Best Upstream: The Quest to Solve Problems Before They Happen By Dan Heath

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Upstream: The Quest to Solve Problems Before They Happen-Dan Heath

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Wall Street Journal Bestseller New York Times bestselling author Dan Heath explores how to prevent problems before they happen, drawing on insights from hundreds of interviews with unconventional problem solvers.So often in life, we get stuck in a cycle of response. We put out fires. We deal with emergencies. We stay downstream, handling one problem after another, but we never make our way upstream to fix the systems that caused the problems. Cops chase robbers, doctors treat patients with chronic illnesses, and call-center reps address customer complaints. But many crimes, chronic illnesses, and customer complaints are preventable. So why do our efforts skew so heavily toward reaction rather than prevention? Upstream probes the psychological forces that push us downstream—including “problem blindness,” which can leave us oblivious to serious problems in our midst. And Heath introduces us to the thinkers who have overcome these obstacles and scored massive victories by switching to an upstream mindset. One online travel website prevented twenty million customer service calls every year by making some simple tweaks to its booking system. A major urban school district cut its dropout rate in half after it figured out that it could predict which students would drop out—as early as the ninth grade. A European nation almost eliminated teenage alcohol and drug abuse by deliberately changing the nation’s culture. And one EMS system accelerated the emergency-response time of its ambulances by using data to predict where 911 calls would emerge—and forward-deploying its ambulances to stand by in those areas. Upstream delivers practical solutions for preventing problems rather than reacting to them. How many problems in our lives and in society are we tolerating simply because we’ve forgotten that we can fix them?

Book Upstream: The Quest to Solve Problems Before They Happen Review :



A major thing that made the previous books from this author and his brother so special was the seemingly little touches that none-the-less showed how they wanted their material to be useful - for example, in Switch there are 'Clinics' which give the reader a chance to implement the material and in Decisive there are one page summaries for each chapter. There's nothing like that here; instead, you are forced to blunder thru endless stories illustrating the same minor points - often phrased as a question - again and again.Plus, those stories are a major issue. The vast, vast majority are hugely inspirational from very powerful people or those in authority positions looking to change the world, and while you might feel inspired by these tales there is only one single little chapter that tries to make the connection to ordinary people. After a while, I didn't care about CEOs or government authorities or powerful school districts - I just want to solve my own problems.I think the graphic on page 247 sums up the problems here - it is entirely an after-thought, and not very useful and not something anybody will study. That's disappointing.This book isn't terrible - hence the 3 stars - but I won't be buying the many multiple of copies of Decisive with this one. Overall, if endless anecdotes are your thing you might like it, but this is the first Health and Health book I've ever struggled to finish. Maybe you will feel different.
What's the best time to prevent a burglary? When the criminal is still in his mother's belly, that's when."Upstream" espouses that radical shift in thinking: going to the source of the problem, as far back as we can go, to solve it *before* it arises. Prevention is like a vaccine: having nothing bad happen may not be as sexy as heroic corrective measures, but it is far cheaper and more efficient.For example, there's a firm called P3 that uses complex motion capture technology "to micro-analyze athletes as they run, jump, and pivot." It then tells them which injuries they're most susceptible to, and re-trains them to prevent those injuries. Magic!But how? "To succeed upstream, leaders must: detect problems early, target leverage points in complex systems, find reliable ways to measure success, pioneer new ways of working together, and embed their successes into systems to give them permanence."Before you can do that, you need to overcome three obstacles:1) Problem blindness: "You can’t solve a problem that you can’t see, or one that you perceive as a regrettable but inevitable condition of life.” If you think 'athletes just get injured', you'll never prevent injuries.2) Lack of ownership: 'Ain't my problem!' Got to own it to solve it.3) Tunneling: "I just can't deal with that right now." The more stressed you are (e.g. because of poverty), the more you're reacting to immediate concerns ("Can't pay the bills gaaah!") and the less you can engage in the "systems thinking" required to see the bigger picture.Two concepts that particularly resonated with me:• "Surround the problem": Realize that problems are embedded in systems, and recruit all the stakeholders to solve the problem. For example, to reduce teenage delinquency from 50% to near zero in Iceland, they brought on board parents, coaches, teachers, and the kids.• "Immerse yourself in the problem": Med students at Hackensack Meridian School of Medicine at Seton Hall go into the community and spend hours with patients *in their homes* from day one. That way, they find out about the social determinants of health, e.g. how a patient's diabetes can go uncontrolled because he can't go to the store himself.Heath shares many inspiring stories of heroic, effective problem solving that stay with you long after finishing the book (which I did in one sitting): how Jacquelyn Campbell's "Danger Assessment" tool prevents deadly domestic violence; Anthony Ramirez-Di Vittorio's "Being a Man" homicide prevention program in Baltimore; and Rockford, Illinois's successful eradication of homelessness.Of course, "nowhere is the need for this shift [from reaction to prevention] more evident in the $3.5 trillion healthcare industry." I really appreciate Dan Heath's clarion call of moral responsibility, instead of merely making the business case that prevention saves money:"Nothing else in health care, other than prevention, is viewed through this lens of saving money... This is madness. The reason to house the homeless or prevent disease or feed the hungry is not because of the financial returns but because of the moral returns. Let’s not sabotage upstream efforts by subjecting them to a test we never impose on downstream interventions."If you're a problem-solver of any kind -- parent, teacher, scientist, politician, entrepreneur -- this book is required reading. The shift from reactive to upstream thinking is also the shift from small-scale to systems thinking, undergirding our success as families, societies, and a species (think: climate change). I'll be re-reading this one regularly.-- Ali Binazir, M.D., M.Phil., Happiness Engineer and author of  The Tao of Dating: The Smart Woman's Guide to Being Absolutely Irresistible , the highest-rated dating book on Amazon, and  Should I Go to Medical School?: An Irreverent Guide to the Pros and Cons of a Career in Medicine

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