Working Backwards: A New Paradigm for U.S. Healthcare and Hospital Solutions

Salim Afshar MD DMD FACS
Reveal AI in Healthcare
3 min readAug 6, 2023
Working backwards lets you see clearly the why of what you do

For two decades, from an eager assistant to a seasoned surgeon, I’ve traversed the intricate maze of U.S. healthcare. The journey, filled with relentless ambition, continuous learning, and sheer determination, allowed me to witness the sector’s evolution. As with many industries, the transformation in healthcare is driven by innovation, yet a foundational principle often remains overlooked: working backwards.

In an era where technology drives most solutions, understanding the “why” before the “how” or “what” is imperative. Working backwards is precisely about this. Instead of jumping straight into solution development, it’s about deeply understanding the problems, their roots, and the context in which they arise.

Understanding the Hospital Context

Every hospital has its unique ecosystem of challenges, resources, and patient demographics. Hospital executives know their terrain well. Still, there’s often a mismatch when technology solutions are introduced, mainly because the solution-providers don’t fully grasp the context of the hospital they are working with. This is where my experience in surgery and the broader healthcare spectrum serves as an invaluable asset. It’s not just about knowing the medical aspects; it’s about comprehending the day-to-day issues, the larger systemic problems, the interpersonal dynamics, and the unspoken needs.

The “Why” Before the “How”

When considering new systems, technologies, or processes, hospital executives must begin with the end in mind. The primary question should be, “What are we trying to achieve?” The answer will provide a clear roadmap for tech partners to follow. Once the destination is defined, working backwards to find the best path becomes intuitive.

For instance, if the goal is to enhance patient recovery rates, one must first understand the current barriers to recovery. Is it the post-operative care? Is it a lack of timely diagnostics? Or is it the socio-economic conditions of the patient population? The solution becomes evident once the problem is understood in its entirety.

The Need for Tech Partners Who “Get It”

Over the years, I’ve initiated multiple ventures, such as Reveal HealthTech, and have deeply involved myself in the intertwining of healthcare and technology. One fundamental lesson that stands out is the importance of collaboration between hospitals and technology partners who truly understand the healthcare domain. It’s about more than just tech solutions; it’s about tech solutions that are customized to the hospital’s context, challenges, and goals.

Integrating Core Values

My adherence to the principles of justice, equity, unity, accompaniment, and empathy has been a guiding light in all of my work. It’s essential that these principles are embedded in every solution created. A piece of technology without empathy, for instance, can be cold and ineffective. A system that doesn’t recognize equity might amplify existing disparities. But when solutions are designed with these values in mind, they become transformative, not just transactional.

Conclusion

As we stand at the precipice of monumental changes in the healthcare sector, it’s crucial to keep the principle of working backwards at the forefront. Hospital executives need to be clear about their goals, and tech partners need to be fully immersed in the healthcare context. Only then can we collaboratively build solutions that aren’t just innovative but are truly impactful, driving the advancement of health systems globally.

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