# Innovate a blue ocean for the double helix *Find a market-strategy that gets us paid anything for this project, start small, work up-market.* Overlap between [[ The Innovators Dilemma]], [[Blue Ocean Strategy]], and our [[Double Helix Project]] BHAG Joel Pasternack -> story about dialysis nurses quitting, needing to be replaced by techs who are doing more narrow jobs and being trained "just to run the machine" Tom Gross -> innovators dilemma Problem: Our healthcare systems are fragile! If a bunch of nurses quit ANYWHERE in the Cardiac value stream, those holes need to be patched quickly. And not only by nurses. They need to be able to quickly and reliably upscale micro-elements of nursing tasks. Need a new ICU NURSE to care for a patient with an Impella? -> have a new ICU nurse care for the patient and create an "Impella Tech." Peer and Self-Guided Learning with Expert Calibration and Trustworthy Assessment will struggle to break into the residency domain, but might break into the "XXX Tech Rapid reliable training" domain. There are "cast techs" at our hospital, suture techs at many hospitals they don't cast or suture people in the ER. We were trained in it and "own it." That is a barrier to the learning part to. What will organizations offload? What don't they have expertise in? The tiny micro-jobs of the technical roles. This has always been taught by apprentice. ### What would the opposite argument be? ## Sources: