Tuesday, September 1, 2009

The EvidenceSoup take on evidence based management

Immediately after my post on well being of the evidence based management movement, Tracy Altman responded on her blog EvidenceSoup. She also thinks that without a collaborative effort, evidence based management is heading for failure. Her blog focuses on the large variety (like law, medicine, dentistry, business, education, etc.) of evidence based practices.

Here's her quick take on things:

The Evidence Soup Guide to Keeping the Evidence-Based Movement Alive.

Part I. How to kill the EBM movement. If people do these things, we'll be writing an obituary:

  1. Frown on new evidence. Develop an environment where people are discouraged from challenging tradition, scrutinizing old habits, or asking tough questions.
  2. Oversimplify things that are tremendously complicated. Insist on clearly delineating which decisions are evidence-based, and which are not. Doggedly pursue a set of formal rules for determining precisely whose actions are evidence-based, and whose are not.
  3. Make evidence exclusive. Behave as if certain insiders (or groups) are the keepers of the evidence, and the rest of us (outsiders) had better sit up straight and pay attention.

Part II. How to pump more life into the EBM movement. Here's how we can nudge EBM into the mainstream:

  1. Avoid painting all fuzzy stuff with the same brush. Resist the urge to divide the world into two distinct hemispheres: One where all things are evidence-based, and one where people are just plain wrong. It's not that simple, and we should know better.
  2. Accept that we often lack good evidence. It's better to openly acknowledge where solid evidence is missing than to pretend. It sends the wrong message when we try to force-fit or stretch uninteresting evidence where there is none.
  3. Set a good example. Encourage people to do things that are evidence-guided (or evidence-informed) every day, to the best of their ability. Create a corporate culture where its okay to ask intelligent questions that challenge authority, myth, and tradition.
  4. Use smarter technology. Find better ways to distribute more good evidence to more people. Make evidence easier to interpret so people can appreciate its value and apply it more easily.

5 comments:

  1. At risk of sounding ignorant, I wonder if there are hubs within the business space where philosophies of EBM might be more accepted, e.g., operations, entrepreneurship, audit ...

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  2. Hi Steve,
    Good point. The first topic which comes to my mind is strategy, which relies heavily on number crunching. But, if you've read Nassim Taleb's Black Swan, you'll know that one has to be very, very careful. Risk management, estimations, etc. Very tricky business. I think the areas where the 'human equation' is the smallest, there is the place where you'll first find acceptance for evidence based management...

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  3. There are probably many different areas of business where EBM could be better accepted. Again, at risk of sounding ignorant, have you seen any good examples or ways of categorizing or creating taxonomies so that the manager can search by evidence or situation and then work backwards toward solutions. For example, this could be a simple wiki that maps back evidence to existing topically-oriented databases. Maybe an "Answer.com" layer on top of a topically-organized store, like Harvard Business Publishing or Wikipedia? Just thinking aloud ...

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  4. Yes, that would be very convenient. Something similar to the Cochrane collaboration, but then for management? I did find this http://www.campbellcollaboration.org/ (Evidence based social science and eduction) and https://wpweb2.tepper.cmu.edu/evite/ebm_conf/index.html (Evidence based management collaborative). Maybe other people have additional information?

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  5. In the medicine field, there are software vendors trying to get tools in the hands of physicians. For example, see here ... http://www.handheldmedicine.ca/software/ebm.htm

    This helps to take things outside of the academic community.

    As an additional aside, there are companies that use innovative business models to apply EBM to reduce costs. For example Healthways (http://www.healthways.com) targets insurance plans and corporations to reduce costs per covered individual through EBM frameworks.

    My reference earlier to operational process, I was thinking of companies like CSC that got big through its association with Reengineering the corporation (a ways back). Not sure if that qualifies as EBM, but the book supporting that mantra used a lot of annecdotes and cases to support its thesis/framework.

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