and overall technology, resulting in streamlined daily workflows and enabling healthcare providers to prioritize patient care. By utilizing patterns and structures from existing data to create new content resembling the training data, generative AI brings valuable improvements to EHR systems. These benefits include efficiently filling in missing data, enhancing clinical decision support, automating documentation and coding processes, and ensuring billing accuracy, thereby alleviating the burden on healthcare providers.
3.5 Cloud-based EHR
Cloud computing is gaining traction as medical organizations explore the benefits of outsourcing administrative and clinical services, including medical billing, reporting, lab integration, and more. With the increasing adoption of EHR systems, the advantages of easy access to patient data have become crucial. As the patient population continues to grow, the complexity of data rises, demanding solutions that ensure secure storage and accessibility. Embracing cloud-based infrastructure becomes imperative in this scenario, granting healthcare professionals the flexibility to access data using tablets or smartphones safely. This integration empowers clinicians to enhance their productivity in the clinical environment, laying the groundwork for long-term success by offering mobility solutions that cater to evolving healthcare demands.
3.6 Voice-enabled EHRs
Integrating voice recognition technology with EHR systems is a significant advancement for clinicians. By allowing hands-free input of information and patient data, voice recognition technology reduces inaccuracies and speeds up information recording. Additionally, with the support of AI, EHRs equipped with voice recognition can assist doctors in recognizing historical patient trends and making accurate diagnoses. As companies strive to incorporate AI into EHRs through voice-enabled technology, physicians can effortlessly access patient data and inquire about specific health parameters, such as the last recorded iron levels from a blood test. This streamlined approach improves efficiency and enhances the overall healthcare experience and decision-making process.
3.7 Predictive Analytics
Predictive analytics applications have become a significant driving force within the healthcare industry, yielding profound impacts on diverse areas, including cancer treatments and emergency staffing optimization. As the field continues to evolve, the adoption of predictive analytics technology is expected to expand further. Specialized healthcare app development services utilize AI-powered analytic methods, such as statistics, data mining, and modeling, in conjunction with AI capabilities to offer clinical outcome predictions based on real-time device data and electronic health records. This integration aims to elevate the patient experience and improve care delivery, equipping healthcare professionals with valuable insights to make more informed and proactive care decisions.
3.8 Robotic Process Automation
Robotic Process Automation (RPA) is driving the expansion of the automated data capture market for electronic health records worldwide, owing to its ability to enhance workflows and ensure increased accuracy. By automating data capture through robot-based processes, RPA eliminates the need for manual data entry, leading to improved precision. In the healthcare industry, RPA serves as an effective technique to address EHR flaws without requiring a complete system redesign, permitting the utilization of digital labor to preserve efficient processes while resolving underlying issues. By employing system algorithms and programs, RPAs efficiently automate tasks typically carried out by human resources, accelerating the digitization of medical facilities and promptly addressing imperfections.
3.9 Telehealth-EHR Integration
Integrating EHR systems with telehealth platforms revolutionizes healthcare by facilitating remote care and streamlining clinical workflows. This alliance will enable medical organizations to deliver high-quality patient care from a distance while ensuring the swift and secure transfer of patient information between systems and interfaces. The combined power of telehealth and EMR systems enhances virtual care activities, automates data entries, and synchronizes insurance information in a single window, thus optimizing efficiency and productivity for healthcare providers and their staff. Moreover, this integration strengthens patient-physician engagement and fosters seamless collaboration among healthcare teams.
3.10 Blockchain for EHR Data Integrity
While blockchain technology gained prominence through its association with cryptocurrency, its application in healthcare is steadily gaining momentum. By utilizing cryptography, blockchain ensures the utmost security and integrity of EHR data, limiting access to authorized individuals only. In healthcare, blockchain brings value, from validating clinical trials and verifying claim results to monitoring medicine distribution, authenticating prescriptions, and combating insurance fraud. Additionally, smart contracts leverage blockchain to automate actions based on predetermined outcomes, reducing the need for extensive human involvement. Although the adoption of blockchain in healthcare technology is still in its early stages, several EHR systems have already incorporated it to enhance security, scalability, and confidentiality measures.
4. Future Scope
The convergence of IoT devices and big data technology is set to revolutionize the healthcare experience, offering unprecedented digitization and patient engagement. The disruptions brought on by the COVID-19 pandemic have underscored the need for healthcare institutions to adapt and embrace technological advancements. Careful selection of the right EHR system is crucial for healthcare organizations, and a structured approach that involves key stakeholders, requirements definition, vendor evaluation, and implementation planning is essential for successful EHR implementations. The ultimate goal remains to enhance patient care, streamline workflows, and achieve operational efficiencies. While EHRs have already made significant strides in the industry, the future of electronic health records holds even more excellent benefits and technological impact, with healthcare mobile app developers playing a vital role in the value-based healthcare model and preparing for EHR optimization.
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Healthtech Security
Article | August 31, 2023
The fall is a time of renewals and choices. It is also a time of so called “open enrolment” for health plans. It is the one time of year we can study and learn about the options offered through employers or government sponsored plans. Individuals and small business owners alike are also are faced with a myriad of choices with confusing and often contradictory language promising lower premiums with higher out of pocket costs for covered services subject to deductibles. What does it even mean anymore when your monthly premiums exceed your pay check and you still have to pay for your colonoscopy or your insulin? Where is it all going?
Let’s imagine you twist your ankle playing basketball. You might go to an urgent care, receive an X-ray, probably be examined by a non-physician, and then referred to your primary care, who can’t see you for a few weeks but eventually sends you to an orthopaedic who takes another X-ray and treats your injury. Weeks have passed, multiple visits, time out of work, and co-pays, not to mention the out-of-pocket fees associated with imaging and perhaps a $100 ace bandage. What stops you from going straight to the ankle specialist in the first place? First, we have become conditioned to follow the directions dictated by the insurance companies, even when restrictions are not in place, patients have been convinced that stepping out of line will make all insurance promises null and void resulting in catastrophic bills and financial ruin. Second, the doctors and their office staffs have been conditioned to deny entry to any patient who does not have the proper referral, authorization, or identification. There are dire consequences for both if the insurance rules are not followed and fear keeps both sides aligned.
The past two decades have seen an explosion of healthcare costs. Health insurance has become the single biggest line item second only to payroll for most businesses. It is no coincidence that as the government increased its role as payor with state subsidies, the prices have gone up. Much like college tuitions, when loans are easy to obtain and guaranteed by federal support, there is little to deter those in charge from increasing the price. After all, everyone is doing it, it must be OK, and even if students end up in debt, it will be repaid because they have received the value of a great education. Right? But unlike higher education, healthcare is a necessity. We cannot avoid it, and there needs to be a reliable mechanism in place to guarantee access.
Ironically, as charges and prices have continued to escalate, payments to doctors have diminished. Why medicine is the only service industry where there is no transparency is truly astounding, especially since the there has been no increase in so called “reimbursements” for decades. As physicians, we have been complicit, being fully aware of the discrepancies between what is charged and what a patient’s insurance will pay. Even as patients began to have higher deductibles, and therefore higher out of pocket expenses, we continued to follow the rules, asking insurance permission to collect payment from the patient. It is not surprising that bad debt accounts for over 50% of most account receivables and why over 70% of doctors are now employed by hospital networks or private equity, who not only go after patients, but benefit from the repricing that occurs when insurers pay a negotiated amount as opposed to the charge. In other words, we pay more not just for less, but for nothing.
But what if we twisted our ankle and went directly to that specialist and paid out of pocket a transparent price? What would it take for that to happen? Not much, the cost of care is predictable, and because payments have always been decreasing, most physicians have learned to be economical. Plus, out of pocket costs are capped by federal law, so no patient is really responsible for catastrophic bills. Charges inflate to cover overhead, but if payments were guaranteed and immediate, then the cost of doing business goes down. Add technologies like telemedicine to a practice and you have increased patient access to a doctor without adding more personnel. Direct pay doctors are emerging all over the country and have consistently offered better access and more affordable care. The bar is also being set by independent surgery centers and imaging centers who offer better outcomes at lower costs. Perhaps motivated by prohibitive pricing, better options have emerged that have moved patients away from expensive operating rooms to safe, office-based procedures. Even cutting-edge cancer therapies can be delivered at home, preserving more of the healthcare dollar for medical care rather than the complex system built to manage it.
Competition and choice inevitably drive prices, but in a monolithic system the price is not negotiated, but instead it is set by only a few, in this case the big insurers. Small businesses cannot compete when bigger companies come to town. Eventually, the local hardware store gives way to a national brand, and the consumer is left with fewer choices and eventually higher prices. Amazon disrupted this equation by creating a marketplace for individual buyers and sellers. The convenience of finding a trusted brand, no longer available locally, is irresistible and the reason why we became loyal consumers. Healthcare is no different. Trust exists implicitly between a physician and patient, because it is an authentic, empathetic, and logical relationship. Trust does not exist between a patient and their insurer, on the contrary it is an unsympathetic business relationship without transparency or consistency. Few doubt the insurance company’s top priority is the premium, not the patient. Creating a direct relationship between the doctor and patient is a common-sense approach that serves both stakeholders well, and requires merely a fair and affordable price. But do doctors have the capability or the will to do it and if so, can the rest of the system follow?
Never in the history of modern medicine have physicians been more dissatisfied. US healthcare used to lead the world in innovation and outcomes, now we struggle to break the top thirty. We may have the most brilliant doctors and scientists with access to the best resources, but the need to maximize profits while catering to special interests, be they commercial or political, has led us to favour certain therapies over others despite marginal proven benefits. Doctors have little autonomy and less authority; prescribed treatments are routinely denied by insurance companies without a second thought or appropriate peer review. In fact, insurers even renamed us “providers”, a term used to by Nazis when referring to Jewish doctors to devalue them professionally. Over 56% of physicians are burned out, nearly all report moral injury and as hospitals have systematically replaced doctors with non-physicians with limited training, we have watched the standard of care deteriorate. It is no wonder we have witnessed the single biggest loss in life expectancy since WWII. The prognosis is grim, but there are solutions.
We need to reinvent healthcare by removing the middleman. We don’t have to set the price, but we can make it transparent so patients can decide for themselves if it is worth the inconvenience, the delay, and the co-pay to use insurance or just pay directly. Health savings accounts are tax deferred and can cover an out-of-pocket maximum in just a couple of years. Paying for care means there are no surprise bills or out of network costs, because there are essentially no networks and therefore no need to follow restrictions. You’d be hard pressed to find a doctor or hospital unwilling to accept an immediate cash payment, especially when it costs nothing more than the service provided. There are no billing cycles, or claims to prepare, no up coding, or authorizations. Doctors free to care for patients, patients treated individually and not subject to protocols designed to maximize charges. There are literally thousands of direct pay primary care and specialists now available all over the country and they are building alliances with likeminded people providing imaging, ancillary services, surgery centers, and prescriptions all at fair market prices. More and more employers are moving toward medical cost sharing plans that not only lower the cost of care but the cost of administration. Even the biggest payor, namely the government, sees the benefit of price transparency and is piloting models of direct contracting.
We will always need coverage for those unexpected events, emergencies, or hospital-based services, but all the rest - doctor visits, screening tests, and outpatient procedures - are easily affordable. After all, do we use our car insurance to pay for an oil change? If we did, the cost would be prohibitive and few of us would drive. But health insurers have lost our trust, they no longer cover necessary services and no longer honour contracts with physicians or patients. It is time to offer another option and let the patients and doctors get back to the real business of medicine.
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Healthcare Analytics
Article | February 14, 2021
Tempted to throw in the towel on your New Year’s resolutions? It’s a natural reaction during this unprecedented year. I’m here to tell you it’s okay—and you probably don’t need them anyway.
You’re in good company if you’ve given up on the big shifts. According to widely-cited research study, only 19% of people keep their New Year’s resolutions. In addition, this may not have been the best time to make changes, given all that’s going on with the pandemic.
Also, worthwhile to consider the following insights on the unease with making big changes these days. According to research published in Molecular Psychiatry, when you go through prolonged challenging times (and the pandemic certainly qualifies), chronic stress can change the architecture of your brain and make you feel worn out, anxious, fearful, or depressed. These aren’t the best conditions for making major changes.
You may also face “change saturation,” or in other words, you’ve had to make so many transitions, you just can’t make any more. To prevent yourself from becoming overwhelmed, focus on attainable aspirations. Here are a few recommendations.
DREAM ON A SMALLER SCALE
Success for the next 12 months may be closely tied to a less-is-more approach. Instead of seeking a whole new career, maybe you can set your sights on getting assigned to a new project at your current company. In other words, consider how you can tweak your behaviors rather than overhauling them.
Cultivate gratitude. Appreciate the little things. When you’re more tuned into what you have, you’re less focused on what you still want. This “enough mentality” can be helpful to your mental health. You don’t have to make big changes to achieve satisfaction or happiness. Contentment starts with gratitude.
Avoid perfectionism. Often, the fuel for big changes is a feeling you or your situation are not perfect. Remind yourself that perfection is a myth and focus on what’s working. This will help you find fulfillment with your present reality (even if it’s not all you aspire to).
Make a list, then edit down. Another great way to keep your ambitions reasonable is to make a list of all you want to accomplish and then eliminate everything but the top three items. A surefire route to frustration is to expect too much and put unrealistic pressures on yourself. Instead, focus on just a few vital things you want to accomplish, rather than a long list that does not empower you. After you’ve accomplished the first three goals on your list, you can always come back to the others, but give yourself a fighting chance to achieve the most integral top three, first.
MONITOR YOURSELF
Keep yourself accountable through specific techniques—and pay attention to events that may cause you to slide backwards. Research in the Personality and Social Psychology Bulletin explains that 40% of your behaviors occur in similar situations, which is to say familiar circumstances encourage the repetition of choices. Therefore, if you’re able to adjust one potentially repeated behavior, it can make a difference.
Create routines and conveniences. When you want to nurture a behavior, make it a default so you’re not thinking consciously about it. Research published in the European Journal of Social Psychology found when you repeat behaviors in a consistent context, it helps with habit formation and these take hold much more effectively. You can use this to your advantage. Instead of making a conscious choice each morning whether you want the donut or the smoothie, have the sliced fruit ready to go and the blender on the counter so when you arrive bleary-eyed to the kitchen in the morning, you’re just doing what’s already laid out. Start each day with the routine of responding to quick-hit emails. Rather than deciding what to work on first, just create a routine where you’re repeating behavior that works without as much conscious thought.
Plan ahead. When you can plan for things, you can usually control them more effectively. If you’re going to be in a situation that might create challenges for your new behaviors, make a plan. Perhaps you’re going to the grocery store and you can make a plan to avoid the cookie aisle. Or if you’re back in the office, avoid the calorie-tempting socially distanced happy hour with colleagues by leaving right on time and get a head start on the big project you’re working on. Anticipating what might present challenges will help you overcome them.
FIND SUPPORT
Support can be the difference between making small changes and not succeeding at all. Find a source that works for you.
Find friends. Create a virtual group of people also trying to make changes. Perhaps there’s an online group where you can exchange healthy recipes or provide mutual encouragement for regular trips to the gym. Also tap into your existing network and ask your friend to check in with you to see if you’ve had your workout for the day. Seek out colleagues who can nurture the writing skills you want to develop. Find people who encourage you, provide feedback, and remind you about your ability to succeed.
Use technology thoughtfully. There are a wide variety of virtual solutions to help you shift your behavior. Download the app that allows you to track your water intake or the app that will send you notifications if you haven’t moved enough in the last hour. Look for apps that can help you learn the new language you’ve been wanting to add to your skill set or that can connect you with colleagues who have like-minded ambitions. Behavior shifts are most likely to occur with planning, reminders, and feedback. So, find apps that provide these three kinds of support.
Give yourself permission to do less for now and know you can always do more later. In the meantime, stay strong and be satisfied with a little progress for now.
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